جستجوی مقالات مرتبط با کلیدواژه "stretching exercises" در نشریات گروه "پزشکی"
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Introduction
This study investigates the immediate effects of warm-up exercises, specifically static and dynamic stretches for the lower extremities, on strength, endurance, flexibility, motor control, and core stability function in young, healthy females.
Materials and MethodsA total of 60 healthy, active women aged 19-30 years were randomly divided into three groups as follows: Static stretching (SS), dynamic stretching (DS), and a control group (CG), which received no exercises. Evaluation methods for core stability included strength, endurance, sit-and-reach, Y-balance, and bilateral squat tests. Meanwhile, these tests were conducted before and after the prescribed exercise protocols.
ResultsBoth the SS and DS groups experienced significant increases in all core stability components compared to their baseline values (P<0.05). Meanwhile, the analysis of variance/analysis of covariance indicated that immediately after performing the stretching exercises, the SS and DS groups exhibited significantly greater improvements in parameters, such as strength, endurance, flexibility, and balance tests (except for the posterior-medial direction) when compared to the CG (P<0.05). Regarding functional parameters after the exercises, there were no statistically significant differences between the study groups (P>0.05). In addition, dynamic exercises demonstrated a higher effectiveness than static exercises for most parameters (P<0.05).
ConclusionWarm-up exercises, involving both static and dynamic stretches for lower limb muscles appear to have an immediate positive impact on core stability parameters. In sports that demand strong trunk muscles and balance, the dynamic protocol may be more effective.
Keywords: Stretching Exercises, Dynamicexercise, Warm-Up Exercise, Muscle Strength, Physicalendurance -
Background
Fatigue is the most common complaint among patients with rheumatoid arthritis, leading to decreased productivity and reduced quality of life.
AimThe present study was conducted with aim to compare the effect of sole reflexology and stretching exercises on fatigue of rheumatoid arthritis patients.
MethodThis clinical trial study was conducted on patients with rheumatoid arthritis in Yasuj city of Iran during 2017-2018. Participants were selected through convenience sampling method but randomly allocated to one of the three groups using randomized block allocation. Multidimensional fatigue questionnaire was used to collect data at two times of pre and post interventions. The interventions were performed during 30 minutes per session for three sessions per week over one month.
ResultsMean scores of global fatigue before the interventions in the sole reflexology group was 80.72±8.61, in stretching exercise group 81±7.30, and in control group (76.43±8.17), however, these values for post intervention were reported to be 68.72±8.59, 50.95±5.73, and 76.82±7.43, respectively. Intergroup comparison showed significant differences between the sole reflexology and stretching exercise groups with the control group (p<0.001); also the two intervention groups significantly differed (p<0.001).
Implications for Practice:
Both sole reflexology and stretching exercises could improve fatigue of patients with rheumatoid arthritis, but this improvement was higher by stretching exercises than sole reflexology.
Keywords: Fatigue, Massage, Reflexology, Rheumatoid Arthritis, Stretching Exercises -
تاثیر تمرینات کششی بر درد و سوپینیشن مچ پا در بانوان مبتلا به التهاب نیام کف پاییزمینه و هدف
التهاب غلاف کف پا، شایع ترین علت درد در قسمت تحتانی پاشنه می باشد و حدود %11 تا %15 از کلیه علل درد پا که نیازمند درمان هستند را تشکیل می دهد. هدف از انجام مطالعه حاضر، بررسی تاثیر تمرینات کششی بر درد و سوپینسشن مچ پای بانوان مبتلا به التهاب نیام کف پایی می باشد.
مواد و روش ها15 بیمار مبتلا به التهاب نیام کف پایی به صورت تصادفی انتخاب و در دو گروه، کنترل و تجربی هر یک به تعداد 15 نفر قرار گرفتند. این مطالعه به صورت پیش آزمون و پس آزمون بوده و مداخلات تمرینی به مدت شش هفته تحت نظارت محقق انجام شد. از مقیاس بصری درد جهت ارزیابی درد و از آزمون برادی جهت ارزیابی نوع ساختار پا و میزان سوپینیشن مچ پااستفاده شده است. برای بررسی نرمال بودن داده ها از آزمون شاپیرو-ویلک وبرای بررسی تفاوت های درون گروهی و برون گروهی از آزمون های آماری تی زوجی و تی مستقل در نرم افزار SPSS نسخه 20 استفاده شد (05/0 ≥α).
ملاحظات اخلاقی:
این مطالعه توسط کمیته اخلاق طرح های پژوهشی به تصویب رسیده است (کد اخلاق: IR.ARAKU.REC.1401.014)
یافته هانتایج نشان داد که . تمرینات کششی منجر به بهبود درد و میزان سوپینیشن مچ پا شده است (05/0>p)؛ همچنین تفاوت بین گروهی در دو گروه تمرینات کششی و کنترل در هر دو متغیر درد و سوپینیشن مچ پا مشاهده شد (05/0 > p).
