بررسی مقایسه ای قدرت عضلات خلفی فوقانی گردن زنان سالم با زنان مبتلا به سردرد تنشنی مزمن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 1. استاد گروه فیزیوتراپی ، دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی تهران. ایران

2 2. کمیته پژوهشی دانشجویی. دانشجوی کارشناسی ارشد فیزیوتراپی، ، دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی. تهران. ایران

3 3. دانشیار گروه نورولوژی.

4 4. دانشجوی دکترای فیزیوتراپی ، کمیته پژوهشی دانشجویان، دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی. تهران. ایران

5 5. دانشیار گروه علوم پایه دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی تهران. ایران

چکیده

مقدمه و اهداف
سردرد تنشنی شایع ترین نوع سردرد است در اتیولوژی سردرد تنشنی درد میوفاشیا  عضلات گردن  ، نقش مهمی دارد. ضعف عضلات  ناحیه خلفی فوقانی گردن یکی از علائم همراه با درد میوفاشیال این ناحیه می باشد. لذا هدف از تحقیق حاضر مقایسه میزان قدرت عضلات خلفی فوقانی گردن بین زنان با سردردتنشنی مزمن و سالم است.
مواد و روش‌ها
میزان قدرت  عضلات خلفی_ فوقانی گردن و شدت درد  33 زن (17 زن سالم و 16 زن مبتلا به سردردتنشنی مزمن) به وسیله دستگاه سنجش نیرو مورد بررسی قرار گرفت. به منظور انجام تجزیه و تحلیل آماری و نیز برای مقایسه بین گروه ها از روش آماری t مستقل استفاده گردید.
یافته‌ها
نتایج تحقیقات نشان داد که میزان نیرو عضلات در زنان مبتلا به سردرد تنشنی مزمن به طور معنی داری کمتر از زنان سالم بود (021/0=P). و همچنین نشان داده شد که بین مقادیر شدت درد ، مقدار نیرو عضلات خلفی فوقانی گردن ارتباط منفی آماری وجود داشت (65/0=r) (006/0=P).
نتیجه‌گیری
در این مطالعه، زنان مبتلا به سردردتنشنی مزمن در مقایسه با زنان سالم از میزان قدرت کمتری برخوردارند نتایج  فوق ممکن است بیانگر اختلال در سیستم عضلانی اسکلتی عضلات خلفی فوقانی گردن در بیماران مبتلا به سردرد تنشنی مزمن است که  ممکن است اولیه یا ثانویه به سردرد باشد  .  مطالعات بیشتر برای گسترش دانش در این زمینه نیاز است.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of upper posterior neck muscles strength in healthy and chronic tension headache women

نویسندگان [English]

  • Asghar Reazsoltani 1
  • Fateme Etemadi 2
  • Fateme Khamse 3
  • Fateme Bokayee 4
  • Alireza Akbarzadeh-Baghban 5
1 1. Professor of Physiotheraphy Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 2. Student research committee.MSc of Physiotheraphy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 3. Associate Professor of Neurology ,Faculty of Medical Sciences , Tehran University of Medical Sciences,Tehran, Iran.
4 4. Student research committee.PHD of Physiotheraphy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences , Tehran, Iran.
5 5. Associate Professor of Biostatistics, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: Tension-type headache (TTH) is the most common type of headache in different societies. TTH is a prototypical headache in which myofascial pain of neck muscles can play an important etiological role. Weakness of upper posterior muscles of neck is a common accompaniment of myofascial pain in this region. Thus the purpose of this study was to compare the strength of upper posterior neck muscles in women with chronic tension headache and healthy women.
Materials and Methods: The strength of superior-posterior neck muscles in 33 women (16 chronic tension headache and 17 healthy individuals) were examined by The Power meter. An independent t-test was used to analyze the data and compare the groups.
Results: Results showed a significant difference between women with chronic tension headache and healthy ones (p=0.021). The results also showed inverse relationship between intensity of pain and the strength. (r=-0.65، p=0.006)
Conclusion: According to the results of this study, women with chronic tension headache had lower posterior upper cervical muscles strength than healthy controls. These results may reflect a disturbance in the upper posterior neck muscles musculoskeletal system in the patients which may be primary to TTH or secondary and as a result of TTH. Further studies are required to extend our knowledge in this area.

کلیدواژه‌ها [English]

  • Chronic Tension Headache
  • intensity of pain
  • upper posterior

مراجع

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 4، شماره 3 - شماره پیاپی 3
مهر و آبان 1394
صفحه 57-64

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سابقه مقاله

  • تاریخ دریافت: 25 آبان 1393
  • تاریخ بازنگری: 27 بهمن 1393
  • تاریخ پذیرش: 16 فروردین 1394
  • تاریخ اولین انتشار: 01 مهر 1394

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