تعامل تمرینات ثبات دهنده مرکزی و عصبی- عضلانی همراه با هاپینگ بر میزان درد و عملکرد زنان مبتلا به بی ثباتی عملکردی مچ پا
محورهای موضوعی : آسیب شناسی ورزشی و حرکات اصلاحی
الهام فلاحت پیشه
1
,
سید صدرالدین شجاع الدین
2
1 - کارشناس ارشد گروه آسیب شناسی ورزشی و حرکات اصلاحی، دبیر تربیت بدنی، ناحیه ساوجبلاغ، کرج، ایران
2 - استاد گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه خوارزمی، کرج، ایران. نویسنده مسئول
کلید واژه: تمرینات ثبات دهنده مرکزی, تمرینات عصبی – عضلانی, تمرینات هاپینگ, ویژگی¬های عملکردی, درد, بی¬ثباتی عملکردی مچ¬پا,
چکیده مقاله :
هدف تحقیق حاضر، مقایسه‌ی تأثیر شش هفته تمرینات تركیبی (ثبات دهنده مركزی و عصبی- عضلانی) و هاپینگ بر درد و ویژگی-های عملکردی زنان مبتلا به بی¬ثباتی عملکردی مچ پا بود. سی زن فعال مبتلا به بی‌ثباتی عملکردی مچ پا به طور داوطلبانه و به صورت تصادفی در سه گروه ده نفری تمرینات ترکیبی، هاپینگ و کنترل شرکت نمودند. قبل و پس از اتمام تمرینات از تمام آزمودنی ها به منظور بررسی میزان درد و ویژگی های عملکردی، آزمون به عمل آمد. جهت بررسی میزان درد از پرسشنامه درد واس، برای بررسی ویژگی های عملکردی از آزمون جهش جانبی، جهش هشت لاتین، جهش سه گانه تک پا و پرسشنامه سنجش توانایی پا و مچ پا در فعالیت های روزانه و ورزشی استفاده شد. گروه های تمرینی به مدت شش هفته (سه جلسه 60 دقیقه‌ای در هفته) تمرینات خود را انجام دادند. انجام شش هفته تمرینات هاپینگ سبب بهبودی بیشتری نسبت به تمرینات ترکیبی (ثبات دهنده مرکزی وعصبی-عضلانی) در عملکرد شد. تمرینات ترکیبی نسبت به هاپینگ تأثیر بیشتری در بهبود درد مچ پای زنان مبتلا به بی ثباتی عملکردی مچ پا داشت.
The purpose of this research was to compare the effect of six weeks of combined exercises (central stabilizer and neuromuscular) and hopping on pain and functional characteristics of women with functional ankle instability. 30 active women with functional ankle instability They voluntarily participated in this study and randomly participated in three groups of ten people: combined exercises, hopping and control. Before and after the exercises, all subjects were re-tested in order to check the amount of pain and functional characteristics. In order to check the pain level, the VAS pain questionnaire was used to check the functional characteristics of the lateral jump test, Latin eight jump test, single leg triple jump test and the foot and ankle ability assessment questionnaire in daily and sports activities. Then, combined training groups (central stabilizer and neuromuscular) and hopping performed their exercises for six weeks (three sessions of 60 minutes per week). The results showed that performing six weeks of hopping exercises resulted in a greater improvement in performance compared to combined exercises (central stabilizer and neuromuscular) and combined exercises compared to hopping had a greater effect in improving ankle pain in women with functional ankle instability.
1 - Asadi, M., Mino-nejad, H. Alizadeh, M, H. Effect of Eight Weeks of Ai Chi exercise on Balance, Proprioception, and Performance of Elite Female Athletes with Functional Ankle Instability. Vol 12. No 3. 1402. Monthly scientific research of rehabilitation medicine. P 504-519.
2 - Saki F. Bakhtiyari khou Sh. Faghi mahmoud k. Shakiba E. Comparison of functional tests scores in football players with and without Chronic ankle instability. Vol13. No 29. P 183-206. 1401. Journal of Sports medicine studies.
3 - Ranjbar zadeh F. Shojaeddin S. Moradi M. Letafat kar A. The effectiveness of eight weeks of a comprehensive combination program on the functional strength of active men with functional instability of the ankle. Vol 3. No 114. 1397.Jornul of Advancees in Medical and Biomecanical Research Magiran.
4 - Ill beigi, S. Heidari M. Sagheb jou M. The effect of 6 weeks of Pilates training on the balance and pain level of people with ankle sprains. Vol 2. No 3. 49-41.1394. Journal of research in sports rehabilitation.
5 - Yalfani A. Sharifi M. Raeisi z. A Comparison between Two Methods of Exercise in Water and Land to Improve Pain, Function, Static and Dynamic Balance in Patients with Chronic Ankle Sprain. Journal of Sport Sciences and Health Research, Vol:7 Issue: 15, 2016.
