اثر هشت هفته تمرینات (DNS) بر شاخص‌های عملکرد حرکتی و کینماتیکی راه رفتن در دانش آموز با ضعف کنترل کمری لگنی

نویسندگان

دانشگاه رازی

چکیده
زمینه و هدف: اختلال در کنترل کمری لگنی منجر به کاهش فعالیت عضلانی، کاهش انتقال نیرو در زنجیره حرکتی، و د ر نتیجه پتانسیل وقوع آسیب های اندام تحتانی را افزایش می دهد. هدف از این تحقیق بررسی هشت هفته تمرینات ثبات عصبی عضلانی پویا بر شاخص‌های عملکرد حرکتی، کینماتیکی راه رفتن و آسیب اندام تحتانی در دانش آموز با ضعف کنترل کمری لگنی بود. روش شناسی: 30 نفر از دانش آموزان دختر با میانگین سنی 75/0±65/16 سال، قد 11/4 ±80/161 سانتی متر، وزن 64/5 ± 70/62 کیلوگرم که دارای ضعف کنترل کمری لگنی بودند به صورت هدفمند انتخاب و به شکل تصادفی به دو گروه تجربی (15 نفر) و کنترل (15 نفر) تقسیم شدند. گروه تجربی تمرینات ثبات عصبی عضلانی پویا را به مدت هشت هفته، سه جلسه در هفته برای مدت 60 دقیقه انجام دادند، در حالی که گروه کنترل مداخله ای را دریافت نکردند. برای ارزیابی کنترل کمری-لگنی از دستگاه بایوفیدبک پرشر، تعادل ایستا از تست‌ لک‌لک، تعادل پویا آزمون Y، خطای فرود با آزمون سیستم امتیازدهی خطای فرود، عملکرد حرکتی اندام تحتانی از آزمون (تست پرش تک‌پایی، پرش لی 3 تایی، آزمون پرش لی 6 متر در زمان، آزمون پرش لی متقاطع) استفاده گردید یافته ها: مطالعه حاضر، اثر تمرینات ثبات عصبی عضلانی پویا بر شاخص‌های عملکرد حرکتی011/0، کینماتیکی راه رفتن001/0 و آسیب اندام تحتانی 012/0را معنادار نشان داد((0/05< P).


کلیدواژه‌ها


عنوان مقاله English

The effect of eight weeks of exercises (DNS) on movement performance indicators and walking kinematics of students with weak lumbopelvic control

چکیده English

The purpose of this study was to investigate eight weeks of dynamic neuromuscular stabilization exercises on movement performance indicators, walking kinematics and lower limb damage in students with weak lumbopelvic control. Methodology: 30 female students with a mean age of 16.65±0.75 years, height of 161.80±4.11 cm, weight of 62.70±5.64 kg who had weak lumbopelvic control were purposively selected and randomly divided into two experimental groups n=15 and control groups n=15. The experimental group performed the neuromuscular for eight weeks, three sessions per week for 60 minutes, while the control group did not receive the intervention to assess lumbopelvic control a biofeedback device was used for jumping, static balance was used for stork test, dynamic balance was used for Y test, landing error was used for landing Error Scoring System Test, and lower limb motor function was used for tests (single-leg jump test, triple jump test, 6 - meter jump test in time, and cross jump test results: The present study showed that the effect of DNS exercises on motor performance indices 0.012, gait kinematics 0.001, and lower limb injury 0.012 was significant P<0.05.

