fa اثر تمرینات ترکیبی (تقویت عضلات ابداکتور و اکسترنال روتیتور+ تعادلی) بر درد و عملکرد بیماران مبتلا به سندرم درد کشککی-رانی عمومى General پژوهشي اصیل Original Research <p></p> <p dir="RTL" style="margin: 0in 0in 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl;"><font color="#000000"><b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">مقدمه:</span></b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: "> سندرم درد کشککی-رانی یک اختلال ارتوپدی مفصل زانو بوده که موجب درد و اختلال در عملکرد می شود. هدف از تحقیق حاضر بررسی اثر تمرینات ترکیبی (تقویت عضلات ابداکتور و اکسترنال روتیتور+تعادل) بر درد و عملکرد بیماران مبتلا به سندرم درد کشککی-رانی بود.</span></font></p> <p></p> <p dir="RTL" style="margin: 0in 0in 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl;"><font color="#000000"><b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">روش بررسی:</span></b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: "> در این پژوهش نیمه تجربی تعداد 20 نفر از مردان مبتلا به سندرم درد کشککی-رانی به صورت هدفمند و در دسترس انتخاب و به طور تصادفی در دو گروه تجربی (10) و کنترل (10) قرار گرفتند. گروه تجربی به مدت هشت هفته و هر هفته سه جلسه پروتکل تمرینات تقویت عضلات ابداکتور، اکسترنال روتیتور و تمرینات تعادلی را انجام دادند. قبل و بعد از تمرین میزان درد و سطح عملکرد بیماران با استفاده از پرسشنامه مقیاس دیداری درد (</span><span b="" dir="LTR" font-size:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" new="" style="font-family: " times="">VAS</span><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">) و عملکرد (</span><span b="" dir="LTR" font-size:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" new="" style="font-family: " times="">WOMAC</span><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">) اندازه گیری شد. جهت تجزیه و تحلیل داده ها از تحلیل واریانس برای داده های تکراری در سطح معناداری </span><span b="" font-size:="" lang="AR-SA" mso-fareast-font-family:="" style="font-family: ">05/0></span><span b="" dir="LTR" font-size:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" new="" style="font-family: " times="">P</span><span b="" font-size:="" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-hansi-font-family:="" new="" style="font-family: " times=""> </span><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">استفاده شد.</span></font></p> <p></p> <p dir="RTL" style="margin: 0in 0in 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl;"><font color="#000000"><b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">یافته ها:</span></b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: "> نتایج نشان داد که تغییرات و تعامل در هر دو متغیر درد (</span><span b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-font-kerning:="" mso-hansi-font-family:="" new="" style="font-family: " times="">00</span><span b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-font-kerning:="" mso-hansi-font-family:="" new="" style="font-family: " times="">1</span><span b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-font-kerning:="" mso-hansi-font-family:="" new="" style="font-family: " times="">/0</span><span b="" dir="LTR" font-size:="" mso-bidi-font-family:="" mso-fareast-font-family:="" mso-font-kerning:="" mso-hansi-font-family:="" new="" style="font-family: " times="">P=</span><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">)و عملکرد(</span><span b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-font-kerning:="" mso-hansi-font-family:="" new="" style="font-family: " times="">001/0</span><span b="" dir="LTR" font-size:="" mso-bidi-font-family:="" mso-fareast-font-family:="" mso-font-kerning:="" mso-hansi-font-family:="" new="" style="font-family: " times="">P=</span><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">) در پس آزمون نسبت به پیش آزمون در گروه تجربی معنی دار بود. </span></font><font face="Calibri"><span b="" dir="LTR" style="background: white; color: black; font-size: 12pt; mso-bidi-font-family: ">&nbsp;</span></font><span b="" font-size:="" lang="AR-SA" style="background: white; color: black; font-family: ">همچنین </span><span b="" font-size:="" lang="AR-SA" style="background: white; color: black; font-family: ">نتایج نشان داد که در گروه تجربی، در مقایسه با گروه کنترل بهبود معناداری در کاهش درد و بهبود عملکرد یافت شد (</span><font color="#000000"><span b="" font-size:="" lang="AR-SA" mso-fareast-font-family:="" style="font-family: ">05/0></span><span b="" dir="LTR" font-size:="" mso-bidi-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" new="" style="font-family: " times="">P</span><span b="" font-size:="" lang="FA" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-hansi-font-family:="" new="" style="font-family: " times="">).</span></font></p> <p></p> <p dir="RTL" style="margin: 0in 0in 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl;"><font color="#000000"><b><span b="" font-size:="" lang="FA" mso-bidi-language:="" mso-fareast-font-family:="" style="font-family: ">نتیجه گیری</span></b><span arial="" b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-hansi-font-family:="" style="font-family: ">: با توجه به اثر بخش بودن پروتکل تمرینی و تاثیر مثبت آن در کاهش درد و بهبود عملکرد بیماران، به نظر می رسد درمانگران و متخص</span><span arial="" b="" font-size:="" lang="FA" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-hansi-font-family:="" style="font-family: ">صین توانبخشی جسمانی</span><span arial="" b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-hansi-font-family:="" style="font-family: "> می تواند از<span style="mso-spacerun: yes;">&nbsp; </span>این پروتکل تمرینی در فرآیند توانبخشی جسمانی بیماران مبتلا به سندرم درد کشککی-رانی استفاده نمایند.</span></font></p> <p></p> <p dir="RTL" style="margin: 0in 0in 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl;"><font color="#000000"><b><span arial="" b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-hansi-font-family:="" style="font-family: ">کلمات کلیدی</span></b><span arial="" b="" font-size:="" lang="AR-SA" mso-ascii-font-family:="" mso-fareast-font-family:="" mso-hansi-font-family:="" style="font-family: ">: سندرم درد کشککی-رانی، تمرینات ترکیبی (تقویت عضلات ابداکتور و اکسترنال روتیتور+تعادلی)، ناتوانی عملکردی، درد.