بررسی عملکرد حرکتی و حسی در دوندگان استقامت دختر با و بدون سندروم استرس داخلی درشت نی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد گروه تربیت بدنی و علوم ورزشی، موسسه غیرانتقاعی حکیم نظامی، قوچان، ایران

2 . استادیار گروه بهداشت و طب ورزشی، دانشکدة تربیت‌بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران (نویسندة مسئول)

10.22089/smj.2021.10298.1482

چکیده

هدف پژوهش حاضر مقایسه عملکرد حسی و حرکتی در دوندگان دختر با و بدون سندروم استرس داخلی درشت نی بود. پژوهش حاضر توصیفی و از نوع مقایسه‌ای بود. تعداد 50 نفر دختر دونده استقامتی با دامنه سنی 20 تا30 سال در دو گروه 25 نفری سندروم استرس داخلی درشت‌ نی و سالم قرار گرفتند. از معیار یاتس برای تشخیص آسیب و برای عملکرد حسی و عملکرد حرکتی به ترتیب از اندازه‌گیری حس وضعیت مفصل زانو و مچ پا و آزمون غربالگری عملکردی استفاده شد. نتایج آزمون نشان داد که در زیرمقیاس‌ها و نمره کلی آزمون FMS و حس وضعیت مفصل بین دو گروه تفاوت معناداری وجود دارد(0/05>P) و افراد مبتلا به سندروم استرس داخلی درشت‌نی دارای خطای بیشتری در بازسازی زاویه هدف می‌باشند . بنابراین توصیه می‌شود افراد ورزشکار دونده استقامت دارای سندروم استرس داخلی درشت نی در برنامه تمرینات ورزشی مرتبط با ضعف هایی که داشتند توجه داشته باشند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Evaluation of sensory motor function in female endurance runners with and without Medial Tibial Stress Syndrome

نویسندگان [English]

  • Maryam Mohammadi 1
  • mohammad karimizadeh ardakani 2
1 Master of Sports Injuries and Corrective Exercises, department of Physical Education, Hakim Nezami Higher Education Institute, Quchan, Iran
2 Department of health and sport medicine, faculty of physical education and sport science, University of Tehran, Tehran, IRAN
چکیده [English]

The aim of the present study was to compare sensory and motor function in female runners with and without Medial Tibial Stress Syndrome (MTSS). The present study was descriptive and comparative. Fifty female endurance runners with an age range of 20 to 30 years were divided in two groups MTSS and without injuries. Yates criterion was used to diagnose the injured group and to assess sensory function and motor function we used ankle and knee joint position sense and Functional Movement Screening(FMS) test respectively. The results showed significant difference between the two groups in the subscales and the overall score of the FMS test as well as knee and ankle joint position sense (P <0.05) and individuals in the group with MTSS had more deviation in the reproduction of the target angle. Therefore, it is recommended that endurance runners with MTSS pay attention to their weaknesses in their exercise program.

کلیدواژه‌ها [English]

