اثر بخشی برنامه تمرینی کنترل جهت حرکت بر دقت بازسازی سر، درد و ناتوانی در زنان دارای گردن درد مزمن غیراختصاصی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده علوم ورزشی دانشگاه خوارزمی، تهران، ایران.

2 استاد یار حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده علوم ورزشی دانشگاه خوارزمی، تهران، ایران.

3 استاد یار فیزیوتراپی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران.

چکیده

زمینه و هدف: گردن درد مزمن غیراختصاصی مشکل شایع و با تغییرات در سیستم حسی حرکتی می‌باشد که علاوه بر درد و نگرانی فردی، بار مالی بالایی بر جامعه دارد. هدف تحقیق حاضر بررسی تأثیر تمرینات کنترل جهت حرکت بر دقت بازسازی سر، درد و ناتوانی زنان دارای گردن درد مزمن غیر اختصاصی می‌باشد. روش تحقیق: 30 آزمودنی زن (5/7±36/5 سال) دارای گردن درد مزمن غیراختصاصی در این تحقیق شرکت کردند. درد، ناتوانی و دقت بازسازی سر به ترتیب با شاخص درد، شاخص ناتوانی گردن و کلاه دوچرخه‌سواری مجهز به لیزر قبل و بعد از هشت هفته تمرینات کنترل جهت حرکت، اندازه‌گیری شدند. آزمون‌های آماری شاپیرو-ویلک و تحلیل کوواریانس برای تجزیه و تحلیل داده‌ها استفاده شد. یافته‌ها: بعد از اجرای هشت هفته تمرینات، تغییرات معنی‌داری در درد (0/005=p)، ناتوانی (0/001=p) و دقت حرکت (0/01=p) گروه تجربی مشاهده شد. نتیجه‌گیری: مداخله تمرینی در بهبود دقت بازسازی سر، کاهش شاخص درد و ناتوانی در افراد دارای گردن درد مزمن موفق بوده است. با توجه به اندازه اثر (0/39) بالای گزارش شده برای تمرینات کنترل جهت حرکت، پیشنهاد می‌شود که این برنامه تمرینی به‌عنوان روش مکمل درمان افراد دارای گردن درد مزمن غیراختصاصی در آینده مورد استفاده قرار داد.

کلیدواژه‌ها


عنوان مقاله [English]

The efficiency of direction- movement control training on movement accuracy, pain and disability in females with chronic nonspecific neck pain

نویسندگان [English]

  • zohreh khosrokiani 1
  • Amir Letafatkar 2
  • Yahya sokhangoei 3
1 MS.c of Corrective Exercises and Sport Injuries, Kharazmi University, Tehran, Iran.
2 Assistant Professor of Corrective Exercises and Sport Injuries, Faculty of Sports Sciences, Kharazmi University, Tehran, Iran.
3 Assistant Professor of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
چکیده [English]

Background and Aim: Chronic nonspecific neck pain considered as a common problem which most of the time comes with changes in sensorimotor functions, beside high financial expense, its accompany with pain and personal concerns in society. The purpose of this research was to study the effect of the direction- movement control training in head repositioning accuracy (HRA), pain and disability of people with chronic non specific neck pain. Materials and Methods: Thirty female (36.5±5.7years old) with non- specific chronic neck pain were recruited. Pain disability and HRA of people with chronic neck pain were measured by Neck Disability Index (NDI), Visual Analog Scale (VAS) respectively. The equipment was including laser pointer, helmet, and eye patch and marking pens. Shapiro-Wilk and analysis of Co Variance tests were used for data analysing. Results: Statistically significant changes were observed in disability (p=0.001), pain (p=0.001) and HRA (p=0.013) of people with chronic neck pain after the 8-week of training intervention. Conclusion: The training intervention has been successful in improving head repositioning accuracy, and reduction in pain and disability index in people with chronic neck pain. Due to the high reported effect size (0.391), it is suggested to use the direction- movement control training as a supplementary method in treatment of people with chronic neck pain in the future.

کلیدواژه‌ها [English]

  • Nonspecific chronic neck pain
  • head repositioning accuracy
  • pain
  • Disability

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