نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد، گروه آسیب شناسی ورزشی و حرکات اصلاحی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه شهرکرد

2 کارشناسی ارشد، گروه آسیب شناسی ورزشی و حرکات اصلاحی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه خوارزمی

3 استادیار، گروه مدیریت ورزشی/ دانشکده تربیت بدنی و علوم ورزشی/ دانشگاه شهرکرد

چکیده

زمینه و هدف: تقویت عوامل موثر در حفظ تعادل می ­تواند به عنوان یک راهبرد اساسی در درمان مشکلات تعادلی سالمندان باشد و تحریک گیرنده های لمس و فشاری پوست، عضلات و کپسول می­ تواند به بهبود حس عمقی مفصلی و در نتیجه به ثبات عملکردی مفصل کمک کند، هدف مطالعه­ ی حاضر بررسی تاثیر هشت هفته ماساژ رفلکسولوژی کف پا بر تعادل و خطای حس عمقی مفصل مچ پای مردان سالمند می­ باشد.
 روش تحقیق: راهبرد این تحقیق از نوع نیمه تجربی با طرح کاربردی پیش آزمون – پس آزمون با دو گروه آزمایش– کنترل است. نمونۀ آماری این تحقیق را 30 نفر از سالمندان مرد سالم واقع در شهرستان فارسان با دامنه سنی 60 تا 80  سال از بین 100 مرد سالمند تشکیل دادند و به طور تصادفی به دو گروه 15 نفر آزمایش با میانگین سنی (7/93 ± 76/58) سال که تمرینات رفلکسولوژی را انجام دادند و 15 نفر کنترل با میانگین سنی (6/27 ±77/64) سال، تقسیم شدند. میزان خطا در بازسازی زوایای مفصلی مچ پا در حرکت ­های اینورشن و اورشن و زمان تعادل ایستا و پویای هر دو گروه در پیش ازمون و پس آزمون اندازه­ گیری شد. گروه مداخله رفلکسولوژی کف پا را در مدت 30 دقیقه روی هر دو پا (برای هر پا 15 دقیقه) و طی هشت هفته و هر هفته 3 جلسه انجام دادند. تجزیه و تحلیل داده ­ها با استفاده از آزمون­ های t وابسته و t مستقل در سطح معنی ­داری 0/05>α انجام شد.
یافته ­ها: نتایج آزمون تی مستقل قبل از مداخله تفاوت معنی­ داری بین دو گروه از لحاظ میانگین میزان خطا در بازسازی زوایای مفصلی و تعادل ایستا و پویا نشان نداد (0/05<p). اما پس از مداخله نتایج حاصل از این آزمون حاکی از وجود تفاوت معنی دار بین میانگین میزان خطا و تعادل ایستا و پویا  در گروه مداخله نسبت به گروه کنترل بود (0/05>p).
نتیجه ­گیری: از یافته­ های تحقیق حاضر می ­توان نتیجه گرفت که رفلکسولوژی کف پا می­ تواند سبب بهبود تعادل ایستا و پویا و حس عمقی مفصل مچ پای مردان سالمند شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of eight weeks Foot Reflexology Massage on balance and Ankle Joint Proprioception Error in Elderly Men

نویسندگان [English]

  • Hossein Sadeghi Dehcheshme 1
  • Ehsan Tasoujian 2
  • Ali Reza Omidi 3

1

2

3

چکیده [English]

Background and Aim: Improving the affective factors of balance could be a critical procedure in managing the elderly's balance dysfunction. The goal of this study was to determine the effect of eight weeks foot reflexology on balance and ankle joint proprioception error in elderly men.
Materials and Methods: This semi-empirical study was designed as pre-test - post-test with two empirical - control groups. The sample of study were 30 healthy elderly men, aged 60 to 80 years and located in the Farsan, selected among 100 elderly men. The subjects were randomly divided into two groups included empirical group (15 man) with mean age 76.58±7.93 (years) and exercising reflexology and control group (15man) with mean age 77.64±6.27 (years). The amount of error in the reconstruction of the ankle joint angles in inversion and eversion andstatic and dynamic balance time was measured in pre test and post test of each group. Intervention group was performed 30 minutes reflexology foot in both feet (for each foot 15 minutes) and 3 sessions per week during eight week. Data was analyzes using paired and independent t test at significant level of pResults: The results showed that there was no significant difference between the two groups' error average in reconstructing of the joint angles before the intervention. The results of an independent t-test showed that there was no significant difference between the two groups' error average in reconstructing joint angles before the intervention (p>0.05). However, after the intervention it has been shown that there was significant difference in error average and static and dynamic of the empirical group than the control group (p<0.05).
Conclusion: Based on findings of this study it can be concluded that foot reflexology may improve static and dynamic balance and ankle proprioception in elderly men.

