تأثیر هشت هفته تمرین مقاومتی با استفاده از پاوربال® بر قدرت، حس عمقی و عملکرد حرکتی اندام فوقانی در والیبالیست های مبتلا به آرنج تنیس‌بازان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد آسیب‌شناسی و حرکات اصلاحی دانشگاه خوارزمی تهران، تهران، ایران

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

3 دکترای طب ورزشی، دانشیار و هیئت علمی دانشگاه شهید رجائی تهران، دانشکده تربیت بدنی، تهران، ایران

چکیده

مقدمه و اهداف
آرنج تنیس‌بازان شایع‌ترین نوع آسیب استفاده بیش از حد اندام فوقانی در ورزشکاران است که درد قابل توجه و نقص عملکرد را در اندام آسیب­دیده به‌همراه دارد. هدف از پژوهش حاضر، بررسی تأثیر هشت هفته تمرین مقاومتی با استفاده از پاوربال بر قدرت عضلات اکستنسور مچ، حس عمقی مچ، قدرت گیرش و عملکرد حرکتی اندام فوقانی والیبالیست­های مبتلا به آرنج تنیس‌بازان بود.
مواد و روش‌ها
برای اجرای پژوهش نیمه­تجربی حاضر، 30 والیبالیست مبتلا به آرنج تنیس‌بازان به صورت هدفمند انتخاب شده و به صورت تصادفی به دو گروه تجربی و کنترل تقسیم­بندی شدند. جهت اندازه‌گیری قدرت عضلات اکستنسور مچ دست، حس عمقی مچ، قدرت گیرش و عملکرد حرکتی آزمودنی‌ها قبل و پس از اجرای برنامه مداخله‌ای (هشت هفته تمرین مقاومتی با استفاده از پاوربال) به ترتیب از داینامومتر آیزوکینتیک، داینامومتر دستی، و آزمون تعادلی وای برای اندام فوقانی استفاده شد.
یافته‌ها
نتایج تحقیق حاضر نشان داد تمرینات پاوربال تاثیر معنا‌داری بر قدرت اکستنشن مچ دست (009/0=P)، حس عمقی مچ (011/0=P) قدرت گرفتن (001/0=P)، و عملکرد حرکتی اندام فوقانی (001/0=P) داشته است.
نتیجه‌ گیری
با توجه به تاثیر معنادار تمرینات با استفاده از پاوربال بر قدرت اکستنشن مچ، حس عمقی مچ، قدرت گیرش و عملکرد حرکتی اندام فوقانی، استفاده از این تمرینات در مراحل توانبخشی بیماران دارای نقص در فاکتورهای ذکرشده پیشنهاد می­گردد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Eight Weeks of the Powerball® Mediated Resistance Training on Strength, Proprioception, and Upper Extremity Performance in Volleyball Players with Tennis Elbow

نویسندگان [English]

  • Mojtaba Babaei Mobarakeh 1
  • Amir Letafatkar 2
  • Amir Hosein Barati 3
1 MSc Student of Physical Education, Kharazmi University of Tehran, Tehran, Iran
2 Assistant Professor, Department of Biomechanic and Sport Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
3 Assistant Professor of Physical Education, Shahid Rajaei University of Tehran, Tehran, Iran
چکیده [English]

Background and Aims: Tennis elbows injury is one of the most common types of athletic upper extremity overuse injury which is accompanied by remarkable pain and functionality deficit in the injured limb. The aim of the present study was to investigate the effect of eight weeks of Powerball mediated resistance training on the wrist extensor muscle strength, wrist proprioception, grip strength, and upper extremity performance in volleyball players with tennis elbow.
Materials and Methods: For the current quasi-experimental study, 30 volleyball players with tennis elbow were selected and randomly divided into two (control and experimental) groups. To measure wrist extensor muscle strength, grip strength, and performance before and after implementation of the intervention programs (eight weeks of resistance training using Powerball), the isokinetic dynamometer, hand held dynamometer, and Y balance tests were used, respectively.
Results: The results of the present study showed that the Powerball exercises have significant effects on wrist extension strength (P=0.009), wrist proprioception (P=0.011), grip strength (P=0.001), and upper extremity performance (P=0.001).
Conclusion: Due to the significant effect of Powerball mediated exercises on wrist extension strength, wrist proprioception, grip, and performance of upper extremity, using this exercise program is recommended in the process of rehabilitation in patients with tennis elbow who have deficiency in the mentioned variables.

