مقایسه تأثیر تمرینات فانکشنال، اکسترافانکشنال و ترکیبی بر تعادل پویای ورزشکاران مبتلا به بی‌‌ثباتی عملکردی مچ پا

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار پژوهشگاه تربیت بدنی و علوم ورزشی

2 دانشیار دانشگاه تهران

3 دانشیار دانشگاه گیلان

4 استادیار دانشگاه تربیت دبیر شهید رجایی تهران

چکیده

هدف این پژوهش مقایسه تأثیر تمرینات فانکشنال (هاپینگ)، اکسترافانکشنال (ثبات مرکزی) و ترکیبی (هاپینگ و ثبات مرکزی) بر تعادل پویای ورزشکاران مبتلا به بی‌ثباتی عملکردی مچ پا بود. آزمودنی‌ها به صورت هدفمند با پرسشنامه تشخیص بی‌ثباتی عملکردی مچ پا انتخاب و به شکل تصادفی در گروه‌های تمرین فانکشنال، اکسترافانکشنال، ترکیبی و کنترل جای گرفتند. آزمون تعادلی وای پیش و پس از شش هفته مداخله انجام شد. نتایج نشان داد که گروه‌های تمرین فانکشنال و ترکیبی نسبت به گروه‌های اکسترافانکشنال و کنترل به‌طور معناداری عملکرد بهتری در آزمون تعادل داشتند. بین گروه تمرین فانکشنال و ترکیبی نیز تفاوت معناداری یافت نشد تا نشانگر برتری تمرینات ترکیبی بر تمرینات فانکشنال باشد. بر اساس نتایج، اثربخشی تمرینات اکسترافانکشنال برخلاف تمرینات فانکشنال بر تعادل پویای ورزشکاران مبتلا به بی‌ثباتی عملکردی مچ پا مشاهده نشد. توصیه می‌شود که از تأکید بر تمرینات ثبات مرکزی مادامی‌که اثربخشی آن‌ها در پروتکل‌های بازتوانی ثابت نشده است خودداری شود.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effect of Functional, Extra-Functional and Combined Exercises on Dynamic Balance in Athletes with Functional Ankle Instability

نویسندگان [English]

  • hamed abbasi 1
  • Mohammad Hossein Alizadeh 2
  • Hassan Daneshmandi 3
  • Amir Hossein Barati 4
چکیده [English]

The purpose of this study was to compare the effect of six weeks of functional (hopping), extra-functional (core stability), and the combined (hopping and core stability) training on dynamic balance in athletes with Functional Ankle Instability. participants were selected purposefully Using Identification of functional ankle instability questionnaire, then randomly assigned into functional, extra-functional, combined and control groups. Y balance test was performed before and after interventions.. Differences were observed. Multiple comparisons revealed that functional and combined groups performed significantly better than extra-functional and control groups for the balance test. No significant difference was observed between functional and combined Group to show any predominance to improve balance. According to the result, the efficiency of functional and not extra-functional training on dynamic balance in athletes with functional ankle instability was approved. Therefore it is recommended not to emphasize particularly on core stability until being proved by further studies.

کلیدواژه‌ها [English]

