اثر تمرینات مقاومتی با تعدیل وزن متفاوت بر عملکرد عضلانی و حرکتی در زنان مبتلا به سندرم درد کشککی-رانی
محورهای موضوعی : تاثیر حرکت و تمرین در سلامتی
شهین میرپور شیرخدا
1
,
محمدمهدی صفائی زاده
2
,
ابراهیم بسی وند
3
,
مناسادات کیمایی
4
1 - کارشناسی ارشد، گروه آسیب شناسی و حرکات اصلاحی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران
2 - گروه آسیب شناسی و حرکات اصلاحی، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران
3 - گروه فیزیولوژی ورزش، واحد بروجرد، دانشگاه آزاد اسلامی، بروجرد، ایران
4 - گروه فیزیولوژی ورزش، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید چمران، اهواز، ایران
کلید واژه: سندرم درد کشککی-رانی, تمرینات ورزشی, تعدیل وزن, عملکرد عضلانی,
چکیده مقاله :
زمینه و هدف: یکی از مداخلات درمانی در سندرم درد رانی-کشککی (PFPS)، بازتوانی عملکرد حرکتی با تمرینات ورزشی می باشد. هدف تحقیق حاضر تعیین اثر تمرینات مقاومتی با تعدیل وزن متفاوت بر عملکرد عضلانی و حرکتی در زنان مبتلا به PFPS بود.
مواد و روش‌‌ها: در پژوهش نیمهتجربی حاضر 75 زن مبتلا به PFPS به روش نمونهگیری هدفمند انتخاب و به صورت تصادفی به گروه های تعدیل وزن (4/1 وزن بدن، 2/1 وزن بدن و 4/3 وزن بدن)، بدون تعدیل وزن و کنترل تقسیم شدند. پروتکل تمرینی شامل تمرینات مقاومتی و عملکردی منتخب تقویت عضلات لگن و زانو بود که روی سطوح پایدار و ناپایدار انجام شد.
نتایج: در گروه های تمرین افزایش معنی داری در قدرت و استقامت عضلانی و همچنین بهبود عملکرد حرکتی نسبت به پیش آزمون و گروه کنترل مشاهده شد (001/0 >P). افزایش قدرت در گروه های 2/1 تعدیل وزن و 4/3 تعدیل وزن نسبت به گروه بدون تعدیل وزن معنی دار بود (010/0 >P) ولی تفاوت معنی داری بین گروه های 2/1 تعدیل وزن و 4/3 تعدیل وزن مشاهده نشد (05/0 <P). همچنین تفاوت معنی داری بین گروه های 4/1 تعدیل وزن و بدون تعدیل وزن مشاهده نشد (05/0 <P).
نتیجه گیری: بر اساس یافتههای این پژوهش تمرین مقاومتی موجب بهبود عملکرد عضلانی در زنان مبتلا به PFPS می شود به نظر می رسد که تعدیل وزن بیشتر از 2/1 وزن بدن می تواند موجب بهبود کیفیت تمرین و در نتیجه سازگاری های عصبی عضلانی از جمله افزایش قدرت عضلات اکستنسور در PFPS شود.
Background and Purpose: One of the therapeutic interventions in patellofemoral pain syndrome (PFPS) is rehabilitation of motor movement with exercise. The aim of the present study was to determine the effect of resistance training with different weight adjustments on muscle and motor function in women with PFPS.
Material and Methods: In this semi-experimental study, 75 women with PFPS were selected by purposive sampling method and randomly divided into 5 weight adjustment groups (1/4 body weight , 1/2 body weight, 3/4 body weight ), and without weight adjustment and the control group were divided. The exercise protocol included selected resistance and functional exercises to strengthen hip and knee muscles, which were performed on stable and unstable surfaces.
Results: In the training groups were founded a significant increase in muscle strength and endurance, as well as an improvement in motor movement compared to the pre-test, and control group (P < 0.001). there was a significant increase in the strength of the extensor muscles in the intervention groups compared to the control group (P < 0.010). There was a significant difference in the increase in strength in the 1.2 weight adjustment and 3.4 weight adjustment groups compared to the group without weight adjustment (P<0.010), but there was a significant difference between the 1.2 weight adjustment and 3.4 weight adjustment groups (P<0.05). Also, no significant difference was observed between the 1.4 groups with weight adjustment and without weight adjustment (P<0.05).
Conclusion: Based on the findings of this research, resistance training improves muscle function in women with PFPS. It seems that weight adjustment of more than 1.2% of body weight can improve the quality of exercise and result in neuromuscular adaptations, including increased extensor muscle strength in PFPS.
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