جستجوی مقالات مرتبط با کلیدواژه "تمرین درمانی" در نشریات گروه "تربیت بدنی"

The aim of this study was to compare the effectiveness of a combination of pain neuroscience education and targeted cognitive motor control training with targeted cognitive motor control training alone in patients with chronic low back pain.

Fifty-four chronic low back pain patients (pain neuroscience education with targeted cognitive motor control training group, n=27 and targeted cognitive motor control training only group, n=27) participated in this study. Pain, disability, central sensitization inventory, and kinesiophobia were assessed at baseline and eight weeks after interventions. Repeated measures analysis of variance and linear mixed models were used to examine between-group differences.

A significant group×time interaction effect was found for pain (p=0.008), central sensitization inventory (p=0.002) and kinesiophobia (p<0.001) in the pain neuroscience education with targeted cognitive motor control training group compared to the targeted cognitive motor control training only group after eight weeks. Main effects of time were observed for pain, disability, and fear of movement after interventions (p<0.001). No significant group×time interaction effects was found for disability (p=0.50).

This study’s findings support the provision of pain neuroscience education as a clinically effective addition to targeted cognitive motor control training in chronic low back pain patients.

The present study investigated the cause of back pain due to increased lordosis and provided corrective movements. This research is a type of descriptive-analytical research that was carried out using a library method. The tool for collecting information is also a plug-in. Lumbar depression or lordosis means an increase in the concavity of the lumbar spine. The thoracic vertebrae are arched in such a way that their convexity or gouge is towards the back, and the cervical and lumbar vertebrae are placed in such a way that their convexity is towards the front. This arch to the front of the cervical and lumbar vertebrae is called lordosis. Some people also call Lordur Kemer Gudi Kemer. This lordosis or lumbar depression is normal to some extent, but in some people, this depression increases and causes problems such as back pain and feeling tired in the back. Lordosis is a condition in which the internal spine of the body is curved. The spine naturally has a slight curvature that helps the spine function properly. This natural curvature is caused by the shape of the vertebrae that make up the spine. As this curvature of the spine increases, in this case, a lot of pressure or tension is applied to other areas of the spine, resulting in It hurts. The findings showed that it seems that exercise can reduce pain associated with increased lordosis in people with chronic non-specific low back pain, and also increase movement control, and in pregnant women, exercise interventions can reduce pain, especially It occurs in the last months of pregnancy.

One of the most prevalent knee-related complications is osteoarthritis, which primarily affects middle-aged females, and the severity of this disease worsens as people age. The purpose of this study was to determine how electrotherapy treatment modalities and therapeutic exercise affect the pain and balance of middle-aged women with knee osteoarthritis.

The pre-test-post-test research design was used in the current semi-experimental applied research. In the physiotherapy clinic of the city of Ardabil, the statistical population were selected from among middle-aged women who had osteoarthritis in their knees. Purposive sampling was used to select 30 middle-aged individuals, ranging in age from 45 to 65, from the statistical population, and they were then randomly divided into three groups. Additionally, for eight weeks, Romberg exercises were done three times per week. Experiment and statistical analysis of variance of repeated measurements were used to compare pre-test and post-test pain.

The analyses indicated that the effect of time factor in the pain test was statistically significant (P=0.048; d= 0.278). A pairwise comparison revealed that the electrotherapy group's post-test result was 37.99% lower than its pre-test result. The results showed that the group factor had an impact on the COPx values (P=0.019; d=0.180). The effect of the group factor on COPy values was statistically significant (P=0.034; d=0.151).

Based on the research findings, osteoarthritis can be prevented or treated to lessen its severity by making changes to one's lifestyle, engaging in disease-related exercise, and losing excess body weight before middle age.

therapeutic exercises is recommended to improve the problems of diabetic patients with neuropathy.In the present study,the effect of 12 weeks of exercises based on principles NASM was performed on glycemic control and quality of life criteria in patients with type 2 diabetic neuropathy.

The sample consisted of 40 female patients with mild to moderate neuropathy type 2 diabetes. Subjects were randomly divided into two groups of 20 control and experimental with the Michigan score criterion. Blood glucose control indices and quality of life were assessed by laboratory blood test and a questionnaire, respectively.Statistical analysis was performed using Repeated measures ANOVA.

The results showed that there was no significant difference in fasting blood sugar between the two groups(P = 0.26),but in the other three blood indices including 2 hrs G pp G, 4 pm G, and HbA1c, a significant difference was observed between the two groups(P <.05).Quality of life in, Physical functioning ,Role limitations due to physical health ,Role limitations due to emotional problems ,Energy/fatigue,and Pain had a significant difference compared to the control group(P <0.05).Other indicators including Emotional well-being(P = 0.68),Social functioning(P = 0.19),and General health factor(P = 0.06)showed no significant difference between the two study groups.