نتیجه گیرییافته های تحقیق حاضر نشان داد که کاهش درد و بهبود میزان سوپینیشن مچ پای بانوان دارای التهاب نیام کف پایی در گروه تمرینات کششی نسبت به گروه کنترل معنادار بوده است، بنابراین می توان عنوان کرد که نتایج به دست آمده از این تحقیق تا حدود زیادی به اثرات مثبت تمرینات کششی مورد استفاده مرتبط است. برای دست یابی به نتایج دقیق تر، در تحقیقات آینده باید به میزان ماندگاری تاثیر این تمرینات در بهبود بیماران مبتلا به التهاب نیام کف پایی پرداخته شود. با توجه به بهبودی متغیرهای اندازه گیری شده در گروه تمرینی پیشنهاد می شود که از این تمرینات در درمان بیماران مبتلا به التهاب نیام کف پایی در آینده استفاده شود.
کلید واژگان: التهاب نیام کف پایی, سوپینیشن مچ پا, تمرینات کششیThe effect of stretching exercises on ankle pain and supination in women with plantar fasciitisBackground and Aiminflammation of the plantar sheath is the most common cause of pain in the lower part of the heel and accounts for about 11% to 15% of all causes of foot pain that require treatment. The purpose of this study is to investigate the effect of stretching exercises on ankle pain and supination in women with plantar fasciitis.
Materials and methods15 patients with plantar fasciitis were randomly selected and placed in two groups, control and experimental, each with a number of 15 people. This study was pre-test and post-test and training interventions were conducted for six weeks under the supervision of the researcher. The visual pain scale was used to evaluate pain and the Brady test was used to evaluate the type of foot structure and the degree of ankle supination. Shapiro-Wilk test was used to check the normality of the data, and paired t and independent t statistical tests were used to check intragroup and outgroup differences in SPSS software version 20 (α ≥0.05).
Ethical Considerations:
This study was approved by the ethics committee of research projects (ethics code: IR.ARAKU.REC.1401.014)
ResultsThe results showed that Stretching exercises have led to the improvement of pain and ankle supination rate (p<0.05); Also, there was a difference between the two groups of stretching exercises and control in both pain and ankle supination variables (p < 0.05).
ConclusionThe findings of the present research showed that the reduction of pain and the improvement of ankle supination in women with plantar fasciitis were significant in the group of stretching exercises compared to the control group, so it can be said that the results obtained from this research are to a large extent It is related to the positive effects of the stretching exercises used. In order to achieve more accurate results, in future research, the effect of these exercises on the improvement of patients with plantar fasciitis should be investigated. Considering the improvement of the measured variables in the exercise group, it is suggested that these exercises be used in the treatment of patients with plantar fasciitis in the future.
Keywords: plantar fasciitis, ankle supination, stretching exercises -
سابقه و هدف
درمان خاصی برای فیبرومیالژیا وجود ندارد. طبق مطالعات گذشته، ورزش به کنترل علایم و جنبه های روانی- اجتماعی بیماری کمک می کند. ورزش های کششی کم تر از ورزش های هوازی و مقاومتی در این بیماران مورد تاکید قرار گرفته است. علت اصلی بررسی مجدد این موضوع، بازخورد متناقض بیماران مبتلا به فیبرومیالژیا به تمرینات کششی بود که طی سال های اخیر در درمان بالینی بیماران مشاهده شده است. هدف از این مطالعه بررسی تاثیر تمرینات کششی بر کیفیت زندگی و میزان اثر بیماری فیبرومیالژیا بود.
مواد و روش هااین مطالعه یک کارآزمایی بالینی تصادفی شده با پروتکل بود. 49 بیمار مبتلا به فیبرومیالژی تشخیص داده شده براساس معیارهای استاندارد فیبرومیالژیا در سال 2010 که توسط روماتولوژیست و سپس روانپزشک به کلینیک پزشکی ورزشی ارجاع شده بودند، به طور تصادفی به دو گروه تقسیم شدند. 25 بیمار در گروه مداخله تمرینات کششی همراه با دارو قرار گرفتند و 24 بیمار در گروه کنترل داروهای استاندارد را به مدت 5 هفته دریافت کردند. برای ارزیابی کیفیت زندگی از پرسشنامه SF-36 و برای ارزیابی وضعیت بیماری در هفته های 0، 5 و 9 از پرسشنامه بازبینی شده تاثیر فیبرومیالژیا (FIQR) استفاده شد.
یافته هامطالعات اخیر در مورد امکان تاثیر تمرینات کششی بربیماران مبتلا به فیبرومیالژیا بحث می کند. در این مطالعه برخلاف گذشته نتایج متفاوتی مشاهده شد. بین دو گروه از نظر میانگین نمرات سلامت جسمانی (0/4=P)، سلامت روانی (0/88=P) و تاثیر فیبرومیالژیا (0/36=P) تفاوت معناداری بین دو گروه وجود نداشت.
استنتاجورزش های کششی ایزوله در بهبود بیماران فیبرومیالژیا موثر نیست، پیشنهاد می شود که مطالعات آینده با دید وسیع تری در جستجوی اثرات تمرینات کششی بر فیبرومیالژیا انجام شود.
