اثربخشی دوازده هفته تمرینات حسی حرکتی بر درد، بهبود حس عمقی، قدرت عضلانی و کنترل پاسچر در مردان مبتلا به سندروم درد کشککی رانی: یک کارآزمایی بالینی تک سوکور تصادفی شده

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد گروه توانبخشی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه بوعلی سینا، همدان، ایران

2 استاد گروه توانبخشی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه بوعلی سینا، همدان، ایران

3 استادیار گروه حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده علوم ورزشی، دانشگاه رازی، کرمانشاه، ایران

چکیده

مقدمه و اهداف
در بیماران با سندروم درد کشککی رانی اختلال در کنترل پاسچر گزارش شده است که دلایل آن درد، اختلال در حس عمقی و کاهش قدرت عضلانی می­ باشد. هدف مطالعه حاضر اثربخشی دوازده هفته تمرینات حسی-حرکتی بر درد، بهبود حس عمقی، قدرت عضلانی و کنترل پاسچر در مردان مبتلا به سندروم درد کشککی رانی است.
مواد و روش­ ها
مطالعه نیمه­ تجربی حاضر شامل 32 نفر بیمار مبتلا به سندروم درد کشککی رانی است که به­ صورت تصادفی به دو گروه تجربی (16 نفر) و کنترل (16 نفر) تقسیم شدند. متغیرهای مورد نظر شامل درد، حس عمقی زاویه 20 و 60 درجه، قدرت عضلانی چهارسررانی و آبداکتور ران و کنترل پاسچر ایستا بود که قبل از مداخله و بعد از مداخله ارزیابی شد. برای ارزیابی کنترل پاسچر از دستگاه تعادل سنج بایودکس، درد با مقیاس VAS، حس عمقی با گونیامتر و قدرت عضلانی از دینامومتر دستی استفاده شد. گروه تجربی طی یک دوره دوازده-هفته ­ای، 3 جلسه در هفته و هر جلسه 1 ساعت تمرینات حسی-حرکتی را انجام دادند و گروه کنترل طی این وهله زمانی تحت هیچ­ گونه مداخله درمانی قرار نگرفتند. برای تجزیه ­و­تحلیل داده­ ها از نرم ­افزار SPSS نسخه 21 و روش آماری کوواریانس استفاده شد.
یافته­ ها
نتایج تجزیه ­و تحلیل داده­ها نشان می­دهد که گروه تجربی نسبت به گروه کنترل پس از دوازده هفته تمرینات حسی-حرکتی بهبودی معناداری در کنترل پاسچر شاخص قدامی-خلفی (0/002=P)، شاخص داخلی–خارجی (0/001=P)، ثبات کلی (0/001=P)، کاهش درد (0/001=P)، بهبود حس عمقی 20 درجه (0/001=P)، حس عمقی 60 درجه (0/001=P) و قدرت عضلات چهارسررانی (0/002=P) و آبداکتور ران (0/0010=P) کسب کرده است.
نتیجه­ گیری
تمرینات حسی-حرکتی به­ صورت معناداری به کاهش درد، بهبود حس عمقی، قدرت و کنترل پاسچر افراد مبتلا به سندروم درد کشککی رانی منجر شد؛ در نتیجه به نظر می­رسد که می­توان از این تمرینات به ­عنوان یک پروتکل درمانی جامع در بهبود اختلالات متعددی در بیماران با سندروم درد کشککی رانی بهره جست.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Twelve Weeks of Sensorimotor Training on Pain, Improvement Proprioception, Muscle Strength, and Postural Control in Men with Patellofemoral Pain Syndrome: A Randomized Single-Blind Clinical Trial

نویسندگان [English]

  • Mohamadreza Ahmadi 1
  • Ali Yalfani 2
  • Farzaneh Gandomi 3
1 MSc, Department of Sports Rehabilitation, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamadan, Iran
2 Professor, Department of Sports Rehabilitation, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamadan, Iran
3 Assistant Professor, Sport Injuries and Corrective Exercises Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran
چکیده [English]

Background and Aims: Postural control disorder has been reported in Patellofemoral Pain Syndrome (PFPS) patients as the cause of pain, dysfunction in proprioception, and decreased muscle strength. The purpose of the present study was to investigate the effects of 12 weeks of sensorimotor training on pain, proprioception, strength, and postural control in PFPS patients.
Methods: A semi-experimental study was carried out on 32 patients with PFPS who were randomly divided into experimental (n = 16) and control (n = 16) groups. The variables measured included pain, knee proprioception angles of 20 and 60 degrees, muscular strength quadriceps, hip abductor, and postural control, which were evaluated before and after intervention. We evaluated postural control using Biodex Device, pain with VAS scale, knee proprioception with goniometer, and muscle Strength via dynamometer. The experimental group performed sensorimotor Training for 12 weeks, 3 times per week) and 1 hour per session; however, the control group did not receive any treatment during this time. SPSS, version 21, was used for data analysis running covariance statistical method.
Results: The results of data analysis showed that the experimental group had significant improvement in postural control index, Anterior-posterior index (P=0.002), medial-lateral Overall stability (P=0.001), pain reduction (P=0.001), knee proprioception of 20 degrees (P=0.001), knee proprioception of 60 degrees (P=0.001), muscle strength of quadriceps (P=0.002), and muscle strength of hip abductor (P=0.001) after 12 weeks of sensorimotor training.
Conclusions: Sensorimotor training significantly reduced pain and improved knee proprioception, muscles strength, and postural control in PFPS patients; therefore, it seems that these training can be used as a comprehensive treatment protocol for the treatment of multiple disorders in patients with PFPS.

کلیدواژه‌ها [English]

  • patellofemoral pain syndrome
  • muscle strength quadriceps
  • muscle strength hip abductor
  • Postural control
  • Sensorimotor Training
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