تاثیر 8 هفته تمرینات ثبات مرکزی بر ناتوانی و قدرت عضلات ناحیه شکم و پشت افراد مبتلا به کمردرد مزمن ناشی از فتق دیسک

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد آسیب شناسی و حرکات اصلاحی ورزشی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه علامه طباطبایی/ تهران

2 استادیار دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه علامه طباطبایی/ تهران

چکیده

زمینه و هدف: کمردرد یکی از شایع ترین معضات بهداشتی جوامع مختلف دنیا، به ویژه در کشورهای صنعتی به شمار می رود؛ از این رو پیداکردن راهکارهایی برای پیشگیری و درمان آن، امری ضروری به حساب می آید. هدف از انجام این تحقیق، بررسی تأثیر تمرینات ثبات مرکزی بر بهبود ناتوانی و قدرت عضات ناحیه شکم و پشت در افراد مبتا به کمردرد مزمن ناشی از فتق دیسک بود. روش تحقیق: 30 بیمار مرد و زن مبتا به کمردرد مزمن ناشی از فتق دیسک مراجعه کننده به بخش فیزیوتراپی کلینیک درمانی شهر تهران به صورت هدفمند برای شرکت در تحقیق انتخاب شدند و به صورت تصادفی به دو گروه مساوی تجربی و کنترل تقسیم گردیدند. گروه تجربی به مدت 8 هفته تمرینات ثبات مرکزی و درمان های رایج، اما گروه کنترل در مدت زمان مشابه، تنها درمان های رایج را دریافت کردند. برای ارزیابی متغیرها از پرسشنامه ناتوانی اوسوستری، آزمون پایین آوردن مستقیم پاها برای قدرت عضات شکم و دینامومتر برای قدرت عضات پشت استفاده شد. برای تجزیه و تحلیل داده ها از آزمون تحلیل کوواریانس استفاده گردید و سطح معنی داری 05/p≤0 در نظر گرفته شد. یافته ها: هشت هفته تمرینات ثبات مرکزی باعث کاهش معنی دار میزان ناتوانی (001/p=0)، افزایش معنی دار قدرت عضات شکم (p=0/001) و قدرت عضات پشت (001/p=0) گروه تجربی نسبت به گروه کنترل شد. نتیجه گیری: تجویز تمریناتثبات مرکزی با در نظر گرفتن احتیاط لازم، می تواند در بهبود ناتوانی و قدرت عضلانی افراد مبتا به کمردرد مزمن ناشی از فتق دیسک موثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of 8 weeks of core stabilization exercises on disability, abdominal and back muscle strength in patients with chronic low back pain due to disc herniation

نویسندگان [English]

  • Himan Ebrahimi 1
  • Ramin Balouchi 2
  • Rasoul Eslami 2
  • Mahdi Shahrokhi 1
چکیده [English]

Bachground and Aim: Low back pain is one of the most common health problems in communications across the world, especially in industrialized countries; hence it would be necessary to find some ways to prevent and treat the low back pain. The aim of this study was to investigate the effect of core stabilization exercises on disability and abdominal and back muscle strength in patients with chronic low back pain caused by disc herniation. Materials and Methods: 30 male and female patients with chronic low back pain caused referred to physical therapy clinics purposefully selected and randomly were divided into two groups as experimental and control. The experimental group was received core stabilization exercises and conventional treatment; but the
control group received only conventional treatment for 8-weeks. The Oswestry questionnaire was used to assess the variables of disability, moreover, the Straight leg raising test for abdominal muscle strength and dynamometer test for back muscle strength also were used. Analysis of covariance was used to test data and the significance level was considered as p≤0.05. Results: The result indicated that 8-weeks of core stabilization exercises significantly reduced the disability (p=0.001). Moreover, increase in abdominal muscle strength (p=0.001) and back muscles strength were significantly higher (p=0.001) in the experimental group as compared to the control group. Conclusion: Prescribing core stabilization exercises by taking the necessary precautions, can be effective to reduce disability and improving muscle strength in patients with chronic low back pain caused by disc herniation.

کلیدواژه‌ها [English]

  • Core stabilization exercises
  • Low back pain
  • Disc herniation
  • Muscle strength
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