کلید واژگان: تمرینات کششی, فیبرومیالژیا, کیفیت زندگی, SF-36, FIQRBackground and purposeThere is no specific treatment for fibromyalgia. Previous studies suggest that exercise is helpful in controlling the symptoms and psychosocial aspects of the disease. Stretching exercises are emphasized less than aerobic and resistance exercises in these patients. The main reason for re-examining this issue in current study was the contradictory feedback of patients with fibromyalgia to stretching exercises which was observed during recent years in clinical treatments. The aim of this study was to evaluate the effect of stretching exercise on the quality of life of patients and the impact of fibromyalgia.
Materials and methodsThis study was a per-protocol randomized clinical trial. Forty-nine patients with fibromyalgia diagnosed based on 2010 diagnostic criteria for fibromyalgia who were referred to our sports medicine clinic by a rheumatologist and then a psychiatrist were studied. They were randomly divided into two groups. Twenty-five patients in the intervention group did stretching exercise and received medication while 24 patients in the control group received standard medication for five weeks. SF-36 questionnaire was used to evaluate the quality of life and Revised Fibromyalgia Impact Questionnaire (FIQR) was used to assess the disease state at the beginning of the study and also at weeks 5 and 9.
ResultsThere are contradictory results about the effect of stretching exercises on fibromyalgia patients. The current study showed no significant differences between the two groups in the mean scores for physical health (P= 0.4), mental health (P= 0.88), and fibromyalgia impact (P= 0.36).
ConclusionIsolated stretching exercises are not effective in improving fibromyalgia. Further studies are suggested to investigate the effect of more specific stretching exercises on fibromyalgia.
Keywords: stretching exercises, fibromyalgia, quality of life, SF-36, FIQR -
BackgroundThe side effects of long-term use and high doses of drugs have increased the use of complementary therapies for the reduction of pain.AimThe present study aimed to compare the effect of foot reflexology and gentle stretching exercises on pain intensity in patients after spine surgery.MethodThis clinical trial study was performed on 90 patients undergoing spinal surgery referring to hospitals affiliated to Mashhad University of Medical Sciences in 2019. Patients were randomly assigned to three groups: foot reflexology, gentle stretching exercises, and control. In intervention groups, apart from the routine procedures, foot reflexology or gentle stretching exercises were performed daily from the first day after surgery until discharge, and also three times a week for six weeks after discharge. In the control group, only routine care was performed.ResultsThe mean age of the samples was 43.35±11.15 years. In within-group comparison, the mean pain intensity was significantly decreased at the end of the sixth week after surgery in all three groups (P<0.001). The mean of pain intensity in the reflexology group was lower than that in the stretching exercise group on the second day after surgery, discharge time, as well as the first and sixth weeks after discharge (P<0.001). Nonetheless, there was no significant difference between the stretching exercise group and the control group (P<0.05).Implications for Practice: Foot reflexology effectively reduces the pain intensity of patients after spinal surgery. Therefore, it is recommended to be performed by patients or their caregivers to reduce pain after spinal surgery.Keywords: Foot reflexology, Pain, Spine Surgery, Stretching Exercises
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Background
Primary dysmenorrhea is chronic pain during menstruation without the presence of a pelvic pathologic complication.
ObjectivesThe aim this research was comparison of the effect of stretching exercises and combination of massage - stretching exercises on primary dysmenorrhea of female students of Razi University of Kermanshah.
MethodsThis semi-experimental study was statistical population all female students of Razi University of Kermanshah. 90 students were selected through purposive and convenient sampling method. After obtaining consent and justification of the subjects from the research stages, they were randomly divided into three groups of 30 to practice the protocol. The research instrument consisted of two primary dysmenorrhea and McGill pain questionnaires as well as stretching exercise and massage protocol. The validity of the questionnaires was obtained formally using Cronbach's test. Exercise program for groups was performed in 8 sessions for 3 weeks. Data were analyzed by dependent t-test, one-way ANOVA and Kolmogorov-Smirnov test, to check the normality of the data distribution.
ResultsThe results showed that there were significant differences between the three methods of exercise (stretching, massage and massage- stretching movements) on pain severity (P = 0.938), duration of pain (P = 0.095) and the nature of pain (P = 0.664) There was no significant difference.
ConclusionsAccording to the results of the present study, massage and stretching exercise and massage-stretching combinations are almost as effective and effective as noninvasive methods in reducing the symptoms of sensory pain caused by primary dysmenorrhea. Assistance to girls with dysmenorrhea Selection and application of one of these methods will depend on the individual's abilities and circumstances.
Keywords: Massage, Dysmenorrhea, Stretching Exercises, Primary Dysmenorrhea -
Background
Restless legs syndrome (RLS) is prevalent among patients undergoing hemodialysis. This research suggests that cold dialysis solution and stretching exercises are effective approaches reducing RLS; however, they should be adopted according to the patient’s condition.
AimThis study aimed to compare cold dialysate with stretching exercises on RLS severity in patients undergoing hemodialysis.
MethodThis two-group randomized clinical trial was conducted on 44 hemodialysis patients with RLS. One group received cold dialysis (35.5°C) and the other group performed stretching exercises in two hemodialysis centers in Sabzevar, Razavi Khorasan Province, Iran, in 2019. The severity of RLS was measured in both groups using the IRLS scale at the baseline and end of each week for 6 weeks. The data were analyzed in SPSS (version 21) using repeated measures ANOVA and Friedman’s test.
