مقایسه حرکات عملکردی در دانشجویان دختر مبتلا به اسکولیوز خفیف و متوسط

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکتری تخصصی، گروه طب ورزش و بهداشت، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران.

2 استاد، گروه طب ورزشی و بهداشت، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

3 استادیار، گروه طب ورزشی و بهداشت، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران * استادیار، گروه توانبخشی ورزشی، دانشکده علوم ورزشی، دانشگاه بوعلی سینا، همدان، ایران

4 دانشیار، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران

چکیده

مقدمه و اهداف
اسکولیوز یکی از ناهنجاری­های پیچیده و متداول ستون فقرات است که سیستم حرکتی انسان را تحت تاثیر قرار می­دهد. هدف از پژوهش حاضر توصیف و مقایسه حرکات عملکردی در دانشجویان دختر مبتلا به اسکولیوز خفیف و متوسط بود.
مواد و روش ­ها
در پژوهش حاضر، 45 دختر مبتلا به اسکولیوز با یک انحنا در ستون فقرات سینه­ای انتخاب شدند. زاویه انحنا و حرکات عملکردی به ترتیب با فتوگرافی و آزمون غربالگری حرکات عملکری ارزیابی شدند، سپس آزمودنی­ها بر اساس شدت انحنا به دو گروه تقسیم شدند؛ اسکولیوز خفیف: 22 دختر با انحنای 24/3±05/16 درجه و اسکولیوز متوسط: 23 دختر با انحنای 79/5±91/28 درجه. داده­ها از طریق نرم‌افزار SPSS نسخۀ 20 و با آزمون­های یومن-وینتی و کای­دو در سطع معناداری 05/0P≤ تجزیه و تحلیل شد.
یافته ­ها
امتیاز آزمون غربالگری حرکات عملکری در گروه خفیف 24/2±14 و در گروه متوسط 2±26/13 بود. نتایج آزمون یومن-وینتی نشان داد این امتیازات بین دو گروه تفاوت معناداری ندارد (184/0=, P142=U). نتایج آزمون کای­دو نیز نشان داد نحوه توزیع امتیازات صفر تا سه بین دو گروه برای هیچ یک از حرکات تفاوت معناداری ندارد (05/0<P).
نتیجه­ گیری
بر اساس نتایج، امتیاز FMS در گروه مبتلا به اسکولیوز متوسط کمتر از اسکولیوز خفیف بود، اما این تفاوت از نظر آماری معنادار نبود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of Functional Movements in Female Students with Mild and Moderate Scoliosis

نویسندگان [English]

  • nahid Allafan 1
  • Reza Rajabi 2
  • Shahrbanian Shahnaz 3
  • Hooman minoonejad 4
1 PhD, Department of Sport Medicine and Health, Faculty of Physical Education &amp;amp; Sport Sciences, University of Tehran, Tehran, Iran.
2 Professor, Department of Sport Medicine and Health, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
3 Assistant professor, Department of Sport Medicine and Health, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran. Assistant professor, Department of Sport Rehabilitation, Faculty of Sport Science,
4 Associate Professor, Department of Sport Medicine and Health, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
چکیده [English]

Background and Aim: Scoliosis is a complex and common deformity of the spine that affects the locomotor system. The purpose of the current study was to describe and compare functional movements in female students with mild and moderate scoliosis.
Materials and Methods: In the current study, we selected 45 Scoliotic females with a single curve in the thoracic spine. The degree of curvature and functional movements were assessed by photography and functional movement screen test, then participants were divided into two groups based on severity of curvature: mild scoliosis: 22 females with 16.05±3.24 degree angle of curvature and moderate scoliosis: 23 females with 28.91±5.79 degree of curvature. Data were analyzed using SPSS, version 20, and by running mann-Whitney U and Chi-square tests.
Results: The Functional movement scores were 14.00±2.24 in mild scoliosis and 13.26±2.00 in moderate scoliosis. The mann-Whitney U test results revealed that these scores did not differ significantly between the two groups (U=0.142.00, P= 0.184). Also, chi-square test results revealed that there is no significant difference in the distribution of scores from zero to three between two groups for any of the movements (P>0.05).
Conclusion: According to the results, FMS score in the group with moderate scoliosis was less than that of mild scoliosis but this difference was not statistically significant.