کلیدواژه‌ها English

dynamic neuromuscular stabilization exercises
Motor performance indicators
Gait kinematics
mhaidary@razi.ac.ir
1. Griffin LY, Albohm MJ, Arendt EA, Bahr R, Beynnon BD, DeMaio M, Dick RW, Engebretsen L, Garrett WE, Hannafin JA, Hewett TE. Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005. The American journal of sports medicine. 2006 Sep;34(9):1512-32. https://journals.sagepub.com/doi/abs/10.1177/0363546506286866
2. Gheorghievici GL, Nica AS, Mitoiu B, Clantau D, Haritinian E, Stoica CI. Update on Rehabilitation Protocol Following ACL Reconstruction. Medicina Moderna. 2018 Jul 1;25(3). https://pdfs.semanticscholar.org/ce5d/dfec1e66188b36cc6665ffc9d8ab5023ff86.pdf
3. Finn JD, Rock DA. Academic success among students at risk for school failure. Journal of applied psychology. 1997 Apr;82(2):221. https://pubmed.ncbi.nlm.nih.gov/9109280/
4. Ghasempour L, Hosseini FS, Mohammadzadeh H. Does Sensory–Motor Integration Exercises Affect on Static and Dynamic Balance in Children with Trainable Mental Retardation?. Rehabilitation. 2015;16(1). https://www.sid.ir/paper/43614/en
5. Blagg M, Bolgla L. The relative activation of pelvic floor muscles during selected yoga poses. Complementary Therapies in Clinical Practice. 2023 Aug 1;52:101768. https://augusta-staging.elsevierpure.com/en/organisations/physical therapy/publications/
6. Bathe C, Fennen L, Heering T, Greif A, Dubbeldam R. Training interventions to reduce the risk of injury to the lower extremity joints during landing movements in adult athletes: a systematic review and meta-analysis. BMJ open sport & exercise medicine. 2023 Jun 1;9(2):e001508. https://pubmed.ncbi.nlm.nih.gov/37304892 /
7. 11. Laudner KG, Wong R, Meister K. The influence of lumbopelvic control on shoulder and elbow kinetics in elite baseball pitchers. Journal of shoulder and elbow surgery. 2019 Feb 1;28(2):330-4. https://pubmed.ncbi.nlm.nih.gov/30268588/
8. Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. Journal of orthopaedic & sports physical therapy. 2006 Dec;36(12):911-9. https://pubmed.ncbi.nlm.nih.gov/17193868/
9. Sokhangu MK, Rahnama N, Etemadifar M, Rafeii M, Saberi A. Effect of neuromuscular exercises on strength, proprioceptive receptors, and balance in females with multiple sclerosis. International Journal of Preventive Medicine. 2021;12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8106275/
10. Hopper AJ, Haff EE, Joyce C, Lloyd RS, Haff GG. Neuromuscular training improves lower extremity biomechanics associated with knee injury during landing in 11–13 year old female netball athletes: A randomized control study. Frontiers in physiology. 2017 Nov 7;8:883. https://doi.org/10.3389/fphys.2017.00883
11. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. International journal of sports physical therapy. 2013 Feb;8(1):62. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3578435/
12. Perrott MA, Pizzari T, Opar MS, Cook J. Athletes with a clinical rating of good and poor lumbopelvic stability have different kinematic variables during single leg squat and dip test. Physiotherapy theory and practice. 2021 Aug 3;37(8):906-15. https://pubmed.ncbi.nlm.nih.gov/31438758/
13. Kazemi S. The prevalence and risk factors of low back pain in children and adolescents in Iran: a systematic review. International Journal of Musculoskeletal Pain Prevention. 2020 Jun 10;5(1):301-9. https://ijmpp.modares.ac.ir/article-32-40597-en.html
14. Grundmann P, Ondrus J. Behavior Change Techniques in programs for Low Back Pain patients and the long term effects (6 months) on physical activity. https://www.diva-portal.org/smash/record.jsf?pid=diva2:1820252
15. Alvani E, Ziya M, Sahebozamani M. The effect of dynamic neuromuscular stability (DNS) training on dynamic balance and functional disability in athletes with non-specific chronic low back pain. Journal for Research in Sport Rehabilitation. 2020 Aug 22;8(15):127-38. https://rsr.basu.ac.ir/article_3870.html?lang=en
16. Kim B, Yim J. Core stability and hip exercises improve physical function and activity in patients with non-specific low back pain: a randomized controlled trial. The Tohoku journal of experimental medicine. 2020;251(3):193-206. https://pubmed.ncbi.nlm.nih.gov/32669487/
17. Gilbert C, Chaitow L, Bradley D. Recognizing and Treating Breathing Disorders: A Multidisciplinary Approach. Elsevier Health Sciences; 2014 Jul 7. https://www.researchgate.net/publication/297386299_Recognizing_and_Treating_Breathing_Disorders_A_Multidisciplinary_Approach
18. Mohammadi H, Sahebozamani M, Seyfaddini MR. Effect of functional fatigue on dynamic and static balance indexes in athletes with ankle instability. Sci J Rehabil Med. 2015 Mar 21;4(1):63-71. https://medrehab.sbmu.ac.ir/article_1100009.html?lang=en
19. Yoo YJ, Lim SH. Assessment of lower limb motor function, ambulation, and balance after stroke. Brain & Neurorehabilitation. 2022 Jul;15(2). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833471 /
20. Niroomand T, Rabiei M, Mohammadi B. Investigating the Effects Janda's and Sahrmann's Correcting Exercise Approaches on Trunk Muscles Function in Young Girls with Lower Crossed Syndrome. Journal of Advanced Sport Technology. 2023 Aug 1;7(3):48-58. https://journal.uma.ac.ir/article_2779_79169cbe7f7c0f59377fc01d25bb3ee0.pdf
21. Mohseni G, Mohammad Ali Nasab Firouzjah E. The Effect of Dynamic Neuromuscular Stabilization Exercises on Balance and Fear of Falling in Female Elderly. Elderly Health Journal. 2023 Jun 10;9(1):16-22. https://ehj.ssu.ac.ir/browse.php?a_id=230&sid=1&slc_lang=en
22. Dehghani E, Ghasemi G. Effects of eight week of Dynamic Neuromuscular Stabilization exercises on posture, strength and trunk endurance in educable mentally retarded students. Studies in Sport Medicine. 2021 Aug 23;13(29):229-52. https://smj.ssrc.ac.ir/article_2728_en.html?lang=en
23. McLeod TC, Armstrong T, Miller M, Sauers JL. Balance improvements in female high school basketball players after a 6-week neuromuscular-training program. Journal of sport rehabilitation. 2009 Nov 1;18(4):465-81. https://pubmed.ncbi.nlm.nih.gov/20108849/
24. Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. Journal of bodywork and movement therapies. 2013 Apr 1;17(2):259-65. https://pubmed.ncbi.nlm.nih.gov/23561876/
25. Kobesova A, Davidek P, Morris CE, Andel R, Maxwell M, Oplatkova L, Safarova M, Kumagai K, Kolar P. Functional postural-stabilization tests according to Dynamic Neuromuscular Stabilization approach: Proposal of novel examination protocol. Journal of bodywork and movement therapies. 2020 Jul 1;24(3):84-95. https://pubmed.ncbi.nlm.nih.gov/32826013/
26. Noh K-H, Kim J-W, Kim G-M, Ha S-M, Oh J-S. The influence of dual pressure biofeedback units on pelvic rotation and abdominal muscle activity during the active straight leg raise in women with chronic lower back pain. Journal of physical therapy science. 2014;26(5):717-9.https://www.jstage.jst.go.jp/article/jpts/26/5/26_jpts-2013-502/_article/-char/ja/