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عضویت
فهرست مطالب نویسنده:

mohammadali sanjari

  • Sahar Boozari, Mohammadali Sanjari, Ali Amiri *, Ismail Ebrahimi Takamjani
    Background

    This study aimed to investigate the impact of Kinesio tape (KT) on the viscoelastic properties of the lower limb, specifically stiffness and damping, before and after a fatigue protocol. KT is a commonly used therapeutic intervention believed to prevent injury, yet the available evidence on its effectiveness remains limited.

    Methods

    In this pre-post study, fifty healthy participants underwent countermovement jumps before and after a fatigue protocol. The study assessed the body's viscoelastic behavior under two conditions: with and without Kinesio tape (KT) applied to the gastrocnemius muscle, in both fatiguing conditions.

    Results

    The findings revealed a notable reduction in lower limb damping among male participants after fatigue in the condition without tape. Conversely, in the condition with tape, there was no significant change in damping, indicating that KT may prevent the significant decrease in lower limb damping induced by fatigue.

    Conclusion

    The study offers evidence supporting the beneficial effects of KT in maintaining shock absorption capacity post-fatigue. These benefits may stem from KT's potential to enhance muscular activity and contraction force. Given that muscles act as primary shock absorbers, KT application could bolster their ability to dampen sudden impact forces post-exhaustion, potentially lowering the risk of impact-related injuries. These findings advocate for the use of KT as a preventive measure.

    Keywords: Athletic Performance, Countermovement Jump, Exhaustion, Tape, Viscoelastic Behavior
  • Kasra Kazemi, Reza Salehi*, Mohammadali Sanjari, Ali Torkaman
    Background and Objectives

    Two common choices exist for anterior cruciate ligament (ACL) reconstruction, autograft and allograft. Hamstring tendon autografts and soft-tissue allografts are commonly used for ACL reconstruction. The outcomes between these two grafts are controversial. This research aims to quantify and compare lower limb joint coordination between two ACL reconstruction graft options and healthy individuals.

    Methods

    Sixty-one athletes were enrolled after ACL reconstruction surgery (allograft, n=22; autograft, n=18). Furthermore, twenty-one healthy athletes were considered in the control group. The inclusion criteria included unilateral anterior cruciate ligament reconstruction surgery with allograft and autograft methods, male athletes with a minimum of 9 months and a maximum of two years since their surgery, successfully passing a series of quadriceps and hamstring strength tests and distance jumping before entering sports-specific activities under the supervision of a sports physiotherapist, and returning to pre-injury sports activities. 

    Results

    Autograft was not statistically different from matched healthy limbs in terms of joint coordination variability and magnitude (P>0.05). However, the magnitude of joint coordination was superior to the allograft group compared to the autograft reconstructed ACL (P<0.05). 

    Conclusion

    Although our result reported no significant difference between groups in joint coordination variability, having an insight into coordinative function after ACL reconstruction will help develop postoperative rehabilitation programs as well as minimize the re-injury risk among patients. We also suggest that scholars should conduct more robust trials with valid research designs to control the results of ACL reconstruction comparison with autograft and allograft.

    Keywords: Allograft, Autograft, Anterior Cruciate Ligament, Athlete, Joint Coordination Variability
  • Kasra Kazemi, Ismail Ebrahimi Takamjani *, Reza Salehi, MohammadAli Sanjari, Ali Torkaman
    Objectives

    Quantitative biomechanical tests, along with physical assessment, may be useful tounderstand kinematics associated with graft types in anterior cruciate ligament surgery, particularly inindividuals aiming for a safe return to sport.

    Methods

    Sixty male soccer players in three groups participated in this study. Three equal groups of healthy, autotransplanted and allotransplanted participants, matched for age, gender, activity level and functional status, landedwith one foot on a force plate. Their kinematic information was recorded by the motion analyzer and used to describecoordination the variability by measuring coupling angles using vector coding.

    Results

    The coordination variability of the allograft group in the surgical limb was significantly greater than that ofthe healthy group at least 9 months after the reconstructive surgery of the ACL and at the stage of return to sports,(F (6, 35) = 2.79, p = 0.025; Wilk's Λ = 0.676, partial η2 = 0.32). The coordination pattern in the surgical and healthylimbs of the surgical groups also differed from that of the healthy people, which was more pronounced in the allograftgroup, (F (6, 35) = 2.61, p = 0.034; Wilk's Λ = 0.690, partial η2 = 0.31).

    Conclusion

    These results show that the allograft group has a different coordination variability at return to sportthan the healthy group, so they may need more time for excessive training and competition. Level of evidence: II

    Keywords: Allograft, Anterior cruciate ligament (ACL), Autograft, Coordination variability
  • بهروز عبدلی*، فرانک پورحسینی، محمدعلی سنجری

    نظریه شناخت بدن مند پیشنهاد می کند که فرایندهای شناختی در دل نواحی مغزی درگیر در برنامه ریزی و اجرای حرکتی و همچنین نواحی مسیول پردازش ورودی حسی نهفته است. اگر طبق دیدگاه شناخت بدن مند سیستم های شناختی و سیستم های ادراکی/حرکتی عمیقا درهم تنیده شده باشند و رابطه علی معلولی بین آن ها باشد پس فعالیت شناختی باید باعث ایجاد تغییرات در حرکات قابل مشاهده بشود، به همین علت ما در این تحقیق از بیست دانشجوی دختر فارسی زبان (میانگین سنی 4± 21 سال) خواستیم در حین ایستادن آرام بر روی تخته تعادل به شانزده جمله دارای فعل حرکتی به سمت جلو و یا عقب گوش دهند و سپس به بررسی انحراف استاندارد و میانگین درون کوششی مرکز فشار (CoP) آن ها در حین گوش دادن به جملات پرداختیم این آزمون در سه روز متوالی تکرار شد.تجزیه وتحلیل انحراف استاندارد CoP نشان داد که گشت وگذارهای مرکز فشار در زمان شنیدن افعال حرکتی نسبت به خط پایه تغییر معنی دار پیدا کرد ولی هیچ یک از اثرات اصلی برای میانگین CoP معنی دار نبود. تغییرات نوسانات CoP نسبت به نوسانات طبیعی بدن در حین اینکه از شرکت کنندگان خواسته شده بود ثابت بایستند و فقط به جملات گوش دهند نشان از جفت شدگی شناخت و عمل دارد که در رفتار حرکتی آن ها نمود پیدا کرد.

    کلید واژگان: شناخت بدن مند, همسازی جمله و عمل, نوسانات پاسچری, نظریات شناختی
    Faranak Pourhosseini, MohammadAli Sanjari

    According to embodied cognition theory, cognitive processes originate from the areas of the brain involved in motor programing and execution and areas that are responsible for processing sensory inputs. According to the embodied cognition perspective, cognitive systems and perception-motor systems are deeply intertwined and exert a causal effect on each other. Therefore, cognitive activity should cause changes in observable movements. For this reason, in this study, we asked participants (20 females; M age= 21±4) to listen to sentences with action verbs while standing quietly on a balance board. We then examined the standard deviation (SD) and the mean within-trial of their center of pressure (CoP) while the participants were listening to the sentences. This test was repeated for three consecutive days.The analysis of standard deviation demonstrated that CoP fluctuations changed significantly from the baseline when participants listening to action verbs. However, none of the main effects were significant for the mean of CoP. Changes in CoP fluctuations relative to normal body fluctuations while participants were asked to stand quiet and listen only to sentences indicates how cognition and motor are intertwined which was reflected in their motor behavior.

    Keywords: Embodied cognition, Action-Sentence Compatibility, Postural Sway, Cognitive theories
  • رضوان عظیمی*، بهروز عبدلی، محمدعلی سنجری، رضا خسروآبادی
    زمینه

    مطالعات بسیاری برای بررسی تعامل بین قامت و نیازهای شناختی انجام گرفته، اما همچنان اثر تکلیف شناختی بر کنترل قامت به روشنی مشخص نشده است. از عوامل مهم ایجاد نتایج متناقض دشواری تکلیف شناختی و همچنین صدای گفتاری (پاسخ کلامی همزمان به تکلیف شناختی) است که به درستی بررسی نشده است. این تحقیق با هدف بررسی تعامل اثر دشواری تکلیف شناختی و صدای گفتاری بر کنترل قامت انجام گرفت.

