مطالعه رابطه بین نیمرخ ساختاری باکنترل پاسچر در افراد مبتلا به سندرم داون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه آسیب شناسی ورزشی وحرکات اصلاحی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه گیلان/ رشت

2 دانشیار گروه آسیب شناسی ورزشی و حرکات اصلاحی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه گیلان/ رشت

چکیده

زمینه و هدف: سندرم داون به عنوان شایع ترین دلیل ناتوانی های عقلی ناشی از اختالات ژنتیکی شناخته می شود. مبتلایان به سندرم داون ویژگی های فیزیولوژیکی و آناتومیکی خاصی دارند که آن ها را از دیگر همتایان سالم متفاوت می سازد. هدف از این پژوهش مطالعه رابطه بین نیمرخ ساختاری با کنترل پاسچردرکودکان سندرم داون بود. روش تحقیق: در این مطالعه 30 فرد مبتلا به سندرم داون (میانگین سنی 07 / 2± 02 /15 سال، قد 65 / 10 ± 155 سانتیمتر، وزن 80 ± 63 / 61 کیلوگرم و شاخص توده بدنی 4/21± 85 / 25 کیلوگرم/مترمربع) و 25 فرد سالم (میانگین سنی 13 / 2± 04 / 15 سال، قد 42 / 11 ± 36 / 164 سانتیمتر، وزن 01 / 12 ± 24 / 56 کیلوگرم و شاخص توده بدنی 58 / 3± 72 / 20 کیلوگرم/مترمربع) شرکت کردند. برای بررسی وضعیت سر و شانه، زوایای لوردوز و کایفوز و تعادل آزمودن یها، به ترتیب از روش عکسبرداری، خط کش منعطف و دستگاه تعادل سنج بایودکس استفاده شد. برای تجزیه و تحلیل داده ها از آزمون آماری t مستقل و ضریب همبستگی پیرسون با استفاده از نرم افزار SPSS نسخه 21 در سطح 05/p یافته ها: نتایج نشان داد که زاویه سربه جلو (001/p=0)، و تعادل (001/p=0) در افراد سندرم داون به طور معنی داری کمتر از افراد سالم است، در حالی که زاویه کایفوز (001/ p=0) آن ها بیشتر از افراد سالم بود. همچنین رابطه معنی داری بین ناهنجاری سر به جلو و تعادل قدامی-خلفی ( 02/ p=0)، بین ناهنجاری کایفوز با تعادل قدامی-خلفی (009/ p=0) و بین ناهنجاری کایفوز با تعادل کلی (006/ p=0) به دست آمد. نتیجه گیری: باتوجه به ضعف تعادل و مشاهده برخی ناهنجاری های ساختاری در مبتلایان به سندرم داون، اجرای برنامه ها و تمرینات اصلاحیه منظور بهبودتعادل و اصلاح پاسچر در آنان، ضروری به نظر   می رسد.

کلیدواژه‌ها

عنوان مقاله [English]

The Study of relationship between structural profiles and postural control in individual with Down syndrome

نویسندگان [English]

  • Saeid Bahiraei 1
  • Hassan Daneshmandi 2
1
2
چکیده [English]

Background and Aim: Down syndrome is consider as the most common genetic disorders to mental disabilities. There are specific anatomical and physiological characteristics in Down syndrome (DS) people that make them different from other healthy people. The aim of this study was to identify the relationship between postural control and structural profiles in children with Down syndrome. Materials and Methods: 30 male with DS (mean age: 14/86 ±1/65 yr., height: 158/89 ±10/1 cm, weight: 63/33±13/9 kg, body mass index: 25/50±4/19 kg/m2) and 25 patient healthy peers (mean age: 15/04 ±2/13 Yr., height: 164/36 ± 11/42 cm, weight: 56/24±12/01 kg, and body mass index: 20/72± 3/58 kg/m2) participated in this study as the sample group. The head and shoulders postures, lordosis and kyphosis angles and balance were evaluted with the photography, flexible ruler and Biodex balance system respectively. Independent t-test and Pearson correlation coefficients were used to analyze the data (p≤0/05). Results: The results indicated that the forward head posture (p=0.001) and balance (p=0.001) of Down syndrome patients are significantly lower but the
kyphosis angle of them is significantly higher (p=0.001) than healthy participants. Moreover, the significant relationship were found between the forward head posture and anterior-posterior balance test (p=0.02), and between the kyphosis with anterior-posterior balance (p=0.009) and finally between the kyphosis with general balance (p=0.006) in individuals with Down syndrome. Conclusion: Therefor due to poor balance and some structural abnormalities in patients with Down syndrome, it seems that the corrective exercise would be necessary to improve balance and postures in individuals with Down syndrome.

