بررسی اثر آنی سرمادرمانی بر فاکتورهای کینتیکی مرتبط با آسیب حین برش جانبی در مردان ورزشکار سالم: مطالعه آزمایشی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 گروه بیومکانیک و اسیب شناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران.

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

3 استادیار، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران

10.22037/jrm.2020.113786.2436

چکیده

مقدمه و اهداف
سرمادرمانی یکی از تکنیک‌های رایج در درمان آسیب‌های حاد و مزمن ورزشکاران است. هدف از پژوهش حاضر بررسی اثر آنی سرمادرمانی بر فاکتورهای کینتیکی مرتبط با آسیب حین برش جانبی در مردان ورزشکار سالم بود.
مواد و روش­ ها
14 ورزشکار مرد حرفه‌ای سالم با میانگین سن 5/3±3/24 سال و وزن 2/19+±1/74 کیلوگرم در مطالعه حاضر شرکت کردند. متغیرهای کینتیکی شامل نیروی عکس‌العمل زمین، میزان نرخ بارگذاری نیروها، جابه­جایی مرکز فشار نسبت به مرکز جرم و اوج گشتاور آزاد توسط صفحه نیروسنج حین مانور برش جانبی اندازه‌گیری شد. مچ پای آزمودنی‌ها از دو جانب داخلی و خارجی و با فاصله 30 سانتی‌متری نسبت به قوزک­ ها به مدت 5 ثانیه تحت اعمال سرما با استفاده از اسپری سردکننده قرار گرفت و آزمون سه بار تکرار شد. از آزمون t زوجی برای بررسی تغییرات آماری در سطح معنا‌داری 0/05 استفاده شد.
یافته ­ها
نتایج آزمون t زوجی نشان داد که اوج نیروی عکس‌العمل در راستای داخلی-خارجی (0/042=P) و نرخ بارگذاری آن (0/046=P) پس از اعمال پروتکل سرما نسبت به پیش­ آزمون (قبل از مداخله) افزایش معناداری پیدا کرد. متغیر جابه­ جایی مرکز جرم نسبت به مرکز فشار در هر دو راستای داخلی-خارجی و قدامی-خلفی نیز (به ­ترتیب 0/01=P و 0/004=P) افزایش معناداری در مقایسه با پیش ­آزمون نشان دادند.
نتیجه ­گیری
با توجه به نتایج پژوهش حاضر به نظر می‌رسد که سرما موجب افزایش ریسک خطر آسیب‌های ناشی از افزایش میزان نیرو و نرخ بارگذاری و کاهش میزان کنترل ثبات دینامیکی ورزشکاران حین حرکت برش جانبی شده و فرد را در معرض خطر آسیب‌های بالقوه‌ای قرار می­ دهد. توصیه می­شود که با انجام تحقیقات با حجم نمونه بیشتر در این زمینه، محققان اطلاعات مفید و جامع ­تری در مورد استفاده از اسپری ­های سردکننده حین مداوای آسیب ­های مچ پا در فعالیت ­های برشی ارائه دهند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Immediate Effect of Cryotherapy on the Kinetic Factors Associated with Injury during the Side-Cutting Maneuver in Healthy Male Athletes: Pilot Study

نویسندگان [English]

  • Hamidreza Naserpour 1
  • Mehdi Khaleghi Tazji 2
  • Amir Letafatkar 3
1 Department of Biomechanics and Sport Injury, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.
2 PhD. Assistant Professor of Faculty of Physical Education and Sport Sciences, Kharazmi University, Teheran, Iran
3 PhD. Assistant Professor, Department of Biomechanic and Sport Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
چکیده [English]

Background and Aim: Cryotherapy is commonly used in the treatment of acute and chronic athletic injuries. The present study aimed to investigate the immediate effect of cryotherapy on the kinetic factors associated with injury during the side-cutting maneuver in healthy male athletes.
Materials and Methods: A total of 14 professional athletes (age: 24.3±3.5 years and weight: 74.1±19.2 kg) took part in the study. The kinetic factors, including ground reaction force, and their rate of loading, the center of mass to center of pressure changes, and free momentum, were assessed by force plate during the side-cutting maneuver. Simultaneously, using spray cooling, cold was applied to participants' inside and outside parts of the ankle with a distance of 30 cm from lateral and medial malleolus for 5 seconds; the test was repeated three times. Paired t-tests were used for statistical analysis, with a significance level of P≤0.05.
Results: The results of the Paired t-test showed that both peak ground reaction force (P = 0.042) and the rate of loading in the Medio-lateral direction significantly increased (P = 0.046) after applying the cold protocol compared to the pre-test (before intervention). The center of mass to center of pressure displacement in both Medio-Lateral and Anterior-Posterior directions also showed a significant increase (P = 0.01 and P = 0.004), respectively.
Conclusion: According to the results of the current study, it seems that cold enhances the risk of injuries due to increased force and its rate of loading and reduces the dynamic stability of athletes during the side-cutting maneuver and can put the athletes at risk of potential injuries. It is recommended that further studies be conducted using larger sample size to investigate the use of cooling sprays during the treatment of ankle injuries in shear activities.

