پژوهش در طب ورزشی و فناوری

مطالعه کارآزمایی بالینی تأثیر ثبات مرکزی معلق بر تعادل، پایداری مرکزی و درد زنان مبتلا به کمردرد مزمن غیراختصاصی

نویسندگان

رعناالسادات حیدری 1
منصور صاحب‌الزمانی 2
فاطمه کریمی افشار 3

1 دانشجوی دکتری آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه تهران، تهران، ایران.

2 استاد آسیب‌شناسی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه شهید باهنر کرمان، کرمان، ایران.

3 استادیار طب ورزش، دانشگاه علوم پزشکی کرمان، کرمان، ایران.

چکیده
مقدمه و هدف: پایداری ناحیه مرکزی برای پیشگیری و بهبود کمردرد ضروری است؛ بنابراین هدف از این مطالعه بررسی تأثیر تمرینات ثبات مرکزی معلق بر تعادل ایستا و پویا، پایداری مرکزی و درد زنان مبتلا به کمردرد مزمن غیراختصاصی است.

روش بررسی: 21 زن مبتلا به کمردرد مزمن غیراختصاصی به‌طور تصادفی در گروه­های تجربی (11 نفر، سن: 2/8±1/35) و شاهد (10 نفر، سن: 6/7±9/32) قرار گرفتند. تعادل ایستا و پویا، پایداری مرکزی، درد به ترتیب با استفاده از آزمون­های معتبر پایداری ناحیه مرکزی، شاخص اندازه­گیری میزان درد و دستگاه تعادل‌­سنج بایودکس اندازه‌­گیری شد. از آزمون آماری تحلیل واریانس ترکیبی جهت آنالیز داده‌­ها استفاده گردید.

یافته‌­ها: بر اساس یافته­‌های مطالعه، در گروه تجربی برخلاف گروه شاهد، تفاوت معنی­داری در متغیرهای تعادل ایستا و پویا، پایداری مرکزی، درد از پیش­‌آزمون به پس­آزمون وجود داشت؛ همچنین این تفاوت بین گروه تجربی و شاهد نیز مشاهده گردید (05/0≥P).

نتیجه‌­گیری: مطابق نتایج حاصل، تمرینات ثبات مرکزی تی­آر ایکس ممکن است منجر به بهبود هم‌زمان پایداری مرکزی، تعادل ایستا و پویا و کاهش درد زنان مبتلا به کمردرد مزمن غیراختصاصی شود. دلیل آن می­‌تواند خاصیت بی­ثباتی این تمرینات و افزایش فعال‌سازی عضلات ناحیه مرکزی بدن هم‌زمان با تغییر وضعیت بدن و اجرای حرکات اندام فوقانی و تحتانی باشد.

کلیدواژه‌ها

تمرینات معلق
پایداری مرکزی
کنترل قامت
کمردرد

عنوان مقاله English

Randomized Controlled Study Of The Effect Of Suspended Core Stability Exercises On Balance, Core Stability And Pain In The Female With Non-Specific Chronic Low Back Pain

نویسندگان English

RanaSadat Heydari 1
Mansour Sahebozamani 2
Fatemeh Karimi Afshar 3
1 Phd Student of Sport Injury and Corrective Exercises, Faculty of Sport Sciences, Tehran University, Tehran, Iran.
2 Professor of Sport Injury and Corrective Exercises, Faculty of Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.
3 Assistant Professor of Sport Medicine, Kerman University of Medical Sciences, Kerman, Iran.
چکیده English

Introduction and Purpose: Core stability is crucial for preventing and alleviating low back pain. Therefore, this study aims to examine the effects of suspended core stability exercises on the static and dynamic balance, core stability, pain level in females with Non-Specific Chronic Low Back Pain (NSCLBP).

Methodology: 21 females with NSLBP were randomly divided into experimental(n:11, age:35/1±8/2) and control (n:11, age:32/9±7/6) groups. The static and dynamic balance, core stability, pain level were measured by Biodex balance system, valid tests of Core stability and Visual analogue scale (VAS) respectively. Mixed ANOVA were used for data analysis.

Results: Based on the results of the study, unlike the control group, there was a significant difference in static and dynamic balance, core stability, pain level variables from pre-test to post-test in the experimental group. Also, this difference was observed between the experimental and control groups(P≤0/05).

Conclusion: According to the results of this research, Suspended Core Stability Exercises with TRX, may improve core stability, static and dynamic balance and decrease pain in female with NSCLBP. This may be due to the instability of these exercises, which enhances muscle activation in the core while also involving changes in body position and movements of the upper and lower limbs.