ResultsThe mean age of participants in cold dialysis and stretching exercise groups were 54.5±13.6 and 54.5±10.8 years, respectively. The Friedman test results showed a significant reduction in the severity of RLS in both groups (P=0.001). Moreover, the repeated measures ANOVA results revealed that the time effect was significant (P=0.001). However, group effect (P=0.09) and interaction between time and group (P=0.25) were not significantly different.
Implications for Practice:
Both methods of cold dialysate and stretching exercises decreased RLS severity; therefore, they can be suggested to nurses as effective strategies. Due to the limited sample size, studies with larger sample sizes are recommended.
Keywords: Cold Temperature, dialysis solutions, Kidney Failure, Restless legs syndrome, Stretching Exercises -
Aims
Rheumatoid arthritis is the most common autoimmune disease of chronic inflammation and pain is one of the most prevalent complaints of these patients. The aim of this study was to compare the effect of sole reflexology massage and stretching exercises on pain severity of patients with rheumatoid arthritis.
Materials & MethodsThis clinical trial study was conducted among 75 patients with rheumatoid arthritis referred to the Shahid Mofatteh Clinic in Yasuj, Iran in 2017-18. Subjects were selected by purposive sampling method and divided into three groups including sole reflexology massage, stretching exercises and control groups by random block allocation (N=25 in each group). The interventions were carried out for one month including 30-minute sessions three times a week. Pain severity of patients was evaluated before interventions and 10 minutes after the last intervention session using Standardized visual analogue scale (VAS). Data were analyzed by SPSS 21 software using Chi-square test, one-way ANOVA and Tukey post hoc tests.
FindingsBefore interventions, the mean score of pain of patients among sole reflexology massage, stretching exercises and control groups had no significant difference (p=0.1). After interventions, a significant difference was observed in the pain severity of patients of three groups (p=0.001) that this difference was related to the stretching exercises group compared to the sole reflexology massage and control groups.
ConclusionStretching exercises reduce the pain severity of patients with rheumatoid arthritis, but sole reflexology massage does not improve or reduce the pain of these patients.
Keywords: Reflexology Massage, Stretching Exercises, Pain, Rheumatoid Arthritis -
زمینه و هدف
سندروم فشار داخلی تیبیا یکی از رایج ترین آسیب های اسکلتی _عضلانی ناشی از استفاده بیش از حد در ورزشکاران و نظامیان می باشد. بر مبنای مطالعات گذشته، اطلاعات سیتماتیک و جامعی مبنی بر درصد شیوع کلی آن در جوامع مختلف در دسترس نمی باشد. از طرفی مطالعات، تاثیر تمرینات کششی و قدرتی بر بهبود این سندروم را بررسی نکرده اند. بنابراین، هدف اصلی این تحقیق بررسی چهارچوب علمی تحقیقات، مرتبط با شیوع سندروم فشار داخلی تیبیا و اثر تمرینات کششی و قدرتی بر بهبود آن می باشد.
روش کاربرای انجام این مطالعه، جستجوی پیشینه تحقیق از طریق بانک های اطلاعاتی Google Scholar، PubMed، Science Direct ،Elseiver و Scopus صورت گرفت. در این جستجو از کلید واژه های “Medial tibial stress syndrome”، “Stretching exercises and syndrome” و “Strength exercises and syndrome که محدود به سال های 1988تا 2019 بود، استفاده گردید.
یافته هامیانگین بروز سندروم فشار داخلی تیبیا در دوندگان (67/33 درصد) بیشتر از ورزشکاران دانشگاهی (22/28 درصد) و در ورزشکاران دانشگاهی بیشتر از نظامیان (41/18 درصد) برآورد شد. سایر نتایج نشان داد، میانگین کلی شیوع سندروم در در زنان 07/27 درصد و در مردان 20/17 می باشد، که نشان دهنده شیوع بالای سندروم فشار داخلی تیبیا در زنان نسبت به مردان می باشد. به طورکلی تمرینات قدرتی عضلات دورسی فلکسور مچ پا منجر به بهبود میزان درد و کاهش نرخ بروز آسیب سندروم فشار داخلی تیبیا می شوند. همچنین، تمرینات کششی عضلات پلانتار فلکسور مچ پا، زمانی که در ترکیب با تمرینات قدرتی اعمال شوند، سبب بهبود میزان درد و کاهش نرخ بروز این آسیب می شوند. در غیر این صورت، تمرینات کششی به تنهایی اثر معنی داری بر بهبود سندروم فشار داخلی تیبیا ندارند.
نتیجه گیریمیزان شیوع آسیب به عنوان یک استاندارد، جهت تشخیص میزان خطر آن در ورزش و جوامع مختلف استفاده می شود. بنابراین، پژوهش حاضر می تواند اطلاعات دقیقی در زمینه شناخت شیوع سندروم فشار داخلی تیبیا، پیشگیری و درمان آن در جوامع مورد بررسی به ویژه دوندگان در اختیار مربیان و پزشکان تیم قرار دهد. شایان ذکر است در بحث درمان به مربیان و پزشکان تیم توصیه می شود، به جهت کاهش میزان درد و نرخ بروز سندروم فشار داخلی تیبیا از تمرینات قدرتی عضلات دورسی فلکسور مچ پا استفاده کنند.