کلیدواژه‌ها [English]

  • Cryotherapy
  • Kinetic
  • Side-cutting
  • Ankle
  • ground reaction force
1. Shirvani Pour S, Sadeghi H, Mimar R. Comparison between changes in the center of pressure among the elite male karatekas with or without genu varum during forward and backward walking tasks. The Scientific Journal of Rehabilitation Medicine. 2016;5:41–9. [In Persian]. ##
2. Naserpour H, Sadeghi H. The Effect of Short-Term Use of Cold Spray on Strength and Ankle Joint Position Sense in Professional Wrestlers. Journal of Sport Biomechanics. 2017;3:43–50. [In Persian]. ##
3. Lee HM, Cheng CK, Liau JJ. Correlation between proprioception, muscle strength, knee laxity, and dynamic standing balance in patients with chronic anterior cruciate ligament deficiency. Knee. 2009;16:387–91. ##
4. Beynnon BD, Renström PA, Alosa DM, Baumhauer JF, Vacek PM. Ankle ligament injury risk factors: A prospective study of college athletes. Journal of Orthopaedic Research. 2001;19:213–20. ##
5. Winter DA, Patla AE, Ishac M, Gage WH. Motor mechanisms of balance during quiet standing. Journal of Electromyography and Kinesiology. 2003;13:49–56. ##
6. Lynch SA, Renström PAFH. Treatment of acute lateral ankle ligament rupture in the athlete: Conservative versus surgical treatment. Sports Medicine. 1999;27:61–71. ##
7. Pollard CD, Heiderscheit BC, Van Emmerik REA, Hamill J. Gender differences in lower extremity coupling variability during an unanticipated cutting maneuver. Journal of Applied Biomechanics. 2005;21:143–52. ##
8. Queen RM, Haynes BB, Hardaker WM, Garrett WE. Forefoot loading during 3 athletic tasks. American Journal of Sports Medicine. 2007;35:630–6. ##
9. Besier TF, Lloyd DG, Cochrane JL, Ackland TR. External loading of the knee joint during running and cutting maneuvers. Medicine and Science in Sports and Exercise. 2001;33:1168–75. ##
10. Chappell JD, Yu B, Kirkendall DT, Garrett WE. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. American Journal of Sports Medicine. 2002;30:261–7. ##
11. Jafarnezhadgero A, Sorkheh E. Effects of femoral external rotational and abductoral taping on frequency content of ground reaction forces during running. The Scientific Journal of Rehabilitation Medicine. 2018;0:47–57. [In Persian]. ##
12. Spector FC, Karlin JM, DeValentine S, Scurran BL, Silvani SL. Spiral fracture of the distal tibia: An unusual stress fracture. Journal of Foot Surgery. 1983;22:358–61. http://www.ncbi.nlm.nih.gov/pubmed/6643946. Accessed 13 Feb 2020. ##
13. Holden JP, Cavanagh PR. The free moment of ground reaction in distance running and its changes with pronation. Journal of Biomechanics. 1991;24. ##
14. Lisee C, Birchmeier T, Yan A, Geers B, O’Hagan K, Davis C, et al. The Relationship Between Vertical Ground Reaction Force, Loading Rate, and Sound Characteristics During a Single-Leg Landing. Journal of Sport Rehabilitation. 2019;:1–6. doi:10.1123/jsr.2018-0260. ##
15. Milner CE, Ferber R, Pollard CD, Hamill J, Davis IS. Biomechanical factors associated with tibial stress fracture in female runners. Medicine and Science in Sports and Exercise. 2006;38:323–8. ##
16. Davis IS, Bowser BJ, Hamill J. Vertical Impact Loading in Runners with a History of Patellofemoral Pain Syndrome. Medicine & Science in Sports & Exercise. 2010;42:682. ##
17. Pohl MB, Hamill J, Davis IS. Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners. Clinical Journal of Sport Medicine. 2009;19:372–6. ##
18. Boden BP, Dean CS, Feagin JA, Garrett WE. Mechanisms of anterior cruciate ligament injury. Orthopedics. 2000;23:573–8. ##
19. Hrysomallis C, Goodman C. A Review of Resistance Exercise and Posture Realignment. Journal of Strength and Conditioning Research. 2001;15:385–90. ##
20. Leanderson J, Eriksson E, Nilsson C, Wykman A. Proprioception in classical ballet dancers: A prospective study of the influence of an ankle sprain on proprioception in the ankle joint. American Journal of Sports Medicine. 1996;24:370–4. ##