    روش پژوهش:

     20 داوطلب جوان سالم (میانگین سنی3/2±22 سال)، برای اجرای 4 شرایط آزمایشی تصادفی روی صفحه نیرو ایستادند. شرایط شامل ترکیب دو سطح دشواری تکلیف شناختی (آسان و دشوار) و پاسخ کلامی (پایانی و همزمان) بود.

    یافته ها

    نتایج تحلیل واریانس دوراهه سطح معنی داری 05/0>P، افزایش قابل توجهی در پراکندگی مرکز فشار در شرایط پاسخ کلامی همزمان به تکلیف شناختی دشوار نسبت شرایط پاسخ کلامی پایانی را نشان داد (05/0>P). همچنین، مساحت بیضی در شرایط تکلیف شناختی دشوار نسبت به تکلیف شناختی آسان در صورت پاسخ کلامی پایانی کاهش یافت اما در پاسخ کلامی همزمان افزایش یافت (05/0>P).

    نتیجه گیری

    با توجه به نتایج تحقیق حاضر، به نظر می رسد که تکلیف شناختی دشوار به سهم بزرگ تری از ظرفیت توجه نیاز دارد و  به دور کردن توجه از تکلیف قامتی منجر می شود. بنابراین پردازش خودکار اجازه دارد تا قامت را از طریق فرایندهای غیرهشیار، سریع و بازتابی به صورت کارآمدتری تنظیم کند. همچنین صدای گفتاری منجر به افزایش نوسان قامت منجر شده و مانع از اثر مثبت تکلیف شناختی می شود. در نتیجه در طراحی مداخلات مناسب، توجه به اثرات تعاملی دشواری تکلیف شناختی و صدای گفتاری ضروری به نظر می رسد.

    کلید واژگان: توجه, الگوی تکلیف دوگانه, کنترل ناهشیار, صدای گفتاری
    Rezvan Azimi *, Behrouz Abdoli, MohammadAli Sanjari, Reza Khosrowabadi
    Introduction

    Many studies evaluate the interaction between cognition and posture but the effect of cognitive task difficulty and articulation on postural control remains inconclusive. The purpose of the present study was to examine the interaction effect of cognitive task difficulty and articulation on postural control.

    Methods

    Twenty healthy young volunteers (Mean age 22 ± 2.3 years) performed four random conditions while standing on a force platform. Conditions involved combinations of two level of cognitive task difficulty (easy and difficult cognitive task) and two level of verbal response (simultaneous and final).

    Results

    Two-way ANOVA (significant level P<0.05) results demonstrated marked increased in the standard deviation and area of 95% confidence ellipse of the center of pressure in the difficult cognitive task condition with simultaneous verbal response. (P<0.05). Also, in the final response condition, difficult cognitive task reduced area of 95% confidence ellipse.

    Conclusion

    According to the results of the present research, it seems that the difficult cognitive task requires a greater part of attention capacity; subsequently, attention is withdrawn from the postural task and automatic control regulates posture more efficiently through unconscious, fast, and reflexive processes. Also, postural control is simultaneously affected by the difficulty of cognitive task and articulation. Therefore, for designing appropriate interventions, it seems necessary to pay attention to the interactive effects of the difficulty and articulation of cognitive task.

    Keywords: attention, Articulation, Dual-task paradigm, Unconscious control
  • Ghazal Kharaji, Afsaneh Nikjooy *, Ali Amiri, MohammadAli Sanjari, Hassan Jafari, Bary Berghmans
    Background

     It has been demonstrated that pelvic floor muscles (PFMs) are involved in the pathophysiology of stress urinary incontinence (SUI). Sense of force, an aspect of proprioception, has never been evaluated in PFMs.

    Objectives

     This study aimed to assess the proprioception of PFMs by evaluating the accuracy of force sense in adult women with SUI compared to those with continence. A further aim was to study the accuracy of force sense between various lengths and tensions of PFMs.

    Methods

     Twenty-three women with SUI and 18 women without it were recruited in six trials with four different test conditions: 5 mm/40% (speculum opening/maximum voluntary contraction (MVC) percentage to produce), 5 mm/70%, 10 mm/40%, and 10 mm/70%. All participants were asked to reproduce the target force based on their own perceptions. The dynamometer was used to evaluate the sense of force.

    Results

     The accuracy of force sense differed between women with SUI and those without it. In all test conditions, women with SUI had higher force reproduction accuracy. The highest amount of error was recorded at 10 mm and 40% MVC for either group.

    Conclusions

     Women with SUI were more accurate in reproducing the target force than those with continence. Higher force sense accuracy may result from more attention to the pelvic floor area and a lack of automaticity of movements in women with SUI. Therefore, developing therapeutic management focusing on restoring automaticity seems advisable.

    Keywords: Pelvic Floor, Proprioception, Stress Urinary Incontinence
  • مریم نظری، سحر بوذری*، گیتی ترکمان، محمدعلی سنجری

    مقدمه و هدف :

    ویبریشن کلی بدن یکی از مداخلات نسبتا نو و پرکاربرد در حیطه فیزیوتراپی و فیزیوتراپی ورزشی است که به‌دلیل اثرات مثبت آن بر سیستم عصبی-عضلانی مورد توویبریشن کلی بدن، یکی از مداخلات نسبتا نو در حیطه فیزیوتراپی و فیزیوتراپی ورزشی است که به‌طور گسترده‌ای مورد استفاده قرار می‌گیرد. این دستگاه به‌علت داشتن اثرات مثبت بر سیستم عصبی-عضلانی مورد توجه قرار گرفته است.  ویبریشن کلی بدن، نوساناتی تولید می‌کند که شدت آن با پارامترهای فرکانس، آمپلی‌تود و مدت زمان اعمال ویبریشن تعیین می‌شود. بنا به مطالعات پیشین، برخی از پارامترهای این دستگاه منجر به افزایش فعالیت الکترومیوگرافی، قدرت و توان عضلات شده است. قدرت و توان عضلات، دو عامل مهم اثرگذار بر عملکرد سیستم عضلانی-اسکلتی افراد هستند. بنابراین، متغیرهای عملکردی ورزشی اعم از ارتفاع پرش و سرعت دویدن می‌توانند تحت تاثیر ویبریشن قرار بگیرند. با توجه به مطالعات پیشین، این مداخله به شرط اعمال پارامترهای مناسب، می‌تواند برای بهبود عملکرد افراد در فعالیت‌های ورزشی هم‌چون پرش و دویدن، موثر واقع شود. بر طبق مطالعات، پارامتر فرکانس به علت اینکه اثرگذاری بیشتری بر عملکرد افراد دارد، نسبت به سایر پارامترها اهمیت بیشتری دارد. در نتیجه هدف این مطالعه، بررسی دیدگاه‌های مطالعات پیشین در مورد اثرات فرکانس‌های مختلف ویبریشن بر متغیرهای عملکردی بدن در فعالیت‌های مختلف ورزشی است.

    مواد و روش‌ها :

    جستجوی کلمات کلیدی در پایگاه‌های اطلاعاتی اسکوپوس، پاب‌مد و گوگل‌اسکالر جهت دسترسی به مطالعات حیطه اثر فرکانس‌های ویبریشن بر فعالیت‌های ورزشی پرش و دویدن انجام شد.

    یافته‌ها:

     بر طبق مطالعات پیشین، فرکانس‌های 30 تا 50 هرتز منجر به افزایش آنی ارتفاع پرش ضدحرکت و پرش اسکات شدند. به علاوه، فرکانس‌های 18 تا 35 هرتز و 40 هرتز ویبریشن در صورتی که طولانی‌مدت اعمال شوند، به ترتیب می‌توانند ارتفاع پرش ضدحرکت و اسکات را افزایش دهند. در چند مطالعه نیز فرکانس‌های 26 و 20 هرتز توانستند ارتفاع پرش‌های ضدحرکت، افقی و اسکات را افزایش دهند. استفاده از فرکانس 30 هرتز برای افزایش سرعت دویدن و طول گام افراد و کاهش مدت زمان دویدن در مسافت مشخص، توصیه شده است. علاوه بر این، استفاده از ویبریشن با فرکانس 45 هرتز می‌تواند بلافاصله طول گام را کاهش و نرخ گام را در هنگام دویدن بر روی تردمیل افزایش دهد.

    نتیجه‌گیری :

    فرکانس 30 هرتز، رایج‌ترین فرکانسی است که تاثیر مثبتی بر بهبود توانایی پرش و دویدن افراد دارد. این فرکانس می‌تواند در هر دو حالت اعمال آنی و طولانی‌مدت ویبریشن، اثرات مثبتی بر متغیرهای پرش و دویدن داشته باشد. بنابراین استفاده از این فرکانس برای بهبود عملکرد عصبی-عضلانی افراد در فعالیت‌های ورزشی پیشنهاد می‌شود.

