نوع مقاله : مقاله پژوهشی

نویسندگان

1 دپارتمان بیومکانیک ورزشی. دانشکده تربیت بدنی و علوم ورزشی. دانشگاه شهید باهنر کرمان. کرمان

2 کارشناسی ارشد بیومکانیک ورزشی، گروه بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشکاه شهید باهنر کرمان، کرمان، ایران

3 هیات علمی دانشگاه باهنر کرمان

4 عضو هیئت علمی دانشگاه شهید باهنر کرمان

10.22089/smj.2022.11098.1527

چکیده

افراد مبتلا به استئوآرتریت زانو با اختلال حس عمقی و کاهش قدرت عضلانی مواجه هستند.از ماساژ به عنوان مداخله ای یاد شده که می تواند علائم این بیماری را تسکین دهد.لذا هدف این پژوهش بررسی اثر چهار هفته ماساژ سوئدی بر حس عمقی مفصل زانو،قدرت عضلات چهارسر ران و علائم استئوآرتریت در زنان بزرگسال مبتلا به استئوآرتریت زانو بود.تعداد30زن به صورت نمونه گیری هدفمند و در دسترس وارد مطالعه شدند(سن 30/7±6/52 سال،قد 05/0±57/1 مترو جرم بدن 60/9±40/74 کیلوگرم).افراد به طور تصادفی در دو گروه کنترل و مداخله قرار گرفتند(15=n). گروه مداخله به مدت4هفته(12 جلسه)ماساژ سوئدی دریافت کرد.در این مدت گروه کنترل هیچ برنامه تمرینی دریافت نکردند.علائم استئوآرتریت، قدرت عضلانی و حس عمقی مفصل زانو در پیش و پس آزمون به ترتیب با استفاده از پرسشنامه وومک، داینامومتر دستی و بازسازی زاویه مفصل اندازه گیری شدند.از آزمون سنجش مکرر ترکیبی جهت مقایسه بین گروهی و درون گروهی استفاده شد. نتایج حاکی از بهبود معنیدار متغیرهای مورد نظر در گروه مداخله نسبت به گروه کنترل بود(05/0>P). به طوری که علائم استئوآرتریت به طور معنیداری بهبود (0.001=P) و قدرت عضلات چهارسر(0.001=P) و حس عمقی مفصل زانو(0.001=P) نیز به طور معنیداری افزایش یافت. بر اساس یافته های این مطالعه، ماساژ میتواند با کاهش درد و بهبود عملکرد جسمانی،موجب افزایش قدرت عضلات چهارسر ران و بهبود حس عمقی مفصل زانو در زنان مبتلا به استئوآرتریت زانو شود.بنابراین پیشنهاد می‌شود در میان سایر روش‌های توانبخشی،از این روش نیز به منظور بهبود قدرت عضلانی،حس عمقی مفصلی و علائم بیماری در زنان مبتلا به استئوآرتریت زانو استفاده گردد.

کلیدواژه‌ها

عنوان مقاله [English]

Effects of 4-week of Swedish Massage on Knee Joint Proprioception, Muscle Strength of Quadriceps and Osteoarthritis Symptoms in Women with Knee Osteoarthritis

نویسندگان [English]

  • Ehsan Ebrahimipour 1
  • Fereshteh Sabet 2
  • Abdolhamid Daneshjoo 3
  • Fariborz Mohammadipour 4

1 department of sport biomechanics, physical education and sport science faculty, university of shahid bahonar of kerman, kerman

2 Master of Sport Biomechanics, Department of Sport Biomechanics, Physical Education and Sport Science Faculty, Shahid Bahonar University of Kerman, Kerman, Iran

3 Associate Professor of Sport Injuries (Injury prevention)

4 Associate Professor of Biomechanics Physical Education and Sports Science, Faculty Shahid Bahonar University, Shahid Bahonar University of Kerman

چکیده [English]

People with knee osteoarthritis suffer from profound proprioception impairment and decreased muscle strength. Massage is mentioned as an intervention that can relieve the symptoms of osteoarthritis. Therefore, this study aimed to evaluate the effect of four weeks of Swedish massage on knee joint proprioception, muscle strength of quadriceps, and osteoarthritis symptoms in adult women with knee osteoarthritis. Thirty women were included by targeted and available sampling (age 52.60±7.30 years old, height 1.57±0.05 m, body mass74.40±9.60 kg). The subjects were randomly divided into two equal control and intervention groups (n=15). The intervention group received the Swedish massage for 4 weeks (12 sessions). During this period, the control group did not receive any interventional protocol. Symptoms of osteoarthritis, muscle strength of quadriceps, and knee joint proprioception were analyzed in the pre-and post-test using the WOMAC questionnaire, handheld dynamometer, and joint angle reconstruction, respectively. A mixed repeated measure test was used for comparison between and within groups. The results showed a significant improvement in the desired variables of the intervention group compared to the control group (P<0.05). So that osteoarthritis symptoms were significantly improved (P=0.001), and quadriceps muscle strength (P=0.001) and knee joint proprioception (P=0.001) were significantly increased. Based on the findings of this study, massage can increase the strength of quadriceps muscles and improve the knee joint proprioception in women with knee osteoarthritis by decreasing pain and improving physical function. Therefore, it is recommended to use this intervention in order to improve strength, joint proprioception, and symptoms in women with knee osteoarthritis.

کلیدواژه‌ها [English]

  • Keywords: Knee Osteoarthritis
  • Joint Proprioception. Muscle Strength
  • Massage
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