پژوهش در طب ورزشی و فناوری

تأثیر آموزش مکانیسم عصبی درد همراه با تمرینات کنترل حرکتی هدفمند شناختی بر درد، ناتوانی، حساسیت مرکزی و ترس از حرکت در افراد دارای کمردرد مزمن غیراختصاصی

نویسندگان

امیر لطافت کار 1
فرانک امینی 2
بهرام شیخی 3

1 دانشیار دانشگاه خوارزمی، دانشکده تربیت بدنی و علوم ورزشی.

2 دانشجوی دکتری فیزیولوژی ورزشی دانشگاه آزاد اسلامی تهران شمال، تهران، ایران.

3 دکتری حرکات اصلاحی دانشگاه خوارزمی، دانشکده تربیت بدنی و علوم ورزشی

https://doi.org/10.61186/jsmt.22.27.135
چکیده
ﻣﻘﺪﻣﻪ: هدف از این مطالعه مقایسه اثربخشی ترکیب آموزش مکانیسم عصبی درد و تمرینات کنترل حرکتی هدفمند شناختی با تمرینات کنترل حرکتی هدفمند شناختی به‌تنهایی در بیماران دارای کمردرد مزمن بود.

ﻣﻮاد و روش‌ها: پنجاه و چهار بیمار دارای کمردرد مزمن (گروه آموزش مکانیسم عصبی درد همراه با تمرینات کنترل حرکتی هدفمند شناختی =27 نفر و گروه تمرینات کنترل حرکتی هدفمند شناختی =27 نفر) در این مطالعه شرکت کردند. درد، ناتوانی، فهرست حساسیت مرکزی و ترس از حرکت همه بیماران در ابتدا و هشت هفته پس از مداخلات ارزیابی شد. از آنالیز واریانس با اندازه­های تکراری و مدل­های آمیخته خطی، برای بررسی تفاوت­های بین‌گروهی استفاده شد.

یﺎﻓﺘﻪﻫﺎ: اثر متقابل گروه×زمان برای درد (008/0P=)، حساسیت مرکزی (002/0P=) و ترس از حرکت (001/0> P) در گروه آموزش مکانیسم عصبی درد همراه با تمرینات کنترل حرکتی هدفمند شناختی نسبت به گروه تمرینات کنترل حرکتی پس از هشت هفته یافت شد. اثرات اصلی زمان برای درد، ناتوانی و ترس از حرکت پس از مداخلات مشاهده شد (001/0> P). هیچ اثر متقابل زمان×گروه برای ناتوانی (50/0P=) یافت نشد.

ﻧﺘﯿﺠﻪﮔﯿﺮی: یافته‌های این مطالعه از اضافه‌کردن آموزش مکانیسم عصبی درد به‌عنوان یک مکمل مؤثر بالینی به تمرینات کنترل حرکتی هدفمند شناختی در بیماران کمردرد مزمن حمایت می‌کند.

کلیدواژه‌ها

کمردرد
آموزش مکانیسم عصبی درد
تمرین درمانی
ترس از حرکت

عنوان مقاله English

Effect Of Pain Neuroscience Education Followed By Cognition-Targeted Motor Control Training On Pain, Disability, Central Sensitization And Kinesiophobia In Patient With Nonspecific Chronic Low Back Pain

نویسندگان English

Amir Letafatkar 1
Faranak Amini 2
Bahram Sheikhi 3
1 Associate Professor, Faculty of physical education and sports sciences, Faculty of Physical Education, Kharazmi University, Tehran, Iran.
2 Ph. D, Candidate, Faculty of physical education and sports sciences, Islamic Azad University, North Tehran Branch, Tehran, Iran.
3 Ph. D, Faculty of physical education and sports sciences, Faculty of Physical Education, Kharazmi University, Tehran, Iran.
چکیده English

Introduction: The aim of this study was to compare the effectiveness of a combination of pain neuroscience education and targeted cognitive motor control training with targeted cognitive motor control training alone in patients with chronic low back pain.

Materials and Methods: Fifty-four chronic low back pain patients (pain neuroscience education with targeted cognitive motor control training group, n=27 and targeted cognitive motor control training only group, n=27) participated in this study. Pain, disability, central sensitization inventory, and kinesiophobia were assessed at baseline and eight weeks after interventions. Repeated measures analysis of variance and linear mixed models were used to examine between-group differences.

Results: A significant group×time interaction effect was found for pain (p=0.008), central sensitization inventory (p=0.002) and kinesiophobia (p<0.001) in the pain neuroscience education with targeted cognitive motor control training group compared to the targeted cognitive motor control training only group after eight weeks. Main effects of time were observed for pain, disability, and fear of movement after interventions (p<0.001). No significant group×time interaction effects was found for disability (p=0.50).

Conclusions: This study’s findings support the provision of pain neuroscience education as a clinically effective addition to targeted cognitive motor control training in chronic low back pain patients.

کلیدواژه‌ها English

Low Back Pain
Pain Neuroscience Education
exercise therapy
Kinesiophobia
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