مقایسه قدرت عضلات مرکزی بدن، استقامت عضلات فلکسور تنه و اکستنسور ستون فقرات، زاویه لوردوز کمری و کایفوز سینه‌ای در تکواندوکاران با و بدون کمردرد

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد، مرکز تحقیقات مراقبت های بالینی و ارتقای سلامت ، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران

2 استادیار، مرکز تحقیقات مراقبتهای بالینی و ارتقای سلامت ، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران

3 استادیار، گروه علوم ورزشی، دانشکده ادبیات و علوم انسانی، دانشگاه زابل، زابل، ایران

چکیده

زمینه و هدف: کمردرد از جمله بیماری­های شایع است که ورزشکاران حرفه­ای نیز می­توانند به آن مبتلا شوند و ممکن است در اثر کاهش قدرت عضلات مرکزی بدن و استقامت عضلات فلکسور تنه و اکستنسور ستون فقرات و یا اختلال در راستای ستون فقرات به وجود آید. هدف از تحقیق حاضر مقایسه قدرت عضلات مرکزی بدن، استقامت عضلات فلکسور تنه و اکستنسور ستون فقرات، زاویه ی لوردوز کمری و کایفوز سینه­ای در تکواندوکاران با و بدون سابقه­ی کمردرد بود.
روش بررسی: 30 تکواندوکار پسر (۱۵ نفر دارای کمردرد و ۱۵ نفر بدون کمردرد) رده سنی نوجوانان - جوانان در این مطالعه شرکت کردند. به‌منظور اندازه­گیری استقامت عضلات قدامی شکم از آزمون فلکشن تنه در زاویه 60 درجه، استقامت عضلات خلفی ستون فقرات از آزمون اصلاح شده بیرینگ سورنسن، سنجش قدرت عضلات مرکزی بدن از بایو فیدبک فشاری و اندازه­گیری ناهنجاری­های کایفوز و لوردوز ستون فقرات از خط­کش منعطف، استفاده شد.
یافته‌ها: بین افراد مبتلا به کمردرد و دارای لوردوز و کایفوز با افراد بدون کمردرد و بدون ابتلا به لوردوز و کایفوز تفاوت وجود دارد. همچنین بین افراد با و بدون کمردرد در میزان قدرت عضلات مرکزی تنه و استقامت عضلات فلکسور و اکستنسور عضلات تنه تفاوت وجود دارد.
نتیجه‌گیری: به نظر می­رسد قدرت عضلات مرکزی و همچنین استقامت عضلات فلکسور و اکستنسور ستون فقرات می­تواند در بروز کمردرد ورزشکاران تکواندو نقش داشته باشد. توجه به ناهنجاری­های ستون فقرات از جمله کایفوز و لوردوز و رفع آن­ها جهت کاهش کمردرد احتمالا مفید می­باشد

