The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1403
9
1
gregorian
2024
12
1
32
9
online
1
fulltext
fa
تاثیر پروتکل توانبخشی حسی حرکتی بر نیروی عکس العمل عمودی زمین و نرخ بارگذاری در مردان مبتلا به درد کشککی رانی: یک کارآزمایی تصادفی کنترل شده
Effect of Sensorimotor Rehabilitation Protocol on Vertical Ground Reaction Force and Loading Rate in Men with Patellofemoral Pain: A Randomized Controlled Trial
سایر
other
کارآزمایی بالینی
clinical trial
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نیروی عکس­العمل عمودی زمین</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و نرخ بارگذاری تغییر یافته یک عامل مهم در ایجاد درد کشککی­رانی </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Patella femoral pain, PFP)</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) است. هدف از این مطالعه، </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تاثیر تمرینات حسی­حرکتی بر نیروی عکس­العمل عمودی زمین و نرخ بارگذاری در بیماران با </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">PFP</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> هنگام پایین آمدن از پله بود.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه 30 مرد مبتلا به </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">PFP</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> شرکت کردند که به</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span><span b="" nazanin="" style="font-family:">صورت تصادفی به دو گروه تجربی و کنترل تخصیص یافتند (هر گروه 15 نفر). بیماران در گروه تجربی به مدت دوازده هفته تمرینات حسی</span><span new="" roman="" style="font-family:" times=""></span><span b="" nazanin="" style="font-family:">حرکتی را انجام دادند در حالی که گروه کنترل هیچ</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">گونه مداخله درمانی دریافت نکردند. درد، ترس از حرکت، قدرت عضلات چهارسر رانی، زاویه فلکشن زانو، مولفه</span><span new="" roman="" style="font-family:" times=""></span><span b="" nazanin="" style="font-family:">های نیروی عکس</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">العمل عمودی زمین و نرخ بارگذاری در دو مرحله پیش آزمون و پس آزمون ارزیابی شدند. برای آنالیز داده</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها از نرمافزار</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">16 </span></span> <span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و از روش آماری کوواریانس برای مقایسه نتایج بین گروهی استفاده گردید و سطح معناداری 0/05 در نظر گرفته شد.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">تحلیل کوواریانس </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نشان داد که گروه تجربی در مقایسه با گروه کنترل در کاهش درد </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/001 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، کاهش ترس از حرکت </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/001 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، افزایش قدرت عضلانی چهارسر رانی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/001 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، افزایش زاویه فلکشن زانو </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/001 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، مولفه­های نیروی عکس­العمل عمودی زمین </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/001 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، و کاهش نرخ بارگذاری (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">0/001 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تفاوت معناداری داشته است.</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در گروه تجربی با افزایش قدرت عضلات چهارسر رانی، درد و ترس از حرکت کاهش یافت و زاویه فلکشن زانو افزایش یافت و جذب شوک فعال ارتقا یافت. در نتیجه، اوج نیروی اول و دوم افزایش و نرخ بارگذاری و دره کاهش یافت.</span></span></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">The change of vertical ground reaction force and loading rate rate is a important factor in causing patellofemoral pain (PFP). The aim of this study was the effect of sensory-motor exercises on the vertical ground reaction force and loading rate in patients with PFP when stair descent.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">A total of 30 patients with PFP participated and were randomly divided into two experimental and control groups (15 </span><span lang="EN" new="" roman="" style="font-family:" times="">subject</span><span new="" roman="" style="font-family:" times=""> in each group). </span><span new="" roman="" style="font-family:" times="">Over a period of twelve weeks, the experimental group engaged in sensorimotor exercises, while the control group did not receive any therapeutic intervention. Pain intensity, fear of movement, quadriceps muscle strength, knee flexion angle, components of vertical ground reaction force and loading rate were evaluated in two stages pre-test and post-test. For data analysis SPSS 16 software and the covariance statistical method were used to compare the results between groups, and the significance level was considered 0.05.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The analysis of covariance analysis indicated that sensorimotor exercises in the experimental group compared to the control group had a significant difference in reduced pain (P</span><span dir="RTL" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ></span></span><span new="" roman="" style="font-family:" times="">0.001), reduced fear of movement (P</span><span dir="RTL" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ></span></span><span new="" roman="" style="font-family:" times="">0.001), incresed quadriceps muscle strength (P</span><span dir="RTL" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ></span></span><span new="" roman="" style="font-family:" times="">0.001), incresed knee flexion angle (P</span><span dir="RTL" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ></span></span><span new="" roman="" style="font-family:" times="">0.001), components of vertical ground reaction force (P</span><span dir="RTL" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ></span></span><span new="" roman="" style="font-family:" times="">0.001), and reduced loading rate (P</span><span dir="RTL" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ></span></span><span new="" roman="" style="font-family:" times="">0.001).</span><b><span style="font-family:"Times New Roman",serif"></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:20.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The finding suggest that</span><b> </b><span new="" roman="" style="font-family:" times="">the experimental group experienced a boost in</span><span new="" roman="" style="font-family:" times=""> in quadriceps muscle strength, leading to diminished</span><span new="" roman="" style="font-family:" times=""> pain and fear of movement, an increase in knee flexion angle, and enhanced active shock absorption.</span><span new="" roman="" style="font-family:" times=""> Consequently, there was an increase in both peak forces while the loading rate and valley force decreased.</span></span></span></span><br>
</div>
درد کشککی رانی, کینتیک, کینماتیک, تمرین
Patellofemoral pain, Kinetic, Kinematic, Exercises.
8241
8255
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4205-2&slc_lang=fa&sid=1
Ali
Yalfani
علی
یلفانی
m.ahmadi01@phe.basu.ac.ir