کلیدواژه‌ها [English]

  • Elderly
  • Proprioception
  • Reflexology
  • Foot
  • Ankle
Baczkovicz, D., Szczegielniak, J., & Proszkowiec, M. (2008). Relation between postural stability, gait and falls in elderly persons – preliminary report. Ortopedia, Traumatologia, Rehabilitacja, 10(5), 473-80.
Bergin, P. S., Bronstein, A. M., Murray, N. M., Sancovic, S., & Zeppenfeld, D. K. (1995). Body sway and vibration perception thresholds in normal aging and in patients with polyneuropathy. Journal of Neurology, Neurosurgery, and Psychiatry, 58(3), 335-340.
Bernard-Demanze, L., Burdet, C., Berger, L., & Rougier P. (2004). Recalibration of somesthetic plantar information in the control of undisturbed upright stance maintenance. Journal of Integrative Neuroscience, 3(4), 433-51.
Byers, D., (1987). Better health with foot reflexology, St Petersburg; Ingham pub.
David, P., & Anne, W. (2000). The Complete Guide Integrated Medicine, 3th ed. Dorling Kindersley Co.
Dover, G., & Powers, M. E. (2003). Reliability of joint position sense and force reproduction measures during internal and external rotation of the shoulder. Journal of Athletic Training, 38(4), 304.
Eqbali, M. (2010). The effect of reflexology on pain in patients with chronic low back pain in nurses working in hospitals of Isfahan University of Medical Sciences, (MA dissertation), Isfahan University of Medical Sciences. [Persian]
Faraj Khoda,  M., Alijani, E., & Kohandel, M. (2014). The effect of reflexology training on postural stability and postural sway in elderly women. European Journal of Experimental Biology, 4(1), 198-202.
Hall, C. D., & Cox, L. C. (2009). The role of vestibular rehabilitation in the balance disorder patient. Otolaryngologic Clinics of North America., 42(1), 161-9.
Hamidi, H.,  Letafatkar, A., & Shojaoodin, S. (2016). A Comparison of the efficacy of the Reflexology and Yumeiho Therapy Massages on balance and Proprioception in Women with Diabetic Neuropathy in Lower Limp. Journal of Sport Rehabilition, 3(5), 9-17.
Hinman, R. S., Bennell, Metcalf, B. R., & Crossley, K. M. (2002). Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology, 41, 1388–1394.
Hosseini, M., Nikzad, M., Kalantari, KH., & Akbarzadeh, A. (2013). Investigation  Immediate Effect of foot and ankle region massage and mobilization on balance indicators in male elderly. The Geriatric, 2(1), 40-47. [Persian]
Hrysomallis, C. (2008). Preseason and midseason balance ability of professional Australian footballers. The Journal of Strength & Conditioning Research, 22(1), 210.
Hu, MH., & Woollacott, MH. (1994). Multisensory training of standing balance in older adults: I. Postural stability and one-leg stance balance. Journal of Gerontology, 49(2), 52-61.
Jeongsoon, L., Misook, H,, Youghae, CH., Jinsun, K., & Jungsook CH. (2011). Effects of foot reflexology on fatigue , sleep and pain: A systematic review and meta-analysis. Journal of Korean Academy of Nursing, 41(6), 821-833.
Khanzadeh, R., Dawood Rahimi, M., Hashemi Javaheri, A., & Omidi – Kashani, F. (2014). Efficacy of Combined Therapeutic Protocol (Kinesiotherapy and Massage) on Dynamic Equilibrium in the Male Patients with Chronic Low Back Pain Due To Lumbar Degenerative Disc Disease. International Journal of Sport Studies, 4(7), 793-798.
King, MB., Judge, JO., Whipple, R., & Wolfson, L. (2000). Reliability and responsiveness of two physical performance measures examined in the context of a functional training intervention. Physical Therapy, 80(1), 8-16.
