مقایسه قوس‌های توراسیک و کمر بین افراد دچار جلو آمدگی سر و افراد سالم

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

2 دانشیار گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

چکیده

مقدمه و اهداف
در زندگی امروزی با پیشرفت تکنولوژی، شرایط مدرن زندگی، وجود کامپیوتر و کار کردن در وضعیت نادرست بدون انجام فعالیت فیزیکی کافی، آناتومی و بیومکانیک ستون فقرات تغییر پیدا می‌کند، بنابراین تشخیص انحرافات پاسچرال و ارتباط کینماتیکی آنها در پیشگیری و درمان این اختلالات از اهمیت ویژه‌ای برخوردار است. یکی از اختلالات شایع پاسچرال، پاسچر جلو آمده سراست. هدف از مطالعه حاضر ارزیابی قوس‌های ستون فقرات افراد با پاسچر جلو آمده سر و مقایسه آن با افراد سالم می‌باشد.
مواد و روش‌ها
در مطالعه حاضر  51 نفر مبتلابه جلو آمدگی سر و 50 نفر سالم که از نظر قد، وزن و سن با یکدیگر یکسان‌سازی شده بودند، شرکت نمودند. جهت ارزیابی و تشخیص پاسچر جلو آمده سر از روش فوتوگرافی و محاسبه زاویه کرانیوورتبرال و برای اندازه‌گیری زاویه قوس‌های ستون فقرات از خط‌کش منعطف به‌عنوان یک روش اندازه‌گیری غیرتهاجمی و معتبر استفاده شد. تمام اندازه‌گیری‌ها در دو وضعیت ایستاده و نشسته انجام پذیرفت.
یافته‌ها
نتایج آزمون آماری نشان داد که کاهش زاویه کرانیوورتبرال با افزایش کایفوز سینه‌ای و لوردوز کمری همراه بوده است و همچنین نتایج نشان داد که زاویه کرانیوورتبرال، تیلت سر، لوردوز کمری و کایفوز سینه‌ای بین دو گروه در هر دو وضعیت نشسته و ایستاده، اختلاف معنادار آماری وجود دارد (05/0>P).
نتیجه‌گیری
به نظر می‌رسد که احتمالاً افزایش جلو آمدگی سر در حالت ایستاده با افزایش کایفوز سینه‌ای و همچنین افزایش لوردوز کمری همراه می‌باشد و در حالت نشسته احتمالاً تنها با افزایش کایفوز سینه‌ای توام است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of Thoracic Kyphosis and Lumbar Lordosis in Healthy Individuals and Patients with Forward Head Posture

نویسندگان [English]

  • Mehrnoosh Fuladi 1
  • Amir Ahmadi 2
  • Nader Maroufi 2
  • Javad Sarrafzadeh 2
  • Minoo Esmaeelnezhad 1
1 MSc Student in Physical Therapy, Department of Physiotherapy, Rehabilitation Faculty, Iran University of Medical Sciences, Tehran, Iran
2 Associate Professor, Department of Physiotherapy, Rehabilitation Faculty, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and purpose: Anatomy and biomechanics of the spine have been changed because of modern life style and working in unhealthy environments; therefore, diagnosis of postural deviations and their kinematic relationship has particular importance in detection, prevention, and treatment of these disorders. One of the most common postural abnormalities is forward head posture which could be created independently or after other postural disorders. The aim of the present study was to evaluate spine curves in patients with forward head posture and to compare it with healthy individuals.
Materials and methods: In the current study, 51 patients and 50 healthy participants, matched height, weight, and age, were recruited. To evaluate and diagnose the forward head posture, photography method and calculation of craniovertabral angle were used and to measure the spinal curvatures, flexi curve, as a noninvasive and valid method, was used. All measurements were performed in both standing and sitting positions.
Results:Statistical results showed that by reducing the craniovertabral angle, thoracic kyphosis and lumbar lordosis increased and also there is a significant difference in craniovertabral angle, head tilt angle, thoracic kyphosis, and lumbar lordosis between the two groups and also between sitting and standing position (p<0.05).
Conclusion: Our results indicated that the increase of forward head posture in standing position is associated with the increase of thoracic kyphosis and also lumbar lordosis and in sitting position it is associated with the increase of thoracic kyphosis.