</span></font></p> <p></p> <p dir="RTL" style="margin: 0in 0in 0pt; text-align: justify; line-height: normal; unicode-bidi: embed; direction: rtl;"><span arial="" b="" font-size:="" lang="FA" mso-ascii-font-family:="" mso-bidi-language:="" mso-fareast-font-family:="" mso-hansi-font-family:="" style="font-family: "><font color="#000000">وصول مقاله:13/5/95 اصلاحیه نهایی:24/9/95 پذیرش:28/9/95</font></span></p> <p></p> <p></p> <p style="margin: 0in 0in 0pt; text-align: justify; line-height: normal;"><font color="#000000"><b><span font-size:="" new="" style="font-family: " times="">Background and Aim: </span></b><span font-size:="" new="" style="font-family: " times="">Patellofemoral pain syndrome (PFPS) is an orthopedic disorder of the knee joint which results in pain and impairment of performance. </span><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">The purpose of this study was to investigate the effect of combined exercise (hip abductor and external rotators strengthening + balance) on pain and performance in the patients with </span><span font-size:="" new="" style="font-family: " times="">PFPS</span><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">.</span></font></p> <p></p> <p style="margin: 0in 0in 0pt; text-align: justify; line-height: normal;"><font color="#000000"><b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">Materials and Methods: </span></b><span font-size:="" new="" style="font-family: " times="">In this </span><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">semi experimental study, 20 men with </span><span font-size:="" new="" style="font-family: " times="">PFPS</span><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times=""> were selected by purposeful sampling and then randomly<span dir="RTL"> </span>assigned to two groups, i.e. experimental (n=10) and control (n=10) groups.<span dir="RTL"> </span>The experimental group performed a training program which consisted of hip abductor and external rotators strengthening and balance exercises, 3 sessions per week for eighth weeks.<span dir="RTL"> </span>Pain and physical performance in the patients were assessed by Visual Analogue Scale (VAS) and WOMAC respectively, before and after exercise<span dir="RTL" lang="FA">.</span><span lang="FA"> </span></span><span font-size:="" new="" style="font-family: " times="">Repeated measures ANOVA was used to analyze the data. P &le;0.05 was considered</span><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times=""> significant</span><span font-size:="" new="" style="font-family: " times="">.</span></font></p> <p></p> <p style="margin: 0in 0in 0pt; text-align: justify; line-height: normal;"><font color="#000000"><b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">Results:</span></b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times=""> The results indicated that the changes and interactions of the two variables of pain (F=14/2 and p=0/001) and physical performance (F=60/2 and p=0/001) were significant in the experimental group (P < 0.05) after exercise. The results also showed that the experimental group, had reduced pain and showed a significant improvement in the physical performance (p<0/05),<span style="mso-spacerun: yes;">&nbsp; </span>compared to the control group.</span></font></p> <p></p> <p style="margin: 0in 0in 0pt; text-align: justify; line-height: normal;"><font color="#000000"><b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">Conclusion:</span></b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times=""> Considering the effectiveness of training in the improvement of performance and reduction of pain, this training protocol can be useful in the physical rehabilitation of PFPs.</span></font></p> <p></p> <p style="margin: 0in 0in 0pt; line-height: normal;"><font color="#000000"><b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">Keywords: </span></b><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times="">Pfps, Combined training (hip abductor and external rotators strengthen + balance), Function disabality, Pain.</span></font></p> <p></p> <p style="margin: 0in 0in 0pt; line-height: normal;"><span font-size:="" mso-bidi-language:="" new="" style="font-family: " times=""><font color="#000000">&nbsp;</font></span></p> <p><font color="#000000"><b><span font-size:="" lang="EN-GB" mso-ansi-language:="" mso-ascii-theme-font:="" mso-bidi-language:="" mso-bidi-theme-font:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-fareast-theme-font:="" mso-hansi-theme-font:="" new="" style="line-height: 115%; font-family: " times="">Received: </span></b><span font-size:="" lang="EN-GB" mso-ansi-language:="" mso-ascii-theme-font:="" mso-bidi-language:="" mso-bidi-theme-font:="" mso-fareast-font-family:="" mso-fareast-language:="" mso-fareast-theme-font:="" mso-hansi-theme-font:="" new="" style="line-height: 115%; font-family: " times="">Aug 3, 2016<b><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Accepted: </b>Dec 18, 2016</span></font></p> سندرم درد کشککی-رانی, تمرینات ترکیبی (تقویت عضلات ابداکتور و اکسترنال روتیتور+تعادلی), ناتوانی عملکردی, درد. Pfps, Combined training (hip abductor and external rotators strengthen + balance), Function disabality, Pain. 82 92 http://sjku.muk.ac.ir/browse.php?a_code=A-10-25-132&slc_lang=fa&sid=1 Mohammad Javad Ashraf محمد جواد اشرف ashraf_javad777@yahoo.com 5400319475328460015606 5400319475328460015606 Yes Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran دانشکده تربیت بدنی، دانشگاه اصفهان، اصفهان، ایران Gholamali Ghasemi غلامعلی قاسمی 5400319475328460015607 5400319475328460015607 No Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran. گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی، دانشگاه اصفهان، اصفهان، ایران. Alireza Falah علیرضا فلاح 5400319475328460015608 5400319475328460015608 No Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran. کارشناس فیزیوتراپی- مرکز فیزیوتراپی بهار شهر اصفهان، ایران.