مقایسه اثربخشی تمرین در آب گرم معدنی و آب معمولی بر برخی از عوامل روانشناختی زنان مبتلا به کمردردمزمن

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد رفتار حرکتی

2 استادیار دانشگاه خوارزمی تهران

چکیده

زمینه و هدف: کمردرد بالاترین درصد شیوع را در دردهای مزمن دارد. در این میان عوامل روان‌شناختی در ایجاد و تداوم ناتوانی جسمی و محدودیت عملکردی بیماران مبتلا به کمردرد مزمن دارای اهمیت می­باشد. هدف از این پژوهش، مقایسه اثرات آب گرم معدنی و آب معمولی بر ترس از حرکت، افسردگی و ناتوانی در بین زنان میانسال مبتلا به کمردرد مزمن بود.
روش بررسی: در این پژوهش نیمه­تجربی، تعداد 20 زن میانسال مبتلا به کمردرد مزمن مراجعه‌کننده به مراکز درمانی و بیمارستان با دامنه سنی (60- 45 سال) به صورت در دسترس انتخاب شدند. آنها به صورت تصادفی در دو گروه تجربی 10 نفره یعنی گروه آب گرم معدنی و گروه آب معمولی استخر جای گرفتند. داده­ها با استفاده از مقیاس ترس از حرکت تامپا، مقیاس افسردگی استنفورد، پرسشنامه ناتوانی ناشی از کمردرد اوسوستری جمع­آوری شد.
یافته‌ها: آزمون تی مستقل برای بررسی معناداری تفاوت گروه­ها در سه متغیر ترس از حرکت، افسردگی و ناتوانی در پیش­آزمون و پس­آزمون معنادار نبود (05/0≤P). اما، آزمون تی وابسته برای بررسی معناداری تفاوت بین پیش­آزمون و پس­آزمون درون هر گروه معنادار بود (05/0≥P).
نتیجه‌گیری: به‌طور کلی هر دو نوع تمرین در آب بر متغیرهای مورد نظر تأثیر داشت و هیچ یک از این دو مداخله بر دیگری مزیت نداشت.

کلیدواژه‌ها

موضوعات


Abdolghaderi M, Kafee M, Saberi A, Aryapouran S. (2014). [The effectiveness of mindfulness-based cognitive therapy (MBCT) and cognitive behavior  therapy (CBT) on decreasing pain, depression and anxiety of patients with chronic  low back pain]. J Shahid Sadoughi Univ Med Sci; 21(6): 795-807. (In Persian)

Altan, L., Bingöl, U., Aykaç, M., Koç, Z., Yurtkuran, M. (2004). "Investigation of the effects of pool-based exercise on fibromyalgia syndrome". Rheumatology International. 24(5): 272-7.

Bean, D.J., Johnson, M.H., Kydd, R.R. (2014). "Relationship between psychological factors, pain, and disability in complex regional pain syndrome and low back pain". Clinical Journal of Pain. 30(8):647-53.

Becker, B.E. (1994). "The biologic aspects of hydrotherapy". Journal of Back and Musculoskeletal Rehabilitation. 4 (4):255-264.

Bränström, H., Fahlström, M. (2008). "Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women". Journal of Rehabilitation Medicine. 40:375-380.

Constant, F., Collin, J.F., Guillemin, F., Boulange, M. (1995). "Effectiveness of Spa therapy in chronic low back pain: A randomized clinical trial". The Journal of Rheumatology. 22(7): 1315-1320.

Derakhshan RadA, GhanbariA, Sheikh M, DerakhshanRad M.  (2011). [Compare the results of aperformance shaft testwithtwoself-report questionnairetodetermine the level ofdisability in patient’s withchronic low back pain]. Rehabilitation Journal; 12(3); Issue 48: 15-9. (In Persian)

Farahani A, ShabanimogadamK. (2009). [TherapyMovement with an emphasis onflat footandspinal abnormalities].First Edition.Tehran. Publishingof Entezar Asre. 126-113. (In persian)

Forestier, R., Desfour, H., Tessier, J.M., Francon, A., Foote, A.M., Genty, C. (2010). "Spa therapy in the treatment of knee osteoarthritis: a large randomized multicenter trial". Annals of the Rheumatic Diseases. 69:660–665.

Khanjari Y., Garooei R. (2015).  [The effect of a period of aquatic therapy exercise on the quality of life and depression in aged males suffering from chronic physical pains]. International Letters of Social and Humanistic Sciences; 56:127-137. (In Persian)

Kulisch, A., Bender, T., Nemeth, A., Szekeres, L. (2009). Effect of thermal water and adjunctive electrotherapy on chronic low back pain: A double-blind, randomized, follow-up study". Journal of Rehabilitation Medicine. 41: 73-79.

Lange, U., Muller-Ladner, U., Schmidt, K.L. (2005). "Balneotherapy in rheumatic diseases - an overview of novel and known aspects". Rheumatology International. 12:1-3.

Latorre-Román, P.Á., Rentero-Blanco, M., Laredo-Aguilera, J.A., García-Pinillos, F. (2015). "Effect of a 12-day balneotherapy program on pain, mood, sleep and depression in healthy elderly people". Psychogeriatrics. 15(1):14-19.