The results show that these exercises, due to improving blood flow and reducing pain and anesthesia,make patients exercise and daily activities easier and with less pain, and as a result,significant changes in blood factors and improve physiological conditions and quality of life in these patients.Established, and patients' functional status improves.

Chronic back pain is one of the problems that most people sufferfrom it. This disease directly affects on walking parameters. Changes in walking parameters increase the amount of pain in these individuals.Accordingly, the aim of this study was to investigate the types of therapeutic interventions on walking parameters in these individuals.

By searching for articles related to kinetics, kinematics and therapeutic exercises on patients with chronic low back pain in validated databases, based on the research criteria, 83 articles were selected as final papers for this overview study.

A review of the studies has shown that a types of physical exercises were effective in improving pain and walking parameters in this disease. But there was a significant difference between the types of physical exercises on land and exercises in water.

Water exercises due to its unique characteristics, such as bloating, immersion and resistance, are a safe and proper environment for these patients to perform therapeutic exercises and improve the walking parameters.

Patellofemoral pain syndrome (PFPS) is closely related to onset timing imbalance of vastus medialis oblique (VMO) and vastus lateralis (VL) muscles. The purpose of this study was to examine theeffect of selective isokinetic strengthening and quadriceps general strengthening exercises on onset timing of vastii muscles in patellofemoral pain syndrome patients.
Thirty-six women with PFPS (mean age 27.3±6.8 years) participated voluntarily in this study and were randomly placed in one of three groups included VMO selective isokinetic strengthening (VMO-SIS), quadriceps general strengthening (QGS) and control (CO) groups. Both exercises were performed for 8 weeks and VMO and VL onset timing were calculated using of an electromyography system. Data analysis were made by analyses of variance with repeated measures and Bonferroni tests.
Before interventions, there was no difference between groups (p>0.05) and in each groups, VMO onset time was more than that VL (p0.05). In QGS group, VL onset time value decreased (p=0.01) but, VMO onset time did not change (p>0.05). Also, VMO onset delay in VMO-SIS group decreased (p=0.002) but in QGS group increased (p=0.04).
The knee isokinetic extension training with maximum lateral tibial rotation and in close to knee full extension can be recommended as an appropriate therapeutic intervention for improving onset timing balance of medial and lateral vastii muscles in PFPS patients.

The purpose of this study was to compare the effects of three exercise therapy protocols on pain, muscle strength and function for patellofemoral pain syndrome. 41 women with patellofemoral pain syndrome were randomly assigned to the intervention groups and control group. All intervention groups participated in an eight-week exercise protocol. Pain, knee extensors, hip abductors and external rotators strength and function of patients were assessed before and after the intervention. According to repeated measure ANOVA all intervention groups showed significant improvement in pain, muscle strength and function. There weren’t significant improvements in quadriceps strength and function in the hip group. The observed improvements in pain scale in the three exercise groups were maintained at a 6-month follow-up. Rehabilitation programs focusing on knee strengthening exercises and knee-hip strengthening exercises were both effective in improving function and reducing pain in women with patellofemoral pain syndrome.

Ankle sprain is one of the most common injuries of the ankle joint. Recurrent and chronic ankle sprain can cause balance impairment. Recurrent injury is a consequence of inadequate rehabilitation and instability of ankle joint will follow. In this quasi-experimental study, 30 women with chronic ankle sprain participated and were randomly assigned to three groups: exercise therapy in water, land and control. Pain, motor function, static and dynamic balance were measured before and after the exercise program. Data analysis was performed using SPSS-21 software (P=0.05). Findings demonstrated a significant difference in pain, motor function, static and dynamic balance in each training group after 8 weeks of exercise therapy (P˂0.05). There were no significant differences between the two training groups in pain, motor function, static and dynamic balance (P>0.05). Although there were no statistically significant differences between the two exercise groups, the difference between the two groups in the mean percentage of changes can indicate that the clinical effects of aquatic therapy are higher than exercise in land.

Weakness of the hip muscles has been hypothesized to influence lower limb alignment and contribute to patellofemoral pain. The purpose of this study was to describe the effect of additional strengthening of hip abductor and external rotator muscles in a strengthening quadriceps exercise program for patients with the patellofemoral pain syndrome. The participants were 21 patients with patellofemoral pain syndrome. The subjects were randomly assigned to the intervention group (strengthening of quadriceps / hip abductor and external rotator muscles) or to the control group (strengthening of quadriceps). Both groups participated in an eight-week exercise protocol. The perceived pain symptoms, knee extensor, hip abductor and external rotator muscles strength and function of patients were assessed before and after treatment. Parametric tests were used to compare the groups before and after treatment with α=0.05. The 2 groups were homogeneous prior to treatment in respect to demographic, pain, and functional scales data. Both the intervention and control groups showed significant improvement in the post tests results in pain symptoms, the muscle strength, and the functional status, when compared to the pretest results. But there weren’t any significant differences between 2 groups. Both rehabilitation approaches improved function and reduced pain. Supplementation of strengthening of hip abductor and lateral rotator muscles in a strengthening quadriceps exercise program didn’t provide additional benefits with respect to the perceived pain symptoms during functional activities in patients with patellofemoral pain syndrome after eight weeks of treatment.