کلید واژگان: سندروم فشار داخلی تیبیا, همه گیرشناسی, تمرینات کششی, تمرینات قدرتیBackgroundMedial tibia stress syndrome (MTSS) is one of the most common musculoskeletal injuries caused by overuse in athletes and the military. Based on past studies, there is not available comprehensive systematic information on the percentage of its prevalence in different communities. On the other hand, studies have not examined the effect of stretching and strength exercises on the improvement of this syndrome. Therefore, the main purpose of this study is to investigate the scientific framework of research related to the prevalence of Medial tibia stress syndrome and the effect of stretching and strength exercises on its improvement.
MethodsFor this study, the research background was searched through the databases of Google Scholar, PubMed, Science Direct, Elsevier and Scopus. The keywords "Medial tibia stress syndrome", "Stretching exercises and syndrome" and "Strength exercises and syndrome" were limited to 1988 to 2018, used.
ResultsThe average of incidence of tibia's internal pressure syndrome in runners (33.67%) was higher than in college athletes (28.22%) and in college athletes were more than military (18.41%). Other results showed the total average of prevalence of MTSS in women was 27.07% and in men was 17.20%, indicating a high prevalence of MTSS in women compared to men. In general, ankle flexor dorsi muscles training lead to improve pain and reduce the incidence rate of MTSS injury. Also, flexor plantar flexor muscles stretching exercises, when combined with strength training, can improve pain and reduce the incidence of injury. Otherwise, stretching exercises alone do not have a significant effect on the improvement of MTSS.
ConclusionThe rate of injuries prevalence as a standard is used for determining its risk in sports and in different societies. Therefore, the present study can provide accurate information on the recognition of prevalence of MTSS and attention to prevention and treatment of MTSS in studied communities, especially runners and team physicians. It is worth noting that in the discussion of treatment, coaches and team physicians are advised to use ankle dorsi flexor muscles strength exercises to reduce the rate of pain and the incidence of MTSS.
Keywords: Medial tibia strees syndrome, Epidemiology, Stretching Exercises, Strength Exercises -
ObjectivesUpper crossed syndrome (UCS) can exert adverse effects on rehabilitation after a coronary artery bypass graft (CABG). Hence, the present study aimed to investigate the effects of stretching exercises on UCS in women undergoing CABG.Materials and MethodsThe present quasi-experimental study was carried out on 30 women in Shahid Madani hospital of Tabriz, Iran. According to a similar study, the participants were selected through a convenience sampling method and randomly assigned to two groups of A and B. Those in group A participated in an 8-week intervention of stretching exercises (3 sessions per week) in accordance with the existing protocol. The data were statistically analyzed using analysis of covariance, the dependent t test, and the Wilcoxon test at the significance level of 0.05.ResultsThe results indicated a significant difference between the two groups in terms of kyphosis angle (P=0.001) and forward head angle (P=0.019) after the intervention. The data analysis also showed that stretching exercises had no significant effect on the improvement of angles of left and right shoulders (P=0.109 and P=0.111) respectively.ConclusionsThe study findings suggest that corrective and stretching exercises might improve head forward posture and kyphosis angle, but do not affect shoulder angle.Keywords: Coronary artery bypass graft, Upper crossed syndrome, Stretching exercises
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IntroductionMental health is a combination of emotional, psychological and social well-being. It affects the way of thinking, feeling and acting. Mental health is very important at every stage of life and it could be affected by physical activity. Therefore in the current studey, the effect of stretching exercises education on mental health and learning strategies was investigated.MethodsIn this quasi- experimental study, 100 online management courses students were selected and divided randomly into two groups of exercise and control on the same subject. The exercise group were asked to practice selected stretching exercises that were made available to them as movies on their given break time after 45 min since start of the class before continuing their study again. Both groups answered the Weinstein (2002) learning strategies questionnaire at the beginning and the end of the course. All data were analyzed using SPSS 23. Kolmogorov-Smirnov, paired sample t-test, independent samples t-test, and Pearson correlation coefficient, were used for data analysis (p≤0.05).ResultsThere was a significant difference between learning strategies (p=0.001) in two groups of exercise and control. Also the subscales, attitude (p= 0.003), information processing (p= 0.001), study aid (p= 0.003) and time management (p= 0.001) had a significant chenges on post-test.ConclusionImprovement of mental health increases the effect of learning strategies. Applying stretching exercises on educational content can improve mental health which results in increasing the productivity of work and achieving educational goals.Keywords: Mental Health, Learning Strategies, Stretching Exercises, e-learning
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مقدمه اسکولیوز از ناهنجاری های با شیوع نسبتا بالا می باشد که کاهش در کیفیت زندگی، ناتوانی، درد، بدشکلی های ظاهری، در بعضی موارد مشکلات تنفسی و حتی افزایش زاویه اسکولیوز در بزرگسالی را به دنبال دارد. هدف از مطالعه حاضر بررسی تاثیر 8 هفته تمرینات کششی، قدرتی و ثبات مرکزی بر اسکولیوز دانش آموزان دختر 9-13 سال بود.
