ارتباط بین ناهنجاری های سربه جلو و هایپرکایفوزیس سینه ای با عملکرد ریوی، ناهنجاری های ستون فقرات، دامنه حرکتی و قدرت عضلات گردن و شانه: یک مطالعه مقطعی

نوع مقاله : گزارش مورد

نویسندگان

1 دانشجوی کارشناسی ارشد حرکات اصلاحی و آسیب‌شناسی ورزشی، دانشکده علوم ورزشی، دانشگاه رازی، کرمانشاه، ایران

2 استادیار گروه حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده علوم ورزشی، دانشگاه رازی، کرمانشاه، ایران.

چکیده

مقدمه و اهداف
در جستجوی منابع مشخص شد رابطه بین ناهنجاری­های سربه­جلو و هایپرکایفوزیس با برخی فاکتورهای فیزیکی افراد مبتلا نامعلوم است؛ بنابراین هدف مطالعه حاضر بررسی ارتباط بین ناهنجاری­های سربه­جلو و هایپرکایفوزیس با عملکرد ریوی، ناهنجاری­های ستون فقرات، دامنه حرکتی و قدرت عضلات گردن و شانه بود.
مواد و روش­ ها
در مطالعه توصیفی همبستگی حاضر، پس از غربالگری 80 دانشجو با خط­کش منعطف و ابزارهای ارزیابی پاسچر، 40 آزمودنیِ دارای معیارهای ورود به مطالعه به­ عنوان نمونه به­ صورت هدفمند انتخاب شدند و متغیرهای تحقیق توسط یک ارزیاب، اندازه­ گیری شد. برای ارزیابی سربه­ جلو از عکس برداری و نرم­افزار Image J، از اسپاینال موس برای ارزیابی ناهنجاری­ های ستون فقرات، از دستگاه اسپیرومتری برای ارزیابی حجم­ های ریوی، از PT-Scan  برای ارزیابی نوسانات پاسچر، از Pull-Push Dynamometer برای ارزیابی قدرت عضلانی و ازBabble Baseline Inclinometer برای ارزیابی دامنه حرکتی استفاده گردید. برای ارتباط­ سنجی از ضریب همبستگی پیرسون استفاده گردید.
یافته ­ها
نتایج نشان داد ناهنجاری سربه­ جلو با دامنه حرکتی اکستنشن تنه (0/029=P)، فلکشن گردن (0/01=P) و آداکشن شانه (0/018=P) رابطه منفی و با قدرت فلکسورها (0/01=P) و آبداکتورهای شانه (0/01=P) رابطه مثبت و با FEV1/FVC (0/004=P) و FEV1 (0/024=P) رابطه منفی داشت؛ به­علاوه، هایپرکایفوزیس با دامنه حرکتی فلکشن تنه (0/011=P)، فلکشن گردن (0/009=P)، و آداکشن شانه (0/049=P) رابطه منفی اما با لوردوزیس کمری (0/004=P) رابطه مثبت داشت.
نتیجه ­گیری
بر اساس یافته ­های تحقیق حاضر مشخص شد ناهنجاری هایپرکایفوزیس با دامنه حرکتی فلکشن تنه، فلکشن گردن، آداکشن شانه و لوردوز کمری رابطه دارد. ناهنجاری سربه­ جلو نیز با دامنه حرکتی اکستنشن تنه، فلکشن گردن، آداکشن شانه، قدرت فلکسورها و آبداکتورهای شانه، FEV1/FVC و FEV1 رابطه داشت.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Relationship between Forward Head and Thoracic Hyper-Kyphosis Posture and Pulmonary Function, Spinal Deformities, Neck, and Shoulder Muscle Strength and Range of Motion: A Cross-Sectional Study

نویسندگان [English]

  • Karim Mohammad Jabar 1
  • Farzaneh Gandomi 2
1 MSc. Student, Sport Injuries and Corrective Exercises Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran
2 Assistant Professor, Sport Injuries and Corrective Exercises Department, Sport Sciences Faculty, Razi University, Kermanshah, Iran.
چکیده [English]

Backgrounds and Aims: It is unclear how thoracic hyper-kyphosis (THK) and forward head posture deformities (FHP) relate to physical function. The purpose of the current research was to study the relationship between forward head posture (FHP) and thoracic hyper-kyphosis (THK) and pulmonary function, spinal deformities, neck, and shoulder muscle strength and range of motion (ROM).
Materials and Methods: In the present descriptive correlational study, after screening 80 patients via flexible ruler and posture assessment tools, 40 individuals who had inclusion criteria were recruited. Study variables were measured using an evaluator. We used Photography and Image J software to evaluate FHP, Spinal mouse to evaluate spine deformities, Spirometry to evaluate pulmonary volumes, PT-Scan to evaluate postural sways, Pull-Push-Dynamometer to evaluate muscles strength, and the Babble Baseline Inclinometer was used to assess neck and shoulder ROM. Pearson’s r was run to assess the relationship among variables.
Results: The results showed that FHP had a negative correlation with trunk extension (P=0.029), neck flexion (P=0.010), and shoulder adduction (P=0.018) ROM, positive correlation with shoulder flexors (P=0.010) and abductors (P=0.010) strength as well as negative correlation with FEV1/FVC (P=0.004) and FEV1 (P=0.024). THK posture, also, had a negative correlation with trunk flexion (P=011), neck flexion (P=0.009), and shoulder adduction (P=0.049) ROM, but its had a positive correlation with lumbar lordosis (P=0.004).
Conclusion: Based on our results, THK was associated with neck and trunk flexion, shoulder adduction ROM, and lumbar lordosis. Also, FHP was associated with trunk extension, neck flexion and shoulder adduction ROM, shoulder flexor and abductors strength, and pulmonary function.
 

کلیدواژه‌ها [English]

  • Kyphosis
  • Forward head posture
  • Deformity
  • Range of motion
  • Spirometry
  • Function

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 9، شماره 4
دی 1399
صفحه 216-227

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سابقه مقاله

  • تاریخ دریافت: 05 فروردین 1399
  • تاریخ بازنگری: 25 فروردین 1399
  • تاریخ پذیرش: 31 فروردین 1399
  • تاریخ اولین انتشار: 01 دی 1399

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