کلیدواژه‌ها [English]

  • Powerball
  • Performance
  • Strength
  • Proprioception
  • Tennis elbow
  1. Waseem M, Nuhmani S, Ram C, Sachin Y. Lateral epicondylitis: A review of the literature. J Back Musculoskelet Rehabil. 2012;25(2):131-42. http://dx.doi.org/10.3233/BMR-2012-0328##
  2. Johnson GW, Cadwallader K, Scheffel SB, Epperly TD. Treatment of lateral epicondylitis. Am Fam Physician. 2007;76(6):843-8. ##
  3. Allander E. Prevalence, incidence, and remission rates of some common rheumatic diseases or syndromes. Scand J Rheumatol. 1974;3(3):145-53. http://dx.doi.org/10.3109/03009747409097141##
  4. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: Role of occupational factors. Best Pract Res Clin Rheumatol. 2011;25(1):43-57. https://doi.org/10.1016/j.berh.2011.01.013##
  5. Verhaar JAN. Tennis elbow. Int Orthop. 1994;18(5):263-7. http://dx.doi.org/10.007/BF00180221##
  6. Pluim BM, Staal JB, Windler GE, Jayanthi N. Tennis injuries: Occurrence, aetiology, and prevention. Br J Sports Med. 2006;40(5):415. http://dx.doi.org/10.1136/bjsm.2005.023184##
  7. Abrams GD, Renstrom PA, Safran MR. Epidemiology of musculoskeletal injury in the tennis player. Br J Sports Med. 2012;46(7):492. http://dx.doi.org/10.1136/bjsports-2012-091164##
  8. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: A population study. Am J Epidemiol. 2006;164(11):1065-74. http://dx.doi.org/10.1093/aje/kwj325##
  9. Peterson M, Butler S, Eriksson M, Svärdsudd K. A randomized controlled trial of exercise versus wait-list in chronic tennis elbow (lateral epicondylosis). Ups J Med Sci. 2011;116(4):269-79. http://dx.doi.org/10.3109/03009734.2011.600476##

10. Barr S, Cerisola FL, Blanchard V. Effectiveness of corticosteroid injections compared with physiotherapeutic interventions for lateral epicondylitis: A systematic review. Physiotherapy. 2009;95(4):251-65. http://dx.doi.org/10.1016/j.physio.2009.05.002##

11. Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med. 2005;39(7):411. http://dx.doi.org/10.1136/bjsm.2004.016170##

12. Trakis JE, McHugh MP, Caracciolo PA, Busciacco L, Mullaney M, Nicholas SJ. Muscle strength and range of motion in adolescent pitchers with throwing-related pain. Am J Sports Med. 2008;36(11):2173-8. http://dx.doi.org/10.1177/0363546508319049##

13. Gomez MA, Woo SLY, Amiel D, Harwood F, Kitabayashi L, Matyas JR. The effects of increased tension on healing medial collateral ligaments. Am J Sports Med. 1991;19(4):347-54. https://doi.org/10.1177/036354659101900405##

14. Jarvinen MJ, Lehto MUK. The effects of early mobilisation and immobilisation on the healing process following muscle injuries. Sports Med. 1993;15(2):78-89. http://dx.doi.org/10.2165/00007256-199315020-00002##

15. Shankar K. Exercise prescription: Hanley & Belfus; 1999. ##

16. Fleck SJ, Falkel JE. Value of resistance training for the reduction of sports injuries. Sports Med. 1986;3(1):61-8. http://dx.doi.org/10.2165/00007256-198603010-00006##

17. Riemann BL, Lephart SM. The sensorimotor system, part i: The physiologic basis of functional joint stability. J Athl Train. 2002;37(1):71. ##

18. McCall BR, Cain ELJ. Diagnosis, treatment, and rehabilitation of the thrower's elbow. Curr Sports Med Rep. 2005;4(5):249-54. http://dx.doi.org/10.1097/01.CSMR.0000306218.40799.a0v

19. Lephart SM, Pincivero DM, Giraido JL, Fu FH. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997;25(1):130-7. http://dx.doi.org/10.1177/036354659702500126##

20. Tripp BL, Boswell L, Gansneder BM, Shultz SJ. Functional fatigue decreases 3-dimensional multijoint position reproduction acuity in the overhead-throwing athlete. J Athl Train. 2004;39(4):316-20. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC535523/##

21. Walsh LD, Hesse CW, Morgan DL, Proske U. Human forearm position sense after fatigue of elbow flexor muscles. J Physiol. 2004;558(2):705-15. http://dx.doi.org/10.1113/jphysiol.2004.062703##

22. Lephart SM, Myers JB, Bradley JP, Fu FH. Shoulder proprioception and function following thermal capsulorraphy. Arthroscopy. 2002;18(7):770-8. http://dx.doi.org/10.1053/jars.2002.32843##

