مطالعات طب ورزشی

مقایسه تأثیر شش هفته تمرین توان‌بخشی واقعیت مجازی و ماساژ بازتابی بر عملکرد ورزشکاران پاراپلژی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد آسیب‌شناسی ورزشی و حرکات اصلاحی، گروه تندرستی و بازتوانی در ورزش دانشکدۀ علوم ورزشی و تندرستی، دانشگاه شهید بهشتی، تهران، ایران.

2 دانشیار گروه تندرستی و بازتوانی در ورزش، دانشکدۀ علوم ورزشی و تندرستی، دانشگاه شهید بهشتی، تهران، ایران

3 استادیار گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، پژوهشگاه تربیت‌بدنی و علوم ورزشی، تهران، ایران

چکیده
آسیب‌های وارد به نخاع یکی از جدی‌ترین آسیب‌های جسمانی است. افراد دچار آسیب نخاعی عموماً دردهای متفاوتی را تجربه می‌کنند. درد نوروپاتیک شایع‌ترین آن‌هاست و ازآنجا‌که با از دست دادن تحرک همراه است به ناتوانی عملکردی منجر می‌شود. مطالعة حاضر باهدف تأثیر ماساژبازتابی و واقعیت مجازی بر بهبود عملکرد افراد پاراپلژی انجام شد. جامعة آماری این پژوهش را مردان ورزشکار پاراپلژی فعال در هیئت جانبازان و معلولان استان تهران تشکیل می‌دادند. 45 نفر ورزشکار پاراپلژی به‌صورت تصادفی و بر مینای حروف الفبا در پروندۀ پزشکی به سه گروه کنترل، واقعیت مجازی و ماساژبازتابی تقسیم شدند. در هر گروه 15 آزمودنی حضور داشتند. دو گروه تجربی سه جلسه مداخله در هفته را به مدت شش هفته انجام دادند و گروه کنترل هیچ مداخله‌ای دریافت نکردند. متغیرهای قدرت و دامنة حرکتی کمربند شانه مرتبط با عملکرد به ترتیب با استفاده از دینامومتر دستی دیجیتال و الکتروگونیامتر ارزیابی شدند. برای تجزیه‌وتحلیل داده‌ها از نرم‌افزار اس پی اس اس نسخة 23 و در سطح معناداری 05/0 استفاده شد. یافته‌های آزمون‌های آماری نشان داد متغیرهای مرتبط با قدرت و دامنة حرکتی کمربند شانه در حرکات مختلف چرخش داخلی، چرخش خارجی، اکستنشن و فلکشن پس از انتخاب شش هفته تمرین در هر دو گروه ماساژ و واقعیت مجازی افزایش یافته بود (003/0, P=02/0=P, 001/0=P ,003/0=P). همچنین افزایش قدرت و دامنة حرکتی در گروه واقعیت مجازی با توجه به میانگین‌های تغییرات معنادارتر بود. نتایج نشان داد اعمال ماساژ بازتابی و همچنین تمرین واقعیت مجازی در بهبود دامنة حرکتی و قدرت ایزومتریک کمربند شانه در افراد پاراپلژی مؤثر بوده است؛ بنابراین، افراد پاراپلژی و مربیان و پرستارانی که با این افراد کار می‌کنند، می‌توانند از مزایای این مداخلات برای بهبود عملکرد این افراد استفاده کنند.

کلیدواژه‌ها

عنوان مقاله English

Comparison of the effect of six weeks of virtual reality rehabilitation system and reflexology massage on the performance of athletes with paraplegia

نویسندگان English

  • behnaz porjafari 1
  • fariborz hovanloo 2
  • Fariba Mohammadi 3
1 shahid beheshti university/master of scince sport injury and corrective exercise/tehran/iran
2 Associate Professor, Department of Health and Rehabilitation in Sport, Faculty of Sport and Health Sciences, Shahid Beheshti University, Tehran, Iran
3 Assistant Professor, Department of Sport Injuries and Corrective Exercises, Sports Medicine Research Center, Sport Sciences Research Institute
چکیده English

.
Spinal cord injuries are one of the most serious physical injuries. People with spinal cord injury generally suffer from one or more types of pain. Neuropathic pain is the most common of these and can lead to functional impairment as it is associated with loss of mobility. The aim of this study was to evaluate the effect of reflexology massage and virtual reality on improving the function of paraplegics. The sample of this study consisted of Athletic men paraplegics who are members of the Veterans and Disabled Board of Tehran Province. Forty-five paraplegic athletes were randomly divided into three groups of control, virtual reality and reflexology, using the letters of the alphabet in the medical record. The two experimental groups performed three sessions of intervention per week for 6 weeks and the control group did not receive any intervention. Performance-related shoulder girdle strength and range of motion were evaluated by Mobe MMT dynamometer and Mobee Electrogonometer, respectively. Data were analyzed using SPSS 23 software at a significance level of 0.05. The results of statistical tests showed that the strength and range of motion of the shoulder girdle In different movements of Outward rotation, inward rotation,extention and flexion after selecting 6 weeks of training according to available research, intervention in both massage and virtual reality groups increased. (P=0/003, P=0/001, P=0/02, P=0/003). The increase in strength and range of motion According to the means of change was also more significant in the virtual reality group. The results showed that the application of reflexology massage as well as the virtual reality system was effective in improving the range of motion and strength of the shoulder girdle in people with paraplegia; therefore, people with paraplegia and the educators and nurses who work with them can use the benefits of these interventions to improve their performance.

کلیدواژه‌ها English

  • Virtual Reality
  • Reflexology
  • Para athlete
  • Spinal Cord Injury
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  • تاریخ دریافت 01 دی 1400
  • تاریخ بازنگری 19 بهمن 1400
  • تاریخ پذیرش 23 بهمن 1400

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