کلیدواژه‌ها

مراجع

Alvani, e., Ziya, M., & Sahebozamani, M. (2020). "The effect of dynamic neuromuscular stability (DNS) training on dynamic balance and functional   disability in athletes with non-specific chronic low back pain". Journal for Research in Sport Rehabilitation, 8(15), 127-138. https://doi.org/10.22084/rsr.2021.23342.1550
Andersson, G. B. (1999). "Epidemiological features of chronic low-back pain". Lancet, 354(9178), 581-585. https://doi.org/10.1016/s0140-6736(99)01312-4 
Bahr, R., & Engebretsen, L. (2011). Handbook of sports medicine and science, sports injury prevention. Translated by Sahebozamani, Mansour; Rahnama, Nader; Mohammadi, Hemn (Vol. 17). John Wiley & Sons.
Bernard, J. C., Boudokhane, S., Pujol, A., Chaléat-Valayer, E., Le Blay, G., & Deceuninck, J. (2014). "Isokinetic trunk muscle performance in pre-teens and teens with and without back pain". Ann Phys Rehabil Med, 57(1), 38-54. https://doi.org/10.1016/j.rehab.2013.10.004
Bono, C. M. (2004). "Low-back pain in athletes". J Bone Joint Surg Am, 86(2), 382-396. https://doi.org/10.2106/00004623-200402000-00027
Ebrahimi varkiani, m., alizadeh, m. h., rajabi, r., & minoonejad, h. (2019). "The design and implementation of sport medicine federation`s injury surveillance system of Iran". Journal for Research in Sport Rehabilitation, -. https://doi.org/10.22084/rsr.2019.18673.1442
Ebrahimi Varkiani, M., Ordibehesht, A., Alizadeh, M. H., Moradi Shahpar, F., & Hakemi, L. (2021). "Incidence of Low Back Injuries Among Iranian Athletes in 12 Disciplines of Olympic Sports" [Research]. Physical Treatments - Specific Physical Therapy, 11(1), 25-30. https://doi.org/10.32598/ptj.11.1.421.2
Escamilla, R. F., Lewis, C., Bell, D., Bramblet, G., Daffron, J., Lambert, S., Pecson, A., Imamura, R., Paulos, L., & Andrews, J. R. (2010). "Core muscle activation during Swiss ball and traditional abdominal exercises". J Orthop Sports Phys Ther, 40(5), 265-276. https://doi.org/10.2519/jospt.2010.3073 
Feng, Q., Jiang, C., Zhou, Y., Huang, Y., & Zhang, M. (2017). "Relationship between spinal morphology and function and adolescent non-specific back pain: A cross-sectional study". J Back Musculoskelet Rehabil, 30(3), 625-633. https://doi.org/10.3233/bmr-160544
Ghazanfari, H., Babaeianpour, M., & Mostafavi, M. M. (2014). "Structural Model of Effective Ergonomic Factors on Implementation of Quality Management Systems". Journal of Production and Operations Management, 5(1), 93-112.
Hamberg-van Reenen, H. H., Ariëns, G. A., Blatter, B. M., van Mechelen, W., & Bongers, P. M. (2007). "A systematic review of the relation between physical capacity and future low back and neck/shoulder pain". Pain, 130(1-2), 93-107. https://doi.org/10.1016/j.pain.2006.11.004
Henchoz, Y., Pinget, C., Wasserfallen, J. B., Paillex, R., de Goumoëns, P., Norberg, M., & Kai-Lik So, A. (2010). "Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain". J Rehabil Med, 42(9), 846-852. https://doi.org/10.2340/16501977-0610
Hertling, D., & Kessler, R. M. (2006). Management of common musculoskeletal disorders: physical therapy principles and methods. Lippincott Williams & Wilkins.
Holmberg, S. A., & Thelin, A. G. (2010). "Predictors of sick leave owing to neck or low back pain: a 12-year longitudinal cohort study in a rural male population". Ann Agric Environ Med, 17(2), 251-257.
Kazemi, M., & Pieter, W. (2004). "Injuries at the Canadian National Tae Kwon Do Championships: a prospective study". BMC Musculoskelet Disord, 5, 22. https://doi.org/10.1186/1471-2474-5-22
Keller, A., Hellesnes, J., & Brox, J. I. (2001). "Reliability of the isokinetic trunk extensor test, Biering-Sørensen test, and Astrand bicycle test: assessment of intraclass correlation coefficient and critical difference in patients with chronic low back pain and healthy individuals". Spine (Phila Pa 1976), 26(7), 771-777. https://doi.org/10.1097/00007632-200104010-00017
