اثر تمرینات ثبات مرکزی بر سطح ناپایدار برشدت درد، کیفیت زندگی و استقامت عضلات تنه زنان مبتلا به کمردرد مزمن ایدیوپاتیک

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد، مرکز تحقیقات طب ورزشی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

2 استادیار، مرکز تحقیقات طب ورزشی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

10.22084/rsr.2018.15880.1366

چکیده

زمینه و هدف: کمردرد (به‌علت ایجاد محدودیت‌های حرکتی) منجر به کاهش ثبات ناحیه‌ی مرکزی بدن می‌شود. هدف از تحقیق حاضر تعیین اثر تمرینات ثبات‌مرکزی بر سطح ناپایدار (توپ سوئیسی) بر شدت درد، کیفیت زندگی و استقامت عضلات تنه زنان مبتلا به کمردردمزمن ایدیوپاتیک بود.
روش‌بررسی:30 زن مبتلا به کمردردمزمن ایدیوپاتیک، با میانگین سن44/9±73/36سال، قد03/6±00/158سانتی-متر و وزن 77/10±83/66 کیلوگرم مراجعه‌کننده به پزشک متخصص بودند. نمونه‌گیری به‌صورت دردسترس و هدفمند انجام شد. نمونه‌ها به‌طور مساوی و همگن به دو گروه تجربی(15=n، شرکت در تمرینات) و کنترل(15=n، بدون تمرین) تقسیم شدند. قبل و بعد از دو ماه شدت درد، کیفیت زندگی و استقامت عضلات فلکسور و اکستنسور تنه به ترتیب توسط پرسشنامه کیوبک، پرسشنامه SF-36، آزمون درازونشست و آزمون سورنسون اندازه‌گیری شد. تمرینات به مدت 8 هفته 3 جلسه در هفته (‌زمان 60 دقیقه) اجرا و از آزمون‌های t همبسته و تحلیل کوواریانس برای تحلیل آماری استفاده شد(05/0>p).
یافته‌ها:کاهش معنادار در شدت درد گروه تجربی، بعد از تمرین(18/18±80/27) نسبت به قبل از تمرین(78/20±00/35)(0001/0>p) و افزایش معنادار در کیفیت زندگی در بعد از تمرین(27/29±50/115) نسبت به قبل از تمرین(43/31±31/99) مشاهده شد(002/0>p). 26% و 38% افزایش معنادار، به‌ترتیب در زمان آزمون سورنسون و تعداد تکرار آزمون درازونشست گروه تجربی بدست آمد(008/0>p). در بعد از تمرین، تفاوت معناداری در تمام متغیرهای فوق بین گروه تجربی و کنترل مشاهده شد(01/0>p).
نتیجه‌گیری: تمرینات ثبات مرکزی با توپ سوئیسی متمرکز بر عضلات تنه بوده و باعث افزایش استقامت عضلات تنه شد.با افزایش استقامت عضلات تنه میزان درد کاهش وکیفیت زندگی بهبود یافت. این تمرینات برای این بیماران توصیه می‌شود.

کلیدواژه‌ها

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