کلیدواژه‌ها [English]

  • Down syndrome
  • Control of posture
  • Structure profile
  • Balance

مراجع

1. Anbarian, M., Mokhtari, M., Zareie, P., & Yalfani, A. 2009. A Comparison of postural control characteristics between subjects with kyphosis and controls. Scientific Journal of Hamadan University of Medical Sciences, vol. 16, no. 4, pp. 53-60. [Persian]
2. Blanco, J. C., Cabezas, A. M., Garrido, M. O., & Padilla, C. M. 2011. Postural analysis: prevention from physical therapy. International Medical Review on Down Syndrome, vol. 15, no. 3, pp. 41-44.
3. Bot, S. D., Caspers, M., Van Royen, B. J., Toussaint, H. M, et al. 1999. Biomechanical analysis of posture in patients with spinal kyphosis due to ankylosing spondylitis: a pilot study. Rheumatology, vol. 38, no. 5, pp. 441-443.
4. Bruyneel, A. V., Chavet, P., Bollini, G., Allard, P, et al. 2008. The influence of adolescent idiopathic scoliosis on the dynamic adaptive behaviour. Neuroscience letters, vol. 447, no. 2, pp. 158-163.
5. Cabeza-Ruiz, R., García-Massó, X., Centeno-Prada, R. A., Beas-Jiménez, J, et al. 2011. Time and frequency analysis of the static balance in young adults with Down syndrome. Gait & posture, vol. 33, no. 1, pp. 23-28.
6. Daneshmandi, H., Barati, A., & Ahmadi, R. 2013. The Effect of Core Stabilization Training Program on the Balance of Mentally Retarded Educable Students. Journal of Rehabilitation, vol. 14, no. 3, pp. 16-24. [Persian]
7. Galli, M., Rigoldi, C., Mainardi, L., Tenore, N, et al. 2008. Postural control in patients with Down syndrome. Disability & Rehabilitation, vol. 30, no. 17, pp. 1274-1278.
8. Khalkhali, M., Parnianpour, M., Karimi, H., Mobini, B, et al. 2006. The validity and reliability of measurement of thoracic kyphosis using flexible ruler in postural hyper-kyphotic patients. Journal of Biomechanics, vol. 39, no., pp. S541. [Persian]
9. Lewis, C. L., & Fragala-Pinkham, M. A. 2005. Effects of aerobic conditioning and strength training on a child with Down syndrome: a case study. Pediatric Physical Therapy, vol. 17, no. 1, pp. 30-36.
10. Lin, H. C., & Wuang, Y. P. 2012. Strength and agility training in adolescents with Down syndrome: A randomized controlled trial. Research in developmental disabilities, vol. 33, no. 6, pp. 2236-2244.
11. Meneghetti, C. H. Z., Blascovi-Assis, S. M., Deloroso, F. T., & Rodrigues, G. M. 2009. Static balance assessment among children and adolescents with Down syndrome. Brazilian Journal of Physical Therapy, vol. 13, no. 3, pp. 230-235.
12. Perron, M., Hébert, L. J., McFadyen, B. J., Belzile, S, et al. 2007. The ability of the Biodex Stability System to distinguish level of function in subjects with a second-degree ankle sprain. Clinical rehabilitation, vol. 21, no. 1, pp. 73-81.
13. Pizzutillo, P. D., & Herman, M. J. 2006. Musculoskeletal Concerns in the Young Athlete with Down Syndrome. Operative Techniques in Sports Medicine, vol. 14, no. 3, pp. 135-140.
14. Polastri, P. F., & Barela, J. A. 2005. Perception-action coupling in infants with Down syndrome: effects of experience and practice. Adapted Physical Activity Quarterly, vol. 22, no. 1, pp. 39-56.
15. Rahmani, P., Shahrokhi, H., Daneshmandi, H. 2012. Relationship between spinal abnormalities, flexibility and body composition in girls with Down syndrome. Journal of Research in Rehabilitation Sciences, vol. 8, no. 4, pp. 754-763. [Persian]
16. Rahmani, P., Shahrokhi, H., Daneshmandi, H. 2012. The investigation of spinal abnormalities & balance and relation between them in patients with Down syndrome . Modern Rehabilitation, vol. 4, no. 8, pp. 63-69. [Persian]
17. Rahmani, P., Shahrokhi, H. 2012. The study of static and dynamic balance in mentally retarded female students with and without Down syndrome (DS). Journal of sport medicine, vol. 2, no. 5, pp. 97-113. [Persian]
18. Rigoldi, C., Galli, M., Mainardi, L., Crivellini, M, et al. 2011. Postural control in children, teenagers and adults with Down syndrome. Research in developmental disabilities, vol. 32, no. 1, pp. 170-175.
19. Silva, A. G., Punt, T. D., & Johnson, M. I. 2010. Reliability and validity of head posture assessment by observation and a four-category scale. Manual therapy, vol. 15, no. 5, pp. 490-495.
20. Tsimaras, V. K., & Fotiadou, E. G. 2004. Effect of training on the muscle strength and dynamic balance ability of adults with down syndrome. The Journal of Strength & Conditioning Research, vol. 18, no. 2, pp. 343-347.
21. Villarroya, M. A., González-Agüero, A., Moros-García, T., de la Flor Marín, M., et al. 2012. Static standing balance in adolescents with Down syndrome. Research in developmental disabilities, vol. 33, no. 4, pp. 1294-1300.
22. Webber, A., Virji-Babul, N., Edwards, R., & Lesperance, M. 2004. Stiffness and postural stability in adults with Down syndrome. Experimental brain research, vol. 155, no. 4, pp. 450-458.
23. Woollacott, M., & Shumway-Cook, A. 2002. Attention and the control of posture and gait: a review of an emerging area of research. Gait & posture, vol. 16, no. 1, pp. 1-14.
24. Wu, J., Ulrich, D. A., Looper, J., Tiernan, C. W, et al. 2008. Strategy adoption and locomotor adjustment in obstacle clearance of newly walking toddlers with Down syndrome after different treadmill interventions. Experimental brain research, vol. 186, no. 2, pp. 261-272.

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