KHORSANDI KOLUR, M., NORASTEH, A. A., & DANESHMANDI, H. (2011). "ELECTROMYOGRAPHY OF FATIGUE OF BACK AND HIP MUSCLES IN ATHLETES WITH CHRONIC LOW BACK PAIN". SPORT MEDICINE (HARAKAT), 3(1), 39-54. [Persian]. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=415199
Leroux, M. A., Zabjek, K., Simard, G., Badeaux, J., Coillard, C., & Rivard, C. H. (2000). "A noninvasive anthropometric technique for measuring kyphosis and lordosis: an application for idiopathic scoliosis". Spine (Phila Pa 1976), 25(13), 1689-1694. https://doi.org/10.1097/00007632-200007010-00012
Lewis, F., Wood, W., & Olivier, B. (2013). "The association between trunk muscle endurance and lumbo-pelvic stability in adolescent low back pain: A cross sectional study". South African Journal of Physiotherapy, 69(1), 17-21.
Liu, N., Guo, X., Chen, Z., Qi, Q., Li, W., Guo, Z., Zeng, Y., Sun, C., & Liu, Z. (2014). "Radiological signs of Scheuermann disease and low back pain: retrospective categorization of 188 hospital staff members with 6-year follow-up". Spine (Phila Pa 1976), 39(20), 1666-1675. https://doi.org/10.1097/brs.0000000000000479
Lynch, S. S., Thigpen, C. A., Mihalik, J. P., Prentice, W. E., & Padua, D. (2010). "The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers". Br J Sports Med, 44(5), 376-381. https://doi.org/10.1136/bjsm.2009.066837 
Manchikanti, L., Singh, V., Falco, F. J., Benyamin, R. M., & Hirsch, J. A. (2014). "Epidemiology of low back pain in adults". Neuromodulation, 17 Suppl 2, 3-10. https://doi.org/10.1111/ner.12018
Miyamoto, G. C., Franco, K. F. M., van Dongen, J. M., Franco, Y., de Oliveira, N. T. B., Amaral, D. D. V., Branco, A. N. C., da Silva, M. L., van Tulder, M. W., & Cabral, C. M. N. (2018). "Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation". Br J Sports Med, 52(13), 859-868. https://doi.org/10.1136/bjsports-2017-098825
Momeni, S., Moghaddasi, A., Farhpour, N., Golpayegani, M., & Abbasi Darreh Bidi, M. (2011). "The effect of 8 weeks of exercise therapy on pain, disability and endurance of flexor and extensor muscles in women with chronic idiopathic low back pain". JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES, 15(5), 338-346. [Persian].
Nakipoğlu, G. F., Karagöz, A., & Ozgirgin, N. (2008). "The biomechanics of the lumbosacral region in acute and chronic low back pain patients". Pain Physician, 11(4), 505-511.
NORASTEH, A. A., DANESHMANDI, H., VAGHEFI, J., & SHAH HEIDARI, S. (2014). "THE COMPARISON OF LUMBAR SPINE STRENGTH, ENDURANCE AND RANGE OF MOTION IN ATHLETES WITH AND WITHOUT LOW BACK PAIN". SPORT MEDICINE (HARAKAT), 6(1), 1-17. [Persian]. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=415726
Nourbakhsh, M. R., & Arab, A. M. (2002). "Relationship between mechanical factors and incidence of low back pain". J Orthop Sports Phys Ther, 32(9), 447-460. https://doi.org/10.2519/jospt.2002.32.9.447
Nourbakhsh, M. R., Moussavi, S. J., & Salavati, M. (2001). "Effects of lifestyle and work-related physical activity on the degree of lumbar lordosis and chronic low back pain in a Middle East population". J Spinal Disord, 14(4), 283-292. https://doi.org/10.1097/00002517-200108000-00002
Oesch, P., Kool, J., Hagen, K. B., & Bachmann, S. (2010). "Effectiveness of exercise on work disability in patients with non-acute non-specific low back pain: Systematic review and meta-analysis of randomised controlled trials". J Rehabil Med, 42(3), 193-205. https://doi.org/10.2340/16501977-0524
Renkawitz, T., Boluki, D., & Grifka, J. (2006). "The association of low back pain, neuromuscular imbalance, and trunk extension strength in athletes". Spine J, 6(6), 673-683. https://doi.org/10.1016/j.spinee.2006.03.012
Russell, B. S., Muhlenkamp, K. A., Hoiriis, K. T., & Desimone, C. M. (2012). "Measurement of lumbar lordosis in static standing posture with and without high-heeled shoes". J Chiropr Med, 11(3), 145-153. https://doi.org/10.1016/j.jcm.2012.02.002
