پژوهش در طب ورزشی و فناوری

بررسی اثر تمرینات اصلاحی متمرکز بر عکس‌العمل‌های زنجیره‌ای، روی وضعیت کتف، حس عمقی و ثبات عملکردی شانه دانش آموزان دختر دارای سندرم متقاطع فوقانی

نویسندگان

نرمین غنی زاده حصار 1
بهنام مرادی 2
مرضیه موسی قلیزاده فلاح 3

1 دانشیار، گروه فیزیولوژی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه ارومیه، ایران

2 دانشجوی دکتری تخصصی آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه خوارزمی، تهران، ایران.

3 کارشناسی ارشد آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشگاه آزاد اسلامی واحد ارومیه، ایران.

https://doi.org/10.61186/jsmt.21.26.56
چکیده
سندرم متقاطع فوقانی از شایع‌ترین اختلالات بالاتنه است که با 65-45 درصد از دردهای شانه مرتبط است. هدف از این تحقیق بررسی اثر تمرینات اصلاحی متمرکز بر عکس‌العمل‌های زنجیره‌ای، روی وضعیت کتف، حس عمقی و ثبات عملکردی شانه دانش آموزان دختر دارای سندرم متقاطع فوقانی بود. 30 نفر از دانش آموزان دختر 14 تا 18 سال شهرستان ارومیه که دارای ناهنجاری مذکور بودند به صورت هدفمند انتخاب و به شکل تصادفی به دو گروه تجربی (15 نفر) و کنترل (15 نفر) تقسیم شدند. از متر نواری برای ارزیابی فاصله بین نقطه میانی استرنوم به برجستگی کوراکوئید و فاصله خلفی جانبی آکرومیون به بخش مهره‌ای توراسیک (وضعیت کتف)، فلکسومتر لیتون جهت اندازه‌گیری حس عمقی، از آزمون Y به منظور ارزیابی عملکرد اندام فوقانی و برای سنجش زاویه سر و شانه به جلو و کایفوز به ترتیب از گونیامتر، متر نواری و خط کش منعطف استفاده گردید. از آزمون t مستقل و وابسته به ترتیب برای مقایسه میانگین‌های بین گروهی و درون گروهی استفاده شد. مطالعه حاضر، اثر تمرینات اصلاحی بر وضعیت کتف، حس عمقی و ثبات عملکردی شانه دانش‌آموزان دختر دارای سندرم متقاطع فوقانی را معنادار نشان داد.

کلیدواژه‌ها

وضعیت کتف
حس عمقی
ثبات عملکردی
سندرم متقاطع فوقانی

عنوان مقاله English

The Effect Of Corrective Exercises Focused On Chain Reactions, On Scapular Position, Proprioception And Shoulder Functional Stability Of Female Students With Upper-Crossed Syndrome

نویسندگان English

Narmin Ghanizadeh hesar 1
Behnam Moradi 2
Marzieh Musa Gholizadeh Fallah 3
1 Associate Professor, Department of Exercise Physiology and Corrective Exercises, Faculty of Sport Sciences, Urmia University, Iran
2 Department of Sport Injuries and Corrective Exercises, Faculty of Physical Education, Kharazmi University, Tehran, Iran.
3 Department of Sport Injuries and Corrective Exercises, Urmia Islamic Azad University, Iran.
چکیده English



Upper-crossed syndrome is one of the most common disorders of the upper body, which is associated with 45-65% of shoulder pain. This study has been conducted to investigate the effect of corrective exercises focused on chain reactions, on scapular position, proprioception and shoulder functional stability of female students with UCS. 30 female students between 14 and 18 years of age in Urmia city who had the mentioned disorder were selected using the purposive sampling method and were randomly divided into two experimental groups (15 people) and control (15 people). A tape measure was used to evaluate the distance between the median of the sternum to the coracoid ridge and the posterior-lateral distance of the acromion to the thoracic vertebra (scapular position), the Layton flexometer to measure proprioception, the Y Balance Test to evaluate the function of the upper limb, and the goniometer, tape measure and flexible ruler, respectively were used to measure head and shoulder forward angle and kyphosis. Independent and dependent t-tests were used to compare inter-group and intra-group means, respectively. The present study showed that the effect of corrective exercises on scapular position, proprioception and shoulder functional stability of female students with UCS was significant.