مواد و روش ها مطالعه انجام شده از نوع پژوهش های مداخله ای نیمه تجربی بوده و جامعه آماری از دانش آموزان دختر 9-13سال دارای ناهنجاری اسکولیوز تشکیل شد. 60 دانش آموز دختر دارای ناهنجاری اسکولیوز پشتی به صورت هدفمند انتخاب و بطورتصادفی ساده در 3 گروه 20 نفری (دو گروه تجربی، گروه اول شامل تمرینات کششی، قدرتی و گروه دوم شامل تمرینات کششی و قدرتی و ثبات مرکزی و یک گروه کنترل) قرار گرفتند. برنامه تمرینی 8 هفته، هفته ای 3 جلسه و هر جلسه 25-40 دقیقه بود. اندازه گیری اسکولیوز پشتی با صفحه شطرنجی و روش فتوگرامتری انجام گردید.
یافته ها نتایج نمرات پس آزمون زاویه اسکولیوز نشان داد که برنامه تمرینات اصلاحی تفاوت معنی داری در بین سه گروه ایجاد نموده است، بطوریکه باعث کاهش معنی داری در میزان زاویه اسکولیوز آزمودنی های هر دو گروه تجربی نسبت به گروه کنترل شد. این مقدار در آزمودنی های گروه تجربی دوم (تمرینات کششی، قدرتی و ثبات مرکزی) نسبت به آزمودنی های گروه تجربی اول (تمرینات کششی و قدرتی) کاهش بیشتری (غیر معنی دار) نشان داد.
نتیجه گیری به نظر می رسد که 8 هفته برنامه تمرینات اصلاحی با تاکید بر تمرینات ترکیبی (ثبات مرکزی) می تواند به عنوان یک روش غیر تهاجمی اثر مطلوبی در درمان اسکولیوز دانش آموزان داشته باشد.کلید واژگان: تمرینات کششی, تمرینات قدرتی, تمرینات ثبات مرکزی, اسکولیوز پشتیObjectiveOne of these anomalies that have a high prevalence is higher scoliosis. Higher scoliosis causes problems such as reduction in quality of life, disability, pain, appearance deformities, and in cases, respiratory problems, and increase in scoliosis angle in adulthood. The objective of the study was to examine the effects of 8 weeks of stretching, strength and central stability exercises of female students aged 9 to 13 years.Methodologythis study was among the intervention and quasi-experimental studies and population of study included female students aged 9 to 13 years with scoliosis deformity, in which 60 female students who had dorsal scoliosis deformity were selected purposefully and they were randomly assigned to 3 groups (each group containing 20 students) (two experimental groups, the first group includes stretching exercises, second group includes strength and stretching and central stability exercises and one control group).
Exercises program included 8 weeks, 3 sessions per week, and each session lasted 25 to 40 minutes. The measurement of dorsal scoliosis was conducted using plaid plate and photogrammetry.Resultsthe results of post-test scores of scoliosis angle showed that corrective exercises program created significant difference among three groups so that, it caused significant reduction in scoliosis angle of subjects of both experimental groups compared to control group. It reduced more in the subjects of the second experimental group (stretching, strength and central stability exercises) compared to subjects of the first experimental group (stretching and strength exercises), while this difference was not significant.ConclusionIt seems that corrective eight-week exercise program with the emphasis on compound exercises (central stability) as a non-invasive method can have the desired effect in the treatment of scoliosis in students.Keywords: stretching exercises, strength exercises, central stability exercises, dorsal scoliosis -
BackgroundRestless leg syndrome prevalence is high among the patients undergoing hemodialysis. Due to several side effects of medicational treatments, the patients prefer non-medicational methods. Therefore, the present study aimed to investigate the effects of two methods of reflexology and stretching exercises on the severity of restless leg syndrome among patients undergoing hemodialysis.Materials And MethodsThis study is a randomized clinical trial that was done on 90 qualified patients undergoing hemodialysis in selected hospitals of Isfahan, who were diagnosed with restless leg syndrome through standard restless leg syndrome questionnaire. They were randomly assigned by random number table to three groups: Reflexology, stretching exercises, and control groups through random allocation. Foot reflexology and stretching exercises were conducted three times a week for 3040 min within straight 4 weeks. Data analysis was performed by SPSS version 18 using descriptive and inferential statistical analyses [one-way analysis of variance (ANOVA), paired t-test, and least significant difference (LSD) post hoc test].ResultsThere was a significant difference in the mean scores of restless leg syndrome severity between reflexology and stretching exercises groups, compared to control (PConclusionsOur obtained results showed that reflexology and stretching exercises can reduce the severity of restless leg syndrome. These two methods of treatment are recommended to the patients.Keywords: Hemodialysis, Iran, massage, muscle stretching exercises, patients undergoing hemodialysis, reflexology massage, restless leg syndrome, stretching exercises