کلیدواژه‌ها [English]

  • Scoliosis
  • Movement
  • Females
  • Students
  1. Mitchell UH, Johnson AW, Vehrs PR, Feland JB, Hilton SC. Performance on the functional movement screen in older active adults. Journal of Sport and Health Science. 2016;5(1):119-25.##
  2. Nishida M, Nagura T, Fujita N, Hosogane N, Tsuji T, Nakamura M, et al. Position of the major curve influences asymmetrical trunk kinematics during gait in adolescent idiopathic scoliosis. Gait & Posture. 2017;51:142-8. ##
  3. Daryabor A, Arazpour M, Sharifi G, Bani MA, Aboutorabi A, Golchin N. Gait and energy consumption in adolescent idiopathic scoliosis: A literature review. Annals of Physical and Rehabilitation Medicine. 2017;60(2):107-16. ##
  4. Machida M, Weinstein SL, Dubousset J. Pathogenesis of idiopathic scoliosis. 1st ed. Springer Japan; 2018. ##
  5. Clark M, Lucett S, Medicine NAS. NASM Essentials of corrective exercise training. 1st ed. Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. ##
  6. Schmid S, Studer D, Hasler CC, Romkes J, Taylor WR, Lorenzetti S, et al. Quantifying spinal gait kinematics using an enhanced optical motion capture approach in adolescent idiopathic scoliosis. Gait & Posture. 2016;44:231-7. ##
  7. Aroeira RM, de Las Casas EB, Pertence AE, Greco M, Tavares JM. Non-invasive methods of computer vision in the posture evaluation of adolescent idiopathic scoliosis. Journal of Bodywork and Movement Therapies. 2016;20(4):832-43. ##
  8. Park YH, Park YS, Lee YT, Shin HS, Oh MK, Hong J, et al. The effect of a core exercise program on Cobb angle and back muscle activity in male students with functional scoliosis: a prospective, randomized, parallel-group, comparative study. The Journal of International Medical Research. 2016;44(3):728-34. ##
  9. Shen J, Lin Y, Luo J, Xiao Y. Cardiopulmonary Exercise Testing in Patients with Idiopathic Scoliosis. The Journal of Bone and Joint Surgery. American Valume. 2016;98(19):1614-22. ##

10. Sperandio EF, Alexandre AS, Yi LC, Poletto PR, Gotfryd AO, Vidotto MC, et al. Functional aerobic exercise capacity limitation in adolescent idiopathic scoliosis. The Spine Journal:Official Journal of the North American Spine Society. 2014;14(10):2366-72. ##

11. Czaprowski D, Kotwicki T, Biernat R, Urniaz J, Ronikier A. Physical capacity of girls with mild and moderate idiopathic scoliosis: influence of the size, length and number of curvatures. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2012;21(6):1099-105. ##

12. Heitz PH, Aubin-Fournier JF, Parent E, Fortin C. Test-retest reliability of posture measurements in adolescents with idiopathic scoliosis. The Spine Journal : Official Journal of the North American Spine Society. 2018. ##

13. Fawcett MA. Reliability of the functional movement screen scores for older adults. [Master thesis]. United States: Bowling Green State University; 2014. ##

14. Abraham A, Sannasi R, Nair R. Normative values for the functional movement screentm in adolescent school aged children. International Journal of Sports Physical Therapy. 2015;10(1):29-36. ##

15. Whiteside D, Deneweth JM, Pohorence MA, Sandoval B, Russell JR, McLean SG, et al. Grading the Functional Movement Screen: A Comparison of Manual (Real-Time) and Objective Methods. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. 2016;30(4):924-33. ##

16. Perry J. Correlations between the functional movement screen (FMS), the balance error scoring system (BESS), and injury [Master thesis]. South Carolina: Winthrop University; 2015. ##

17. Kraus K, Schutz E, Taylor WR, Doyscher R. Efficacy of the functional movement screen: a review. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. 2014;28(12):3571-84. ##

18. Udris AM. Difference of raw functional movement screen™ scores of male and female collegiate cheerleaders. [Master thesis]. United States: Oklahoma State University; 2011. ##

19. Mitchell UH, Johnson AW, Adamson B. Relationship between functional movement screen scores, core strength, posture, and body mass index in school children in Moldova. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. 2015;29(5):1172-9. ##

20. Schneiders AG, Davidsson A, Horman E, Sullivan SJ. Functional movement screen normative values in a young, active population. International Journal of Sports Physical Therapy. 2011;6(2):75-82. ##

21. Ko MJ, Noh KH, Kang MH, Oh JS. Differences in performance on the functional movement screen between chronic low back pain patients and healthy control subjects. Journal of Physical Therapy Science. 2016;28(7):2094-6. ##