    کلید واژگان: لرزش, پرش, دویدن, عملکرد, بیومکانیک
    Maryam Nazari, Sahar Boozari *, Giti Torkaman, MohammadAli Sanjari

    Background and Aims:

     Whole body vibration (WBV) is one of the relatively new interventions that is widely used in physiotherapy and sports physiotherapy. It is becoming more common due to its positive effects on the neuromuscular system. The WBV device produces oscillations and its intensity is determined based on the parameters of frequency, amplitude, and duration of vibration. According to the previous studies, some parameters of this device results in increased muscle activity, strength, and power. Muscle strength and power are the two most important factors in musculoskeletal efficiency. As a result, sports performance variables such as jump height and running speed are affected by WBV. According to previous studies, if the vibration is applied with appropriate parameters, it can be effective in improving the performance of individuals in activities such as jumping and running. Furthermore, it has been shown that frequency parameter is more important than other vibration parameters since it has a greater effect on musculoskeletal performance. As a result, this study aims to review the studies on the effects of various WBV frequencies on functional variables in sports activities.

    Methods:

     A search was conducted in PubMed, Scopus, and Google Scholar databases to find studies about the effect of WBV frequencies on jumping and running.

    Results:

     According to previous studies, the frequency of 30-50 Hz resulted in an immediate increase in countermovement jump and squat jump heights. The frequencies of 18-35 Hz and 40 Hz, when used for a long time, also increased the heights of countermovement and squat jumps, respectively. In a few studies, the 26 and 20-Hz frequencies improved the heights of horizontal, countermovement, and squat jumps. Moreover, 30-Hz frequency increased running speed and step length and reduced the running duration in a certain distance. The frequency of 45-Hz immediately reduced the step length and increased the step rate during running on a treadmill.

    Conclusion:

     The 30-Hz frequency is the most common WBV frequency with a positive effect on jumping and running abilities. In both acute and chronic conditions, this frequency may have a positive impact on the kinetic and kinematic variables of jumping and running. As a result, this frequency is suggested for improving an individual's neuromuscular performance in sports activities.

    Keywords: Vibration, Jumping, Running, Performance, Biomechanics
  • Zahra Nemati, Mohammad Ali Sanjari*, Maryam Jalali, Abolfazl Bagheri Fard
    Background

    Knee extension torque control decreases after anterior cruciate ligament (ACL) rupture. There is a controversy in neuromuscular control changes on the uninvolved side. We intended to evaluate the steadiness and accuracy of quadriceps muscle control in the healthy and deficient sides of people with acute ACL rupture.  

    Methods

    In this cross-sectional study, thirteen men with ACL rupture (age: 27.8±7.0, body mass index (BMI): 24.7±2.25: 24.7, days from injury: 48.1±21.3) participated in the study. We measured quadriceps force control, which is quantitatively assessed by the standard deviation (SD) of joint torque for a predefined submaximal target. The accuracy of muscular control or performance of quadriceps is commonly quantified by the root mean square of error (RMSE) was also measured. A two-way analysis of variance was conducted to assess SD and RMSE of two levels of quadriceps contraction (30% of muscle voluntary contraction (MVC), 50% of MVC) across both healthy and deficient knees.  

    Results

    There was a significant main effect for SD and RMSE of MVC percentage (p<0.001). SD of quadriceps torque in 50% of MVC (1.44 ± 0.13) was higher than 30% of MVC (0.88 ± 0.1). In contrast, there was no significant main effect for SD and RMSE of knee condition.  

    Conclusion

    After unilateral ACL rupture, the neuromuscular system becomes defected and quadriceps muscle control is then reduced in the healthy side. Therefore, the healthy side is also vulnerable to ligamentous damage. Besides, with the increasing intensity of physical activities, neuromuscular control decreases and the risk of re-injury rises.

    Keywords: ACL Rupture, Quadriceps Force Control, Neuromuscular Control, Knee Extension Torque
  • رضوان عظیمی، بهروز عبدلی*، محمدعلی سنجری، رضا خسروآبادی
    مطالعات قامت و شناخت نشان دادند که کنترل قامت تحت تاثیر تکلیف شناختی است. از این رو تاثیر عوامل مختلف مانند دشواری تکلیف در یک الگوی تکلیف دوگانه مورد بررسی قرار گرفته است اما همچنان اثر دشواری تکلیف شناختی و تکلیف قامتی بر کنترل قامت به روشنی مشخص نشده است. بنابراین، این مطالعه باهدف بررسی تعامل اثر دشواری تکلیف شناختی و قامتی بر کنترل قامت انجام شد. بیست داوطلب جوان سالم (میانگین سنی3/2±22 سال)، برای اجرای 6 شرایط آزمایشی تصادفی روی صفحه نیرو ایستادند. شرایط شامل ترکیب دو سطح دشواری تکلیف قامتی (ایستادن روی سطح زمین و سطح باریک) و سه سطح دشواری تکلیف شناختی (بدون تکلیف شناختی، آسان و دشوار) بود. نتایج تحلیل واریانس دوراهه با سطح معنی داری 05/0>P، کاهش قابل توجهی در انحراف معیار مرکز فشار در جهت قدامی-خلفی و میانی-جانبی در شرایط تکلیف شناختی دشوار در هر دو تکلیف قامتی را نشان داد (05/0>P). همچنین، تکلیف شناختی آسان باعث کاهش انحراف معیار مرکز فشار در جهت قدامی - خلفی در شرایط ایستادن روی سطح باریک شد (05/0>P). با توجه به نتایج تحقیق حاضر، به نظر می رسد که تکلیف شناختی دشوار به سهم بزرگ تری از ظرفیت توجه نیاز داشته و منجر به دور کردن توجه از تکلیف قامتی می شود. بنابراین پردازش خودکار اجازه دارد تا قامت را بدون محدودیت و از طریق فرایندهای غیرهشیار، سریع و بازتابی به صورت کارآمدتری تنظیم کند. همچنین دشواری تکلیف قامتی بر اثرگذاری تکلیف شناختی موثر است در نتیجه در طراحی مداخلات مناسب، توجه به اثرات تعاملی تکلیف قامتی و شناختی ضروری بنظر می رسد.
    کلید واژگان: توجه, کنترل خودکار, تکلیف ثانویه, تکلیف قامتی, دشواری
    Rezvan Azimi, Behrouz Abdoli *, Mohammad Ali Sanjari, Reza Khosrowabadi
    Posture-cognition studies show that postural control is affected by cognitive task. Therefore, the effect of factors such as task difficulty is evaluated in dual-task paradigm but the impact of difficulty of cognitive and postural task on postural control remains inconclusive. The purpose of the present study was to examine the interaction effect of cognitive and postural tasks difficulty on postural control. Twenty healthy young volunteers (Mean age 22 ± 2.3 years) performed six random conditions while standing on a force platform. Conditions involved combinations of two level of postural task difficulty (standing on the floor and narrow base) and three level of cognitive task difficulty (without, easy and difficult cognitive tasks). Two way ANOVA (significant level p < 0.05) results demonstrated marked decrease in the standard deviation of the center of pressure in the anterior-posterior and medial-lateral directions for the difficult cognitive task condition in both postural task. (p < 0.05). Also, the easy cognitive task reduced the standard deviation of the center of pressure in the anterior-posterior direction in the narrow base standing condition (p < 0.05). According to the results of the present research, it seems that the difficult cognitive task requires a greater part of attention capacity; subsequently, attention is withdrawn from the postural task and automatic control regulates posture more efficiently through unconscious, fast, and reflexive processes. Also, postural control is simultaneously affected by the difficulty of postural and cognitive tasks. Therefore, in designing appropriate interventions, it seems necessary to pay attention to the interactive effects of posture and cognitive tasks.
    Keywords: Attention, Automatic control, Secondary task, Postural task, Difficulty
  • سید حسن صانعی، بهنوش وثاقی قراملکی، محمدعلی سنجری، محمدرضا کیهانی، مهتاب روحی عزیزی*