21. Hopper D, Whittington D, Davies J. Does ice immersion influence ankle joint position sense? Physiotherapy research international : the journal for researchers and clinicians in physical therapy. 1997;2:223–36. ##
22. Algafly AA, George KP. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. British Journal of Sports Medicine. 2007;41:365–9. ##
23. Herrera E, Sandoval MC, Camargo DM, Salvini TF. Motor and Sensory Nerve Conduction Are Affected Differently by Ice Pack, Ice Massage, and Cold Water Immersion. Physical Therapy. 2010;90:581–91. ##
24. Beyranvand R, Ebrahimipour E, Mirnasouri R. The effect of cold spray cryotherapy method on the shoulder joint position sense of healthy athletes. International Journal of Biomedicine and Public Health. 2020;3:1–4. ##
25. Chang YW, Wu HW. Effect of cryotherapy on ankle proprioception and balance in subjects with chronic ankle instability. Isokinetics and Exercise Science. 2017;25:143–8. ##
26. Kalli K, Fousekis K. The effects of cryotherapy on athletes’ muscle strength, flexibility, and neuromuscular control: A systematic review of the literature. Journal of Bodywork and Movement Therapies. 2019. ##
27. Dibenedetto LM, Wiegand K, Freedman Silvernail J. The Effect of Cold-Water Immersion on Running Mechanics. International Journal of Exercise Science. 2019;12:547–55. ##
28. Fullam K, Caulfield B, Coughlan G, Delahunt E. the Effect of Cryotherapy Application To the Ankle Joint on Dynamic Postural Stability in an Elite Athletic Population. British Journal of Sports Medicine. 2014;48:596.1-596. ##
29. Alipour Sarinasirloo M, Siahkouhian M, Jafarnezhadgero A, Rahmanpour AH. Effect of Novel Cryotherapy Method on Frequency Spectrum of Lower Limb Muscles during Running and Walking. Journal of Advanced Sport Technology. 2020;4:1–8. [In Persian]. ##
30. Shirvanipour S, Sadeghi H. The Comparison of Center of Pressure to Center of Mass during Sideward Cutting Manoeuvre among the Male Elites of Karatecas with and without Genu Varum. Journal of Paramedical Sciences & Rehabilitation. 2016;5:43–9. [In Persian]. ##
31. Wells RP, Winter DA. Assessment of Signal and Noise in the Kinematics of Normal Pathological and Sporting Gaits. Human Locomotion. 1980;:92–4. ##
32. Lafond D, Duarte M, Prince F. Comparison of three methods to estimate the center of mass during balance assessment. Journal of Biomechanics. 2004;37:1421–6. ##
33. Dempster WT. the Anthropometry of Body Action. Annals of the New York Academy of Sciences. 1955;63:559–85. ##
34. Almosnino S, Kajaks T, Costigan PA. The free moment in walking and its change with foot rotation angle. BMC Sports Science, Medicine and Rehabilitation. 2009;1:19. ##
35. Cohen J. Statistical power calculations for the behavioural sciences. 2Nd Edition. 1988;Laurence E. ##
36. Hamill J, Knutzen KM, Derrick TR. Biomechanical basis of human movement: Fourth edition. Lippincott Williams & Wilkins; 2014. ##
37. Wright IC, Neptune RR, Van Den Bogert AJ, Nigg BM. The influence of foot positioning on ankle sprains. Journal of Biomechanics. 2000;33:513–9. ##
38. Kulin RM, Jiang F, Vecchio KS. Effects of age and loading rate on equine cortical bone failure. Journal of the Mechanical Behavior of Biomedical Materials. 2011;4:57–75. ##
39. Brughelli M, Cronin J. Influence of running velocity on vertical, leg and joint stiffness: Modelling and recommendations for future research. Sports Medicine. 2008;38:647–57. ##
40. Ivanenko Y, Gurfinkel VS. Human postural control. Frontiers in Neuroscience. 2018;12 MAR:171. ##
41. Willems TM, Witvrouw E, De Cock A, De Clercq D. Gait-related risk factors for exercise-related lower-leg pain during shod running. Medicine and Science in Sports and Exercise. 2007;39:330–9. ##
42. Fullam K, Caulfield B, Coughlan GF, McNulty W, Campbell D, Delahunt E. The Effect of Cryotherapy Application to the Knee Joint on Dynamic Postural Stability. Journal of sport rehabilitation. 2019;1 aop:1–9. ##