مقایسه اثر تیپینگ کشکک و زانوبند نئوپرن تثبیت کننده کشکک بر حس وضعیت مفصل زانو در مردان جوان فعال مبتلا به سندرم درد کشککی رانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار گروه علوم ورزشی، دانشکده علوم انسانی، دانشگاه بجنورد، بجنورد، ایران

2 استادیار گروه علوم ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه بیرجند، بیرجند، ایران

3 دانشجوی دکتری تخصصی بیومکانیک ورزشی، دانشکده علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

چکیده

مقدمه و اهداف
سندرم درد کشککی-رانی، درد مبهمی در ناحیه خلفی کشکک و قدام زانو بوده که در ورزشکاران به دلیل سطح تحرک بالا شایع می­ باشد. نتایج برخی مطالعات حاکی از کاهش حس عمقی مفصل زانو در افراد مبتلا به این عارضه می­ باشد. از مداخلات درمانی غیرجراحی رایج در این عارضه تیپینگ کشکک و نیز استفاده از زانوبندهای تثبیت­کننده کشکک می ­باشد؛ با این حال، اثربخشی این مداخلات بر حس عمقی مفصل مورد ابهام می­باشد. هدف از انجام پژوهش حاضر مقایسه اثر تیپینگ کشکک و زانوبند نئوپرنی تثبیت­کننده کشکک بر ادراک حس وضعیت مفصل زانو در مردان جوان فعال مبتلا به سندروم درد کشککی-رانی می­باشد.
مواد و روش­ ها
حس وضعیت مفصل زانوی 18 نفر دانشجوی مرد رشته علوم ورزشی (سن 0/41±23 /55سال، قد 0/65±173 سانتی­متر، وزن 1/60±70/94 کیلوگرم) دارای سندرم درد کشککی-رانی به­ وسیله اندازه­ گیری خطای مطلق بازسازی فعال زاویه در 30، 45 و60 درجه فلکشن زانو به­ وسیله دستگاه الکتروگونیامتر در زنجیره باز حرکتی، قبل و در حین استفاده از تیپ کشکک و زانوبند نئوپرن تثبیت ­کننده کشکک مورد اندازه ­گیری قرار گرفت. برای تجزیه ­و­ تحلیل اطلاعات از آزمون­ های آماری تحلیل واریانس با اندازه­ گیری­های مکرر و تعقیبی بونفرونی در سطح معناداری 0/05 استفاده گردید.
یافته ­ها
نتایج تحقیق حاضر نشان داد که استفاده از تیپ و زانوبند نئوپرن تثبیت­ کننده کشکک سبب بهبود ادراک حس وضعیت مفصل زانو در زاویه 30 درجه فلکشن شد. با این وجود، در زوایای 45 و 60 درجه، تنها استفاده از زانوبند سبب بهبود معنادار حس وضعیت مفصل شد (0/05>p)
نتیجه­ گیری
می­توان بیان داشت که تیپینگ کشکک تنها در زوایای ابتدایی فلکشن زانو می­تواند بر بهبود ادراک حس وضعیت مفصل مؤثر باشد، ولی استفاده از زانوبند نئوپرن تثبیت­ کننده کشکک می­تواند چه در زوایای ابتدایی و چه میانی دامنه حرکتی سبب بهبود ادراک حس وضعیت مفصل زانو شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparative Effects of Patellar Taping and Patella Stabilizer Neoprene Knee Sleeve on Knee Joint Position Sense in Active Men with Patellofemoral Pain Syndrome

نویسندگان [English]

  • Nader Nokhodchi 1
  • Seyed Abbas Farjad Pezeshk 2
  • Mojtaba Khoshbaten 3
1 Assistant Professor, Sport Sciences Department, Human Sciences Faculty, University of Bojnord, Bojnord, Iran
2 Assistant Professor in Sport Sciences group, Department of Sport Sciences, University of Birjand, Birjand, Iran
3 PhD Student in Sport Biomechanics, Department of Sport Sciences, Kharazmi University, Tehran, Iran
چکیده [English]

Background and Aim: Patellofemoral Pain Syndrome (PFPS) is the most common overuse syndrome in athletes. It seems that individuals with PFPS have some impairments in knee joint proprioception. Patellar taping and neoprene knee sleeve are two common nonoperative methods for the treatment of this syndrome. However, the effectiveness of these interventions on proprioception is doubtful. The purpose of the current study was to investigate the effects of patellar taping and patella stabilizer neoprene knee sleeve on position sense in active men with patellofemoral pain syndrome.
Materials and Methods: A total of 18 active men with PFPS (age 23.55±0.41 years) were examined for their knee position sense using an electro goniometer. Absolute error of active angular reconstruction was calculated for 30°, 45°, and 60°. The data was analyzed running ANOVA repeated measure and bonferoni post hoc tests (α=0.05).
Results: The results showed that in 30° knee flexion in both of neoprene knee sleeve and patellar taping cause significant improvement in position sense; however, in 45° and 60° flexions, only the neoprene knee sleeve cause significant improvement in knee position sense (p < 0.05).
Conclusion: According to the research findings, it can be concluded that patellar taping can improve the position sense in early degrees of knee flexion, but neoprene knee sleeve with patella stabilizer can improve the position sense in early and middle degrees of knee flexion in active men with patellofemoral pain syndrome.

کلیدواژه‌ها [English]

  • patellar Taping
  • neoprene knee sleeve
  • patellofemoral pain syndrome
  • Proprioception
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