Lee, J.H., Ooi, Y., Nakamura, K. (1995). "Measurement of muscle strength of the trunk & the lower extremities in subjects within history of low back pain". Spine. 20 (18): 1994-96.

Lehmann, J.F., Lateur, B.J. (2003). "Ultrasound, short wave, microwave, laser, superficial heat and cold in the treatment of pain. In: Melzack R & Wall P, Editors. Handbook of Pain Management. 4ed, London, Churchill Livingstone, PP: 473-483.

Leibetseder, V., Strauss-Blasche, G., Marktl, W., Ekmekcioglu, C. (2007). Does aerobic training enhance effects of spa therapy in back pain patients? A randomized, controlled clinical trial. Forschende Komplementmedizin. 14(4):202-6.

Lorig, K.R., Sobel, D.S., Ritter, P.L., Laurent, D., Hobbs, M. (2001). "Effects of a self-management program on patients with chronic disease". Effective Clinical Practice. 4(6):256-62.

Martin, C.M. (2004). Hydrotherapy: Review on the effectiveness of its application in physiotherapy and occupational therapy. University of York: center for review and dissemination". Richmond, BC: Work Safe BC. 21:1-19.

Mcllveen, B., Robertson, V.J. (1998). "Randomized controlled study of the outcome of hydrotherapy for subjects with low back or back and leg pain". Physiotherapy. 84:17-26.

Moaddeli, N., Kagamimori, S. (2005). "Balneotherapy in Medicine: A Review". Environmental Health and Preventive Medicine. 10:171-179.

Mousavi S.J., Akbari M.E., Mehdian H., Mobini B., Montazeri A., Akbarnia B. (2011). [Low back pain in Iran: a growing need to adapt and implement evidence-based practice in developing countries]. Spine; 36(10): 638-646. (In Persian)

Mousavi S.J., Parnianpour M., Mehdian H., Montazeri A., Mobini B. (2006). [The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale]: translation and validation studies of the Iranian versions. Spine; 31(14): E454-E459. (In Persian)

Nemčić, T., Budišin, V., Vrabec-Matković, D., Grazio, S. (2013). "Comparison of the effects of land-based and water-based therapeutic exercises on the range of motion and physical disability in patients with chronic low-back pain: single-blinded randomized study". Acta Clinica Croatica. 52(3):321-327.

Olson, D.A. (2011). "An evaluation of aquatic therapy as a treatment for lower back pain". Master thesis, University of Central Florida.

Pittler, M.H., Karagulle, M.Z., Karagulle, M., Ernst, E. (2006). "Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials". Rheumatology. 45:880-884.

Rezaei S, Afsharnejad T, Moosavi K, Soltani R, Falah Kohan S. (2009). [Depression associated with of Coping Strategies with the pain in patients with Chronic pain: a controlled study, pain intensity and duration. Journal of Medical Daneshvar; (81): 74-63. (In Persian)

Rezaei S, Afsharnejad T, Moosavi SV, Yousefzadeh Sh, Soltani R. (2012). [Validation of the Persian version of pain self-efficacy scale: A psychometric chronic low back pain patients]. Journal of Fundamentals of Mental Health; 13(4): 328-45. (In Persian)

Rezaei S., Yousefzadeh Sh., Afsharnezhad T., Asghari Moghadam A., Zarrabi H. (2011). [Determination of psychological factors related to physical disability in patients with chronic low back pain]. Journal of Clinical Psychology; 1(9):39-53. (In Persian)

Sami S, Hakimi M, Ali-Mohammadi M, Karimiyani N. (2014). [Comparing the effects of hydrotherapy, relaxation and McKenzie exercise on improvement of chronic low back pain in athletes].JAP; 4(2):11-21. (In Persian)

Sukenik, S., Flusser, D., Abu-Shakra, M. (1999). "The role of spa therapy in various rheumatic diseases". Rheumatic Disease Clinics of North America. 25:883-897.

Susan, H., Picavet, J., Johan, W., Vlaeyen, S., Jan, S.A., Schouten, G. (2002). "Pain catastrophizing and kinesiophobia: Predictors of Chronic Low Back Pain". American Journal of Epidemiology. 156(11):1028-1034.

Tefner, I.K., Németh, A., Lászlófi, A., Kis, T., Gyetvai, G., Bender, T. (2012). "The effect of spa therapy in chronic low back pain: a randomized controlled, single-blind, follow-up study". Rheumatology International. 32:3163-3169.

Von Mackensen, S. (2007). "Quality of life and sports activities in patients with hemophilia". Hemophilia. 13: 38-43.

Waller, B., Lambeck, J., Daly, D. (2009). "Therapeutic aquatic exercise in the treatment of low back pain: a systematic review". Clinical Rehabilitation. 23(1); 3-14.

Yurtkuran, M., Alp, A., NasÂrcÂlar, A., Ümit, U., Lale, A., Gülnazik, S. (2006). "Balneotherapy and tap water therapy in the treatment of knee osteoarthritis". Rheumatology International. 27:19-27.

Yurtkuran, M., Çeliktao, M. (1996). " A randomized controlled trial of balneotherapy in the treatment of patients with primary fibromyalgia syndrome". Physikalische Medizin Rehabilitations Kurortmedizin. 6:109-112.