Sahrmann, S. (2010). Movement system impairment syndromes of the extremities, cervical and thoracic spines-e-book. Elsevier Health Sciences.
SAIDI, F., RAJABI, R., EBRAHIMI TAKAMEJANI, E., & MOSAVI, S. J. (2010). "RELIABILITY AND VALIDITY OF IRANIAN FLEXIBLE RULER IN LUMBAR SPINE CURVATURE MEASUREMENT". JOURNAL OF MOVEMENT SCIENCE & SPORTS, 7(14), 31-38. [Persian]. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=260396
Sarikaya, S., Ozdolap, S., Gümüştasş, S., & Koç, U. (2007). "Low back pain and lumbar angles in Turkish coal miners". Am J Ind Med, 50(2), 92-96. https://doi.org/10.1002/ajim.20417
Sekendiz, B., Altun, Ö., Korkusuz, F., & Akın, S. (2007). "Effects of Pilates exercise on trunk strength, endurance and flexibility in sedentary adult females". Journal of Bodywork and Movement Therapies, 11(4), 318-326. https://doi.org/10.1016/j.jbmt.2006.12.002
SHOJA ALDIN, S. S. A. D., SADEGHI, H., & BAYAT TORK, M. (2009). "RELATIONSHIP BETWEEN THE TRUNK MUSCLES ENDURANCE AND ANTHROPOMETRIC CHARACTERS WITH LOW BACK PAIN AMONG ATHLETES WITH LUMBAR LORDOSIS". JOURNAL OF MOVEMENT SCIENCE & SPORTS, 6(12), 23-33. [Persian]. https://www.sid.ir/en/journal/ViewPaper.aspx?id=131531
Sinaki, M., Brey, R. H., Hughes, C. A., Larson, D. R., & Kaufman, K. R. (2005). "Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength". Osteoporos Int, 16(8), 1004-1010. https://doi.org/10.1007/s00198-004-1791-2 
Sinaki, M., Itoi, E., Rogers, J. W., Bergstralh, E. J., & Wahner, H. W. (1996). "Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women". Am J Phys Med Rehabil, 75(5), 370-374. https://doi.org/10.1097/00002060-199609000-00013
Sobhani, V., Mazloum, V., Khatibiaghda, A., & Shakibaie, A. (2016). "An investigation of the prevalence of musculoskeletal disorders, dynamic balance, endurance of trunk flexor and spine extensors muscles, and core muscles strength among the flight staff" [Original]. EBNESINA, 17(4), 4-12. [Persian]. http://ebnesina.ajaums.ac.ir/article-1-329-en.html
Süüden, E., Ereline, J., Gapeyeva, H., & Pääsuke, M. (2008). "Low back muscle fatigue during Sørensen endurance test in patients with chronic low back pain: relationship between electromyographic spectral compression and anthropometric characteristics". Electromyogr Clin Neurophysiol, 48(3-4), 185-192.
Tüzün, C., Yorulmaz, I., Cindaş, A., & Vatan, S. (1999). "Low back pain and posture". Clin Rheumatol, 18(4), 308-312. https://doi.org/10.1007/s100670050107
Wells, C., Kolt, G. S., Marshall, P., Hill, B., & Bialocerkowski, A. (2014). "The effectiveness of Pilates exercise in people with chronic low back pain: a systematic review". PLoS One, 9(7), e100402. https://doi.org/10.1371/journal.pone.0100402
Willner, S., & Johnson, B. (1983). "Thoracic kyphosis and lumbar lordosis during the growth period in children". Acta Paediatr Scand, 72(6), 873-878. https://doi.org/10.1111/j.1651-2227.1983.tb09833.x
Yahia, A., Jribi, S., Ghroubi, S., Elleuch, M., Baklouti, S., & Habib Elleuch, M. (2011). "Evaluation of the posture and muscular strength of the trunk and inferior members of patients with chronic lumbar pain". Joint Bone Spine, 78(3), 291-297. https://doi.org/10.1016/j.jbspin.2010.09.008
Yamato, T. P., Maher, C. G., Saragiotto, B. T., Hancock, M. J., Ostelo, R. W., Cabral, C. M., Menezes Costa, L. C., & Costa, L. O. (2015). "Pilates for low back pain". Cochrane Database Syst Rev, 2015(7), Cd010265. https://doi.org/10.1002/14651858.CD010265.pub2
Yilmaz, B., Yasar, E., Taskaynatan, M. A., Goktepe, A. S., Yazicioglu, K., & Mohur, H. (2010). "Relationship between lumbar muscle strength and proprioception after fatigue in men with chronic low back pain/Kronik bel agrili erkeklerde bitkinlik sonrasi lomber kas gucu ve propriyosepsiyon arasindaki iliski". Turkish Journal of Rheumatology, 25(2), 68-72.
 
 

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