مقایسه تأثیر آب درمانی و فیزیوتراپی بر درد زانو، خشکی صبحگاهی، فعالیت های روزانه، عملکرد ورزشی و فعالیت های تفریحی ورزشکاران مرد مبتلا به استئوآرتریت زانو

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد رشته تربیت بدنی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه بیرجند/ بیرجند

2 کارشناس ارشد رشته تربیت بدنی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه شهید چمران اهواز/ اهواز

چکیده

 زمینه و هدف: استئوآرتریت زانو شایع ترین بیماری مفصلی است و درمان های غیردارویی این بیماری اخیراً مورد توجه محققان مختلف قرار گرفته است. هدف تحقیق حاضر، مقایسه اثر دو روش غیر دارویی آب درمانی و فیزیوتراپی بر میزان درد زانو، خشکی صبحگاهی، فعالیت های روزانه، عملکرد ورزشی و فعالیت های تفریحی ورزشکاران مرد مبتلا به استئوآرتریت زانو بود. روش تحقیق: آزمودنی های تحقیق 36 ورزشکار مبتلا به استئوآرتریت بودند که با آگاهی کامل از مراحل اجرای کار انتخاب شدند و به طور تصادفی در سه گروه آب درمانی، فیزیوتراپی و کنترل طبقه بندی شدند. با پرسشنامه پیامد استئوآرتریت و صدمات زانو (KOOS) وضعیت افراد مورد ارزیابی قرار گرفت. آب درمانی و فیزیوتراپی به مدت 6 هفته، هر هفته 4 جلسه به اجرا درآمد و در پایان پرسشنامه KOOS مجدداً تکمیل شد. داده ها بوسیله آزمون های آماری  تحلیل واریانس یک سویه و t همبسته و t مستقل در سطح 0/05>P با نرم افزار ‌ SPSS تجزیه و تحلیل شدند. یافته ها: نتایج نشان داد هر دو روش  فیزیوتراپی و آب درمانی موجب بهبود میزان درد (به ترتیب 0/001>P و 0/0001>P) ، علائم و خشکی صبحگاهی(به ترتیب 0/004>P و 0/0001>P)، فعالیت های روزانه(به ترتیب 0/02>P و 0/01>P)، بهبود عملکرد ورزشی و فعالیت های تفریحی (به ترتیب 0/03>P و 0/0001>P) ورزشکاران مبتلا به استئوآرتریت می شوند؛ اما در مقایسه اثربخشی دو روش، روش آب درمانی فقط بر بهبود عملکرد ورزشی و فعالیت تفریحی  (0/0001>P) برتری داشت. نتیجه گیری: نتایج تحقیق دال بر آن است که استفاده از هر دو  روش آب درمانی و فیزیوتراپی، برای ورزشکاران مبتلا به استئوآرتریت مفیدند، و بجز در مورد تاثیر بر عملکرد ورزشی و فعالیت های تفریحی،  تفاوت محسوسی بین آنها وجود ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effect of hydrotherapy and physiotherapy methods in rate of kneeahce, matinal dryness, daily activities, athletic performance, and recreation activities in athletes men with knee osteoarthritis

نویسندگان [English]

  • Mehdi Zendehboodi 1
  • Behzad Behzadnia 1
  • Ebrahim Mazarei 2
چکیده [English]

Background & Aim: Knee osteoarthritis is the most common joint disease and non-drug treatment for it has been considered recently by various researchers. The purpose of the present study was to compare the effect of hydrotherapy and physiotherapy methods in rate of kneeache, matinal dryness, daily activities, athletic performance and recreational activities in athletes men with knee osteoarthritis. Materials and Methods: The subjects of research included 36 athletes with osteoarthritis of knee that were selected while having full knowledge of the performance stages of the study. They were classified randomly into three groups including hydrotherapy, physiotherapy and control groups. Then the participants completed the knee injury and osteoarthritis outcome score (KOOS) questionnaire for the evaluation of the pre-test. After the preliminary evaluation, the researchers performed the independent variables hydrotherapy, physiotherapy for 6 weeks included 4 sessions per week for gaining the next required information and the KOOS questionnaire was completed again by the patients at the end of the sixth week. The gathered data has been analyzed by one way ANOVA, and paired and independent t- tests at the level of pConclusion: The results indicated that the both methods of hydrotherapy and physiotherapy can be considered as a useful method for athletes suffering from osteoarthritis, except for their impact on the athletic performance and recreational activities, they induced similar outcomes.

کلیدواژه‌ها [English]

  • Osteoarthritis
  • Hydrotherapy
  • Physiotherapy
  • Knee Hurts
  • KOOS Questionnaire

