ارتباط بین اختلال در کنترل حرکتی لمبوپلویک و کمردردهای مزمن غیراختصاصی: یک مرور سیستماتیک

نوع مقاله : مقاله مروری

نویسندگان

1 مرکز توسعه تحقیقات بالینی، بیمارستان امام رضا، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

2 استادیار گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه رازی، کرمانشاه، ایران

3 دانشجوی گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه رازی، کرمانشاه، ایران

چکیده

مقدمه و اهداف
امروزه کمردرد مزمن غیراختصاصی (NLBP) یکی از شایع­ترین اختلالات اسکلتی-عضلانی بوده که انجمن بین­المللی درد و تشخیص آناتومیکی، آن را به عنوان درد ناحیه کمری یا خاجی تعریف کرده است. بر اساس نتایج مطالعات انجام­شده، 84% افراد حداقل برای یک بار کمردرد را در طول عمر خود تجربه می­کنند که از این بین 23% آن­ها مزمن می­شوند. هدف از مطالعه­ی مروری حاضر، بررسی رابطه بین دردهای مزمن کمری غیراختصاصی و اختلالات کنترل لمبوپلویک می­باشد.
مواد و روش ­ها
در مطالعه مروری حاضر، با استفاده از بانک­های اطلاعاتی PubMed، Science Direct، Google Scholar، Elsevier، Springer، IEEE، EBSCO، Scopus جستجوی جامعی انجام گرفت و مقالات موجود در بازه زمانی 2000 تا 2018 میلادی به هر دو زبان فارسی و انگلیسی جستجو شد. برای استخراج مقالات از کلید­واژهای“Lumbopelvic Control” or “Lumbopelvic or Trunk Stability” “Lumbopelvic Motor Control” or   “Trunk Control” or “Spinal Stability”استفاده شد. در مرحله اول معیار انتخاب تنها بر اساس عنوان و چکیده مقالات بود که در این مرحله حدود 1900 مقاله یافت شد. پس از غربالگری اولیه، متن کامل مقالاتی که انتخاب شدند، استخراج شده و تنها 7 مورد برای ارزیابی پایانی انتخاب گردید.
یافته ­ها
پس از تجزیه و تحلیل مقالات استخراج­شده که همه از نوع مطالعات توصیفی-تحلیلی، از نوع Case Control بود، مشخص شد شش مقاله از مقالات استخراج­شده که کینماتیک کنترل حرکات لمبوپلویک را ارزیابی کرده و دو مورد از آن­ها که علاوه بر ارزیابی کینماتیکی حرکات لمبوپلویک، فعالیت عضلات آن ناحیه را نیز بررسی کرده بود، به وجود اختلال در کنترل ناحیه لمبوپلویک افراد مبتلا به کمردرد مزمن اشاره نموده بودند.
نتیجه­ گیری
با توجه به مطالعه و تحلیل هفت مقاله­ی انجام­شده در زمینه کنترل لمبوپلویک افراد مبتلا به کمردرد مزمن غیراختصاصی، به نظر می­رسد که وجود اختلال در کنترل ناحیه لمبوپلویک این افراد رایج بوده و می­طلبد تا مطالعات آتی با به­کارگیری راهکارهایی جهت کنترل لمبوپلویک افراد مبتلا و اثربخشی آن در کاهش دردهای مزمن به انجام رسد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Relationship between LumboPelvic Motor Control Deficiency and Non-Specific Chronic Low Back Pain: A Systematic Review

نویسندگان [English]

  • Shirin Asar 1
  • Farzaneh Gandomi 2
  • Pari Fadaei Dehcheshmeh 3
1 Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermananshah, Iran
2 Assistant Professor, Department of Corrective Exercises and Sport Injuries, Faculty of Physical Education and Sport Sciences, Razi University, Kermanshah, Iran
3 MSc. Student, Department of Corrective Exercises and Sport Injuries, Faculty of Physical Education and Sport Sciences, Razi University, Kermanshah, Iran
چکیده [English]

Background and Aims: Non-specific low back pain (NLBP) is one of the most common musculoskeletal disorders and the International Association for Pain and Anatomical Diagnosis has defined it as a lumbar or sacrum pain. According to the results of the previous studies, 84% of people has experienced back pain and 23% of these pains become chronic. The purpose of the present review study was to investigate the relationship between lumbopelvic motor control disorders and chronic non-specific low back pain.
Materials and Methods: In the current review paper, a comprehensive search was conducted in PubMed, Science Direct, Google Scholar, Elsevier, Springer, IEEE, EBSCO, and Scopus databases from 2000 to 2018, using the following keywords lumbopelvic control, lumbopelvic, trunk stability, lumbopelvic motor control, trunk control, and spinal stability. A total of 1900 articles were found after reviewing the abstract and titles. Next, based on the main subject of the present study as well as inclusion and exclusion criteria, seven articles were selected for the final analysis.
Results: All studies selected for the final review were case-control studies. Five articles investigated the kinematic aspects of lumbopelvic movements control two of which, in addition to the kinematic evaluation of lumbopelvic movements control, assessed the activity of the lumbopelvic region muscles.
Conclusion: According to the results reported in these seven papers, we showed that lumbopluvic movement control disorders are commonly reported in patients with chronic low back pain. So, more studies should be conducted to better understand the issue.

کلیدواژه‌ها [English]

  • Lumbopelvic control
  • Non-specific low back pain
  • Spine

مراجع

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 8، شماره 4
دی 1398
صفحه 311-319

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سابقه مقاله

  • تاریخ دریافت: 24 تیر 1398
  • تاریخ بازنگری: 13 آبان 1398
  • تاریخ پذیرش: 22 آذر 1398
  • تاریخ اولین انتشار: 24 آذر 1398

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