23. Wilk KE, Reinold MM, Andrews JR. Rehabilitation of the thrower's elbow. Clin Sports Med. 2004;23(4):765-801. http://dx.doi.org/10.1016/j.csm.2004.06.006##

24. Duffin C. Hand gyroscope versus hand grip: Strength gains after a four week training programme. dissertation. England: University of Edinburgh; 2007. http://uupload.ir/view/h7pj_carol_duffin_2007.pdfv

25. Terp H, Johansen SGC, Kjaer A. Power®ball- more than just a toy? - analysis and assessment of the power®ball as a physiotherapeutic tool. [Master,s thesis]. Denmark: VIA University College; 2010. http://www.powerball.dk/upload/bachelorpowerballdk.pdf##

26. Iravani M. Investigation the effect of powerball on shoulder muscle activity and strength. In physiotherapy [master,s thesis]. Tehran: shahid Beheshti University of medical science & health services; 2015. [In Persian] http://dlib.sbmu.ac.ir/site/catalogue/117286##

27. Alvares JB, Rodrigues R, Azevedo Franke R, Silva BGC, Pinto RS, Vaz MA, et al. Inter-machine reliability of the biodex and cybex isokinetic dynamometers for knee flexor/extensor isometric, concentric and eccentric tests. Phys Ther Sport. 2015;16(1):59-65. http://dx.doi.org/10.1016/j.ptsp.2014.04.004##

28. Yoon M-R, Choi H-S, Shin W-S. Effects of the abdominal drawing-in maneuver and the abdominal expansion maneuver on grip strength, balance and pulmonary function in stroke patients. J Korean Phys Ther. 2015;27(3):147-53. https://doi.org/10.18857/jkpt.2015.27.3.147##

29. Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper quarter y balance test: Reliability and performance comparison between genders in active adults. J Strength Cond Res. 2012;26(11):3043-8. http://dx.doi.org/10.1519/JSC.0b013e3182472fdb##

30. Su-Hyun K, Wan-Young Y. A study on the norm-referenced criteria for isokinetic functional strength of the wrist for junior baseball players. Indian J Sci Technol. 2015;8(18):1-5. http://dx.doi.org/10.17485/ijst/2015/v8i18/76239##

31. Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am. 1984;9(2):222-6. http://dx.doi.org/10.1016/S0363-5023(84)80146-X##

32. Cappello L, Contu S, Elangovan N, Khosravani S, Konczak J, Masia L, editors. Evaluation of wrist joint proprioception by means of a robotic device. 2014 11th International Conference on Ubiquitous Robots and Ambient Intelligence (URAI); 2014 12-15 Nov. 2014: IEEE. http://dx.doi.org/10.1109/URAI.2014.7057383##

33. Westrick RB, Miller JM, Carow SD, Gerber JP. Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance. Int J Sports Phys Ther. 2012;7(2):139-47. https://www.ncbi.nlm.nih.gov/pubmed/22530188##

34. Chuang PS, inventor; Chuang, PS., assignee. Wrist exerciser. United States patent US 5,800,311. 1998 Sep 1. ##

35. Gulick DW, O’Reilly OM. On the dynamics of the dynabee. J Appl Mech. 1999;67(2):321-5. http://dx.doi.org/10.1115/1.1304914##

36. Seabra E, Silva LFd, Flores P, Machado J, Mai Hung V, Martins M, et al., editors. Mechatronic medical device for wrist rehabilitation. 2013 11th IEEE International Conference on Industrial Informatics (INDIN); 2013 29-31 July 2013: IEEE. http://dx.doi.org/10.1109/INDIN.2013.6622905##

37. Ucke C, Schlichting H-J. Faszinierendes dynabee: Spielwiese. Phys Unserer Zeit. 2002;33(5):230-31. http://dx.doi.org/10.1002/3943-1521(200209)33:53.0.CO;4-2##

38. Petric T, Curk B, Cafuta P, Zlajpah L. Modelling of the robotic powerball®: A nonholonomic, underactuated and variable structure-type system. Math Comput Model Dyn Syst. 2010;16(4):327-46. http://dx.doi.org/10.1080/13873954.2010.484237 ##

39. Mishler A, inventor; Wornoto, Inc., assignee. Gyroscopic device. United States patent US 3726146. 1973 Apr 10. ##

40. Balan SA, Garcia-Elias M. Utility of the powerball® in the invigoration of the musculature of the forearm. Hand Surg. 2008;13(02):79-83. http://dx.doi.org/10.1142/S0218810408003955##

41. Lim J-H, Shin W-S. Effects of vibration resistance exercise on strength, range of motion, function, pain and quality of life in persons with tennis elbow. Phys Ther Rehabil Sci. 2016;5(4):163-9. https://dx.doi.org/10.14474/ptrs.2016.5.4.163##