کلیدواژه‌ها English

Suspension Exercises
Core Stability
Postural Control
Low Back Pain
Wieland LS, Skoetz N, Pilkington K, Harbin S, Vempati R, Berman BM. Yoga for chronic non‐specific low back pain. Cochrane Database of Systematic Reviews. 2022;(11). [DOI:10.1002/14651858.CD010671.pub3]
Wieland LS, Skoetz N, Pilkington K, Harbin S, Vempati R, Berman BM. Yoga for chronic non‐specific low back pain. Cochrane Database of Systematic Reviews. 2022;(11). [DOI:10.1002/14651858.CD010671.pub3]
Hlaing SS, Puntumetakul R, Khine EE, Boucaut R. Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC musculoskeletal disorders. 2021;22(1):1-13. [DOI:10.1186/s12891-021-04858-6]
Hlaing SS, Puntumetakul R, Khine EE, Boucaut R. Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC musculoskeletal disorders. 2021;22(1):1-13. [DOI:10.1186/s12891-021-04858-6]
Kim JH, Kim YE, Bae SH, Kim KY. The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients. Journal of physical therapy science. 2013;25(8):1015-1019. [DOI:10.1589/jpts.25.1015]
Kim JH, Kim YE, Bae SH, Kim KY. The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients. Journal of physical therapy science. 2013;25(8):1015-1019. [DOI:10.1589/jpts.25.1015]
Rezaei F. Comparison of 8 Weeks of Selected TRX Training and Weight Training on Improving Motor Function and Chronic Nonspecific Back Pain in Women Aged 35 to 55. Journal of Sport Biomechanics. 2024;10(2):104-120. [in persian]
https://doi.org/10.61186/JSportBiomech.10.2.104 [DOI:0.21859/JSportBiomech.10.2.383.1]
Rezaei F. Comparison of 8 Weeks of Selected TRX Training and Weight Training on Improving Motor Function and Chronic Nonspecific Back Pain in Women Aged 35 to 55. Journal of Sport Biomechanics. 2024;10(2):104-120. [in persian]
https://doi.org/10.61186/JSportBiomech.10.2.104 [DOI:0.21859/JSportBiomech.10.2.383.1]
Najafi B, Seidi F, Minoonejad H. Comparison of postural sway between athletes with nonspecific chronic low back pain and healthy subjects. The Scientific Journal of Rehabilitation Medicine. 2014;3(3):1-10. [in persian] [DOI:10.22037/JRM.2014.1100070]
Najafi B, Seidi F, Minoonejad H. Comparison of postural sway between athletes with nonspecific chronic low back pain and healthy subjects. The Scientific Journal of Rehabilitation Medicine. 2014;3(3):1-10. [in persian] [DOI:10.22037/JRM.2014.1100070]
Takala E-P, Korhonen I, Viikari-Juntura E. Postural sway and stepping response among working population: reproducibility, long-term stability, and associations with symptoms of the low back. Clinical Biomechanics. 1997;12(7-8):429-437. [DOI:10.1016/S0268-0033(97)00033-8]
Takala E-P, Korhonen I, Viikari-Juntura E. Postural sway and stepping response among working population: reproducibility, long-term stability, and associations with symptoms of the low back. Clinical Biomechanics. 1997;12(7-8):429-437. [DOI:10.1016/S0268-0033(97)00033-8]
Mok NW, Yeung EW, Cho JC, Hui SC, Liu KC, Pang CH. Core muscle activity during suspension exercises. Journal of science and medicine in sport. 194-189;(2)18:2015. [DOI:10.1016/j.jsams.2014.01.002]
Mok NW, Yeung EW, Cho JC, Hui SC, Liu KC, Pang CH. Core muscle activity during suspension exercises. Journal of science and medicine in sport. 194-189;(2)18:2015. [DOI:10.1016/j.jsams.2014.01.002]
Yan C-F, Hung Y-C, Gau M-L, Lin K-C. Effects of a stability ball exercise programme on low back pain and daily life interference during pregnancy. Midwifery. 2014;30(4):412-419. [DOI:10.1016/j.midw.2013.04.011]
Yan C-F, Hung Y-C, Gau M-L, Lin K-C. Effects of a stability ball exercise programme on low back pain and daily life interference during pregnancy. Midwifery. 2014;30(4):412-419. [DOI:10.1016/j.midw.2013.04.011]
You Y-L, Su T-K, Liaw L-J, Wu W-L, Chu I-H, Guo L-Y. The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clients with low back pain. Journal of physical therapy science. 2015;27(8):2591-2596. [DOI:10.1589/jpts.27.2591]
You Y-L, Su T-K, Liaw L-J, Wu W-L, Chu I-H, Guo L-Y. The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clients with low back pain. Journal of physical therapy science. 2015;27(8):2591-2596. [DOI:10.1589/jpts.27.2591]