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زمینه و هدفدیسمنوره اولیه بدون حضور عارضه پاتولوژیک لگنی، از شایع ترین شکایات در طب زنان است. فعالیت بدنی به عنوان یک عامل کاهش علائم دیسمنوره ذکرشده است. کینزیوتیپینگ یکی از روش های درمانی جدید است که درد، تورم و اسپاسم عضلانی را کاهش می دهد. از این رو، این پژوهش سعی دارد تاثیر استفاده از دو روش درمانی حرکات کششی و نواربندی را بر قاعدگی دردناک دختران دبیرستان بررسی و مقایسه نماید.مواد و روش هاتحقیق حاضر، کاربردی و از نوع تحقیقات نیمه تجربی در دو مرحله پیش آزمون و پس آزمون همراه با گروه کنترل می باشد. 30 نفر از دانش آموزان دبیرستان با میانگین سنی99/0±8/16 سال، به صورت دسترس انتخاب شدند و به طور تصادفی در سه گروه قرار گرفتند. گروه اول تمرینات کششی را انجام دادند. گروه دوم با استفاده از کینزیوتیپ نواربندی شدند و گروه کنترل هیچ گونه مداخله تمرینی نداشتند. پرسش نامه اضطراب قاعدگی MDQ برای جمع آوری اطلاعات، مقیاس آنالوگ بصری (VAS) برای اندازه گیری میزان درد و آزمون شوبر برای اندازه گیری دامنه حرکتی استفاده شد. تحلیل داده ها با استفاده از تحلیل واریانس در اندازه های تکراری با سطح معنی داری 0/05یافته هابهبود معنی داری در شدت درد ناحیه کمر و شکم و میزان دامنه حرکتی کمر دیده شد. از طرف دیگر، پس از مداخله، مقایسه داده ها اختلاف معنی داری را در شدت درد بین گروه ها نشان داد، اما اختلاف معنی داری از نظر افزایش دامنه حرکتی کمر در گروه نوار بندی دیده نشد.نتیجه گیرینوار کینزیوتیپ نسبت به تمرینات کششی، اثرات بهتری را در کاهش درد ایجاد می کند. تمرینات کششی نیز تاثیرات بهتری در افزایش دامنه حرکتی کمر دارد.
کلید واژگان: دیسمنوره, حرکت شناسی, تمرینات کششیBackgroundPrimary dysmenorrhea is one of the most common complaints in women medicine, in the absence of any pelvic pathological failure. Exercise is commonly reported as a factor to decrease dysmenorrhea symptoms. One of the new therapeutic methods is “Kinesio Taping” which claimed to be able to reduce pain, swelling and muscle spasms. Thus, this study tries to determine and compare the effectiveness of using two therapeutic methods of stretching exercises and taping in painful menstruation of high school students.Materials And MethodsThis study is an operational, quasi-experimental and two- stage study with a control group and pre-test and post-test design. Thirty female high school students with the average age of 16.8±0.99 were selected as available, and were divided into three groups, randomly. For the first group, stretching exercises were carried out and the second group were taped with Kinesio Tape and control group did not any exercise. Mood Disorder Questionnaire (MDQ) was used to collect information. Visual Analogue Scale (VAS) and schober test were used for measuring the level of pain and range of motion, respectively. Data analysis was performed by a repeated measures ANOVA at the significant level of p>0/05.ResultsThere was a significant improvement in back and abdomen pain and back range of motion.On the other hand, comparing data after intervention showed a significant difference in pain intensity between two groups. But, no significant difference was notified in increased back range of motion in group with kinesion tape.ConclusionKinesio Taping has better effects than stretching exercises in reducing tesucing pain. Too, Stretching exercise has better effects in increasing back rang of motion.Keywords: Dysmenorrhea, Kinesiology, Stretching Exercises -
BackgroundKnee osteoarthritis (OA) is the most common musculoskeletal disease among old individuals which affects ability for sitting on the chair, standing, walking and climbing stairs. Our objective was to investigate the short and long-term effects of the most simple and the least expensive exercise protocols in combination to conventional conservative therapy for knee OA.MethodsIt was a single blind RCT study with a 12-months follow-up. Totally, 56 patients with knee OA were assigned into 2 random groups. The patients in exercise group received exercise for knee muscles in combination with non-steroid anti-inflammatory drugs (NSAIDs) and 10 sessions acupuncture and physiotherapy modalities. Non-exercise group received similar treatments except exercise program. The changes in patients’ pain and functional status were evaluated by visual analog scale (VAS), knee and osteoarthritis outcome score (KOOS) questionnaire and functional tests (4 steps, 5 sit up, and 6 min walk test) before and after treatment (1 and 3 months after intervention), and 1 year later at the follow-up.ResultsThe results showed that the patients with knee OA in exercise group had significant improvement in pain, disability, walking, stair climbing, and sit up speed after treatment at first and second follow-up when compared with their initial status and when compared with non-exercise group. At third follow up (1 year later) there was significant difference between groups in VAS and in three items of KOOS questionnaire in functional status.ConclusionNon aerobic exercises for muscles around knee can augment the effect of other therapeutic interventions like medical therapy, acupuncture, and modalities for knee OA.Keywords: Knee osteoarthritis, Strengthening exercises, Stretching exercises, Acupuncture, Functional status