Patellofemoral pain syndrome) PFPS) is one of the most common knee injuries at a young age and is more common in women. Because of pain, muscle weakness and proprioception loss of in knee, these people have a deficit balance. The purpose of this study was Comparison of Land-based physical therapy with Aquatic physical therapy to improvement pain, physical function, static and dynamic balance in patient with PFPS. In this present quasi-experimental study twenty patients with PFPS participated and were divided into two groups: physical therapy on land and water. Subjects in both groups performed three sessions of exercise therapy per week for 8 weeks. In the beginning and at the end of the period, the patient's pain, function, static and dynamic balance respectively was assessed by visual analogue scale, kujala score, sharpend Romberg and star excursion balance test. Data was analyzed using SPSS (version 18) at a significance level of (P ≤ 0.05). In this study, pain, function, static and dynamic balance scores of the both groups significantly improved after the exercise period (P ≤ 0.05). However, there was no significant difference of data between the two groups in pain, function, static and dynamic balance (P ≥ 0.05). The results showed that physical therapy in water and land can be used as a useful and effective method to reduce pain, improve function, static and dynamic balance of PFPS patients. Although the results did not show statistically significant differences between the two groups the difference between two groups in the mean percentage change indicates that the clinical effect of exercise in water is higher than the land. According to these results aquatic physical therapy is recommended as an effective method for the treatment of patients with patellofemoral pain syndrome.

In sports such as handball, tennis and volleyball the player need to involve the great loads over his shoulders. In these sports, players are predisposed to overuse injuries. Infraspinatus syndrome’s meaning is the painless weakness and atrophy of this muscle that observe following Suprascapularis nerve neuropathy. In this investigation we want to survey the effects of a short term of progressive endurance-strengthening training and electrical stimulation on strength and electromyography in infraspinatus muscle. 12 volleyball players with Infraspinatus syndrome were randomly divided to two groups: progressive endurance-strengthening training (6 persons, age 24/8±3/8, height 189/3±2/6, weight 83/8±7/9, sport background 9/4±2/5 and national team’s background 3/24±1/7) and electrical stimulation (6 persons, age 24/2±4/5, height 192/5±1/5, weight 86/2±6/4, sport background 8/5±4 and national team’s background 4/3±2/8). 20 persons of healthy players were considered to be as a control group (age 25/1±4/2, height 187/7±3/9, weight 75/6±7/1, sport history 9±3/8 and national team history 3/9±2/3), too. Therapeutic interventions performed for 8 weeks. Surface electromyography of infraspinatus and tress minor muscles and maximal isometric strength of external rotator muscles were measured before and after interventions. Data analyzing performed by SPSS.12 and we used of Paired sample T test and one-way ANOVA. Confidence level considered to be 95% (P<0.05). After eight weeks, maximal isometric strength of external rotators in both experimental groups was increased significantly, but there were observed no significant changes in IEMG and RMSEMG. Progressive endurance-strengthening training and electrical stimulation can result in increase of maximal isometric strength of shoulder external rotator muscles. But both therapeutic methods have no effect on electromyograghic parameters in infraspinatus and tress minor muscles. It seems that we cant use of surface electromyography for detecting the effect of these protocols on above muscles (P<0/05).

The purpose of this research is a survey of the effectiveness of three different treatmentapproach to patellofemotal pain syndrome. For this purpose, 24 patient affected by patellofemoral pain syndrome with an average age 40.89 were divided in to two groups of exercise therapy and physiotherapy. The exercise therapy group used strengthening and stretching exercise, the physiotherapy group, on the other hand, used ultrasound, TENS and patella mobilization technique. The instrument used included; VAS scale, Kujala questionnaire and step and skate testes. The VAS scale and Kujala questionnaire were completed before the starting of the therapeutical program and at the end of every week for the evaluation of the subject’s pain and subjective faction. The functional test of step and skate were also used before the starting of the therapeutical program and at the end of the sixth week for evaluating subjects objective function. The data obtained were analyzed by the SPSS software and statistical tests of repeated measured ANOVA, Wilcaxon and Mann-Whitney U in the significant level (p≤0.05). The results showed that the exercise therapy had significant effects on the rate of pain and function of the patient affected by patellofemoral pain syndrome after the sixth week treatment and showed the function improvement and significant pain decreased at the end of fifth and sixth weeks respectively (p>0.05). According to the research findings we can conclude that the patients affected by patellofemoral pain syndrome react to the exercise therapy programs rapidly and appropriately.