نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشگاه گیلان / دانشکده تربیت بدنی و علوم ورزشی
2 دانشگاه گیلان / دانشکده تربیت بدنی و علوم ورزشی / گروه آسیب شناسی
3 دانشگاه علوم پزشکی ایران/ دانشکده توان بخشی
چکیده
زمینهوهدف: ثبات پاسچرال، به معنی توانایی بدن در حفظ مرکز ثقل در محدوده ثبات است. بازیکنان فوتبال به یک ثبات عملکردی قاب لاطمینان وابسته هستند، بنابراین آسیب های مچ ممکن است باعث یک وقفه در بازی حرفه ای بازیکنان فوتبال شود. هدف ار پژوهش حاضر مقایسه ثبات پاسچرال بازیکنان فوتبال با آسیب مزمن مچ پا در آزمون عملکردی پرش- فرود بود. روشتحقیق: 28 بازیکنان فوتبال شامل 14 فرد با بی ثباتی مچ پا و 14فرد سالم در پژوهش شرکت کردند. برای بررسی ثبات پاسچرال و اندازه گیری متغیرهای زمان رسیدن به ثبات(TTS) و جابجایی مرکز فشار (COP)، آزمودنی ها فعالیت عملکردی پرش- فرود را بر روی صفحه نیرو انجام دادند.ارزیابی آسیب مچ پا به دو صورت، پرسش از خود فرد و پرسشنامه انجام گردید. برای تجزیه و تحلیل آماری از آزمون t مستقل در سطح معنی داری 05/pیافتهها: نتایج نشان داد که در پرش رو به جلو، متغیر COP در جهت داخلی- خارجی (002/p=0) و قدامی- خلفی (01/p=0) و همچنین در پرش جانبی، متغیر COPدر جهت داخلی- خارجی (008/p=0) و قدامی- خلفی (02/p=0) بین بازیکنان فوتبال با و بدون بی ثباتی مزمن مچ پا، تفاوت معنی داری دارد؛ به گونه ای که COP در بازیکنان با بی ثباتی بیشتر از بازیکنان سالم بود. در حالی که زمان رسیدن به ثبات در بازیکنان با بی ثباتی و بازیکنان سالم بسیار نزدیک به یکدیگر بود، و در متغیر TTS تفاوت معنی داری بین دو گروه وجود نداشت ( 05/p<0). نتیجهگیری: با توجه به نقش اساسی رباط های داخلی- خارجی مچ پا در ثبات پا، به نظر می رسد که آسیب این ناحیه در تغییرات مرکز فشار اثر می گذارد و بازیکنان فوتبال با آسیب بی ثباتی مزمن مچ پا، تغییرات بیشتری در مرکز فشار نسبت به بازیکنان سالم دارند. با توجه به نقش حس عمقی در کنترل پاسچر، ورزشکاران مبتا به آسیب دیدگی مچ پا می توانند با انجام تمرینات حس عمقی و افزایش قدرت اندام تحتانی خود تا حد زیادی نقایص ثبات و تعادل خود را برطرف کنند.
کلیدواژهها
عنوان مقاله [English]
The comparison of postural stability in soccer players with and without chronic ankle injury in jump and landing functional test
نویسندگان [English]
- Emad Shokouhi 1
- Ali Asghar Norasteh 2
- Ali Shamsi Majelan 2
- Mohammad Ali Sanjari 3
1
2
3
چکیده [English]
Background and Aim: Postural stability is defined as body’s ability to maintain the center of gravity in the range of stability. Soccer players needs to have stable and reliable performance, therefore ankle injuries may cause an interruption in performance of professional soccer players. The aim of this study was to compare the postural stability of soccer players with and without chronic ankle instability during the jump-landing functional test. Material and Methods: 28 soccer players include 14 people with chronic ankle instability (CAI) and 14 healthy people participated in study. Time to stabilization (TTS) and center of pressure (COP) of jump-landing functional test were measured by force plate device. Ankle injury was assessed by self reporting and also standard questionnaire. Independent sample t-test was used to analyze the collected data at significant level of p <0.05. Result: The findings showed that there was significant difference in the COP of sagittal plane jump-landing in medial-lateral (p= 0.002) and anterior-posterior (p= 0.01) directions and it was the same for frontal plane jump-landing in media-lateral (p= 0.008) and anterior-posterior (p= 0.02) directions between players with and without chronic ankle injury. In other words, the COP in players with chronic ankle injury was significantly greater than healthy players, but TTS was very close to each other in two groups (p <0.05). Conclusion: In attention to the importance role of media-lateral ankle ligaments in postural stability, it seems that the injury of these ligaments could affect in COP displacement, and also postural stability factors. Soccer players with chronic ankle instability had more COP changes than healthy players. According to the role of proprioception in postural control, recommended that athletes with ankle injury contributed defects your stability and balance with practice proprioception training to increase the strength of the lower limb.
کلیدواژهها [English]
- Chronic ankle instability
- Postural control
- Soccer
- Jump-landing test
2. Barone, R., Macaluso, F., Traina, M., Leonardi, V., et al. 2011. Soccer players have a better standing balance in nondominant one-legged stance. Open Access Journal of Sports Medicine, vol. 2, pp. 1-6.
3. Brukner, P., Khan, K. 2002. Clinical sports medicine. 2th edition. McGraw-Hill Australia. Part A: Chapter 5, pp: 43-59.