Kiran, D., Carlson, M., Medrano, D., & Smith, DR. (2010). Correlation of three different knee joint position sense measures. Physical Therapy in Sport, 11(3), 81-85.
Lephart, SM., Riemann, BL., & Fu, FH. (2000). Introduction to the sensorimotor system. Proprioception and Neuromuscular Control in Joint Stability. Champaign, IL: Human Kinetics, 37–51.
Mackereth, P. (1997). Clinical supervision for potent practice. Complementary Therapies in Nursing and Midwifery, 3, 38-41.
Mohebi, Sh., & Yazdanpanah, Y. (2010).  Reflexology.Tehran, Yaldaqalam Pub1st. [Persian]
Movaghar, M. H., & Hashemi Javaheri, A. (2012). The effect of foot reflexology on the education of chronic low back pain. Iranian Journal of Health and Physical Activity, 3(1), 14-18. [Persian]
Neisy, K., Ebrahimi, A., & Goharpey, SH. (2007). The investigation effect of start and purpose angle on knee position sense measurement in healthy male. Medical Science Journal, 5(3), 621-627.   
Nodehi, M., & Ehasanifar, F. (2007). Physical disorders in elderly motor reviewer referred to rehabilitation centers of Tehran Welfare Organization in 2006. Iranian Journal of Salmand,  9 and 10, 19-27. [Persian]
Noobahar, M., Nejati, V., & Hoseini, A. (2010). A Comparison of age related balance variables in elderlies and young people. Salmand Iranian Journal of Ageing, 15, 6-12.
Patel, M., Fransson, PA., Lush, D., Petersen, H., Magnusson, M., Johansson, R., & Gomes, S. (2008). The effect of foam surface properties on standing body movement. Acta Oto-laryngologica, 128(9), 952-60.
Perrin, P., Gauchard, G.C., Perrot, C., & Jeandel, C. (1999). Effects of physical and sporting activities on balance control in elderly people. British Journal of Sports Medicine, 33, 121-126.
Poole, H., Glenn, S., & Murphy, P.  (2007). A randomized controlled study of reflexology for the management of chronic low back pain. European Journal of Pain, 11(8), 878-887.
Quinn, F., Hughes, C., & Baxter, G. (2008). Reflexology in the management of low back pain. Elsevier, 16(1), 3-8.
Rajabi, R., & Karimi M. (2013). appliance and of determining the reliability new instrument of Iranians to measure the ankle joint proprioception. Journal of Sports Medicine, 12, 43-52. [Persian]
Riemann, BL., & Lephart, SM. (2002). The sensorimotor system, part I: the physiologic basis of functional joint stability. Journal of Athletic Training, 37(1), 71-9.
Riemann, BL., & Lephart, SM. (2002). The sensorimotor system, part ii: The role of proprioception in motor control and functional joint stability. Journal of Athletic Training, 37(1), 80-84.
Sadeghi, H., & Alirezaee, F. (2006). Impact on a training exercise in the water on balance of elderly women. Iranian Journal of Slamand, 6, 402-409. [Persian]
Sherington, C., Whitney, JC., Lord, SR., Herbert, RD., Cumming, RG., & Close, JC. (2008). Effective exercise for the preventation of fall: a systematic review and meta-analysis. Journal of the American Geriatrics Society, 56 (12), 2234-43.
Vaillant, J., Rouland, A., Martigne, P., Braujou, R., Nissen, MJ., Caillat-Miousse, J., Vuillerme, N., Nougier, V., & Robert Juvin, R. (2009). Massage and mobilization of the feet and ankles in elderly adults: Effect on clinical balance performance. Manual Therapy, 14(6), 661-4.
Wang, MY., Tsai, PS., Lee, PH., Chang, WY., & Yang, CM. (2008). The efficacy of reflexology: systematic review. Journal of Advanced Nursing, 62(5), 512-520.
Yim-Chiplis., Paula, K., Laura, A. T., (2000). Definig and measuring balance in adults. Biological Research for Nursing, 1, 321-331.