    پزشکی بالینی با دو چالش داده نگاری (Mensuration) و کمی سازی (Quantification) روبرو است. داده نگاری همان فرآیند تبدیل مشاهدات بالینی به داده های خام اولیه و کمی سازی ارایه شاخص های مربوط به گروه ها برای توصیف نشانه‎ها، علایم جسمانی و پدیده های بالینی است. در بسیاری از علوم برای شناساندن چنین کارهایی از پسوند سنجش (Metrics/(Metry استفاده نموده اند. زیست سنجی، روان‎سنجی، اقتصادسنجی، جامعه‎سنجی، شیمی‎سنجی و... نیز بر همین اساس شکل یافته اند. بالین سنجی (Clinimetrics) نیز در زمره خانواده «سنجش» قرار دارد و برای سنجش پدیده‎های بالینی بکار می رود. در این حوزه‎ از شاخص ها، مقیاس رتبه‎بندی و سایر ویژگی‎ها برای توصیف علایم جسمانی و پدیده‎های بالینی استفاده می شود. فنیشتاین در اوایل دهه 1980 رویای رشته جدیدی را در سر می پروراند که نخستین بار آن را با عبارت بالین سنجی 1980 معرفی کرد و کسانی چون هنریکا دی. وت، پر بچ و پل کرابه آن را ادامه دادند. بالین سنجی شاخصی از پدیده های بالینی است که به دو بخش داده‏نگاری و کمی سازی تقسیم می شود. بالین سنجی فراتر از محاسبات بوده و به دنبال کاربرد محاسبات آماری در علوم پزشکی است تا بتواند احساس را از تصمیمات مبتنی بر توجیه منطقی دور سازد. در آینده‎ای نه چندان دور، انتظار می‎رود که شاهد ضرورت راه اندازی رشته بالین سنجی در دانشکده های پزشکی، دندانپزشکی، توانبخشی و غیره که با درمانگاه و بیمار سروکار دارند، باشیم. این رشته می تواند در دپارتمان‎های علوم پایه راه اندازی شود.

    کلید واژگان: بالین سنجی, داده نگاری, کمی‎سازی, سنجش
    Seyed Hassan Saneii, Behnoosh Vasaghi Gharamaleki, MohammadAli Sanjari, Mohammadreza Keyhani, Mahtab Roohi Azizi*

    According to Alvan Feinstein, the world of clinical medicine faces two challenges of mensuration and quantification. An individual-level challenge called mensuration and a group-level challenge called quantification. Feinstein calls mensuration the process of converting clinical observations (observed phenomena) into primary raw data, which are expressed as numbers and digits. Then, he called the conversion of raw data into digits and numbers specific to groups, such as the average, quantification. Quantification also has group indices to describe physical symptoms and clinical phenomena. In many scientific disciplines, the extension metry/metrics has been used to represent works based on measurement or mensuration. Combined terms with this suffix were first used by Sir F. Galton for biometry about a century ago to represent the combination of statistical committees with biological knowledge. Biometrics gradually expanded into the realm of biology, and three areas of anthropometry, sociometry, and psychometric emerged. In addition to biological activities, the scope of metrics has been widely extended to other sciences such as econometrics, technometrics, cliometric, bibliometrics, and chemometrics. Therefore, the idea and name of clinimetric is not new. The cousins of the large metrics family have been waiting for the word clinimetrics for a long time, and they may wonder why clinicians and therapists joined them so late. To express people's height, scale data in centimeters or inches, to express gender, scale data such as men and women, and to classify the severity of the disease, scales such as mild, moderate and severe or +1, +2, +3 and .... were defined. All the scales and criteria used in mensuration are to describe the types of treatments so that the observed phenomena can be divided into specific categories and analyzed. Quantification occurs after collecting primary raw data and assigning it to categories to make comparisons between them. In the categorized raw data, indicators can be calculated for each group. The average as an indicator of the health status of severely ill men receiving a treatment is one of them. In a complete and comprehensive definition, clinimetrics is an indicator of clinical phenomena. It evaluates or describes clinical and laboratory signs, symptoms, and findings using scales, indicators, and other quantitative instruments. Clinical measurement can be divided into two types of activities. One of them is mensuration in which raw data is collected to label or group so that the observed phenomena. Mensuration means what determines the status of each individual to generate such variables and raw data such as "place of birth: Mashhad", "gender: female", "age: 42" and "functional status: level 4". Another type of clinical trial can be called quantification that involves the collection of raw data in a group and summarizing the group’s characteristics, and sometimes a comparison is made between two or more groups. In quantification, it can be said that in a special group of 57 people, 81% of them were born in Mashhad, 56% were women and their average age was 46.2 years and their average functional status was level 3. Then we can compare this group with another group of people to achieve the conclusion for quantification. Over the years, the term "clinical epidemiology" has been used to quantify and compare clinical phenomena. Hence, clinimetrics is limited to mensuration activities to distinguish between these two types of measurements. On the other hand, clinical epidemiology can be a subset of clinimetrics or vice versa clinimetrics subset of clinical epidemiology. With these limitations, clinimetrics can be related to indicators, rating scales, and other conditions that are defined to describe or measure physical signs and symptoms or overt clinical phenomena in clinical medicine. Although markers, indicators, and measurements are components of clinimetrics, the main focus of this branch of science is expanding on methodology for measurement to have the necessary application. This issue is related to the quality of measuring instruments and now there is more focus on the development process of instruments than their final format. Dr. Feinstein, known as the father of clinical epidemiology, dreamed of a new field, which he introduced as clinimetrics in the early 1980s and scientists like Henrica De. Wet, Per Bech and Paul Krabbe pursued his work. He wrote a book on Clinimetrics after writing a book on Clinical Biostatistics and Clinical Epidemiology. He published four consecutive articles in the journal Ann. Intern Medicine (September to December 1983) to emphasize the necessity of basic sciences in medicine as "clinical medicine". In the last of these articles, he introduced the field of clinimetrics and predicted the types of opposition to the establishment of this field. The concept of clinimetrics gradually took its place in the medical literature. Given his scientific background in mathematics, statistics and psychometrics, he now teaches clinimetrics at the VU University of the Netherlands and has begun a wide range of activities to promote it (www.clinimetrics.nl/). He and his colleagues believe that clinimetry and psychometry are two sides of a coin. However, people like Per Bech in his book "Clinical Psychometry-2012" consider clinical psychometry to be the same as "clinimetrics" in psychiatry. Paul Krabbe of the University of Groningen in the Netherlands has dedicated chapter 13 of his book to measuring health and health status to clinimetrics. Clinimetrics has been proposed in other sciences such as physiotherapy and rehabilitation sciences by Dekker et al. (2005). Soon courses on clinimetrics will begin in faculties that deal with patients and clinical sciences (such as rehabilitation, dentistry and medicine). Perhaps the best place to start this field is in the "basic sciences" group at medical universities, so that Dr. Feinstein's dream of making the field of clinical studies as a basic field comes true. It is hoped that the pioneering universities of medical sciences in the country will also contribute to the development of this field by understanding the necessity of establishing such a field as a basic and complementary field.

    Keywords: Clinimetrics, Mensuration, Quantification, Metrics
  • MohammadAli Sanjari*

    Uncontrolled Manifold (UCM) approach has gained a lot of attention in the field of movement variability and related areas of research. The diversity of applications and the need to explore new UCM-based measures along with the advances in mathematical methods in UCM have led to several formulas for UCM outcome measures with different notations and conflicting interpretations. This letter is intended to summarize the most popular indexes while suggesting a unified notation.

    Keywords: Confusion, UCM Synergy Indexes
  • حسام رمضان زاده*، بهروز عبدلی، علیرضا فارسی، محمدعلی سنجری

    تحقیق حاضر به بررسی اثر یکپارچگی بینایی-شنوایی بر انتقال عمل- ادراک می پردازد.40 آزمودنی در چهار گروه بینایی، بینایی-شنوایی، کنترل بینایی و کنترل بینایی- شنوایی قرار گرفتند. گروه های بینایی الگوی فرد ماهری را تماشا کردند و گروه های بینایی-شنوایی، همزمان با الگوی بینایی، سرعت زاویه ای مفصل آرنج را به صورت سونیفیکیشن دریافت کردند. الگو 5 مرتبه ارائه و افراد به 10 سوال مربوط به الگو پاسخ دادند و در آزمون های بازشناسی پارامتر و الگو شرکت کردند. گروه های تجربی 5 بار دیگر الگو را تماشا کردند و پس از هربار، مشابه با الگو اجرا کردند. گروه های کنترل الگو را به همان تعداد تماشا کردند اما مجاز به اجرای آن نبودند. در نهایت همه گروه ها پرسشنامه 10 سوالی را تکمیل کردند و در آزمون های بازشناسی شرکت نمودند. نتایج نشان داد قبل از اجرای عمل در متغیر “درصد اطمینان پاسخگویی" و نه “پاسخ به سوالات” بین گروه های آزمایشی و بعد از اجرای عمل در هر دو متغیر “پاسخ به سوالات” و “درصد اطمینان پاسخگویی” بین گروه های آزمایش و نیز گروه های کنترل، تفاوت معنی داری مشاهده شد (p<0.05). در این تحقیق اثر یکپارچگی بینایی- شنوایی بر انتقال عمل- ادراک تایید شد. این نتایج بر اساس نظریه های کدگذاری مشترک، جفت شدن مستقیم ادراک-عمل و مدل های پیش گویانه قابل توجیه است.