Yoo Y-D, Lee Y-S. The effect of core stabilization exercises using a sling on pain and muscle strength of patientswith chronic low back pain. Journal of physical therapy science. 2012;24(8):671-674. [DOI:10.1589/jpts.24.671]
Yoo Y-D, Lee Y-S. The effect of core stabilization exercises using a sling on pain and muscle strength of patientswith chronic low back pain. Journal of physical therapy science. 2012;24(8):671-674. [DOI:10.1589/jpts.24.671]
Lee M-H, Kim B-K. Comparison of abdominal muscle activity after sling and swiss-ball exercises in asymptomatic adults. Journal of the Korean Society of Physical Medicine. 2014;9(3):333-338. [DOI:10.13066/kspm.2014.9.3.333]
Lee M-H, Kim B-K. Comparison of abdominal muscle activity after sling and swiss-ball exercises in asymptomatic adults. Journal of the Korean Society of Physical Medicine. 2014;9(3):333-338. [DOI:10.13066/kspm.2014.9.3.333]
Kang H, Jung J, Yu J. Comparison of trunk muscle activity during bridging exercises using a sling in patients with low back pain. Journal of sports science & medicine. 2012;11(3):510-5.
Kang H, Jung J, Yu J. Comparison of trunk muscle activity during bridging exercises using a sling in patients with low back pain. Journal of sports science & medicine. 2012;11(3):510-5.
Oh B-H, Kim H-H, Kim C-Y, Nam C-W. Comparison of physical function according to the lumbar movement method of stabilizing a patient with chronic low back pain. Journal of Physical Therapy Science. 2015;27(12):3655-3658. [DOI:10.1589/jpts.27.3655]
Oh B-H, Kim H-H, Kim C-Y, Nam C-W. Comparison of physical function according to the lumbar movement method of stabilizing a patient with chronic low back pain. Journal of Physical Therapy Science. 2015;27(12):3655-3658. [DOI:10.1589/jpts.27.3655]
Ye L, Liu C, Jiang C, Cao Y. Core training under suspension exercise therapy on treatment of low back pain. Revista Brasileira de Medicina do Esporte. 2021;27(7):695-698. [DOI:10.1590/1517-8692202127072021_0336]
Ye L, Liu C, Jiang C, Cao Y. Core training under suspension exercise therapy on treatment of low back pain. Revista Brasileira de Medicina do Esporte. 2021;27(7):695-698. [DOI:10.1590/1517-8692202127072021_0336]
Fuckner Leonel FJ, Paula Ld, Raab Ferreira GC, dos Reis do Nascimento DM, Gnoato Zotz TG, de Melo JM, et al. Effect of two suspension training programs on pain and musculoskeletal function in chronic low back pain: study protocol. Pain Management. 2023;13(5):271-282. [DOI:10.2217/pmt-2022-0079]
Fuckner Leonel FJ, Paula Ld, Raab Ferreira GC, dos Reis do Nascimento DM, Gnoato Zotz TG, de Melo JM, et al. Effect of two suspension training programs on pain and musculoskeletal function in chronic low back pain: study protocol. Pain Management. 2023;13(5):271-282. [DOI:10.2217/pmt-2022-0079]
Chow S-C, Shao J, Wang H, Lokhnygina Y. Sample size calculations in clinical research: chapman and hall/CRC; 2017. [DOI:10.1201/9781584889830]
Chow S-C, Shao J, Wang H, Lokhnygina Y. Sample size calculations in clinical research: chapman and hall/CRC; 2017. [DOI:10.1201/9781584889830]
Guthrie RJ, Grindstaff TL, Croy T, Ingersoll CD, Saliba SA. The effect of traditional bridging or suspension-exercise bridging on lateral abdominal thickness in individuals with low back pain. Journal of sport rehabilitation. 2012;21(2):151-160. [DOI:10.1123/jsr.21.2.151]
Guthrie RJ, Grindstaff TL, Croy T, Ingersoll CD, Saliba SA. The effect of traditional bridging or suspension-exercise bridging on lateral abdominal thickness in individuals with low back pain. Journal of sport rehabilitation. 2012;21(2):151-160. [DOI:10.1123/jsr.21.2.151]
Amiri B, Sahebozamani M, Sedighi B. The effects of 10-week core stability training on balance in women with multiple sclerosis according to Expanded Disability Status Scale: a single-blinded randomized controlled trial. Eur J Phys Rehabil Med. 2019;55(2):199-208.[in persian] [DOI:10.23736/S1973-9087.18.04778-0]
Amiri B, Sahebozamani M, Sedighi B. The effects of 10-week core stability training on balance in women with multiple sclerosis according to Expanded Disability Status Scale: a single-blinded randomized controlled trial. Eur J Phys Rehabil Med. 2019;55(2):199-208.[in persian] [DOI:10.23736/S1973-9087.18.04778-0]