6 - Sadeghipour, H.R., et al., Effect of Star Excursion Balance Training on ankle sprain injury rehabilitation. 2014: p. 123
7 - Kaminski, T.W. and T.M.J.P.T.i.S. Gerlach, the effect of tape and neoprene ankle supports on ankle joint position sense. 2001. 2 (3): p. 132-140.
8 - Refshauge, K.M., et al., The effect of recurrent ankle inversion sprain and taping on proprioception at the ankle. 2000. 32 (1): p. 10-15
9 - Riemann, B.L.J.J.o.a.t., Is there a link between chronic ankle instability and postural instability? 2002. 37 (4): 386.
10 - Clark, M. and S. Lucett, NASM essentials of corrective exercise training. 2010: Lippincott Williams & Wilkins.
11 - Klügl, M., et al., The prevention of sport injury: an analysis of 12 000 published manuscripts. 2010. 20 (6): p. 407
12 - Holmes, A. and E.J.S.M. Delahunt, Treatment of common deficits associated with chronic ankle instability. 2009. 39 (3): p. 207-224.
13 - Hung, Y.-j.J.W.j.o.o., Neuromuscular control and rehabilitation of the unstable ankle. 2015. 6 (5): p. 434.
14 - Tveter, A.T., I.J.G. Holm, and posture, Influence of thigh muscle strength and balance on hop length in one-legged hopping in children aged 7–12 years. 2010. 32 (2): 259-262.
15 - Pietrosimone, B.G. and P.A.J.J.o.a.t. Gribble, Chronic ankle instability and corticomotor excitability of the fibularis longus muscle. 2012. 47 (6): p. 621-626.
16 - Buchanan, A.S., C.L. Docherty, and J.o.a.t. Schrader, Functional performance testing in participants with functional ankle instability and in a healthy control group. 2008. 43 (4): p. 342
17 - Hung, Y.-j.J.W.j.o.o., Neuromuscular control and rehabilitation of the unstable ankle. 2015. 6 (5): p. 434.
18 - Chan, K.W., B.C. Ding, and K.J.J.B.o.t.N.h.f.j.d. Mroczek, Acute and chronic lateral ankle instability in the athlete. 2011. 69 (1): p. 17.
19 - Rozzi, S.L., et al., Balance training for persons with functionally unstable ankles. 1999. 29 (8): p. 478-486.
20 - Reiman, M.P. and R.C. Manske, Functional testing in human performance. 2009: Human kinetics.
21 - Hamilton, R.T., et al., Triple-hop distance as a valid predictor of lower limb strength and power. 2008. 43 (2): p. 144-151.
22 - Fong, C.-M., et al., Ankle-dorsiflexion range of motion and landing biomechanics. 2011. 46 (1): p. 5-10.
23 - Johanson, M.A., et al., Heel lifts and the stance phase of gait in subjects with limited ankle dorsiflexion. 2006. 41(2): 159.
24 - Gabriel, D.A., G. Kamen, and G.J.S.M. Frost, Neural adaptations to resistive exercise. 2006. 36 (2): p. 133-149.
25 - Webster, K.A. and P.A.J.J.o.s.r. Gribble, Functional rehabilitation interventions for chronic ankle instability: a systematic review. 2010. 19 (1): p. 98-114
26 - Letafatkar, A., et al., Effects of perturbation training on quadriceps and hamstring electromyographic ratios %J koomesh. 2014. 15 (4): p. 469-481.
27 - Clark, R.C., et al., Associations between three clinical assessment tools for postural stability. 2010. 5 (3): p. 122.
28 - Santos, M.J., et al., Unloading reactions in functional ankle instability. 2008. 27 (4): p. 589-594.
29 - Reid, A., et al., Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. 2007. 87 (3): p. 33
30 - Leetun, D.T., et al., Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise, 2004. 36 (6): p. 926-934.
31 - Ireland, M.L., The female ACL: why is it more prone to injury? Orthopedic Clinics, 2002. 33 (4): p. 637
32 - Zazulak, B.T., et al., The effects of core proprioception on knee injury. The American Journal of Sports Medicine, 2010. 35 (3): p. 368.
33 - Yu, B., C.-F. Lin, and W.E. Garrett, Lower extremity biomechanics during the landing of a stop-jump task. Clinical Biomechanics, 2006. 21 (3): p. 297 -305
34 - Jackson, K.R., The effect of different exercise training interventions on lower extremity biomechanics and quality of movement in high school female athletes. 2011, University of Virginia.
35 - Shirey, M., et al., The influence of core musculature engagement on hip and knee kinematics in women during a single leg squat. International journal of sports physical therapy, 2012. 7 (1): p. 1.
36 - Nam, S.-m., W.-b. Kim, and C.-k.J.J.o.p.t.s. Yun, Effects of balance training by knee joint motions on muscle activity in adult men with functional ankle instability. 2016. 28 (5): p. 1629.