فصلنامه علمی- پژوهشی علوم پیراپزشکی وتوانبخشی

فصلنامه علمی- پژوهشی علوم پیراپزشکی وتوانبخشی

بررسی کینماتیک ‏ اندام تحتانی هنگام بالا رفتن و پایین آمدن از پله در افراد مبتلا به سندروم درد پاتلوفمورال: ‏مقاله مروری

نوع مقاله : مقاله مروری

نویسندگان
علی یلفانی 1
محمدرضا احمدی 2
فرزانه گندمی 3
ناهید بیگدلی 2
1 استاد گروه آسیب شناسی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه بوعلی سینا، همدان، ایران
2 کارشناس ارشد گروه آسیب شناسی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه بوعلی سینا، همدان، ایران
3 استادیار گروه آسیب شناسی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه رازی، کرمانشاه، ایران
10.22038/jpsr.2021.41722.1987
چکیده
هدف:
سندروم درد پاتلوفمورال (PFPS ؛Patellofemoral Pain) یکی از رایج­ترین دلایل زانو درد معرفی شده است، که علت آن ناشناخته مانده و عوامل بیومکانیکی متعددی برای آن، گزارش شده است. از آنجایی که بیماران 5 الی 8 سال پس از درمان، درد و محدودیت عملکرد را گزارش می­دهند، بنابراین، بررسی کینماتیک اندام تحتانی برای تعیین مکانیسم­های جبرانی­ و اثربخشی بهتر مداخلات درمانی امری ضروری به نظر می­رسد. هدف از مطالعه مروری حاضر، بررسی کینماتیک اندام تحتانی هنگام بالارفتن و پایین آمدن از پله در افراد مبتلا به PFPS است.
روش­ بررسی:
در این مطالعه، جستجوی مقالات از بانک­های اطلاعاتی PubMed، Google Scholar،Elsevier ، Springer آغاز شد و مقالات مربوط به سال، 2000 تا  2018 میلادی استخراج شدند. برای استخراج مقالات از کلید واژهای­: PFPS، Hip adduction ، Rear foot eversion ، Flexion knee  استفاده شد؛ که در نهایت 1200 مقاله یافت شد. پس از بررسی چکیده و عنوان مقالات،240 مقاله برای بررسی بعدی انتخاب شدند، سپس با توجه به موضوع اصلی مطالعه حاضر، و معیارهای ورود و خروج،  10 مقاله برای بررسی نهایی انتخاب شدند.
یافته­ ها:
10 مقاله استخراج شده، کینماتیک سه بخش پرگزیمال، لوکال، دیستال را طی پایین آمدن از پله در بیماران PFPS بررسی کردند.
نتیجه ­گیری:
با توجه به نتایج مطالعات، تغییرات کینماتیکی اندام تحتانی در هنگام بالارفتن و پایین آمدن از پله، در نهایت به افزایش نیروی عکس­العمل و فشار مفصل پاتلوفمورال منجر می­شود، که از دلایل اصلی توسعه و ایجاد PFPS است. بنابراین مداخلات توانبخشی که بصورت جامع تغییرات کینماتیکی ایجاد شده را مورد توجه قرار دهند از اثربخشی بیشتری در بهبود علائم بالینی برای مدت زمان طولانی برخوردار خواهند بود.
کلیدواژه‌ها
کینماتیک اندام تحتانی
بالارفتن و پایین آمدن از پله
سندروم درد پاتلوفمورال
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فصلنامه علمی- پژوهشی علوم پیراپزشکی وتوانبخشی
دوره 9، شماره 4
زمستان 1399
صفحه 115-125