4. Chan, K. W., Ding, B. C., Mroczek, K. J. 2011. Acute and chronic lateral ankle instability in the athlete. Bulletin of the NYU Hospital for Joint Diseases, vol. 69, no. 1, pp. 17-26.
5. Earl, J., Hertel, J. 2001. Lower-extremity muscle activation during the star excursion balance tests. Journal of Sport Rehabilitation, vol. 10, no. 2, pp. 93-104.
6. Eek, M.N., Kroksmark, A.K., Beckung, E. 2006. Isometric muscle torque in children 5 to 15 years of age: normative data. Archives of Physical Medicine and Rehabilitation, vol. 87, no. 8, pp. 1091-1099.
7. Fuller, E.A. 1999. Center of pressure and its theoretical relationship to foot pathology. Journal of the American Podiatric Medical Association, vol. 89, no. 6, pp. 278-91.
8. Gautier, G., Thouvarecq, R., Larue, J. 2008. Influence of experience on postural control: effect of expertise in gymnastics. Journal of Motor Behavior, vol. 40, no. 5, pp. 400-408.
9. Gribble, P.A., Robinson, R.H. 2009. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. Journal of Athletic Training, vol. 44, no. 4, pp. 350-355.
10. Hadadnezhad, M., Letafatkar, A. 2011. The relationship between genu varum abnormality and lower extremity’s performance and strength in teenage footballers. Journal of Research in Rehabilitation Sciences, vol. 7, no. 2. pp. 188-196. [Persian]
11. Hale, S. A., Hertel, J. 2005. Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability. Journal of Athletic Training, vol. 40, no. 1, pp. 35-40.
12. Johnston, R.B.3rd., Howard, M. E., Cawley, P. W., & Losse, G. M. 1998. Effect of lower extremity muscular fatigue on motor control performance. Journal of Medicine and science in sports and exercise, vol. 30, no. 12, pp. 1703-1707.
13. Knapp, D., Lee, S.Y., Chinn, L., Saliba, S.A., et al. 2011. Differential ability of selected postural-control measures in the prediction of chronic ankle instability status. Journal of athletic training, vol. 46, no. 3, pp. 257-62.
14. Matsuda, S., Demura, S., Uchiyama, M. 2008. Centre of pressure sway characteristics during static one-egged stance of athletes from different sports. Journal of Sports Sciences, vol. 26, no. 7, pp. 775-779.
15. McKinely, P., Pedotti, A. 1992. Motor strategies in landing from a jump: The role of skill in task execution. Experimental brain Research, vol. 90, no. 2, pp. 427-440.
16. Nashner, L.M., 1993. Practical biomechanics and physiology of balance: Handbook of balance function and testing. Singular Publishing Group, pp. 261-279.
17. Pope, M., Chinn, L., Mullineaux, D., McKeon, P.O., et al. 2011. Spatial postural control alterations with chronic ankle instability. Journal of Gait & Posture, vol. 34, no. 2, pp. 154-158.
18. Punakallio, A., 2005. Balance abilities of workers in physically demanding jobs: with special reference to firefighters of different ages. Journal of Sports Science and Medicine, vol. 4, no. 8, pp. 1-47.
19. Rein, S., Fabian, T., Weindel, S., Schneiders, W., et al. 2011. The influence of playing level on functional ankle stability in soccer players. Archives of Orthopaedic and Trauma Surgery, vol. 131, no. 8, pp. 1043-1052.
21. Ross, S.E., Guskiewicz, K.M., Yu, B. 2005. Single-leg jump-landing stabilization times in subjects with functionally unstable ankles. Journal of Athletic Training, vol. 40, no. 4, pp. 298-304.
22. Sadeghi, H., Borhani, Z., Shariyatzadeh, M. 2007. Changes in the body's pressure center in the implementation of successful and unsuccessful jump shot in the men's elite basketball players. Journal of Motor and Sport Science, vol. 5, no. 10, pp. 13-24. [Persian]
23. Sadeghi, H., khaleghi-Tazji, M., Abbasi, A., Heidar, M. 2008. The relationship between torques, lower limb muscles in motion with dynamic stability jump-landing in healthy men. Olympics, vol. 41, pp. 59-70. [Persian]
24. Sell, T.C. 2012. An examination, correlation, and comparison of static and dynamic measures of postural stability in healthy, physically active adults. Journal of Physical Therapy in Sport, vol. 13, no. 2, pp. 80-86.
25. Suda, E.Y., Sacco, I. C. 2011. Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement. Journal of Physical Therapy in Sport, vol. 12, no. 4, pp. 164-170.
26. Wikstrom, E.A., Tillman, M.D., Smith, A.N., Borsa, P.A. 2005. A new force-plate technology measure of dynamic postural stability: The dynamic postural stability index. Journal of Athletic Train, vol. 40, no. 4, pp. 305-309.
27. Wu, H.W., Liang, K.H., Lin, Y.H., Chen, Y.H.C., et al. 2009. Biomechanics of ankle joint during landing in counter movement jump and straddle jump. In Bioengineering Conference, IEEE 35th Annual Northeast, pp. 1-2.
28. Yu, B., Gabriel, D., Noble, L., An, K. N. 1999. Estimate of the optimum cutoff frequency for the Butterworth low-pass digital filter. Journal of Applied Biomechanics, vol. 15, pp. 318-329.
29. Zhang, S., Wortley, M., Silvernail, J.F., Carson, D., et al. 2012. Do ankle braces provide similar effects on ankle biomechanical variables in subjects with and without chronic ankle instability during landing? Journal of Sport and Health Science, vol. 1, no. 2, pp. 114-120.