اثرتمرینات پیش توانبخشی آب درمانی بر توزیع فشار کف پایی، درد و ناتوانی زنان دارای کمردرد مزمن قبل و بعد از جراحی لامینکتومی ( یک کارآزمایی بالینی(

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکترای آسیب‌شناسی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه خوارزمی، تهران

2 استاد آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی دانشگاه بوعلی سینا همدان

3 دانشیار آسیب‌شناسی و حرکات اصلاحی دانشکده علوم ورزشی، دانشگاه خوارزمی، تهران

4 استادیار آسیب‌شناسی و حرکات اصلاحی دانشکده علوم ورزشی، دانشگاه خوارزمی، تهران

چکیده

زمینه و هدف: از آنجایی که کمردرد یکی از چالش ­های نظام سلامت در جهان می ­باشد هدف از مطالعه حاضر بررسی تأثیر تمرینات پیش‌توانبخشی آب درمانی قبل از عمل بر میزان درد و ناتوانی و توریع فشار کف پایی زنان دارای کمردرد مزمن می ­باشد.
روش بررسی: در پژوهش حاضر 30 بیمار زن مبتلا به کمردرد مزمن به‌طور تصادفی در دو گروه 15 نفری مداخله با میانگین و انحراف استاندارد سن (45/5±2/46) و کنترل (39/5±26/46) سال قرار گرفتند. گروه مداخله چهار هفته تمرینات آب ­درمانی قبل از عمل و هشت هفته بعد از عمل را انجام دادند و گروه کنترل صرفاً در هشت هفته تمرینات آب­درمانی بعد از عمل جراحی شرکت نمودند. میزان درد با مقیاس بصری درد، میزان ناتوانی با پرسشنامه اوسوستری و برای میزان نوسانات پاسچرال از دستگاه توزیع فشار کف پایی استفاده شد.
یافته‌ها: برای مقایسه داده ­های درون گروهی از تست t وابسته و از آنکووآ جهت مقایسه نتایج بین گروه­ ها با سطح معنی­ داری (05/0P<) استفاده شد. نتایج نشان داد متغیرهای درد، ناتوانی و توزیع فشار کف پایی، هر دو گروه مداخله و کنترل در مقایسه با خود پس از پایان دوره تمرینات به‌طور معنی‌داری بهبود یافتند (05/0P<). همچنین نتایج بین گروهی نشان ­دهنده تفاوت معنی‌دار و بهبودی بهتر گروه مداخله در مقایسه با گروه کنترل پس از اتمام دوره تمرینات بود.
نتیجه‌گیری: بر پایه نتایج به‌دست آمده از این تحقیق پیشنهاد می ­گردد برنامه پیش توانبخشی ورزشی به‌عنوان بخش مهمی از برنامه جامع توانبخشی قبل از عمل بیماران مبتلا به کمردرد مزمن مورد استفاده قرار گیرد.

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