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
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
- Williams M, & Spector, T. Osteoarthritis. Medicine. 2006; 364-8.
- Martinek V, Fu FH, Lee CW, Huard J. Treatment of osteochondral injuries: genetic engineering. Clinics in sports medicine. 2001;20(2):403-16.
- Ettinger WH, Afable RF. Physical disability from knee osteoarthritis: the role of exercise as an intervention. Medicine Science in Sports Exercise. 1994.
- Gök H, Ergin S, Yavuzer G. Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis. Acta Orthopaedica Scandinavica. 2002;73(6):647-52.
- Brismée J-M, Paige RL, Chyu M-C, Boatright JD, Hagar JM, McCaleb JA, et al. Group and home-based tai chi in elderly subjects with knee osteoarthritis: a randomized controlled trial. Clinical rehabilitation. 2007;21(2):99-111.
- Hinman RS, Hunt MA, Creaby MW, Wrigley TV, McManus FJ, Bennell KL. Hip muscle weakness in individuals with medial knee osteoarthritis. Arthritis care research. 2010;62(8):1190-3.
- Rice DA, McNair PJ, Lewis GN. Mechanisms of quadriceps muscle weakness in knee joint osteoarthritis: the effects of prolonged vibration on torque and muscle activation in osteoarthritic and healthy control subjects. Arthritis research therapy. 2011;13(5):R151.
- Knoop J, Steultjens M, Van der Leeden M, Van der Esch M, Thorstensson C, Roorda L, et al. Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis and Cartilage. 2011;19(4):381-8.
- Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation: Elsevier Health Sciences; 2013.
- Parijat P, Lockhart TE. Effects of quadriceps fatigue on the biomechanics of gait and slip propensity. Gait posture. 2008;28(4):568-73.
- Felson DT. Osteoarthritis of the knee. New England Journal of Medicine. 2006;354(8):841-8.
- Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports medicine. 2005;35(3):235-56.
- Willison KD. Integrating Swedish massage therapy with primary health care initiatives as part of a holistic nursing approach. Complementary therapies inb medicine. 2006;14(4):254-60.
- Deyle GD, Allison SC, Matekel RL, Ryder MG, Stang JM, Gohdes DD, et al. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Physical therapy. 2005;85(12):1301-17.
- Perlman AI, Sabina A, Williams A-L, Njike VY, Katz DL. Massage therapy for osteoarthritis of the knee: a randomized controlled trial. Archives of Internal Medicine. 2006;166(22):2533-8.
- Fatemy E, Bakhtiyari A, Alizadeh A, Ghasemi F, Mahmoudi S, Ghorbani R. The effect of Swedish massage on knee osteoarthritis. 2010;In Persian.
(in persian) - Qingguang Z, Jianhua L, Min F, Li G, Wuquan S, Nan Z. Effect of Chinese massage (Tui Na) on isokinetic muscle strength in patients with knee osteoarthritis. Journal of Traditional Chinese Medicine. 2016;36(3):314-20.
- Shin M-S, Sung Y-H. Effects of massage on muscular strength and proprioception after exercise-induced muscle damage. The Journal of Strength Conditioning Research. 2015;29(8):2255-60.
- Abrantes R, Nunes S, Monteiro E, Fiuza A, Cesar Cunha J, Ribeiro M, et al. Massage Acutely Increased Muscle Strength and Power Force. Journal of Exercise Physiology Online. 2019;22(7).
- Miake-Lye IM, Mak S, Lee J, Luger T, Taylor SL, Shanman R, et al. Massage for pain: an evidence map. The Journal of Alternative and Complementary Medicine. 2019;25(5):475-502.
- Lund H, Henriksen M, Bartels EM, Danneskiold-Samsøe B, Bliddal H. Can stimulating massage improve joint repositioning error in patients with knee osteoarthritis? Journal of Geriatric Physical Therapy. 2009;32(3):111-6.
- Perlman A, Fogerite SG, Glass O, Bechard E, Ali A, Njike VY, et al. Efficacy and safety of massage for osteoarthritis of the knee: a randomized clinical trial. Journal of general internal medicine. 2019;34(3):379-86.
- Qin S, Chi Z, Xiao Y, Zhu D, Zhong G, Xu W, et al. Effectiveness and safety of massage for knee osteoarthritis: A protocol for systematic review and
meta-analysis. Medicine. 2020;99(44). - Efird J. Blocked randomization with randomly selected block sizes. International journal of environmental research and public health. 2011;8(1):15-20.