Clark M, Lucett S. NASM essentials of corrective exercise training: Lippincott Williams & Wilkins; 2010.
Clark M, Lucett S. NASM essentials of corrective exercise training: Lippincott Williams & Wilkins; 2010.
Sohn MK, Lee SS, Song HT. Effects of acute low back pain on postural control. Annals of rehabilitation medicine. 2013;37(1):17-25
https://doi.org/10.5535/arm.2013.37.1.17 [DOI:10.5535/arm.2013.37.1.17.]
Sohn MK, Lee SS, Song HT. Effects of acute low back pain on postural control. Annals of rehabilitation medicine. 2013;37(1):17-25
https://doi.org/10.5535/arm.2013.37.1.17 [DOI:10.5535/arm.2013.37.1.17.]
Soltani M, OmidAli Z. The Effects of Back School Program on Back Pain and Disability in Students of Police University with Chronic Non-specific Low Back Pain. Journal of Police Medicine. 2015;4(1):65-76.[in persian] [DOI:10.30505/4.1.65]
Soltani M, OmidAli Z. The Effects of Back School Program on Back Pain and Disability in Students of Police University with Chronic Non-specific Low Back Pain. Journal of Police Medicine. 2015;4(1):65-76.[in persian] [DOI:10.30505/4.1.65]
Lee J-S, Yang S-H, Koog Y-H, Jun H-J, Kim S-H, Kim K-J. Effectiveness of sling exercise for chronic low back pain: a systematic review. Journal of physical therapy science. 2014;26(8):1301-1306. [DOI:10.1589/jpts.26.1301]
Lee J-S, Yang S-H, Koog Y-H, Jun H-J, Kim S-H, Kim K-J. Effectiveness of sling exercise for chronic low back pain: a systematic review. Journal of physical therapy science. 2014;26(8):1301-1306. [DOI:10.1589/jpts.26.1301]
Seo D, Lee Y, Lee D, Kim S. The effect of a six-week sling exercise on flexibility, balance, muscular strength, pelvic tilt angle in age of 20 woman low back pain. Journal of The Korean Society of Integrative Medicine. 2013;1(2):1-12. [DOI:10.15268/ksim.2013.1.2.001]
Seo D, Lee Y, Lee D, Kim S. The effect of a six-week sling exercise on flexibility, balance, muscular strength, pelvic tilt angle in age of 20 woman low back pain. Journal of The Korean Society of Integrative Medicine. 2013;1(2):1-12. [DOI:10.15268/ksim.2013.1.2.001]
Yun S, Kim YL, Lee SM. The effect of neurac training in patients with chronic neck pain. Journal of physical therapy science. 2015;27(5):1303-1307. [DOI:10.1589/jpts.27.1303]
Yun S, Kim YL, Lee SM. The effect of neurac training in patients with chronic neck pain. Journal of physical therapy science. 2015;27(5):1303-1307. [DOI:10.1589/jpts.27.1303]
Jafari Sayadi S, Shabani R, Shabani A. Comparison of two therapeutic exercises methods on muscle strength, joints' range of motion, aerobic power and balance in women with multiple sclerosis. Journal for Research in Sport Rehabilitation. 2017;5(10):59-68.[in persian] 10.22084/RSR.2018.14694.1348
Jafari Sayadi S, Shabani R, Shabani A. Comparison of two therapeutic exercises methods on muscle strength, joints' range of motion, aerobic power and balance in women with multiple sclerosis. Journal for Research in Sport Rehabilitation. 2017;5(10):59-68.[in persian] 10.22084/RSR.2018.14694.1348
Fong SS, Tam Y, Macfarlane DJ, Ng SS, Bae Y-H, Chan EW, et al. Core muscle activity during TRX suspension exercises with and without kinesiology taping in adults with chronic low back pain: implications for rehabilitation. Evidence‐Based Complementary and Alternative Medicine. 2015;2015(1):910168. [DOI:10.1155/2015/910168]
Fong SS, Tam Y, Macfarlane DJ, Ng SS, Bae Y-H, Chan EW, et al. Core muscle activity during TRX suspension exercises with and without kinesiology taping in adults with chronic low back pain: implications for rehabilitation. Evidence‐Based Complementary and Alternative Medicine. 2015;2015(1):910168. [DOI:10.1155/2015/910168]
RS h. The Effects of 8 Weeks of Selected Core Stabilization and Suspension Exercises on Balance and Quality of Life in Female With Non-Specific Chronic Low Back Pain shahid Bahonar of Kerman University; 2017. [in persian]
RS h. The Effects of 8 Weeks of Selected Core Stabilization and Suspension Exercises on Balance and Quality of Life in Female With Non-Specific Chronic Low Back Pain shahid Bahonar of Kerman University; 2017. [in persian]