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مقدمهسندرم پاهای بی قرار یک اختلال حسی و حرکتی نورولوژیک است که به صورت تمایل شدید به حرکت دادن پاها بروز می کند. شیوع آن در بیماران تحت درمان با همودیالیز بالا بوده و خطر مرگ و میر را در این بیماران افزایش می دهد. به علت عوارض درمان های دارویی در این بیماران امروزه به روش های غیر دارویی روی آورده شده است از این رو این مطالعه با هدف بررسی مقایسه ای تاثیر دو روش بازتاب درمانی و تمرینات کششی بر شدت سندرم پاهای بی قرار در بیماران تحت درمان با همودیالیز انجام شد.روشاین مطالعه یک کارآزمایی بالینی بود. بدین منظور از بین بیماران تحت درمان با همودیالیز بیمارستان های منتخب شهر اصفهان که از طریق پرسشنامه استاندارد تشخیص سندرم پاهای بی قرار مبتلا به این سندرم شناخته شده بودند با استفاده از جدول اعداد تصادفی 90 نفر که دارای شرایط ورود به پژوهش بودند انتخاب و با استفاده از روش تخصیص تصادفی در سه گروه بازتاب درمانی، تمرینات کششی و کنترل قرار گرفتند. مداخله بازتاب درمانی و تمرینات کششی حین دیالیز سه بار در هفته به مدت 4 هفته و هر بار به مدت 30 تا 40 دقیقه انجام شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار SPSS 18 و آزمون های آماری آنالیزواریانس یک طرفه، t زوج و آزمون تعقیبی LSD صورت گرفت.یافته هادرگروه بازتاب درمانی و تمرینات کششی میانگین نمره شدت سندرم پاهای بی قرار نسبت به گروه کنترل تفاوت آماری معناداری داشت (P<0/05). ولی بین میانگین نمره شدت سندرم پاهای بی قرار بین دو گروه بازتاب درمانی و تمرینات کششی اختلاف آماری معناداری وجود نداشت (P >0/05)، همچنین میانگین تغییرات نمره شدت سندرم پاهای بی قرار در دو گروه بازتاب درمانی و تمرینات کششی به طور معناداری بیشتر از گروه کنترل بود (P<0/05) اما میانگین تغییرات نمره شدت سندرم پاهای بی قرار بین گروه بازتاب درمانی و تمرینات کششی با هم تفاوت آماری معناداری نداشت (P >0/05).نتیجه گیرینتایج نشان داد تمرینات کششی و بازتاب درمانی هر دو شدت سندرم پاهای بی قرار را کاهش می دهد. بنابراین استفاده از این دو درمان در این بیماران توصیه می شود.
کلید واژگان: سندرم پاهای بی قرار, تمرینات کششی, بازتاب درمانی, بیماران تحت درمان با همودیالیزIntroductionRestless leg syndrome is a sensory and motor neurologic disorder, which manifests as high tendency to move the legs. Its prevalence is high among the patients undergoing hemodialysis, and it increases the risk of mortality in these patients. Due to several side effects of medicational treatments, the patients prefer non-medicational methods. Therefore, the present study aimed to investigate the effect of two methods of reflexology massage and stretching exercises on the severity of restless leg syndrome among patients undergoing hemodialysis.MethodThis is a clinical trial. Among the patients undergoing hemodialysis in selected hospitals in Isfahan, 90 qualified patients, diagnosed with restless leg syndrome through standard restless leg syndrome questionnaire, were randomly selected by random number table. They were assigned to reflexology massage, stretching exercises and control groups through random allocation. Reflexology massage and stretching exercises were conducted three times a week for 30-40 minutes for four straight weeks. Data were analyzed by one way ANOVA paired t-test and LSD post hoc test through SPSS 20.ResultsThere was a significant difference in mean scores of restless leg syndrome severity between reflexology massage and stretching exercises groups, compared to control (p<0.05), but there was no significant difference between two study groups (p<0.05). Changes mean score of restless leg syndrome severity was significantly higher in reflexology massage and stretching exercises groups, compared to control group (p<0.05), but it showed no significant difference between reflexology massage and stretching exercises groups (p>0.05).ConclusionOur obtained results showed that reflexology massage and stretching exercises can reduce restless leg syndrome severity. These two methods of treatment are recommended to the patients.Keywords: Restless leg syndrome, stretching exercises, reflexology massage, patients undergoing hemodialysis, Iran -
BackgroundMusculoskeletal disorders are among the most prevalent occupational disorders in different jobs such as office work. Some interventions such as ergonomic modifications and workplace exercises are introduced as the methods for alleviating these disorders. In this study we compared the effect of ergonomic modifications and workplace exercises on musculoskeletal pain and discomfort in a group of office workers.MethodsIn an interventional study on office workers, the effect of two interventions was compared. Ergonomic modification consisted of correcting the arrangement of workstation and changing some equipment; workplace exercises included stretching exercises focusing on neck, shoulders, low back, and hand and wrist. Musculoskeletal complaints were assessed and compared before and after 1 month interventions.ResultsThe frequency of musculoskeletal complaints was high before the study. Both interventions significantly reduced complaints in a similar manner except for low back pain which was reduced in exercise group more than the other group.ConclusionIn this study we found a beneficial short-term effect for both ergonomic modifications and stretching work-place exercises on reducing musculoskeletal pain in office workers.Keywords: Musculoskeletal diseases, Ergonomic modification, Stretching exercises, Office worker
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