    کلید واژگان: انتقال ادراک - عمل, انتقال عمل- ادراک, سونیفیکیشن, یکپارچگی بینایی-شنوایی
    Hesam Ramezanzade*, Behrouz Abdoli, Alireza Farsi, Mohammad Ali Sanjari

    This study investigated the effect of audiovisual integration on action-perception transfer.40 subjects were randomly divided four groups: visual, visual-auditory, control visual and control visual-auditory. Visual groups watched pattern skilled basketball player and other groups in addition to watching pattern skilled basketball player, heard Elbow angular velocity as sonification. In first stage, the pattern is presented to subjects for five times and them replying to ten questions about different aspects of pattern. Then they performed parameter recognition and pattern recongnition tests. In second stage, experimental groups watch pattern five times again and perform it after each watch. Control groups watch pattern similar to experimental group but they must not perform it. All groups responded to the questionnaire and participated in a recognition tests again. Results showed that before action, in “percent confidence reply” and no “reply to questions” there is significant different between experimental groups. But after action in both “percent confidence reply” and “reply to questions” there was significant different between experimental groups and control groups (p<0.05). In this study was confirmed effect of visual-auditory integration on action-perception transfer. This results is explainable based of Common Coding Theory, Direct Matching Hypothesis and Predictive Models. The results are consistent with modality appropriateness hypothesis.

    Keywords: Audiovisual Integration, Action-perception Transfer, Perception-action Transfer, Sonification
  • نرگس چرخیان، علیرضا فارسی*، بهروز عبدلی، محمد علی سنجری

    در این پژوهش ابعاد انگیختگی فیزیولوژیک و اضطراب شناختی شرایط عادی و فشار و تاثیر آن ها بر دقت عملکرد و ویژگی های کینماتیک حرکت سلاح در دو گروه نخبه و نوآموز بررسی شد. انگیختگی فیزیولوژیک با سطح هدایت الکتریکی پوست ثبت شد. دقت عملکرد و ویژگی های کینماتیک سلاح (زمان حرکت، اوج سرعت سلاح، جابه جایی در محور افقی و عمودی) در دو گروه توسط تحلیل واریانس مرکب با اندازه های تکراری آزمون شد. افزایش انگیختگی فیزیولوژیک و اضطراب حالتی از شرایط عادی به فشار نشان دهنده ایجاد شرایط فشار بود. افزایش بیشتر انگیختگی فیزیولوژیک در گروه نوآموز منجر به افزایش اوج سرعت سلاح و جابه جایی در محورعمودی و کاهش دقت عملکرد شد. در مقابل، در شرایط فشار دقت عملکرد گروه نخبه با کاهش جابه جایی در محور افقی و عمودی افزایش یافت. یافته ها از پیش بینی مدل فاجعه که بر اساس ارتباط عملکرد حرکتی با انگیختگی فیزیولوژیک و اضطراب شناختی مفهوم سازی شده، حمایت کرد.

    کلید واژگان: : انگیختگی فیزیولوژیک, سطح هدایت الکتریکی پوست, سطح مهارت, مدل فاجعه, تیراندازی با تپانچه
    Narges Charkhian, Alireza Farsi *, Behrouz Abdoli, Mohammad Ali Sanjari

    The present study investigated the effects of physiological arousal and cognitive anxiety on performance accuracy and kinematic features of gun in expert and novice groups. The physiological arousal was recorded with skin conductance response. Performance accuracy and kinematic features of gun such as total movement time, peak velocity, displacement in horizontal and vertical axis were measured by using mixed variance analysis test with repeated measures design. Increased physiological arousal and anxiety showed induced pressure conditions. More increase in the physiological arousal in novice group led to an increase in the peak velocity and the displacement in the vertical axis of the gun and a reduction of the performance accuracy. However, the performance of the expert group increased with decreased displacement in two axes under pressure conditions. The findings support the prediction of the catastrophe model, which conceptualized based on the relationship of motor performance with physiological arousal and cognitive anxiety.

    Keywords: : Physiological Arousal, Skin conductance level, Skill Level, Catastrophe Model, Pistol Shooting
  • Elham Esfandiari, Mojtaba Kamyab*, Hamid Reza Yazdi, Mohammad Ali Sanjari, Fatemeh Navvab Motlagh
    Background

    Lateral wedge insole (LWI) aims to reduce loading on medial compartment of tibiofemoral joint in mild knee osteoarthritis (KOA). This effect may be augmented by concomitant use of subtalar strap to fix the ankle joint. Moreover, longitudinal arch support embedded in insoles can cause foot comfort and may be beneficial for people with KOA. Therefore, this study aimed to assess the immediate effect of LWI with an arch support with and without a subtalar strap on the kinetics and kinematics of walking in mild KOA.

     Methods

    A convenient sample of 17 individuals with mild KOA (Kellgren and Lawrence grade II), aged ≥ 40 years were assessed in 3 conditions: without the insole; LWI; and LWI with a subtalar strap, where an arch support was embedded in all insoles. The primary outcomes were external knee adduction moment and angular impulse. The secondary outcomes were hip flexion and adduction moments, knee flexion angle, ankle eversion moment, and walking speed. The repeated measurements ANOVA was used to compare the primary and secondary outcomes between the conditions using SPSS.  Significance level was set at 0.05.

    Results

    LWI and a subtalar strap can significantly increase the knee flexion angle at 0%-15% of the stance phase compared to no insole (p<0.001). No other changes were observed (p=0.142).

    Conclusion

    LWI with an arch, with or without a subtalar strap, cannot impose any immediate changes on the kinetics and kinematics of lower limb joints during walking in people with mild KOA.

    Keywords: Osteoarthritis, Knee, Orthotics, Gait
  • Ghazal Kharaji, Afsaneh Nikjooy*, Ali Amiri, Mohammad Ali Sanjari
    Background

    Urinary incontinence (UI) is more common than any other chronic disease. Stress urinary incontinence (SUI), among the various forms of urinary incontinence, is the most prevalent (50%) type of this condition. Female urinary continence is maintained through an integrated function of pelvic floor muscles (PFMs), fascial structures, nerves, supporting ligaments, and the vagina. In women with SUI, the postural activity of the PFMs is delayed and the balance ability is decreased.  Many women, by learning the correct timing of a pelvic floor contraction during a cough, are able to eliminate consequent SUI. Timing is an important function of motor coordination and could be affected by proprioception. This study was conducted to review and outline the literature on proprioception as a contributory factor in SUI.

    Methods

    PubMed, Scopus, and Google Scholar databases were systematically searched from 1998 to 2017 for articles on the topic of pathophysiology, motor control alterations, and proprioception role in women with SUI.

    Results

    A total of 6 articles addressed the importance of proprioception in motor control and its alterations in women with SUI. There were also publications on postural control, balance, and timing alterations in women with SUI in the literature. However, there was no research on measuring proprioception in the pelvic floor in this group.

    Conclusion

    Both the strength of the PFMs and the contraction timing and proprioception are important factors in maintaining continence. Thus, conducting research on PFMs proprioception in women with SUI, as a cause of incontinence, is encouraged.

    Keywords: Stress urinary incontinence, Pelvic floor muscles, Proprioception, Balance, Postural activity
  • Elham Esfandiari, Mohammad Ali Sanjari *, Ali Ashraf Jamshidi, Mojtaba Kamyab, Hamid Reza Yazdi
    Background
    Knee osteoarthritis (KOA) is associated with a decrease in function, increase in pain and risk of falls. Lateral wedge insole (LWI) is commonly prescribed in KOA to improve pain and function. Our study aimed to 1) evaluate the clinical symptoms and risk of falls in early KOA and compare with controls; 2) evaluate the immediate and four-week effect of LWI.