42. McAllister D, Larsen R, Larsen Z, McEwen K, Pillitteri P, Smetanka R. The effect of a forearm strengthener on grip strength and time-to-fatigue. 2013. www.dynaflexpro.com/fitness/assets/files/News/2013/Gyro_University_Study.pdf##

43. Adamczyk JG, Hołun M, Boguszewski D, Siewierski M. Evaluation of the effectiveness of hand grip strength training using a device powerball®. The effectiveness of the force training with the help of powerball®. J of H Ss. 2013;3(6):35-44. http://elibrary.ru/item.asp?id=19406447##

44. Legg J. The effect of powerball tm on grip strength [Masters Degree]. South Africa: University of Johannesburg; 2010. http://hdl.handle.net/20.500.11892/72406##

45. Pilianidis T, Mantzouranis N, Berberidou F, Smirniotou A. Evaluation of strength training protocols with the use of the powerball® and shakeweight® in modderate trained women. Journal of Biology of Exercise. 2016;12(1):111-20. http://dx.doi.org/10.4127/jbe.2016.0103##

46. Croisier J-L, Foidart-Dessalle M, Tinant F, Crielaard J-M, Forthomme B. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med. 2007;41(4):269-75. http://dx.doi.org/10.1136/bjsm.2006.033324##

47. Snijders CJ, Volkers A, Mechelse K, Vleeming A. Provocation of epicondylalgia lateralis (tennis elbow) by power grip or pinching. Med Sci Sports Exerc. 1987;19(5):518-23. ##

48. Warman G, Humphries B, Purton J. The effects of timing and application of vibration on muscular contractions. Aviat Space Environ Med. 2002;73(2):119-27. https://www.ncbi.nlm.nih.gov/pubmed/11846180##

49. Cochrane DJ, Stannard SR. Acute whole body vibration training increases vertical jump and flexibility performance in elite female field hockey players. Br J Sports Med. 2005;39(11):860-5. http://dx.doi.org/10.1136/bjsm.2005.019950##

50. Bosco C, Cardinale M, Tsarpela O. Influence of vibration on mechanical power and electromyogram activity in human arm flexor muscles. Eur J Appl Physiol Occup Physiol. 1999;79(4):306-11. http://dx.doi.org/10.1007/s004210050512##

51. Cardinale M, Bosco C. The use of vibration as an exercise intervention. Exerc Sport Sci Rev. 2003;31(1):3-7. https://www.ncbi.nlm.nih.gov/pubmed/12562163##

52. Miller JD, Herda TJ, Trevino MA, Mosier EM. The effects of passive stretching plus vibration on strength and activation of the plantar flexors. Appl Physiol Nutr Metab. 2016;41(9):917-23. http://dx.doi.org/10.1139/apnm-2016-0010##

53. Chen C-H, Chen TC, Jan M-H, Lin J-J. Acute effects of static active or dynamic active stretching on eccentric-exercise-induced hamstring muscle damage. Int J Sports Physiol Perform. 2015;10(3):346-52. http://dx.doi.org/10.1123/ijspp.2014-0206##

54. Nelson RT. A comparison of the immediate effects of eccentric training vs static stretch on hamstring flexibility in high school and college athletes. N Am J Sports Phys Ther. 2006;1(2):56-61. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953312/##

55. Noorabadi N, Letafatkar A, Shojaedin S, Hatami M, Sadoughi Noorabadi M. Comparative effectiveness of six weeks of eccentric exercise with or without taping technique on grip strength, extension strength of the wrist extensors and middle finger in female athletes with tennis elbow. ZUMS Journal. 2016;24(107):16-27. [In Persian] http://zums.ac.ir/journal/article-1-3764-en.html##

56. Williams GN, Chmielewski T, Rudolph KS, Buchanan TS, Snyder-Mackler L. Dynamic knee stability: Current theory and implications for clinicians and scientists. J Orthop Sports Phys Ther. 2001;31(10):546-66. https://doi.org/10.2519/jospt.2001.31.10.546##

57. Weiler HT, Awiszus F. Influence of hysteresis on joint position sense in the human knee joint. Exp Brain Res. 2000;135(2):215-21. http://dx.doi.org/10.1007/s002210000512##

58. Conroy DE, Hayes KW. The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J Orthop Sports Phys Ther. 1998;28(1):3-14. http://dx.doi.org/10.2519/jospt.1998.28.1.3##

59. Roy J-S, Moffet H, Hébert LJ, Lirette R. Effect of motor control and strengthening exercises on shoulder function in persons with impingement syndrome: A single-subject study design. Man Ther. 2009;14(2):180-8. http://dx.doi.org/10.1016/j.math.2008.01.010##