1. Altamn, R.D., Alarcon, G., Appelrouth, D., et al., 1991. The American college of rheumatology criteria for callsification and reporting of osteoarthritis of the hip. Arthritis & Rheumatology, no. 34: pp. 505-14.
2. Brandi, K.D., 2001. Osteoarthritis in: Kasper DL, fauci as, Braunwald E, Hauser SL. Harrisons principles of internal medicine. New York, Mc Graw Hill Co, pp.1987-1993.
3. Brandi, K.D., 1995. Non surgical management of osteoarthirtis. Archives of Family Medicine, vol. 12, no. 4, pp.1057-64.
4. Bria, J.T., Wolf, S.L., Bruce, H. Greenfield., et al., 1994. Hydrotherapy versus conventional land-based exercise for the management of patients with reparing ACl. Physical Therapy, vol. 1, no. 65, pp. 14-21.
5. Brosseau, L., Welch, V., Wells, G., Tugwell, P., et al., 2000. Low level laser therapy for osteoarthritis and theumatoid arthritisia meta-analysis. Journal of Rheumatology, vol. 8, no. 27, pp.1961 -1969.
6. Desiree, L., 2006. Massage therapy may help reduce pain of knee osteoarthritis. Annals of the Rheumatic Diseases, No. 47, pp. 24-32.
7. Doucette, S.A., Goble, E.M., 1992. The effect of exercise on patellar tracking in lateral patellar compression syndrome. American Journal of Sports Medicine, no. 20, pp. 434-440.
8. van Baar, M.E., Dekkera J., Oostendorp, R., Bijl, D., et al., 2001. Effectiveness of exercise in patients with osteoarthritis of hip or knee: nine months follow up. Annals of the Rheumatic Diseases, no. 60, pp.1123-1130.
9. Foley, A. Halbert., Hewitt, T., Crotty, M., 2003. Does hydrotherapy improve strength and physical function in patients with osteoarthritis: a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening program. Annals of the Rheumatic Diseases, no. 62, pp. 1162-1167.
10. Gail, D.D., Allison, S.C., Matekel, R.L., Ryder, M.G., et al., 2005. Physical therapy, therapy treatment, effectiveness for osteoarthritis of the knee: A randomized comparison of supervised of clinical exercise and manual therapy procedures versus a home exercise program. Physical Therapy, vol. 85, pp.1301-1317.
11. Gajdosik, R.L., 1991. Effect of static stretching on the maximal length and resistance to passive stretch of short hamstring muscles. Journal of Orthopaedic & Sports Physical Therapy , Vol. 6, No. 14, pp. 250-255.
12. Green, J., Mckenna, F., Refern, E., Chamberlain, M., 1993. Home exercises are as effective as outpatient hydrotherapy for osteoarthritis of the hip. Journal of Rheumatology, no. 32, pp. 812-815.
13. Jamtvedt, G., Dahm, K.T., Christie, A., Moe, R.H., et al., 2008. Physical therapy interventions for patients with osteoarthritis of the knee an overview of systematic reviews, Physical Therapy. vol. 88, pp. 123-136.
14. Loudon, J.K., Wiesner, D., Goist-Foley, H.L., Asjes, C., et al., 2002. Intrater reliability of functional performance tests for subjectc with patellofemoral pain syndrome. Journal of athletic training, vol. 37, no. 3, pp. 256-261.
15. Kenneth, D., Brand, T., 2005. Osteoarthritis In: Braunwald, et al. Harrison’s principles of internal medicine, 15 th Ed. Mc Graw-Hill. P, pp. 2036-2039.
16. Kenneth, D., 2005. Osteoarthritis in: Bravnwald E , Kesper Dl Faucis. Hauser Sl. Long Dl Harrison’s principles of internal medicine. Mc Graw-Hill.P, pp. 2036-2039.
17. Lefort, H.S. M., Hannah, T.E., 1994. Return to work following an aquafitness and muscle strengthening program for the low back injured. Archives of physical medicine and rehabilitation, vol. 11, no.75, pp. 1247-1255.
18. Levin, J.A., 1992. Aquatic physical therapy approaches for the spine. Orthopedic physical Therapy Clinics North America, vol. 2, no. 3, pp. 179-208.
19. Lohmander, L.S., Dalen, N., 1996. Intra-articular hyaluronan injections in the treatment of osteoarthritis of the knee. Annals of the Rheumatic Diseases, vol. 7, no. 55, pp. 424-431.
20. Mortazavi, M.J., Sadekipoor, Roodsari, G.H., Basirnia, A., 2006. Effect of infrared laser therapy in patients with osteoarthritis of the knee. Laser Medicine, vol. 4, issue. 1, pp. 28-23.
21. Muriden, K.D., 2005. Community oriented program for the control of rheumatic disease: studies of rheumatic disease in the developing world. Current opinion in rheumatology, no. 17, pp.153-156.
22. O’Reilly, S.C., Muir, K. R., 1999. Effectiveness of home exercise on pain & disability from osteoarthritis of the knee. Annals of the Rheumatic Diseases, vol. 1, no. 58, pp. 15-19.
23. Puett, D.W., Grriffin, M.R., 1994. Published trials of non-medical and non invasive therapies for hid and knee osteoarthritis. Annals of Internal Medicine, no. 121, pp. 133-140.
24. Rana, S. Hinman., Heywood, S.E., Day, A.R., 2007. Aquatic physical therapy for hip and knee osteoarthritis: Results of a single-blind randomized controlled trial. Physical Therapy, vol. 87, pp. 32-43.
25. Roddy, E., Zhang, W., Doherty., 2005. Aerobic walking or strengthening exercise for osteoarthritis of the knee? Asystematic review Annals of the Rheumatic Diseases, no. 64, pp. 544-548.
26. Saraiepour, S., Salavati, M., 2005. Translation and localization of knee injuries and osteoarthritis outcome (KOOS) and verify repeatability in Iranian persian version osteoarthritis rate. Tavanbakhshi, vol. 8, no 1. pp. 42-46.
27. Silva, L.E., Valim, V., Pessnha, A.P., Oliveira, L.M., et al. 2008. Hydrotherapy versus conventional land–based exercise for the management of patients with osteoarthritis of the knee: A Randomized Clinical Trial. Physical Therapy, vol. 1, no. 88, pp. 12-21.
28. Tan, J., Balci, N., 1995. Isokinetic & isometric strength in osteoarthritis of the knee. American Journal Physical Medicine Rehabilitation, no. 74, pp. 364-369.
29. Watkins, J., 2003. The musclar– keletal structure and function, Translated by: Dabidi Roshan V. 1st ed. Tehran: Omid Danesh Publication.