تاثیر تمرینات تعادلی بر حس عمقی مفاصل اندام تحتانی (مقاله مروری)

نوع مقاله : مقاله مروری

نویسندگان

1 کمیته پژوهشی دانشجویان. کارشناس فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 استادیار گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه و اهداف
با توجه به اهمیت حس عمقی در پیشگیری از آسیب های مفصلی و همچنین نیاز به بهبودی و افزایش دقت آن پس از ایجاد آسیب های مفصلی در جهت جلوگیری از بروز بیماریهای متعاقب این آسیب ها در مفاصل اندام تحتانی، هدف از تحقیق حاضر، مروری بر تاثیر روش های مختلف تمرین درمانی در کاهش خطای شاخص های حس عمقی می باشد.
مواد و روش ها
جستجوی مطالعات انجام شده در فاصله زمانی 1990 تا 2015 در منابع اطلاعاتیGoogle Scholar, Science Direct, Cochrane, SID, PubMed, Pedro انجام شد.
کلیدواژه های Balance Training, Postural Control, Single Leg Stance, Tilt Board, Stability, Instability اندام تحتانی و تمرینات تعادلی در ترکیب با کلیدواژه های حس عمقی Proprioception, Sense of Position, Sense of Force, Kinesthesia مورد بررسی قرار گرفت. مطالعات غیرمرتبط و مطالعاتی که شاخص هایی غیر از حس عمقی را بررسی کرده بود، حذف شد.
نتیجه گیری
در کل 9 مقاله که دارای معیارهای ورود بود، بررسی شد. بنابر جستجوی انجام شده به نظر می رسد تمرینات تعادلی ممکن است بتواند باعث افطایش دقت حس عمقی (حداقل در افراد غیرورزشکار) شود، اما اولا مطالعات از نظر تعداد کافی نبود و ثانیا مطالعات باید در گروه های جداگانه (افراد ورزشکار، غیرورزشکار و دچار آسیب مفصلی) بررسی شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effect of Balance Exercises on Lower Limb Joint Proprioception: Systematic Review

نویسندگان [English]

  • Maral Esmailnia 1
  • Minoo Khalkhali Zavieh 2
  • Sedighe Sadat Naeimi 2
1 Student Research Committee, MSc Student of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Assistant Professor of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim: Bearing in the mind the importance of proprioception in preventing joints injury and the role of improving proprioception after joints injuries, the aim of the present study was to review the effects of different exercise methods on decreasing proprioception indexes error.
Materials and Methods: A literature search for the period between 1990-2015 was performed in the databases of GoogleScholar, ScienceDirect, Pedro, PubMed, Cochrane, and SID. Postural control, tilt board, BAPS board, stability, instability, postural sway, single leg stance, and lower limb were used as keywords in combination with proprioception, sense of position, sense of force, and kinesthesia. Irrelevant studies and studies which evaluated other indexes, instead of proprioception, were ignored.
Conclusion: Nine articles were selected according to the inclusion criteria. The present review showed that balance training in some cases may have positive effects on proprioception accuracy, at least on non-athletic people. But the number of studies was not sufficient and also it is necessary to evaluate the effect of training in different individual categories, such as healthy, athletes, and those with joint injury.

کلیدواژه‌ها [English]

  • Proprioception
  • Balance exercises
  • Lower Limb

مراجع

  1. Dehner C, Heym B, Maier D, Sander S, Arand M, Elbel M, et al. Postural control deficit in acute QTF grade II whiplash injuries. Gait & posture. 2008;28(1):113-9.##
  2. Stillman BC. Making sense of proprioception: the meaning of proprioception, kinaesthesia and related terms. Physiotherapy. 2002;88(11):667-76. ##
  3. Lephart SM, Pincivero DM, Giraido JL, Fu FH. The role of proprioception in the management and rehabilitation of athletic injuries. The American journal of sports medicine. 1997;25(1):130-7. ##
  4. Bayramoglu M, Toprak R, Sozay S. Effects of osteoarthritis and fatigue on proprioception of the knee joint. Archives of physical medicine and rehabilitation. 2007;88(3):346-50. ##
  5. Vuillerme N, Chenu O, Pinsault N, Fleury A, Demongeot J, Payan Y. Can a plantar pressure–based tongue-placed electrotactile biofeedback improve postural control under altered vestibular and neck proprioceptive conditions? Neuroscience. 2008;155(1):291-6. ##
  6. Bernier JN, Perrin DH. Effect of coordination training on proprioception of the functionally unstable ankle. Journal of Orthopaedic & Sports Physical Therapy. 1998;27(4):264-75. ##
  7. Guskiewicz KM, Perrin DH. and Clinical Applications of Assessing Balance. Journal of Sport Rehabilitation. 1996;5:45-63. ##
  8. Freeman M, Dean M, Hanham I. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965;47(4):678-85. ##
  9. Glencross D, Thornton E. Position sense following joint injury. The Journal of sports medicine and physical fitness. 1981;21(1):23-7. ##

