تأثیر بازخورد بیرونی بر کینماتیک اندام تحتانی و قدرت واکنشی افراد با ولگوس دینامیک زانو حین انجام تکلیف حرکتی پرش فرود

نوع مقاله : مقاله پژوهشی

نویسنده

گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت‌بدنی و علوم ورزشی، دانشگاه علامه طباطبائی، تهران، ایران.

10.32598/SJRM.13.6.3269

چکیده

مقدمه و اهداف اثربخشی بازخورد بیرونی آنی بر کاهش عوامل خطرزای بیومکانیکی به‌خوبی ثابت شده است، اما به‌طور همزمان ارتباط آن با عملکرد پرشی ورزشکاران ناشناخته باقی مانده است. بنابراین هدف از مطالعه حاضر بررسی تأثیر بازخورد بیرونی بر کینماتیک اندام تحتانی و قدرت واکنشی افراد با ولگوس دینامیک زانو (DVK) حین انجام تکلیف حرکتی پرش فرود دو پا (DLDVJ) بود.
مواد و روش‌ها در مطالعه نیمه‌تجربی حاضر، 21 ورزشکار تفریحی مرد با نقص حرکتی ولگوس دینامیک زانو و دامنه سنی 18 تا 25 سال شرکت کردند. اطلاعات مرتبط با زوایای مفاصل اندام تحتانی در هر سه صفحه حرکتی قبل و بعد از ارائه آنی بازخورد بیرونی حین انجام تکلیف حرکتی پرش فرود دو پا در 2 فاز اکسنتریک و کانسنتریک ثبت شد. عملکرد پرشی بر‌اساس شاخص قدرت واکنشی تعدیل‌شده (RSImod) محاسبه و بیان شد.
یافته‌ها نتایج مطالعه حاضر حاکی از کاهش معنادار زاویه اداکشن هیپ در فاز اکسنتریک (0/001=‌P)، در فاز کانسنتریک (0/001=‌P)، و در موقعیت حداکثر فلکشن زانو (0/001=‌P) و همچنین کاهش چرخش خارجی تیبیوفمورال در فاز اکسنتریک (0/031=‌P)، کانسنتریک (0/019=‌P) و در موقعیت حداکثر فلکشن زانو (0/037=‌P) بعد از ارائه مداخله نسبت به قبل از مداخله بود. علاوه‌بر‌این به‌طور معناداری افزایش فلکشن زانو در فاز اکسنتریک (0/007=‌P) و موقعیت حداکثر خم شدن زانو (0/017=‌P) بعد از ارائه مداخله نسبت به قبل از مداخله مشاهده شد. در‌رابطه‌با عملکرد پرشی، ارائه مداخله با افزایش زمان تیک‌آف (0/039=‌P) و متعاقباً کاهش عملکرد پرشی بر‌اساس شاخص قدرت واکنشی تعدیل‌شده (0/011=‌P) همراه بود.
نتیجه‌گیری نتایج مطالعه حاضر نشان می‌دهد مداخله بازخورد بیرونی به‌صورت آنی نقص حرکتی ولگوس دینامیک زانو را بدون ایجاد اختلال در ارتفاع پرش ورزشکاران در حین انجام تکلیف حرکتی پرش فرود دو پا بهبود می‌بخشد، اما این با کاهش زمان تیک‌آف و متعاقباً با کاهش عملکرد پرشی بر مبنای شاخص قدرت واکنشی تعدیل‌شده بود. با وجود این به‌عنوان یک برنامه پیشگیری از آسیب‌های ورزشی مبتنی بر شواهد، اثربخشی بهبود نقص حرکتی ولگوس دینامیک زانو بر عملکرد پرش ورزشکاران باید در دراز‌مدت به‌عنوان یک الگوی حرکتی جدید مورد بررسی قرار گیرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of Augmented Feedback on Lower Limb Kinematics and Jumping Performance of Male Athletes With Dynamic Knee Valgus During a Double-leg Drop Vertical Jump Task

نویسنده [English]

  • Ramin Balouchy
Department of Sport Injuries and Corrective Exercises, Faculty of Physical education and Sport Science, Allameh Tabataba’I University, Tehran, Iran.
چکیده [English]

Background and Aims The immediate impact of augmented feedback on biomechanical risk factors has been well established, but its effect on the jumping performance of athletes is still unknown. Therefore, this study aims to evaluate the effect of augmented feedback on lower limb kinematics and jumping performance of male athletes with dynamic knee valgus (DKV) during a double-leg drop vertical jump (DLDVJ) task.
Methods In this quasi-experimental study, 21 male recreational athletes with DKV aged 1-25 years participated. Three-dimensional kinematic and kinetic data were collected simultaneously before and after augmented feedback during the DLDVJ task at the eccentric and concentric phases. The jumping performance was calculated by using the reactive strength index-modified (RSImod). 
Results The results showed a significant decrease in the hip adduction angle in the eccentric (P=0.001) and concentric (P=0.001) phases in the maximum knee flexion position (P=0.001) after the intervention compared to the pre-intervention stage. Also, there was a decrease in external tibiofemoral rotation in the eccentric (P=0.031) and concentric (P=0.019) phases in the maximum knee flexion position (P=0.037). In addition, a significant increase in knee flexion in the eccentric phase (P=0.007) and maximum knee flexion position (P=0.017) was reported after the intervention compared to the pre-intervention stage. Regarding jumping performance, the intervention was associated with an increase in the take-off time (P=0.039) and a subsequent decrease in the RSImod value (P=0.011).
Conclusion The augmented feedback can immediately improve the DKV without reducing the jump height during a DLDVJ task in male athletes, but it reduces the take-off time and, subsequently, the jumping performance (The RSImod value). As an evidence-based sports injury prevention program, the effects of improving DKV on athletes’ jumping performance in the long term should be investigated in future studies.

کلیدواژه‌ها [English]

  • Jumping performance
  • Dynamic knee valgus
  • Augmented feedback
  • Plyometrics

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 13، شماره 6
بهمن و اسفند 1403
صفحه 1064-1077

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  • تاریخ دریافت: 18 اردیبهشت 1403
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