    Methods
    A sample of 20 Persian dwelling individuals with early KOA and 19 matched controls were recruited. Pain with Visual Analogue Scale (VAS), Quality of life (QOL) with the knee injury and osteoarthritis outcome score, risk of falls with the Timed Up and Go (TUG) and static One-leg Balance (OLB) tests were assessed. The four-week effect of 5º LWI was considered for individuals with KOA. Independent t-test was done to report the between-group differences, and paired t-test was used to report the four-week effect of LWI.

    Results
    At baseline, statistically significant higher scores for pain, lower scores for QOL, and higher risk of falls were observed in KOA compared to controls (p
    Conclusion
    People with early KOA showed higher pain and lower level of QOL that were associated with higher risk of falls. LWI may have the potential to improve clinical symptoms and reduce the risk of falls at the early stage of KOA.
    Keywords: Osteoarthritis, Knee, Symptoms, Accidental falls, Foot orthoses
  • سارا مرادی*، علی اشرف جمشیدی، محمد علی سنجری
    مقدمه و اهداف پس از جراحی بازسازی رباط صلیبی قدامی، اختلال کنترل پاسچر و تعادل باقی می ماند. بنابراین انتظار می رود که انجام تمرینات بر پایه آموزش عصبی-عضلانی (اغتشاش درمانی) منجر به بهبود کنترل پاسچر و افزایش سطح عملکردی گردد.
    مواد و روش ها بیست بیمار با سابقه بازسازی رباط صلیبی قدامی که دوره فیزیوتراپی متداول را طی کرده بودند، در دو گروه ده نفره کنترل و درمان وارد مطالعه شدند. داده های مربوط به مرکز فشار با استفاده از دستگاه صفحه نیرو ثبت شدند. همچنین پرسشنامه یک صد نمره ای International Knee Documentation Committee)) IKDC و آزمون عملکردی پرش متقاطع نیز برای هر دو گروه مورد ارزیابی قرار گرفت. برای گروه درمان دوره اغتشاش درمانی ده جلسه ای انجام و همگی آزمون ها مجددا تکرار و نتایج با هم مقایسه شدند.
    یافته ها میانگین طول پرش قبل و بعد از درمان در گروه کنترل به ترتیب 2/404 و 6/404 و در گروه درمان به ترتیب 8/402 و 436 سانتی متر بود (015/0= p). میانگین سرعت متوسط قبل و بعد از درمان در گروه کنترل به ترتیب 28/6 و 45/5 و در گروه درمان به ترتیب 88/5 و 52/4 سانتی متر بر ثانیه بود (031/0= p) میانگین جابجایی مرکز فشار قبل و بعد از درمان در گروه کنترل به ترتیب 87/0 و 78/0 و در گروه درمان به ترتیب 76/0 و 55/0 سانتی متر بود (027/0= p). پراکندگی سرعت مرکز فشار قبل و بعد از درمان در گروه کنترل به ترتیب 55/5 و 98/4 و در گروه درمان به ترتیب 49/5 و 44/4 سانتی متر بر ثانیه بود (15/0= p). نمره پرسشنامه در گروه درمان در پایان تمرینات اغتشاشی افزایش معناداری نشان داد (005/0> p).
    نتیجه گیری تمرینات اغتشاشی باعث بهبود عملکرد و کنترل پاسچر در بیماران پس از جراحی بازسازی رباط صلیبی قدامی می شود.
    کلید واژگان: جراحی بازسازی رباط صلیبی قدامی, کنترل پاسچر, مرکز فشار, اغتشاش درمانی
    Sara Moradi *, Ali Ashraf Jamshidi, Mohammad Ali Sanjari
    Background And Aim
    After Anterior Cruciate Ligament Reconstruction (ACLR), postural control deficit remains due to sensory defect. Performing exercises based on neuromuscular training (perturbation training) may cause “postural control” and “functional level” improvement. The present study was carried out to evaluate the effect of perturbation training on postural control in patients with history of ACLR.
    Materials And Methods
    A total of 20 patients with history of ACLR who had followed routine rehabilitation protocol, and who returned to the previous level of activity, were included in two equal treatment and control groups. The mean time after surgery was 9.52.1 months. Force plate test was performed for evaluating the center of pressure parameters such as mean Velocity (Vm), Standard Seviation for distance (SDx), and Velocity (SDv) for each group. Also, cross hop functional test and subjective IKDC were performed for both groups. For treatment group only, 10 sessions of perturbation training were performed. Finally, these tests were repeated and compared between the two groups.
    Results
    A significant increase was observed in the score of IkDC in treatment group (P- value
    Conclusion
    Perturbation training can induce decrease in the center of pressure parameters, which increases functional test and IKDS scores. According to the results of the present study, performing perturbation protocol in patients who have had ACLR is recommended.
    Keywords: Postural control, Perturbation training, Anterior cruciate ligament, Center of pressure
  • فریبا حسن بارانی، مهدی شهبازی، شهزاد طهماسبی بروجنی، محمدعلی سنجری، جمال فاضل کلخوران
    مقدمه
    مطالعات اکتساب مهارت حرکتی نشان داده اند که عملکرد یک تکلیف حرکتی بعد از تمرین روان تر می شود و نوع تمرین مورد استفاده از اهمیت بالایی برخوردار است. هدف از انجام تحقیق حاضر، بررسی تاثیر تمرین با چالش ناپایداری تکلیف- ویژه بر عملکرد و اکتساب یک مهارت پرتابی بود.
    مواد و روش ها
    طرح تحقیق حاضر نیمه تجربی و نوع آن کاربردی بود. 16 شرکت کننده نیمه ماهر بسکتبال، تحت دو شرایط تمرینی با و بدون بازخورد بینایی قرار گرفتند. هر مرحله تمرینی شامل سه بلوک ده کوششی بود. قبل و بعد از مراحل تمرینی، عملکرد پرتابی افراد در دو مرحله پیش آزمون و پس آزمون بررسی شد. برای بررسی تفاوت افراد در مراحل تمرینی و آزمون از دو تحلیل واریانس با اندازه گیری های تکراری و t همبسته در سطح معنی داری 05/0 استفاده گردید.
    یافته ها
    بین بلوک های تمرینی در هر دو مرحله تمرین تفاوت معنی دای وجود نداشت، اما در مرحله دوم تمرینی بین پیش آزمون و سایر بلوک ها و پس آزمون تفاوت معنی داری مشاهده شد (001/0 = P). به علاوه، بین پس آزمون های هر دو مرحله تمرینی تفاوت معنی داری دیده نشد.
    نتیجه گیری
    ایجاد ناپایداری تکلیف- ویژه با حذف بازخورد بینایی، علاوه بر این که منجر به کسب مهارت پرتابی می شود، فرد را برای مقابله با شرایط ناپایدار حرکتی آماده می کند. به مربیان و درمانگران پیشنهاد می شود که برای آموزش مهارت های حرکتی و یا بازتوانی این مهارت ها، ورزشکاران و بیماران را تحت شرایط ناپایدار تمرین دهند؛ به طوری که آنان برای مقابله با این شرایط بهتر آماده شوند.
    کلید واژگان: یادگیری حرکتی, سوبرتری کارکردی, تمرین, مهارت پرتابی, بازخورد, حسی
    Fariba Hasanbarani, Mehdi Shahbazi, Shahzad Tahmasebi-Broujeni, Mohammadali Sanjari, Jamal Fazel-Kalkhoran
    Introduction
    Motor skill acquisition studies have shown that the performance of a motor task will be smoother after practice; however, the type of practice is very important. Thus, the aim of this study was to investigate the effect of practice with task-specific instability on performance and acquisition of a throwing skill.
    Materials And Methods
    This quasi-experimental study was conducted on 16 semi-skilled subjects under 2 practice conditions, with and without availability of visual feedback. Each practice stage involved 3 blocks of 10 trials. The subjects’ throwing skill was evaluated in pretest and posttests, before and after the practicing stages. Two repeated measures ANOVA and paired t-test were used to examine the differences between subjects in practicing and test stages at a significance level of 0.05.
    Results
    No significant difference were observed between practice blocks in the two stages of practice; however, there were significant differences between pretest and posttest with blocks in the second stage (P = 0.001). Moreover, no significant differences were observed between the posttests of the two practice stages.
    Conclusion
    Task-specific instability with blocking of visual feedback not only induces the acquisition of complex motor skills, but also prepares the individual for confronting unstable conditions. It is suggested that coaches and therapists train athletics and patients for performing complex skills under unstable conditions to better prepare them for confronting these conditions.
    Keywords: Motor learning, Functional laterality, Practice, Throwing skill, Feedback, Sensory
  • حسام رمضان زاده *، بهروز عبدلی، علیرضا فارسی، محمد علی سنجری
