پژوهش در طب ورزشی و فناوری

مقایسۀ زوایای ناحیۀ لومبو‌ساکرال هنگام ایستادن روی شیب‌های مختلف در زنان‌ سالم و مبتلا به کمردرد

نویسندگان

سارا گل‌نژاد
رز فولادی
ناصر بهپور
مریم برزین
https://doi.org/10.18869/acadpub.jsmt.14.12.33
چکیده
مطالعۀ حاضر به بررسی تأثیر شیب­های مختلف پاشنه بر زوایای مکانیکی لومبو­ساکرال و ثبات آن در افراد مبتلا به کمردرد مکانیکال و افراد سالم می­پردازد. این مطالعۀ مورد – شاهدی، 38 زن (18 نفر مبتلا به کمردرد، 20 نفر سالم) در بیمارستان امام­­خمینی شهر ساری مطالعه کرد. پس از ثبت اطلاعات دموگرافیک، 3­ رادیوگرافی لترال درحالت ایستاده ­روی شیب­های (صفر، 3/7+ و3/7- درجه) برای تعیین زوایای شیب­ ساکروم، لومبوساکرال، افقی ساکروم و لوردوز سگمنتال و بررسی ثبات کمری تهیه شد. نتایج نشان داد ایستادن روی شیب‌های مختلف بر زوایای بیومکانیکی ناحیۀ لومبوساکرال هر یک از دو گروه سالم و کمردردی و در مقایسۀ دو گروه با هم تأثیر معنی‌داری نداشت (0/05≤p). در مبتلایان به کمردرد، ثبات کمری نسبت به افراد سالم کمتر بود و میزان بی‌ثباتی در مقایسۀ بین دو گروه، هنگام ایستادن روی شیب منفی (0/009=p)، مثبت (0/023=p) و صفر (0/004=p) همچنان معنی‌دار بود، هرچند اختلاف معنی‌داری در ثبات کمری دو گروه سالم و کمردرد در زمان ایستادن روی

شیب‌های مختلف دیده نشد (0/05≤p

کلیدواژه‌ها

ثبات ستون فقرات کمری
شیب مثبت
شیب منفی
کمردرد
لومبو‌ساکرال

عنوان مقاله English

Comparison of the lumbosacral angles in state of standing on the various slopes, in the healthy and low back pain females

نویسندگان English

Sara Golnezhad
Roz Fouladi
Naser Behpour
Maryam Barzin
چکیده English

This study aim to investigate the effect of different slops on mechanical lumbosacral angles and lumbar stability of healthy and mechanical low back pain (LBP) persons. This case- control study was performed on 38 females (18 LBP and 20 healthy subjects) who were referred to the Hospital in sari. At the beginning, Subjects’demographic data were recorded. In order to measure lumbosacral angles and lumbar spine stability evaluation, three lateral radiography plots in state of standing on various slope (­ο, +3.7, -3.7) were prepared. There were no significant differences between the biomechanical lumbosacral angles by standing on the various slopes, within and between 2 groups (LBP and healthy females) (p≥0.05).There was more lumbar instability in females with LBP and lumbar mechanical stability was significantly difference between 2 groups in each slope (P +=0.023, P –=0.009, P 0=0.004). Although, lumbar stability was not significantly different within each LBP and healthy groups, on the various slopes (p≥0.05). It seems that lumbar instability may increases in mechanical LBP, that won’t manage by various levels of slop.

کلیدواژه‌ها English

Low Back Pain
Lumbar Spine Stability
Lumbosacral
Negative Slope
Positive Slope
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