کلیدواژه‌ها English

Scapular Position
Proprioception
Functional Stability
Upper Crossed Syndrome
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1. Yoo W-G, Park S-Y. Effects of posture-related auditory cueing (PAC) program on muscles activities and kinematics of the neck and trunk during computer work. Work. 2015;50(2):187-91. [DOI:10.3233/WOR-131738]
Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Manual therapy. 2016;26:38-46. [DOI:10.1016/j.math.2016.07.008]
Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Manual therapy. 2016;26:38-46. [DOI:10.1016/j.math.2016.07.008]
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Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clinical rehabilitation. 2012;26(4):351-61. [DOI:10.1177/0269215511419536]
Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clinical rehabilitation. 2012;26(4):351-61. [DOI:10.1177/0269215511419536]
Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Physical Treatments-Specific Physical Therapy Journal. 2014;4(3):123-32.
Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Physical Treatments-Specific Physical Therapy Journal. 2014;4(3):123-32.
Abdolahzadeh M, Daneshmandi H. The effect of an 8-week NASM corrective exercise program on upper crossed syndrome. Journal of Sport Biomechanics. 2019;5(3):156-67. [DOI:10.32598/biomechanics.5.3.3]
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Masoumi AS, Akoochakian M. The effect of duration of smartphone use on head and shoulders posture of young adults aged 20-35 years. Iranian Journal of Ergonomics. 2019;7(2):62-71.
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Saadatian A, Sahebozamani M, Karimi M, Sadegi M, Amiri Khorasani M. The effect of 8-week total body resistant suspension exercises on shoulder joint proprioception in overhead athletes with impingement syndrome: A randomized clinical trial study. Journal of Rafsanjan University of Medical Sciences. 2019;17(12):1095-106.
Saadatian A, Sahebozamani M, Karimi M, Sadegi M, Amiri Khorasani M. The effect of 8-week total body resistant suspension exercises on shoulder joint proprioception in overhead athletes with impingement syndrome: A randomized clinical trial study. Journal of Rafsanjan University of Medical Sciences. 2019;17(12):1095-106.
Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. The Journal of Strength & Conditioning Research. 2012;26(11):3043-8. [DOI:10.1519/JSC.0b013e3182472fdb]
Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. The Journal of Strength & Conditioning Research. 2012;26(11):3043-8. [DOI:10.1519/JSC.0b013e3182472fdb]
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Yoo W-G, Park S-Y. Effects of posture-related auditory cueing (PAC) program on muscles activities and kinematics of the neck and trunk during computer work. Work. 2015;50(2):187-91. [DOI:10.3233/WOR-131738]
Yoo W-G, Park S-Y. Effects of posture-related auditory cueing (PAC) program on muscles activities and kinematics of the neck and trunk during computer work. Work. 2015;50(2):187-91. [DOI:10.3233/WOR-131738]
Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Manual therapy. 2016;26:38-46. [DOI:10.1016/j.math.2016.07.008]
Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Manual therapy. 2016;26:38-46. [DOI:10.1016/j.math.2016.07.008]
Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. International journal of sports physical therapy. 2011;6(1):51.
Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. International journal of sports physical therapy. 2011;6(1):51.
Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance. (No Title). 2010. [DOI:10.5040/9781718211445]
Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance. (No Title). 2010. [DOI:10.5040/9781718211445]
