مقایسه فعالیت عضلانی در افراد مبتلا به کووید -19 با همسالان سالم طی راه رفتن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 استادیار فیزیولوژی ورزشی، گروه فیزیولوژی ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

3 کارشناس ارشد بیومکانیک ورزشی، گروه مدیریت و بیومکانیک ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

چکیده

مقدمه و هدف
هدف از پژوهش حاضر مقایسه طیف فرکانس عضلات اندام تحتانی در بیماران مبتلا به کووید-19 با همسالان سالم طی راه رفتن بود.
مواد و روش­ ها
نمونه آماری پژوهش حاضر شامل 15 بیمار مبتلا به کووید-19 (با میانگین سنی:  9/1 ± 24/ 6) و 15 فرد سالم (با میانگین سنی: 8/0± 23/2 سال) بود که به طور در دسترس انتخاب شدند. فعالیت الکتریکی عضلات منتخب اندام تحتانی با استفاده از دستگاه الکترومایوگرافی ثبت شد. تحلیل داده­ ها با استفاده از آزمون آماری t مستقل انجام شد.
یافته ها
طی مرحله پاسخ بارگیری در عضلات پهن داخلی، پهن خارجی و سرینی میانی طیف فرکانس در گروه بیماران به طور معنی­داری نسبت به گروه سالم بالاتر بود (0/05˂P). طی فاز میانه اتکا تمامی عضلات مورد بررسی مقادیر مشابهی در میانه طیف فرکانس را در دو گروه نشان دادند (0/05<P).
نتیجه گیری
کاهش ظرفیت عملکردی عضلات اندام تحتانی منجر به عدم کنترل مناسب نیروی عکس­ العمل زمین می­شود که احتمال آسیب و سقوط را در بیماران افزایش می­دهد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of Muscular Activities in Patients with Covid19 and Healthy Control Individuals during Gait

نویسندگان [English]

  • Amirali Jaafarnejad 1
  • Aidin Valizade-Orang 2
  • Kosar Ghaderi 3
1 Associate Professor of Sport Management, Department of Physical Education and Sport Sciences, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
2 Assistant Professor of Sport Physiology, Department of Sport Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3 MSc of Sport Biomechanics, Department of Sport Management and Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
چکیده [English]

Background and Aims: The aim of the present study was to compare the frequency spectrum of lower limb muscles in patients with Covid-19 and healthy control individuals during gait.
Materials and Methods: The statistical sample of the present study included 15 patients with Covid-19 (age: 24.6± 9.1) and 15 healthy individuals (age: 23.2 ±8.0) who were selected using convenience sampling. The electrical activity of selected lower limb muscles was recorded using electromyography system during gait. Independent sample t-test was used for statistical analysis.
Results: During loading response phase, the frequency spectrum in the vastus medialis, vastus lateralis, and gluteus medius muscles were significantly greater in the patient group than those in the healthy group (p < 0.05). During mid-stance phase, all of the selected muscles showed a similar median frequency values in the two groups (P>0.05).
Conclusion: Lowering the functional capacity of the lower limb muscles results in a lack of proper control of the ground reaction forces, which could increase the likelihood of injury and falls in patients.
 

کلیدواژه‌ها [English]