  • Medial Tibial Stress Syndrome
  • Female endurance runners
  • Sensory function
  • Motor Function
  • Shin Splint
  1. Khoshraftar Yazdi N. Comparison of the effect of eight weeks of running on asphalt and tartan surfaces on plantar pressure and pain in girls with shin splints. Master Thesis in Physical Education, majoring in corrective movements, Ferdowsi University of Mashhad. 2016.
  2. LC. Soft tissue injuries in sports medicine. Rauof H, First edition Tehran: publications of Razavi; 2003; 399. (in Persian).
  3. Fredericson M, Bergman AG, Hoffman KL, Dillingham MS. Tibial stress reaction in runners: correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system. The American journal of sports medicine. 1995;23(4):472-81.
  4. Almeida SA, Trone DW, Leone DM, Shaffer RA, Patheal SL, Long K. Gender differences in musculoskeletal injury rates: a function of symptom reporting? Medicine and science in sports and exercise. 1999;31(12):1807-12.
  5. Sommer HM, Vallentyne SW. Effect of foot posture on the incidence of medial tibial stress syndrome. Medicine and science in sports and exercise. 1995;27(6):800-4.
  6. Reinking MF, Austin TM, Hayes AM. Exercise-related leg pain in collegiate cross-country athletes: extrinsic and intrinsic risk factors. journal of orthopaedic & sports physical therapy. 2007;37(11):670-8.
  7. Raissi GRD, Cherati ADS, Mansoori KD, Razi MD. The relationship between lower extremity alignment and Medial Tibial Stress Syndrome among non-professional athletes. BMC Sports Science, Medicine and Rehabilitation. 2009;1(1):1-8.
  8. Yates B WS. The incidence and risk factors in the development of medial tibial stress syndrome among naval recruits. The American journal of sports medicine 2004;32(3):772-80.
  9. Messier SP, Pittala KA. Etiologic factors associated with selected running injuries. Medicine and Science in Sports and Exercise. 1988;20(5):501-5.
  10. Yagi S, Muneta T, Sekiya I. Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners. Knee Surgery, Sports Traumatology, Arthroscopy. 2013;21(3):556-63.
  11. Bennell K, Wee E, Crossley K, Stillman B, Hodges P. Effects of experimentally‐induced anterior knee pain on knee joint position sense in healthy individuals. Journal of orthopaedic research. 2005;23(1):46-53.
  12. Richie Jr DH. Functional instability of the ankle and the role of neuromuscular control: a comprehensive review. The journal of foot and ankle surgery. 2001;40(4):240-51.
  13. Liu Y, Jeng S, Lee AJ. The influence of ankle sprains on proprioception. Journal of Exercise Science & Fitness. 2005;3(1):33-8.
  14. Stauffer RN, Chao E, Györy AN. Biomechanical gait analysis of the diseased knee joint. Clinical orthopaedics and related research. 1977(126):246-55.
  15. Hodges PW, Ervilha UF, Graven-Nielsen T. Changes in motor unit firing rate in synergist muscles cannot explain the maintenance of force during constant force painful contractions. The journal of pain. 2008;9(12):1169-74.
  16. Fousekis K, Tsepis E, Vagenas G. Intrinsic risk factors of noncontact ankle sprains in soccer: a prospective study on 100 professional players. The American journal of sports medicine. 2012;40(8):1842-50.
  17. van Rijn RM, Van Os AG, Bernsen RM, Luijsterburg PA, Koes BW, Bierma-Zeinstra SM. What is the clinical course of acute ankle sprains? A systematic literature review. The American journal of 2008;121(4):324-31. e7.
  18. Hanci E, Sekir U, Gur H, Akova B. Eccentric training improves ankle evertor and dorsiflexor strength and proprioception in functionally unstable ankles. American journal of physical medicine & rehabilitation. 2016 Jun 1;95(6):448-58.
  19. Mikkola I, Keinänen-Kiukaanniemi S, Jokelainen J, Peitso A, Härkönen P, Timonen M, et al. Aerobic performance and body composition changes during military service. Scandinavian journal of primary health care. 2012;30(2):95-100.
  20. Nobakht S, Seidi F, Rajabi R. A comparison of ankle joint position sense in female students with and without pronated and supinated foot. Journal of Exercise Science and Medicine. 2016;8(1):99-113. (in Persian).
  21. Saeideh N. Comparison of ankle position sense in people with pronated, supinated and nutual arch: thesis of Master of Science. Tehran university; 2015. (in Persian).
  22. Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function-part 1. North American journal of sports physical therapy: NAJSPT. 2006;1(2):62-72.
  23. Teyhen DS, Shaffer SW, Lorenson CL, Halfpap JP, Donofry DF, Walker MJ, et al. The functional movement screen: a reliability study. Journal of orthopaedic & sports physical therapy. 2012;42(6):530-40.