  • Hopping
  • Core Stabilization
  • Postural Stability
  • Ankle Instability
1. Aggarwal, A., Kumar, S., Kalpana, Z., Jitender, M., & Sharma, V. P. (2012). The Relationship between Core Stability Performance and the lower Extremities Static Balance Performance in Recreationally active Individuals. Nigerian Journal of Medical Rehabilitation, 15(1 and 2), 11-16.
2. Arnold, B. L., De la Motte, S., Linens, S., & Ross, S. E. (2009). Ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sports Exerc, 41(5), 1048-1062.
3. Bryant, A. L., Newton, R. U., & Steele, J. (2009). Successful feed-forward strategies following ACL injury and reconstruction. Journal of Electromyography and Kinesiology, 19(5), 988-997.
4. Chuter, V. H., & de Jonge, X. A. J. (2012). Proximal and distal contributions to lower extremity injury: a review of the literature. Gait & posture, 36(1), 7-15.
5. Clanton, T. O., Matheny, L. M., Jarvis, H. C., & Jeronimus, A. B. (2012). Return to play in athletes following ankle injuries. Sports Health: A Multidisciplinary Approach, 4(6), 471-474.
6. Clayton, M. A., Trudo, C. E., Laubach, L. L., Linderman, J. K., De Marco, G. M., & Barr, S. (2011). Relationships between isokinetic core strength and field based athletic performance tests in male collegiate baseball players. Journal of Exercise Physiology Online, 14(5), 20-30.
7. Dastmanesh, S., & Shojaeddin, S. (2011). The Effect of core stabilization training on postural control in subjects with chronic ankle instability. J Jah Uni Med Sci, 9, 1.
8. Delahunt, E. (2007). Neuromuscular contributions to functional instability of the ankle joint. Journal of Bodywork and Movement Therapies, 11(3), 203-213.
9. Delahunt, E., Coughlan, G. F., Caulfield, B., Nightingale, E. J., Lin, C. W., & Hiller, C. E. (2010). Inclusion criteria when investigating insufficiencies in chronic ankle instability. Med Sci Sports Exerc, 42(11), 2106-2121.
10. Delahunt, E., Monaghan, K., & Caulfield, B. (2006). Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. Journal of orthopaedic research, 24(10), 1991-2000.
11. Doherty, C., Delahunt, E., Caulfield, B., Hertel, J., Ryan, J., & Bleakley, C. (2014). The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports medicine, 44(1), 123-140.
12. Donahue, M., Simon, J., & Docherty, C. L. (2013). Reliability and validity of a new questionnaire created to establish the presence of functional ankle instability: the IdFAI. Athl Train Sports Health Care, 5(1), 38-43.
13. Freeman, M. A. R., Dean, M. R. E., & Hanham, I. W. F. (1965). The etiology and prevention of functional instability of the foot. Journal of Bone & Joint Surgery, British Volume, 47(4), 678-685.
14. Hadadnezhad, M., Rajabi, R., Alizadeh, M., & Letafatkar, A. (2011). Does Core Stability Predispose Female Athletes To Lower Extremity Injuries? Journal of Research in Rehabilitation Sciences, 6(2). .[in Persian]  
15. Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of athletic training, 37(4), 364.
16. Hertel, J., Braham, R. A., Hale, S. A., & Olmsted-Kramer, L. C. (2006). Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. Journal of Orthopaedic & Sports Physical Therapy, 36(3), 131-137.
17. Karimizadeh ardekani, M., Alizadeh, M, H., & Ebrahimi Tkamjany, I. (2012). The effect of six weeks of hopping on dynamic balance in athletes with functional ankle instability. Sports Management and Physical Sciences Research, 2(4), 139-151.[in Persian]
18. Lederman, E. (2010). Neuromuscular rehabilitation in manual and physical therapies: principles to practice (pp. 60-75). Churchill Livingstone.
19. McKeon, P. O., Wikstrom, E. A., & Hubbard, T. J. (2012). Consequences of ankle inversion trauma: a novel recognition and treatment paradigm. INTECH Open Access Publisher.
20. Mohammad Ali Nasab, E., & Sahebozamani, M. (2013). The Effect of Core Stability Training on Y Balance Test Components in Indoor Soccer Players. Sport Medicine Studies, 4 (9), 63-86. .[in Persian]
21. Munn, J., Sullivan, S. J., & Schneiders, A. G. (2010). Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis. Journal of Science and Medicine in Sport, 13(1), 2-12.
22. Oliver, G. D. (2010). Pelvic neutral: Key to balance training. Lower Extremity Review, 2(4), 57-61.
23. Olmsted, L. C., Carcia, C. R., Hertel, J., & Shultz, S. J. (2002). Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability. Journal of athletic training, 37(4), 501.
24. Plisky, P. J., Rauh, M. J., Kaminski, T. W., & Underwood, F. B. (2006). Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. Journal of Orthopaedic & Sports Physical Therapy, 36(12), 911-919.
25. Samadi, H.,Rajabi, R., Alizadeh, M, H., & Jamshidi, A, A. (2014). Effect of Six Weeks Neuromuscular Training on Dynamic Postural Control and Lower Extremity Function in Male Athletes with Functional Ankle Instability. Sport Medicine Studies, 5 (14), 73-90. .[in Persian]
26. Sandrey, M. A., & Mitzel, J. G. (2013). A 6 Week Core Stability-Training Program Improves Dynamic Balance and Core Endurance in High School Track and Field Athletes. J Sport Rehabil, 22, 264-271.
27. Sandrey, M. A., & Mitzel, J. G. (2013). Improvement in dynamic balance and core endurance after a 6-week core-stability-training program in high school track and field athletes. Journal of sport rehabilitation, 22(4), 264-271.
28. Sharrock, C., Cropper, J., Mostad, J., Johnson, M., & Malone, T. (2011). A pilot study of core stability and athletic performance: is there a relationship?.International journal of sports physical therapy, 6(2), 63.
29. Shumway-Cook, A., & Woollacott, M. H. (2007). Motor control: translating research into clinical practice. Lippincott Williams & Wilkins.
30. Smith, B. I., Docherty, C. L., Simon, J., Klossner, J., & Schrader, J. (2012). Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability. Journal of athletic training, 47(3), 282.
31. Terada, M., Pietrosimone, B. G., & Gribble, P. A. (2012). Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: a systematic review. Journal of athletic training, 48(5), 696-709.
32. Van Middelkoop, M., van Rijn, R. M., Verhaar, J. A., Koes, B. W., & Bierma-Zeinstra, S. M. (2012). Re-sprains during the first 3 months after initial ankle sprain are related to incomplete recovery: an observational study. Journal of physiotherapy, 58(3), 181-188.
33. Waldhelm, A. (2011). Assessment of core stability: developing practical models (Doctoral dissertation, Nova Southeastern University).
34. Webster, K. A., & Gribble, P. A. (2013). A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises. Physical Therapy in Sport, 14(1), 17-22.
35. Wortmann, M. A., & Docherty, C. L. (2013). Effect of balance training on postural stability in subjects with chronic ankle instability. Journal of sport rehabilitation, 22(2) , 143-149.
36. Yu, J. H., & Lee, G. C. (2012). Effect of core stability training using pilates on lower extremity muscle strength and postural stability in healthy subjects. Isokinetics and exercise science, 20(2), 141-146.