تأثیر تمرینات اصلاحی بر راستای سر و شانه و تعادل در زنان مبتلا به سردرد سرویکوژنیک با کمپلکس سر و شانه‌به‌جلو

نوع مقاله: مقاله پژوهشی

نویسندگان

1 گروه بهداشت و طب ورزشی، دانشکده تربیت‌بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران.

2 گروه آموزشی مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم‌پزشکی تهران، تهران، ایران.

10.22037/jrm.2020.113552.2398

چکیده

اهداف: تغییرات به‌وجودآمده در راستای مطلوب سر و گردن و متعاقب آن کمربند شانه از شیوع بالایی برخوردار است که پیامدهای گوناگونی، از جمله سردرد سرویکوژنیک را به دنبال دارد. هدف از پژوهش حاضر، بررسی اثر دوازده هفته تمرینات اصلاحی بر راستای سر و شانه و تعادل زنان مبتلا به سردرد سرویکوژنیک با کمپلکس سر و شانه‌به‌جلو بود.
مواد و روش‌ها: 32 زن بر اساس نرم‌افزار جی پاور با توان 80 درصد، فاصله اطمینان 95 درصد و افکت سایز 0/9 که مبتلا به سردرد سرویکوژنیک و کمپلکس سر و شانه‌به‌جلو بودند، نمونه‌های پژوهش کنونی را تشکیل دادند. آزمودنی‌ها به‌ صورت هدفمند انتخاب شدند و به ‌طور تصادفی در دو گروه شانزده‌نفری آزمایش (با میانگین سنی 42/4±36/12 سال و قد 49/5±162/12 سانتی‌متر و وزن 3/69±60/25 کیلوگرم) و کنترل (با میانگین سنی 4/44±35/93 سال و قد 3/84±162/12 سانتی‌متر و وزن 3/68±58/62 کیلوگرم) قرار گرفتند. با استفاده از روش تصویربرداری از نمای جانبی زوایای سر و شانه‌به‌جلو و توسط دستگاه بایودکس شاخص تعادل در چهار حالت ارزیابی شد. آزمایش تمرینی به ‌مدت دوازده هفته انجام گرفت. تمامی آزمون‌ها در پس‌آزمون دوباره تکرار شد. نتایج این پژوهش با استفاده از آزمون آماری تی زوجی به منظور بررسی تفاوت‌‌های درون‌گروهی و آزمون تی مستقل به منظور بررسی تفاوت‌‌های بین‌گروهی با استفاده از نرم‌افزار SPSS نسخه 24 تجزیه ‌و ‌تحلیل شد.
یافته‌ها: بعد از اتمام تمرینات، تمامی متغیر‌های زوایای سر و شانه و شاخص‌های تعادل در هر دو گروه آزمایش و کنترل در پس‌آزمون به‌ طور معناداری بهبود یافتند (0/05>P)، ولی مقایسه بین‌گروهی نتایج در پس‌آزمون نشان داد که گروه آزمایش در هر سه متغیر زاویه سر‌به‌جلو، شانه‌به‌جلو و تعادل نسبت به گروه کنترل بهبود معناداری داشته است (0/0001=P).
نتیجه‌گیری: از آنجا که تمرینات اصلاحی در هر مکان و زمانی توسط خود فرد قابل اجراست و با توجه به تأثیرات مثبت آن بر بهبود راستا و تعادل، به افراد مبتلا به سردرد سرویکوژنیک با ناهنجاری یادشده توصیه می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of a Corrective Exercise Program on Head and Shoulder Alignment and Balance of Women With Cervicogenic Headache and Forward Head and Rounded Shoulder Posture

نویسندگان [English]

  • Saba Yazdani 1
  • Foad Seidi 1
  • Samaneh Haghighi 2
1 Department of Health and Sports Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.
2 Department of Neurology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Background and Aims: Defects in the alignment of head and shoulder and consequently shoulder girdle are highly prevalent with a variety of negative effects such as cervicogenic headache. The present study aims to investigate the effect of a 12-week corrective exercise program on head and shoulder alignment and balance in women with cervicogenic headache and Forward Head and Rounded Shoulder Posture (c).
Methods: Participants were 32 women with cervicogenic headache and FHRSP who were selected purposefully. The sample size was determined using GPower software, considering a test power of 80%, a confidence interval of 95%, and an effect size of 0.9. The participants were randomly divided into two groups of exercise (n=16, Mean±SD age= 42.4±36.12 years; Mean±SD height= 49.5±162.93 cm, and Mean±SD weight=69.3±25.6 kg) and control (n=16, Mean±SD age= 44.4±93.35 years; Mean±SD height=84.3±162.12 cm, and Mean±SD weight: 58.62±68.3 kg). The balance was evaluated in four modes using the Biodex device and imaging method (lateral view) was used to measure the angles of forward head and rounded shoulder. The intervention was presented for 12 weeks. All tests were repeated after the intervention. The collected data were analyzed in SPSS v. 24 software using paired t-test and independent t-test to evaluate the within-group and between-group differences, respectively.
Results: After completing the exercises, head and shoulder angles and balance in both groups improved significantly (p < 0.05). Between-group comparison of post-test scores showed that the three variables improved more in the exercise group compared with the control group (P=0.0001).
Conclusion: The corrective exercise program can improve the head and shoulder alignment and balance of women with cervicogenic headache. Therefore, these exercises are recommended to patients with cervicogenic headaches and FHRSP.

کلیدواژه‌ها [English]

  • Corrective Exercises
  • Cervicogenic headache
  • Forward head and rounded shoulder posture
  • Balance
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