- Kellgren J, Lawrence J. Radiological assessment of osteo-arthrosis. Annals of the rheumatic diseases. 1957;16(4):494.
- He W, Fang S, Wang S, Yang G. Clinical research on knee osteoarthritis treated by songning fenjin manipula-tion. Zhong Guo Zhong Yi Gu Shang Ke Za Zhi. 2010;18(2):30-1.
- McConnell S, Kolopack P, Davis AM. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): a review of its utility and measurement properties. Arthritis Care Research: Official Journal of the American College of Rheumatology. 2001;45(5):453-61.
- Bellamy N. The WOMAC knee and hip osteoarthritis indices: development, validation, globalization and influence on the development of the AUSCAN hand OA indices. Clinical experimental rheumatology. 2005;23(5):S148.
- Daneshmandi H, Rahmaninia F, Shahrokhi H, Rahmani P, Esmaeili S. Shoulder joint flexibility in top athletes. Biomedical Science Engineering. 2010;3(08):811.
- Wang C-Y, Olson SL, Protas EJ. Test-retest strength reliability: hand-held dynamometry in community-dwelling elderly fallers. Archives of physical medicine rehabilitation. 2002;83(6):811-5.
- Nasseri N, Hadian MR, Bagheri H, Olyaei STG. Reliability and accuracy of joint position sense measurement in the laboratory and clinic; utilising a new system. Acta Medica Iranica. 2007:395-404.
- Caron O. Is there interaction between vision and local fatigue of the lower limbs on postural control and postural stability in human posture? Neuroscience letters. 2004;363(1):18-21.
- Stillman BC. An investigation of the clinical assessment of joint position sense 2000.
- Wang M, Liu L, Zhang CS, Liao Z, Jing X, Fishers M, et al. Mechanism of traditional chinese medicine in treating knee osteoarthritis. Journal of Pain Research. 2020;13:1421.
- Hernandez-Reif M, Diego M, Field T. Preterm infants show reduced stress behaviors and activity after 5 days of massage therapy. Infant Behavior Development. 2007;30(4):557-61.
- Segal NA, Torner JC, Felson D, Niu J, Sharma L, Lewis CE, et al. Effect of thigh strength on incident radiographic and symptomatic knee osteoarthritis in a longitudinal cohort. Arthritis Care Research: Official Journal of the American College of Rheumatology. 2009;61(9):1210-7.
- Vlaeyen JW, Linton SJJP. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. 2000;85(3):317-32.
- Drust B, Atkinson G, Gregson W, French D, Binningsley D. The effects of massage on intra muscular temperature in the vastus lateralis in humans. International journal of sports medicine. 2003;24(06):395-9.
- Bron C, Dommerholt JD. Etiology of myofascial trigger points. Current pain and headache reports. 2012;16(5):439-44.
- Hajizadeh R, Papisad M. Effectiveness of Massage after Impulse Exercises on Pain and Proprioception Sense of Ankle in Female Beginner Taekwondo. Anesthesiology and Pain. 2019;10(3):71-80. (in persian)
- Poorbarzegar M, Minoonejad H, Seidi F, Mozafaripour E. The immediate effect of sports massage on proprioception of knee and ankle joints in collegiate male athletes. Scientific Journal of Kurdistan University of Medical Sciences. 2017;21(6):72-82. (in persian)
- Koumantakis GA, Roussou E, Angoules GA, Angoules NA, Alexandropoulos T, Mavrokosta G, et al. The immediate effect of IASTM vs. Vibration vs. Light Hand Massage on knee angle repositioning accuracy and hamstrings flexibility: A pilot study. Journal of Bodywork and Movement Therapies. 2020;24(3): 96-104.
- Lederman E. Neuromuscular rehabilitation in manual and physical therapy. Edinburgh: Churchill Livingstone. 2010;178.
- Begovic H, Zhou G-Q, Schuster S, Zheng Y-P. The neuromotor effects of transverse friction massage. Manual therapy. 2016; 26:70-6.
- Goodman M, Marks R. The association between knee proprioception and isotonic quadriceps femoris strength. Physiotherapy Canada. 1998;50(1):
53-7.
)