بررسی تاثیر 6 هفته تمرینات اصلاحی جامع بر تعادل و الگوی تغییرات فشار کف پا دختران نوجوان با کف پای صاف منعطف

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشگاه بین‌المللی کیش دانشگاه تهران، کیش، ایران

2 استادیار، گروه علوم ورزشی، پردیس بین المللی کیش، دانشگاه تهران، کیش، ایران

3 استادیار، دکتری مهندسی پزشکی/ بیومکانیک، دانشگاه تهران، تهران، ایران

4 استادیار، دکتری بیومکانیک ورزشی، دانشگاه مازندران، مازندران، ایران

چکیده

مقدمه و اهداف
پژوهش حاضر به بررسی تاثیر 6 هفته تمرینات اصلاحی جامع بر تعادل و الگوی تغییرات فشار کف پا دختران نوجوان با کف پای صاف منعطف می­پردازد.
مواد و روش­ ها
آزمودنی­ های تحقیق حاضر شامل 30 نفر از دانش­ آموزان 9-13 سال دارای ناهنجاری کف پای صاف بودند که به ­صورت غیرتصادفی هدفمند انتخاب شده و به­ صورت کاملا تصادفی به دو گروه تمرین اصلاحی (سن: 02/1±60/11 سال، قد: 29/10±00/148 سانتی­متر، وزن:  69/11±40/47 کیلوگرم و شاخص توده بدنی: 92/11±42/21) و کنترل (سن: 95/0±40/11 سال، قد: 67/12±46/148 سانتی­ متر، وزن: 28/12±46/47 کیلوگرم و شاخص توده بدنی: 28/4±37/21) تقسیم شدند. برای جمع ­آوری اطلاعات دموگرافیک از پرسشنامه و برای ارزیابی ناهنجاری کف پای صاف از روش افت ناوی استفاده شد. همچنین پارامترهای مرتبط با کف پا شامل سطح مرکز فشار و تعادل ایستا با استفاده از دستگاه فوت­ اسکن ارزیابی شد. از آمار توصیفی جهت تعیین فراوانی‌ها و شاخص‌های مرکزی و پراکندگی در قالب جدول‌ها و نمودارها و از آزمون تحلیل کوواریانس تک­متغیره و چند­متغیره جهت بررسی تفاوت­های بین گروهی در متغیرهای پژوهش استفاده شد.
یافته­ ها
نتایج پژوهش حاضر نشان داد که اعمال برنامه اصلاحی اثر معناداری بر تعادل ایستا با چشمان باز و بسته (01/0>P) و سطح مرکز فشار شست پا، استخوان متاتارسال اول، متاتارسال دوم، متاتارسال سوم و ناحیۀ میانی پا و بخش داخلی پاشنه (01/0>P) در گروه تمرینی نسبت به گروه کنترل داشت.
نتیجه­ گیری
تحقیق حاضر نشان داد تمرینات اصلاحی جامع در بهبود تعادل و وضعیت کف پا موثر بوده و بر همین اساس پیشنهاد می­شود درمانگران در بهبود ناهنجاری­ های کودکان، از تمرینات اصلاحی مرتبط با تنه و اندام تحتانی در قالب برنامه اصلاحی جامع استفاده کنند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Six Weeks of Comprehensive Corrective Exercises on Balance and Foot Pressure Pattern in Female Adolescents with Flexible Flat Foot

نویسندگان [English]

  • Fatemeh Nikkhouamiri 1
  • Mahdieh Akoochakian 2
  • Elham Shirzad Araghi 3
  • Seid Esmail Hosein Nejad 4
1 PhD Student, Department of Sport Injuries and Corrective Exercises, Faculty of Sport Sciences, Pardis Kish Campus, University of Tehran, Kish, Iran
2 Assistant Professor, Sports Sciences Department , Kish International Campus , University of Tehran, kish, Iran.
3 Assistant Professor, Department of Sports Injuries and Corrective Exercises, Faculty of Sports Sciences, University of Tehran, Tehran, Iran
4 Assistant Professor, Department of Sports Injuries, and Corrective Exercises, Faculty of Sports Sciences, University of Mazandaran, Mazandaran, Iran
چکیده [English]

Background and Aims: The present study was conducted to evaluate the effect of six weeks of comprehensive corrective exercises on balance and foot pressure pattern in female adolescents with flexible flat foot.
Materials and Methods: Participants included 30 students aged 9 to 10 years with flat feet abnormalities randomly selected and divided into two groups of corrective exercise (age: 11.60±1.02 years, height: 148.46±10.29 cm, weight: 47.40±11.69 kg, and body mass index: 21.42±11.92) and control (age: 11.40±0.95 years, height: 148.46±12.67 cm, weight: 47.46±12.28 kg, and body mass index: 21.37±4.28). Questionnaires were used to collect demographic data and Navicular drop method was used to evaluate flat foot abnormality. Foot-related parameters, such as the level of the center of pressure and static balance, were also evaluated using a foot scanner. Descriptive statistics were used to determine the frequencies, central indices, and dispersion in the form of tables and graphs, and univariate and multivariate analysis of covariance was used to examine intergroup differences in research variables.
Results: The results showed that corrective program had a significant effect on static balance with open and closed eyes (P<0.01), and the level of the center of the big toe pressure, first metatarsal bone, second metatarsal, third metatarsal, and midfoot region and inner side of the heel (P <0.01) in the exercise group.
Conclusion: The current study showed that corrective exercises are effective in improving balance and posture of the sole of the feet, so it is recommended that therapists use different exercises related to the trunk and lower limbs in the form of a corrective program to improve children's abnormalities.

کلیدواژه‌ها [English]

  • Corrective Exercises
  • Balance
  • Flat Foot
  • Foot pressure
  • Female Adolescent
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