  24. Chorba RS, Chorba DJ, Bouillon LE, Overmyer CA, Landis JA. Use of a functional movement screening tool to determine injury risk in female collegiate athletes. North American journal of sports physical therapy: NAJSPT. 2010;5(2):47.
  25. O'connor FG, Deuster PA, Davis J, Pappas CG, Knapik JJ. Functional movement screening: predicting injuries in officer candidates. Medicine and science in sports and exercise. 2011;43(12):2224-30.
  26. Sorenson EA. Functional movement screen as a predictor of injury in high school basketball athletes: Doctoral dissertation. University of Oregon; 2009.
  27. Mokha M, Sprague PA, Gatens DR. Predicting musculoskeletal injury in national collegiate athletic association division II athletes from asymmetries and individual-test versus composite functional movement screen scores. Journal of athletic training. 2016;51(4):276-82.
  28. Letafatkar A, Sarbizhan MS. Prediction of Musculoskeletal Injuries in Athletes Using Individual and Composite Scores on Functional Movement Screening Test. J Rehab Med. 2019;7(4):51-64. (in Persian).
  29. Loudon JK, Parkerson-Mitchell AJ, Hildebrand LD, Teague C. Functional movement screen scores in a group of running athletes. The Journal of Strength & Conditioning Research. 2014;28(4):909-13.
  30. Shojaedin SS, Letafatkar A, Hadadnezhad M, Dehkhoda MR. Relationship between functional movement screening score and history of injury and identifying the predictive value of the FMS for injury. International journal of injury control and safety promotion. 2014 Oct 2;21(4):355-60.
  31. Qasempour K. The effect of 8 weeks of central stability exercises on the scores of motor performance screening tests in adolescents, azad university, khorasgan; (in Persian).
  32. Kiani Shikhabadi A, Mahdavinejad R, Rahnma N. Effect of 8 Weeks 11+ Training on Functional Movement Screening (FMS) Tests in Footsal's Players Women. Journal of Sport Biomechanics. 2020;6(1). (in Persian).
  33. Cook G, Burton L, Hoogenboom B. Pre-participation screening: the use of fundamental movements as an assessment of function-part 2. North American journal of sports physical therapy: NAJSPT. 2006 Aug 1;1(3):132-9.
  34. Brown P. Movement: Functional Movement Systems–Screening, Assessing, Corrective Strategies On Target Publications. The Journal of the Canadian Chiropractic Association. 2012;56(4):316.
  35. Minick KI, Kiesel KB, Burton L, Taylor A, Plisky P, Butler RJ. Interrater reliability of the functional movement screen. The Journal of Strength & Conditioning Research. 2010;24(2):479-86.
  36. Sedaghati P, Zolghare H, Shahbazi M. The effect of proprioceptive, vestibular and visual changes on posture control among the athletes with and without medial tibial stress syndrome. KAUMS Journal (FEYZ). 2019;23(1):68-74. (in Persian).
  37. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Journal of athletic training. 2007;42(2):311.
  38. Myer GD, Ford KR, Hewett TE. New method to identify athletes at high risk of ACL injury using clinic-based measurements and freeware computer analysis. British Journal of Sports Medicine. 2011;45(4):238-44.
  39. Switlick T, Kernozek TW, Meardon S. Differences in joint-position sense and vibratory threshold in runners with and without a history of overuse injury. Journal of sport rehabilitation. 2015;24(1):6-12.
  40. Van Tunen JA, Dell’Isola A, Juhl C, Dekker J, Steultjens M, Thorlund JB, Lund H. Association of malalignment, muscular dysfunction, proprioception, laxity and abnormal joint loading with tibiofemoral knee osteoarthritis-a systematic review and meta-analysis. BMC musculoskeletal disorders. 2018 Dec;19(1):1-5.
  41. Marchini A, Lauermann S, Minetto MA, Massazza G, Maffiuletti N. Differences in proprioception, muscle force control and comfort between conventional and new-generation knee and ankle orthoses. Journal of Electromyography and Kinesiology. 2014;24(3):437-44.
  42. SR S, BAGUL N. ANKLE PROPRIOCEPTION IN INDIVIDUALS WITH KNEE OSTEOARTHRITIS AND NORMALS. Knee. 2012; 24:25.
  43. Hall JE, Hall ME. Guyton and Hall textbook of medical physiology e-Book: Elsevier Health Sciences; 2020.
  44. Röijezon U, Clark NC, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions. Manual therapy. 2015;20(3):368-77.

Winkelmann ZK, Anderson D, Games KE, Eberman LE. Risk factors for medial tibial stress syndrome in active individuals: an evidence-based review. Journal of athletic training. 2016;51(12):1049-52.