کلیدواژه‌ها [English]

  • Forward Head Posture
  • Thoracic Kyphosis
  • Lumbar Lordosis
  • Craniovertabral Angle
  1. Peterson-Kendall F, Kendall-McCreary E, Geise-Provance P, McIntyre-Rodgers M, Romani W. Muscles testing and function with posture and pain. Lippincott Williams & Wilkins, Philadelphia; 2005.##
  2. Falla D. Unravelling the complexity of muscle impairment in chronic neck pain. Manual therapy. 2004;9(3):125-33. .##
  3. McEvoy MP, Grimmer K. Reliability of upright posture measurements in primary school children. BMC musculoskeletal disorders. 2005;6(1):1. ##
  4. Donatelli RA, Wooden MJ. Orthopaedic physical therapy: Elsevier health sciences; 2009.
  5. Hertling D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods: Lippincott Williams & Wilkins; 2006##.
  6. Magee DJ. Orthopedic physical assessment: Elsevier Health Sciences; 2014. ##
  7. Carolyn K, Colby L. Therapeutic exercise foundations and techniques. Book promotion & service Ltd. 2002:591-677. ##
  8. Yoo W-g. Comparison of the forward head angle and the lumbar flexion and rotation angles of computer workers using routine and individually fixed computer workstations. Journal of physical therapy science. 2014;26(3):421-2. ##
  9. Fernández‐de‐las‐Peñas C, Alonso‐Blanco C, Cuadrado M, Pareja J. Forward head posture and neck mobility in chronic tension‐type headache: a blinded, controlled study. Cephalalgia. 2006;26(3):314-9. ##

10. Darnell MW. A proposed chronology of events for forward head posture. Journal of craniomandibular practice. 1983;1(4):49-54. ##

11. Visscher C, De Boer W, Lobbezoo F, Habets L, Naeije M. Is there a relationship between head posture and craniomandibular pain? Journal of oral rehabilitation. 2002;29(11):1030-6. ##

12. Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontologica Scandinavica. 1971;29(5):591-607. ##

13. Greendale G, Nili N, Huang M-H, Seeger L, Karlamangla A. The reliability and validity of three non-radiological measures of thoracic kyphosis and their relations to the standing radiological Cobb angle. Osteoporosis International. 2011;22(6):1897-905. ##

14. Rajabi R, Seidi F, Mohamadi F. Which method is accurate when using the flexible ruler to measure the lumbar curvature angle? deep point or mid point of arch. World Applied Sciences Journal. 2008;4(6):849-52. ##

15. Azadinia F, Kamyab M, Behtash H, Ganjavian MS, Javaheri MR. The validity and reliability of noninvasive methods for measuring kyphosis. Journal of spinal disorders & techniques. 2014;27(6):E212-E8. ##

16. Barrett E, McCreesh K, Lewis J. Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: a systematic review. Manual therapy. 2014;19(1):10-7. ##

17. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach: Human Kinetics; 2010. ##

18. Diab AA. The role of forward head correction in management of adolescent idiopathic scoliotic patients: a randomized controlled trial. Clinical rehabilitation. 2012:0269215512447085##.

19. Quek J, Pua Y-H, Clark RA, Bryant AL. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther. 2013 Feb;18(1):65-71. ##

20. Kuo Y-L, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older adults. Journal of manipulative and physiological therapeutics. 2009;32(3):210-5. ##

21. Lau KT, Cheung KY, Chan MH, Lo KY, Chiu TTW. Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Manual therapy. 2010;15(5):457-62. ##

22. Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Archives of physical medicine and rehabilitation. 1997;78(11):1215-23. ##

23. Grimmer KA, Williams MT, Gill TK. The associations between adolescent head-on-neck posture, backpack weight, and anthropometric features. Spine. 1999;24(21):2262. ##

24. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. Journal of back and musculoskeletal rehabilitation. 2014;27(2):131-9. ##

25. Yip CHT, Chiu TTW, Poon ATK. The relationship between head posture and severity and disability of patients with neck pain. Manual therapy. 2008;13(2):148-54. ##

26. Nam SH, Son SM, Kwon JW, Lee NK. The intra-and inter-rater reliabilities of the forward head posture assessment of normal healthy subjects. Journal of physical therapy science. 2013;25(6):737-9. ##

27. Greenfield B, Catlin PA, Coats PW, Green E, McDonald JJ, North C. Posture in patients with shoulder overuse injuries and healthy individuals. Journal of Orthopaedic & Sports Physical Therapy. 1995;21(5):287-95. ##

28. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993;13(4):272-84. ##

29. Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. European Spine Journal. 2015:1-6. ##

دوره 7، شماره 1
فروردین و اردیبهشت 1397
صفحه 216-224
  • تاریخ دریافت: 14 مرداد 1395
  • تاریخ بازنگری: 18 دی 1395
  • تاریخ پذیرش: 11 مرداد 1396
  • تاریخ اولین انتشار: 01 فروردین 1397