تغییرپذیری الگوی حرکتی مفصل مچ پا حین راه رفتن در افراد دارای بی ثباتی عملکردی مچ پا: مقاله مروری

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی دکتری بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی ، دانشگاه خوارزمی تهران

2 استاد تمام بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی ، دانشگاه خوارزمی تهران

چکیده

مقدمه و اهداف
مستند است که یکی از مهمترین یافته­ها در افراد دارای بی­ثباتی عملکردی مچ­پا، تغییر کینماتیک مفصل مچ پا قبل از برخورد پاشنه در راه رفتن است، بنابراین پذیرفتنی است که تغییر در کینماتیک مفصلی را یکی از دلایل احتمالی بازگشت مجدد اسپرین مچ پا در نظر گرفت. اگرچه مکانیک پا و مچ پا نقش مهمی در رخداد این آسیب ایفا می­کند، اما به طور کامل قادر به بروز دادن مکانیزم­های نهفته در بی­ثباتی عملکردی مچ پا نمی­باشد. به همین علت امروزه محققین پیشنهاد کرده­اند تغییرات نامناسب در کنترل عصبی-عضلانی در بروز بی­ثباتی عملکردی مچ پا نقش مهم­تری ایفا می­کنند. هدف مقاله حاضر، مروری بر مطالعات موجود بر تغییرپذیری الگوی حرکتی مفصل مچ پا و استراتژی­های کنترل عصبی- عضلانی در افراد دارای بی ثباتی عملکردی مچ پا است.
مواد و روش­ها
جستجوی مقالات در پایگاه­های اطلاعاتی معتبر نظیرProQuest, Pub Med, Science Direct با جستجوی کلمات، بی­ثباتی عملکردی مچ پا، تغییرپذیری، راه رفتن و کنترل عصبی-عضلانی، در بازه زمانی 1960 میلادی تا 2016 میلادی انجام و بررسی نهایی بر روی 65 مقاله با ارتباط مستقیم انجام شد.
نتیجه­گیری
نتایج ارائه شده در مطالعاتی که تاکنون در خصوص شناسایی مکانیزم­های نهفته در بی­ثباتی عملکردی مچ­پا انجام شده بیانگر تفاوت نگاه دینامیک غیرخطی و خطی است، مطالعات انجام شده بیانگر این واقعیت هستند که بررسی کینماتیکی این پدیده به دلیل پیچیدگی پدیده­ی کنترل عصبی-عضلانی و نقش ترکیبی مکانیزم­های باز در رخداد بی­ثباتی عملکردی مچ پا به تنهایی نمی­تواند پاسخگو باشد. بنابراین تحقیقات بیشتری مورد نیاز است تا استراتژ­ی­های کنترل عصبی- عضلانی در افراد با بی ثباتی مچ پا را مورد بررسی قرار دهند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Ankle Movement Pattern Variation during Walking in People with Functional Ankle Instability: A Review Article

نویسندگان [English]

  • Mohammad Yousefi 1
  • Hiedar Sadeghi 2
1 PhD Student of Sport Biomechanics, School of Physical Education, Kharazmi University of Tehran, Tehran, Iran
2 Full Professor of Sport Biomechanics, School of Physical Education, Kharazmi University of Tehran, Tehran, Iran
چکیده [English]

Background and Aim: It is known that one of the most important findings in people with functional ankle instability is change of joint kinematic before ankle's contact during walking, thus it is acceptable that change in joint kinematic can be considered as one of the probable reasons of sprained ankle relapse. Although the mechanic of foot and ankle play a significant role in the occurrence of this injury, it fails to completely expose mechanisms hidden in functional ankle instability. For this reason, today, researchers have suggested that improper variation in neuromuscular control plays a more important role in the occurrence of ankle functional instability. The present article was carried out to review the literature on variation of ankle joint movement pattern and neuromuscular control strategies in individuals with functional ankle instability.
Materials and methods: The survey was performed on articles in credible databases such as ProQuest, ScienceDirect, and Pubmed Medline, searching for the terms functional ankle instability, variability, walking gait, neuromuscular control, during 1960 to 2016. A total of 65 articles with direct relevance were selected for the analysis.
Conclusion: Results reported in the studies conducted regarding identification of mechanisms hidden in functional ankle instability suggest disparity between dynamic nonlinear view and linear view. These studies showed that kinematic consideration of this phenomenon cannot, per se, be practical in the occurrence of functional ankle instability due to complexity of neuromuscular control phenomenon and combinatory role of open and close mechanisms. Thus, further investigation is required to study neuromuscular control strategies in people with functional ankle instability.

کلیدواژه‌ها [English]

  • Functional ankle instability
  • variation
  • Walking
  • neuromuscular control

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 6، شماره 2
خرداد و تیر 1396
صفحه 234-245

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سابقه مقاله

  • تاریخ دریافت: 18 فروردین 1395
  • تاریخ بازنگری: 10 مرداد 1395
  • تاریخ پذیرش: 23 مرداد 1395
  • تاریخ اولین انتشار: 01 تیر 1396

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