    پژوهش حاضر با هدف بررسی اثر یکپارچگی بینایی شنوایی بر ادراک و بازتولید و نیز انتقال از ادراک به عمل انجام گرفت. بدین منظور، 30 آزمودنی در سه گروه بینایی، بینایی شنوایی (تک کانالی) و بینایی شنوایی (دوکانالی) قرار گرفتند. افراد در گروه بینایی، الگوی فرد ماهری را تماشا کردند و افراد در گروه های بینایی شنوایی، هم زمان با الگوی بینایی، سرعت زاویه ای مفصل آرنج (تک کانالی) و سرعت زاویه ای مفاصل آرنج و مچ (دو کانالی) را به صورت سونیفیکیشن دریافت نمودند. الگوی مورد نظر، پنج مرتبه ارائه گردید و افراد به 10 سوال در ارتباط با جنبه های مختلف الگو پاسخ دادند و سپس، در آزمون های بازشناسی پارامتر و الگو شرکت کردند. برای مفاصل آرنج و مچ، چهار متغیر خطای حداکثر سرعت زاویه ای فلکشن، خطای حداکثر سرعت زاویه ای اکستنشن، خطای حداکثر دامنه حرکتی فلکشن و پارامتر زمان کلی شناسایی گردید. نتایج نشان می دهد که در متغیر درصد اطمینان پاسخ گویی و نه پاسخ به سوالات، بین گروه های آزمایشی تفاوت معناداری وجود دارد (P=0.001). در مرحله بازتولید نیز در متغیرهای خطای حداکثر سرعت زاویه ای اکستنشن و پارامتر زمان کلی هر دو مفصل، بین گروه ها تفاوت معناداری به نفع گروه های دو حسی مشاهده می شود (P<0.05). به طور کلی، در این پژوهش اثر مثبت یکپارچگی بینایی شنوایی بر ادراک و بازتولید و نیز انتقال مثبت ادراک عمل، به ویژه برای گروه های دو حسی تایید گردید. این نتایج با فرضیه تناسب حسی هم راستا است و بیان می کند که در تکلیف شوت جفت بسکتبال، به دلیل سازگاری های زمانی خاص، حس شنوایی نقش مثبتی را در ادراک بهتر الگوی سرعت زاویه ای ایفا می کند.
    کلید واژگان: ادراک, عمل, یکپارچگی بینایی - شنوایی, سونیفیکیشن, الگودهی
    Hesam Ramezanzade *, Behrouz Abdoli, Ali Reza Farsi, Mohammad Ali Sanjari
    This study investigated the effect of audiovisual integration on perception and action and perception-to-action transfer. For this purpose, 30 subjects were selected and randomly divided to three groups: visual, visual-auditory (single-channel), visual-auditory (two-channel). Subjects in the visual group watched the pattern of a skilled basketball player, while the other groups were provided with the sonification of elbow angular velocity (one- channel group) and elbow and wrist angular velocity (two-channel group) in addition to watching the pattern. The pattern was presented to subjects five times and participants answered ten questions about different aspects of the pattern. Eventually, they participated in parameter recognition and pattern recongnition tests. For each elbow and wrist joints, four variables were identified: Maximum flexion angular velocity Error (MfavE), Maximum extention angular velocity Error (MeavE), Maximum range Error of flexion (MrEf) and Total Parameter time (TPt). Results showed that on “percent confidence reply” and “reply to questions” there was significant difference between experimental groups. Results showed that in movement reproduction stage in variables (MeavE) and (TPt) for both elbow and wrist joints, there was significant difference between groups in favor of the audiovisual groups. This study supports the positive effect of visual-auditory integration on perception and reproduction. Moreover, positive perception-to-action transfer was confirmed for two sensory groups. The results are consistent with modality appropriateness hypothesis. The results indicate that due to certain temporal adjustments in basketball jump shot task, the modality that dominates the perception in the context of this task is auditory.
    Keywords: Perception, Action, Audiovisual Integration, Sonification, Modeling
  • Mohammad Ali Sanjari, Sahar Boozari, Ali Ashraf Jamshidi *, Mohammad Reza Nikmaram
    Background
    Flat foot, as one of the common foot deformities can affect gait biomechanics and risk of lower extremity injury. Fatigue, as a high load task, can also change biomechanical parameters of locomotion. Studying normal and flat footed individuals under high load tasks such as fatigue can elucidate their differences more easily..
    Objectives
    In this study, center of pressure (CoP) changes were studied between individuals with flat and normal feet after fatigue. CoP is one of the important gait measures which can show various biomechanical behaviors of different foot shapes..
    Methods
    Seventeen subjects with normal feet and 17 with flat feet walked across two force plates before and after a functional fatigue protocol. Standard deviation of CoP in mediolateral direction (SD of CoPx) and in anteroposterior direction (SD of CoPy), overall mean velocity of CoP and length of CoP construction line of both groups were analyzed. The values of SD of CoPy and length of CoP construction line were normalized to individual foot lengths prior to statistical analyses..
    Results
    There were no significant between-subject effects for all CoP measures. The only significant finding was the within-subject effect for the SD of CoPy (P = 0.008) with a large effect size (partial eta squared = 0.21). Fatigue resulted in lower SD of CoPy in both groups..
    Conclusions
    Lower SD of CoPy indicates less fluctuation of CoPy and a probable less center of mass movement which could reduce the risk of injury. Furthermore, the similar fatigue response in both groups of individuals with normal and flat feet indicates a similar biomechanical behavior despite their different foot arch height..
    Keywords: Flatfoot, Fatigue, Walking
  • سحر بوذری، محمدعلی سنجری
    مقدمه
    پرش عمودی یکی از فعالیت های پایه ورزشی و آزمون بسیار شایعی در حیطه توان بخشی و ورزش است که به کمک آن می توان عملکرد و توان اندام تحتانی و سیستم عضلانی- اسکلتی بدن را بررسی نمود. از آن جایی که خستگی یکی از عوامل موثر در افزایش خطر ابتلا به آسیب است، هدف از انجام مطالعه حاضر، بررسی تفاوت اثر خستگی در زنان و مردان حین پرش عمودی بود.
    مواد و روش ها
    در این مطالعه مقطعی، 18 زن و 14 مرد، پرش عمودی را قبل و بعد از پروتکل خستگی عملکردی اجرا کردند. پروتکل خستگی عملکردی این طرح شامل 5 مرحله پرش بود. پرش یک نوع سیکل کشش- کوتاه شدن عضلانی است که می تواند فعالیت طبیعی عضلات را حین فعالیت های روزمره و ورزشی شبیه سازی کند. متغیر مورد بررسی این تحقیق، ارتفاع پرش عمودی بود. داده های مطالعه با استفاده از آزمون تحلیل واریانس با اندازه گیری مکرر بررسی گردید.
    یافته ها
    بین دو گروه اثر متقابلی مشاهده نشد. ارتفاع پرش در مردان در هر دو شرایط قبل و بعد از خستگی بیشتر از زنان بود. همچنین، خستگی در هر دو گروه منجر به کاهش مقدار ارتفاع پرش شد.
    نتیجه گیری
    نتیجه اصلی مطالعه حاضر، پاسخ مشابه مردان و زنان به خستگی بود. به نظر می رسد که خستگی عضلانی مانع از فعالیت مناسب عضلات برای کاهش شوک ناشی از ضربه و در نتیجه، انتقال بیشتر نیروی عکس العمل زمین به سمت مفاصل بالاتر و آسیب استخوانی می شود.
    کلید واژگان: پرش عمودی, خستگی, ارتفاع پرش, جنسیت
    Sahar Boozari, Mohammad Ali Sanjari
    Introduction
    Vertical jump is one of the basic sport activities and a popular test in the field of rehabilitation and sport which can assess the performance and power of lower extremity and musculoskeletal system. As fatigue is one of the factors that could increase the risk of injury, in this study the effect of fatigue on vertical jump was compared between healthy women and men.
    Materials And Methods
    18 women and 14 men performed the vertical jump before and after a functional fatigue protocol included 5 sets of consequent hops. Hopping consists stretch-shortening cycles which can mimic the natural behavior of muscle contraction in sport and daily living activities. Vertical jump height was studied variable in this research. Data were analyzed using repeated-measures analysis of variances (ANOVA) test.
    Results
    No significant interaction between fatigue and group was observed for vertical jump height. Statistical analysis showed the greater value of jump height in men before and after the fatiguing condition. Furthermore, fatigue resulted in decrease in jump height value in both groups.
    Conclusion
    The main finding of this study was the similar response to fatigue in both groups. It seems that muscular fatigue prevents the proper muscular action to absorb the impact of landing. It results in more transfer of energy to the upper joints of lower extremity and increases the risk of injury.
    Keywords: Vertical jump, Fatigue, Jump height, Gender
  • Reza Mazaheri, Mohammad Ali Sanjari, Gelareh Radmehr, Farzin Halabchi, Hooman Angoorani*
    Background
    Due to biomechanical differences, various patterns of muscle contraction are expected to occur while walking over ground versus when walking on a treadmill..
    Objectives
    This study aimed to compare amplitude and duration of activation of selected trunk and lower extremity muscles during over-ground and treadmill walking..
    Materials And Methods