Salles JI, Velasques B, Cossich V, Nicoliche E, Ribeiro P, Amaral MV, et al. Strength training and shoulder proprioception. Journal of athletic training. 2015;50(3):277-80. [DOI:10.4085/1062-6050-49.3.84]
Salles JI, Velasques B, Cossich V, Nicoliche E, Ribeiro P, Amaral MV, et al. Strength training and shoulder proprioception. Journal of athletic training. 2015;50(3):277-80. [DOI:10.4085/1062-6050-49.3.84]
Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clinical rehabilitation. 2012;26(4):351-61. [DOI:10.1177/0269215511419536]
Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clinical rehabilitation. 2012;26(4):351-61. [DOI:10.1177/0269215511419536]
Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Physical Treatments-Specific Physical Therapy Journal. 2014;4(3):123-32.
Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Physical Treatments-Specific Physical Therapy Journal. 2014;4(3):123-32.
Abdolahzadeh M, Daneshmandi H. The effect of an 8-week NASM corrective exercise program on upper crossed syndrome. Journal of Sport Biomechanics. 2019;5(3):156-67. [DOI:10.32598/biomechanics.5.3.3]
Abdolahzadeh M, Daneshmandi H. The effect of an 8-week NASM corrective exercise program on upper crossed syndrome. Journal of Sport Biomechanics. 2019;5(3):156-67. [DOI:10.32598/biomechanics.5.3.3]
Rahnama N, Bambaeichi E, Taghian F, Nazarian AB, Abdollahi M. Effect of 8 weeks regular corrective exercise on spinal columns deformities in girl students. Journal of Isfahan Medical School. 2009;27(101):676-86.
Rahnama N, Bambaeichi E, Taghian F, Nazarian AB, Abdollahi M. Effect of 8 weeks regular corrective exercise on spinal columns deformities in girl students. Journal of Isfahan Medical School. 2009;27(101):676-86.
Rajabi R, Mobarakabadi L, Alizadhen H, Hendrick P. Thoracic kyphosis comparisons in adolescent female competitive field hockey players and untrained controls. The Journal of sports medicine and physical fitness. 2012;52(5):545-50.
Rajabi R, Mobarakabadi L, Alizadhen H, Hendrick P. Thoracic kyphosis comparisons in adolescent female competitive field hockey players and untrained controls. The Journal of sports medicine and physical fitness. 2012;52(5):545-50.
Masoumi AS, Akoochakian M. The effect of duration of smartphone use on head and shoulders posture of young adults aged 20-35 years. Iranian Journal of Ergonomics. 2019;7(2):62-71.
Masoumi AS, Akoochakian M. The effect of duration of smartphone use on head and shoulders posture of young adults aged 20-35 years. Iranian Journal of Ergonomics. 2019;7(2):62-71.
Manske R, Ellenbecker T. Current concepts in shoulder examination of the overhead athlete. International journal of sports physical therapy. 2013;8(5):554.
Manske R, Ellenbecker T. Current concepts in shoulder examination of the overhead athlete. International journal of sports physical therapy. 2013;8(5):554.
Saadatian A, Sahebozamani M, Karimi M, Sadegi M, Amiri Khorasani M. The effect of 8-week total body resistant suspension exercises on shoulder joint proprioception in overhead athletes with impingement syndrome: A randomized clinical trial study. Journal of Rafsanjan University of Medical Sciences. 2019;17(12):1095-106.
Saadatian A, Sahebozamani M, Karimi M, Sadegi M, Amiri Khorasani M. The effect of 8-week total body resistant suspension exercises on shoulder joint proprioception in overhead athletes with impingement syndrome: A randomized clinical trial study. Journal of Rafsanjan University of Medical Sciences. 2019;17(12):1095-106.
Gorman PP, Butler RJ, Plisky PJ, Kiesel KB. Upper Quarter Y Balance Test: reliability and performance comparison between genders in active adults. The Journal of Strength & Conditioning Research. 2012;26(11):3043-8. [DOI:10.1519/JSC.0b013e3182472fdb]
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