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بررسی موقعیت زاویه ای کشکک و ارتباط آن با درد و توانایی عملکردی در ورزشکاران مبتلا به سندروم فشار خارجی پاتلوفمورال

نوع مقاله : مقاله پژوهشی

نویسندگان

1 . استادیار بیومکانیک ورزشی، گروه تربیت‌بدنی، دانشکدة علوم ورزشی، دانشگاه گیلان، رشت، ایران

2 استادیار حرکات اصلاحی و آسیب‌شناسی ورزشی، گروه تربیت‌بدنی و علوم ورزشی، دانشگاه نهاوند، نهاوند، ایران

چکیده

هدف پژوهش حاضر، بررسی موقعیت زاویه­ای کشکک و ارتباط آن با درد و توانایی عملکردی در ورزشکاران مبتلابه سندرم فشار خارجی پاتلوفمورال بود.25 زن و مرد ورزشکار مبتلا که  علائم این عارضه را فقط در یک زانو داشتند، به روش دردسترس انتخاب شدند و زانوی سالم آن‌ها به‌عنوان گروه کنترل درنظر گرفته شد. ارزیابی درد مفصل و توانایی عملکردی به‌ترتیب ازطریق مقیاس­های «واس» و «وومک» و ارزیابی راستای کشکک به‌وسیلة رادیولوژی دیجیتال انجام شد. برای تجزیه‌وتحلیل داده­ها از آزمون­های تی مستقل و همبستگی پیرسون استفاده شد. زاویة تیلت (001/0 = p)، شیفت خارجی (003/0 = p) و زاویة کانگرانس (001/0 = p) کشکک در زانوهای مبتلا به‌طور معناداری از زانوهای سالم بیشتر بود. درد پاتلوفمورال با زاویة تیلت (001/0 =p ) و کانگرانس (008/0 = p) کشکک ارتباط معناداری داشت. همچنین، توانایی عملکردی ارتباط مثبت معناداری با زاویة تیلت (003/0 = p) و کانگرانس (001/0 = p) کشکک داشت. براساس نتایج پژوهش پیشنهاد می­شود که در پروتکل­های درمانی ویژة این‌گونه بیماران، اصلاح راستای کشکک در اولویت اهداف درمانی قرار گیرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Study of patellar angular position and its relationship with pain and functional ability in athletes with lateral patellar compression syndrome

نویسندگان [English]

  • seyyed hossein hosseini 1
  • shahabedin bagheri 2

1 Department of sport sciences, University of Guilan

2 Department of sport sciences, University of Nahavand

چکیده [English]

The purpose of this study was to examine the patellar angular position and its relationship with pain and functional ability in athletes with lateral patellar compression syndrome. From the men and women athletes with LPCS that have symptoms of this disorder only in one knee, 25 people were selected and its contralateral knee was considered as control group. Assessing the joint pain and functional ability were done by VAS and WOMAC scales, respectively and assessing the patellar alignment was done by digital radiology. Data were analyzed by independent t and Pearson Correlation tests. Tilt angle (P=0.001), lateral shift (P=0.003) and congruence angle (P=0.001) of patella were significantly more in symptomatic knees than in asymptomatic knees. Patellofemoral pain was significantly correlated with tilt angle (P=0.001) and congruence angle (P=0.008). Also, functional ability was significantly correlated with tilt angle (P=0.003) and congruence angle (P=0.001). Based on the results of this study, it is suggested that the main priority of the therapeutic protocols for such patients be to correct the patellar alignment.
 

کلیدواژه‌ها [English]

  • patellar angular position
  • functional ability
  • lateral patellar compression
  • athlete
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مطالعات طب ورزشی
دوره 11، شماره 25 - شماره پیاپی 25
اردیبهشت 1398
صفحه 159-176
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سابقه مقاله
  • تاریخ دریافت: 23 اردیبهشت 1398
  • تاریخ بازنگری: 06 آبان 1398
  • تاریخ پذیرش: 22 آبان 1398
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