    Through a simple sampling method, 19 sedentary healthy men within the age range of 20 - 40 were selected. Surface electromyography of rectus abdominis, external oblique, longissimus and multifidus muscles as the selected trunk muscles and vastus medialis, vastus lateralis and hamstrings as the selected lower limb muscles were recorded..
    Results
    In each gait cycle, there were no statistically significant differences in duration of selected trunk as well as lower limb muscles activity between treadmill and over-ground walking. However the mean amplitude of rectus abdominis (P = 0.005), longissimus (P = 0.018) and multifidus (P = 0.044) as the selected trunk muscles as well as the mean amplitude of vastus lateralis (P = 0.005) and vastus medialis (P
    Conclusions
    Due to the stabilizing role of trunk and lower limb muscles during walking, these muscles seem to be active throughout the entire gait cycle. The increased muscle amplitude on treadmill can demonstrate that more motor units may be recruited during the contraction, which can be helpful in prescribing the appropriate type of exercise especially for patients with core muscle weakness..
    Keywords: Trunk Muscles, Lower Extremity, Muscle Activity Amplitude, Surface EMG
  • Afsaneh Safar Cherati, Sara Lotfian*, Aliashraf Jamshidi, Mohammad Ali Sanjari, Mohammad Razi
    Background
    The effects of exercise volume on the pattern of muscle activity is one of the most important factors in training management and injury risk reduction. In the lower limb, the quadriceps muscle which plays a determining role in performing the stance and other karate techniques could be injured in intensive exercise and may induce anterior knee pain in athletes..
    Objectives
    The aim of this study was to determine the relationship between training volume and muscle activity of vastus medialis and vastus lateralis and its association with anterior knee pain in karate elites..
    Patients and
    Methods
    Male and female athletes from national junior and cadet karate team (14 to 18 years) were invited to participate in the study at the beginning and the end of the training camps. Studies involved measurement of electromyographic muscle activity of vastus medialis and vastus lateralis in both lower extremities with surface electromyography device and assessment of movement by electrogoniometery. Muscle activity was recorded in three tests of dachi, walking up and walking down stairs. Simultaneously, anterior knee pain was evaluated using visual analogue scale and anterior knee pain scale questionnaire..
    Results
    Eight athletes of a total number of 23 reported increased ratings of pain in their right knees. No differences in muscle activity were observed in tests of Dachi and stairs between the groups with and without pain. Comparing Dachi task pattern at the beginning and end of training camps, there was no significant difference in pattern of biomechanical movement; however, reducing the amount of muscle activity in early and late phases of tasks was observed in electromyographic assessment..
    Conclusions
    The results showed that performing the same task after a six-week training period, less muscle activity was required in all phases in two groups of tasks, including karate-specific movement (dachi) and activities of daily living (up or down stairs)..
    Keywords: Vastus Medialis, Vastus Lateralus, Exercise Volume, Karate
  • اسماعیل صائمی، بهروز عبدلی، علیرضا فارسی، محمد علی سنجری
    هدف پژوهش حاضر بررسی تاثیر راهبردهای مختلف توجهی بر دقت پرتاب آزاد و همچنین بررسی نقش اطلاعات بینایی در پرتاب کنندگان مبتدی بسکتبال می باشد. 14 پرتاب کننده مبتدی با دامنه سنی 21 تا 28 سال بصورت در دسترس انتخاب شدند. شرکت کنندگان 20 کوشش را بصورت کانتربالانس در حالات مختلف توجهی و در مجموع 80 کوشش را اجرا کردند. در هر حالت، نیمی از کوشش ها با استفاده از اطلاعات بینایی و نیمی دیگر بدون استفاده از اطلاعات بینایی انجام شد. نتایج تحلیل واریانس عاملی با اندازه گیری مکرر نشان داد اثر اصلی توجه درونی-بیرونی و وجود-فقدان اطلاعات بینایی و همچنین اثر متقابل توجه درونی-بیرونی/مربوط –نامربوط معنادار بوده و سایر اثرات معنادار نبود. به عبارت دیگر، یافته ها نشان داد راهبرد توجه بیرونی- مربوط در هر دو حالت وجود و یا فقدان اطلاعات بینایی برتر از سایر راهبردهای توجهی می باشد. بنابراین، پیشنهاد می شود مربیان در حین ارائه دستورالعمل ها و راهبردهای توجهی، بر راهبردهای توجهی بیرونی- مربوط تاکید داشته باشند.
    کلید واژگان: توجه بیرونی مربوط, توجه درونی مربوط, توجه بیرونی نامربوط, توجه درونی نامربوط, اطلاعات بینای
    Esmaeel Saemi, Behrouz Abdoli, Alireza Farsi, Mohammad Ali Sanjari
    The purpose of the present study was to examine the effect of different attentional strategies on the accuracy of free throw as well as to examine the role of visual information in basketball novice throwers. Fourteen novice throwers from 21 to 28 years old were recruited. Participants performed 20 trials as counterbalance in various attentional conditions and in general performed 80 trials. In each attentional condition¡ half of the trials were performed using visual information and the other half of the trials were performed without the presence of visual information. The results of the factorial variance analysis with repeated measure indicated that the main effect of internal-external attention¡ the presence and non-presence of visual condition as well as the interactional effect of internal-external / relevant-irrelevant attention was significant. The other effects were not significant. In other words¡ the findings indicated that the external relevant attentional strategies in both visual and nonvisual conditions was better that the other strategies. Therefore¡ it can be suggested that it is better the coach’s use from external relevant attentional strategies.
    Keywords: External Relevant Attention, Internal Relevant Attention, External Irrelevant Attention, Internal Irrelevant Attention, Visual Information
  • Yashar Kocheili, Ali Ashraf Jamshidi, Mohammad Ali Sanjari, N. Maarufi, Hossein Bagheri, Arezo Sedigh, Paria Jamshidian
    Background And Aim
    ACL injury is one of the most common sport injuries which undergo reconstructive surgery. Electromyography or recording of muscles’ electrical activity is a suitable means to assess changes in motor control system output. The goal of this study is to compare the lower limb muscles EMG activity during drop landing in individuals after ACL reconstruction and healthy subjects.
    Materials And Methods
    Eleven men who had undergone ACL reconstruction 6 to 24 months ago (Age 29±6 years old) and 11 healthy men (Age 28±2 years old) participated in the study. Amount of electrical activity for tibialis anterior, vastus medialis, vastus lateralis, semitendinosus and biceps femoris muscles was recorded using surface electrodes during drop landing and calculated for two time intervals. The amount of activity was measured in -150 to and to intervals in relation to the landing moment. Subjective IKDC questionnaire and cross-over hop functional test were used to determine the subjective and objective functional level. Independent t test was used to determine between-group statistical differences.
    Results
    Feed forward activity of semitendinosus (P=.041) and biceps femoris (P=.008) muscles were significantly higher in ACLR group and feedback activity of vastus medialis (P=.03) muscles was significantly lower in ACLR group. Healthy individuals showed higher score on both the functional test and IKDC questionnaire. (P
    Conclusion
    Individuals who had undergone reconstructive surgery of ACL showed different muscular activity compared to healthy subjects and closer to ACL deficient individuals 6 months after surgery and routine rehabilitation.
    Keywords: Anterior cruciate ligament reconstruction, Electromyography, Neuromuscular control
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سامانه نویسندگان
  • دکتر محمدعلی سنجری
    دکتر محمدعلی سنجری
    استاد تمام مرکز تحقیقات توانبخشی و گروه علوم پایه توانبخشی دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران
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