22. Bayati M, Gharakhanlou R, Ghobadi H, Nikkhah M, Farzad B. Different Responses of Serum VEGF in Trained and Untrained Men to High-intensity Interval Exercise. Journal of Applied Exercise Physiology. 2016;12(23):65-74. [In Persion] ##

23. Fadaei F, Zahedi ln, Farahani Z, Ghasemzadeh N. Review of the two version of declaration of Helsinki (2013 and 2008): challenges and changes. Journal of Medical Ethics and History of Medicine. 2016;9(3):75-92. [In Persion] ##

24. Ernst MJ, Rast FM, Bauer CM, Marcar VL, Kool J. Determination of thoracic and lumbar spinal processes by their percentage position between C7 and the PSIS level. BMC Research Notes. 2013;6:58. ##

25. Aroeira RM, Leal JS, de Melo Pertence AE. New method of scoliosis assessment: preliminary results using computerized photogrammetry. Spine. 2011;36(19):1584-91. ##

26. Anwar Z, Zan E, Gujar SK, Sciubba DM, Riley LH, 3rd, Gokaslan ZL, et al. Adult lumbar scoliosis: underreported on lumbar MR scans. AJNR. American Journal of Neuroradiology. 2010;31(5):832-7. ##

27. Dorrel BS, Long T, Shaffer S, Myer GD. Evaluation of the functional movement screen as an injury prediction tool aamong active adult populations: A systematic review and meta-analysis. Sports Health. 2015;7(6):532-7. ##

28. Benz J. Functional movement screen to predict athletic performance. [Master thesis]. United States: Kean University; 2010. ##

29. Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of a functional movement screening tool to determine injury risk in female collegiate athletes. North American Journal of Sports Physical Therapy: NAJSPT. 2010;5(2):47-54. ##

30. Perry FT, Koehle MS. Normative data for the functional movement screen in middle-aged adults. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. 2013;27(2):458-62. ##

31. Teyhen DS, Riebel MA, McArthur DR, Savini M, Jones MJ, Goffar SL, et al. Normative data and the influence of age and gender on power, balance, flexibility, and functional movement in healthy service members. Military Medicine. 2014;179(4):413-20. ##

32. Loudon JK, Parkerson-Mitchell AJ, Hildebrand LD, Teague C. Functional movement screen scores in a group of running athletes. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. 2014;28(4):909-13. ##

33. Bruyneel AV, Chavet P, Bollini G, Allard P, Berton E, Mesure S. Dynamical asymmetries in idiopathic scoliosis during forward and lateral initiation step. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2009;18(2):188-95. ##

34. Remes V, Helenius I, Schlenzka D, Yrjonen T, Ylikoski M, Poussa M. Cotrel-Dubousset (CD) or Universal Spine System (USS) instrumentation in adolescent idiopathic scoliosis (AIS): comparison of midterm clinical, functional, and radiologic outcomes. Spine. 2004;29(18):2024-30. ##

35. Romano M, Negrini A, Parzini S, Tavernaro M, Zaina F, Donzelli S, et al. SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises. Scoliosis. 2015;10:3. ##

36. Cook G. Movement: functional movement systems: screening, assessment, corrective strategies. 1st ed. Lotus Publishing; 2011. ##

37. Wright MD, Portas MD, Evans VJ, Weston M. The effectiveness of 4 weeks of fundamental movement training on functional movement screen and physiological performance in physically active children. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. 2015;29(1):254-61. ##

38. Park HJ, Sim T, Suh SW, Yang JH, Koo H, Mun JH. Analysis of coordination between thoracic and pelvic kinematic movements during gait in adolescents with idiopathic scoliosis. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2016;25(2):385-93. ##

39. Martinez-Llorens J, Ramirez M, Colomina MJ, Bago J, Molina A, Caceres E, et al. Muscle dysfunction and exercise limitation in adolescent idiopathic scoliosis. The European Respiratory Journal. 2010;36(2):393-400. ##

40. Fusco C, Zaina F, Atanasio S, Romano M, Negrini A, Negrini S. Physical exercises in the treatment of adolescent idiopathic scoliosis: an updated systematic review. Physiotherapy Theory and Practice. 2011;27(1):80-114. ##

41. Sorenson EA. Functional movement screen as a predictor of injury in high school basketball athletes. [Doctor thesis]. United states: University of Oregon; 2009. ##

42. Mahaudens P, Banse X, Mousny M, Detrembleur C. Gait in adolescent idiopathic scoliosis: kinematics and electromyographic analysis. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2009;18(4):512-21. ##

43. Filipovic V, Viskic-stalec N. The mobility capabilities of persons with adolescent idiopathic scoliosis. Spine. 2006;31(19):2237-42. ##