10. Tropp H, Ekstrand J, Gillquist J. Factors affecting stabilometry recordings of single limb stance. The American journal of sports medicine. 1984;12(3):185-8. ##

11. Ju Y-Y, Wang C-W, Cheng H-YK. Effects of active fatiguing movement versus passive repetitive movement on knee proprioception. Clinical Biomechanics. 2010;25(7):708-12. ##

12. khalkhali zavieh minooو g imesahmirhe, talebian zahra,aboobi marzieh. review the effect of open kinetic chain ,close kinetic chain and balance exercises on knee joint position sense error in young healthy women. shahid beheshti medical journal (pajhoohesh dar pezeshki). 2003;2:115-9.[naisrep ni] ##

13. Daneshjoo A, Mokhtar AH, Rahnama N, Yusof A. The effects of comprehensive warm-up programs on proprioception, static and dynamic balance on male soccer players. PloS one. 2012;7(12):e51568. ##

14. Lin D-H, Lin C-HJ, Lin Y-F, Jan M-H. Efficacy of 2 non-weight-bearing interventions, proprioception training versus strength training, for patients with knee osteoarthritis: a randomized clinical trial. Journal of orthopaedic & sports physical therapy. 2009;39(6):450-7. ##

15. Holm I, Fosdahl MA, Friis A, Risberg MA, Myklebust G, Steen H. Effect of neuromuscular training on proprioception, balance, muscle strength, and lower limb function in female team handball players. Clinical Journal of Sport Medicine. 2004;14(2):88-94. ##

16. Hurley M, Scott D. Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. Rheumatology. 1998;37(11):1181-7. ##

17. Lee AJ, Lin W-H. Twelve-week biomechanical ankle platform system training on postural stability and ankle proprioception in subjects with unilateral functional ankle instability. Clinical Biomechanics. 2008;23(8):1065-72. ##

18. Plumley JL. Result of the Biodex Stability System on Proprioception and Balance Following an Achilles Tendon Repair: a Case Report: Sage Graduate School; 2010. ##

19. Rozzi SL, Lephart SM, Gear WS, Fu FH. Knee joint laxity and neuromuscular characteristics of male and female soccer and basketball players. The American journal of sports medicine. 1999;27(3):312-9. ##

20. Lankhorst G, Van de Stadt R, Van der Korst J. The relationships of functional capacity, pain, and isometric and isokinetic torque in osteoarthrosis of the knee. Scandinavian journal of rehabilitation medicine. 1984;17(4):167-72. ##

21. Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Arthritis & Rheumatism. 1995;38(11):1535-40. ##

22. Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis & Rheumatism. 1997;40(12):2260-5. ##

23. McAlindon T, Cooper C, Kirwan J, Dieppe P. Determinants of disability in osteoarthritis of the knee. Annals of the rheumatic diseases. 1993;52(4):258-62. ##

24. Ashton-Miller JA, Wojtys EM, Huston LJ, Fry-Welch D. Can proprioception really be improved by exercises? Knee surgery, sports traumatology, arthroscopy. 2001;9(3):128-36. ##

25. McNair PJ, Stanley SN, Strauss GR. Knee bracing: effects on proprioception. Archives of physical medicine and rehabilitation. 1996;77(3):287-9. ##

دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 6، شماره 3
مهر و آبان 1396
صفحه 266-273

فایل ها

سابقه مقاله

  • تاریخ دریافت: 25 خرداد 1395
  • تاریخ بازنگری: 21 تیر 1395
  • تاریخ پذیرش: 02 مرداد 1395
  • تاریخ اولین انتشار: 01 مهر 1396

هم رسانی

ارجاع به این مقاله

آمار