  • Covid-19
  • Electromyography
  • Frequency spectrum
  • Gait
1.    Oatis CA. Kinesiology: the mechanics and pathomechanics of human movement: Lippincott Williams & Wilkins; 2009. ##
2.    Winter DA. Biomechanics and motor control of human movement: John Wiley & Sons; 2009. ##
3.    Wezel FV, Mackness T. Running shoes. Google Patents; 1986. ##
4.    Wischnia B. Beach running. Runners World, July. 1982;76:48-9. ##
5.    Whittle MW. Gait analysis: an introduction: Butterworth-Heinemann; 2014. ##
6.    Medicine ACoS. ACSM's health-related physical fitness assessment manual: Lippincott Williams & Wilkins; 2013. ##
7.    Jefferson R, Collins J, Whittle M, Radin E, O'Connor J. The role of the quadriceps in controlling impulsive forces around heel strike. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 1990;204(1):21-8. ##
8.    Farahpour N, Jafarnezhadgero A, Allard P, Majlesi M. Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain. Journal of Electromyography and Kinesiology. 2018;39:35-41. ##
9.    Jafarnezhadgero AA, Anvari M, Granacher U. Long-term effects of shoe mileage on ground reaction forces and lower limb muscle activities during walking in individuals with genu varus. Clinical Biomechanics. 2020;73:55-62. ##
10.  Jafarnezhadgero A, Alavi-Mehr SM, Granacher U. Effects of anti-pronation shoes on lower limb kinematics and kinetics in female runners with pronated feet: The role of physical fatigue. PloS one. 2019;14(5):e0216818. ##
11.  Jafarnezhadgero A, Fatollahi A, Amirzadeh N, Siahkouhian M, Granacher U. Ground reaction forces and muscle activity while walking on sand versus stable ground in individuals with pronated feet compared with healthy controls. PloS one. 2019;14(9):e0223219. ##
12.  Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques: Fa Davis; 2017. ##
13.  Rabbi MF, Ghazali KH, Altwijri O, Alqahtani M, Rahman SM, Ali MA, et al. Significance of Electromyography in the Assessment of Diabetic Neuropathy. Journal of Mechanics in Medicine and Biology. 2019;19(03):1930001. ##
14.  Hermens H, Freriks B, Merletti R, Rau G, Disselhorst-Klug-Aachen C, Stegeman D, et al. The SENIAM Project [WWW Document]. SENIAM Proj URL http://www seniam org. 2005. ##
15.  Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research. 2009;2(1):35. ##
16.  Al-Shuka HF, Rahman MH, Leonhardt S, Ciobanu I, Berteanu M. Biomechanics, actuation, and multi-level control strategies of power-augmentation lower extremity exoskeletons: an overview. International Journal of Dynamics and Control. 2019;7(4):1462-88. ##
17.  Neumann DA. Kinesiology of the musculoskeletal system; Foundation for rehabilitation. Mosby & Elsevier. 2010. ##
18.  Fang Y, Siemionow V, Sahgal V, Xiong F, Yue GH. Greater movement-related cortical potential during human eccentric versus concentric muscle contractions. Journal of Neurophysiology. 2001;86(4):1764-72. ##
19.  Pincivero DM, Coelho AJ, Campy RM. Contraction mode shift in quadriceps femoris muscle activation during dynamic knee extensor exercise with increasing loads. Journal of biomechanics. 2008;41(15):3127-32. ##
20.  Schoenfeld B. Science and development of muscle hypertrophy: Human Kinetics; 2016. ##
21.  Fritzsche K, Blüher M, Schering S, Buchwalow I, Kern M, Linke A, et al. Metabolic profile and nitric oxide synthase expression of skeletal muscle fibers are altered in patients with type 1 diabetes. Experimental and clinical endocrinology & diabetes. 2008;116(10):606-13. ##
22.  Madadi-Shad M, Jafarnezhadgero AA, Sheikhalizade H, Dionisio VC. Effect of a corrective exercise program on gait kinetics and muscle activities in older adults with both low back pain and pronated feet: A double-blind, randomized controlled trial. Gait & Posture. 2020;76:339-45. ##
23.  Jafarnezhadgero A, Sorkhe E, Meamarbashi A. Efficacy of motion control shoes for reducing the frequency response of ground reaction forces in fatigued runners. Journal of Advanced Sport Technology. 2019;3(1):8-21. ##
24.  Jafarnezhadgero AA, Sorkhe E, Oliveira AS. Motion-control shoes help maintaining low loading rate levels during fatiguing running in pronated female runners. Gait & posture. 2019;73:65-70. ##
دوره 10، شماره 1
فروردین و اردیبهشت 1400
صفحه 168-174
  • تاریخ دریافت: 23 آبان 1399
  • تاریخ بازنگری: 01 دی 1399
  • تاریخ پذیرش: 06 دی 1399
  • تاریخ اولین انتشار: 01 فروردین 1400