مقایسه اثر آنی و طولانی مدت تمرینات در آب و تراباند بر نیروی عکس‌العمل زمین در افراد دارای پای پرونیت هنگام ‏راه رفتن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

2 کارشناس ارشد فیزیولوژی ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

3 دکتری طب ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

4 کارشناس ارشد بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، ‏اردبیل، ایران

5 دانشجوی دکتری فیزیولوژی ورزشی، گروه تربیت‌بدنی و علوم ورزشی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

6 کارشناس ارشد بیومکانیک ورزشی، گروه بیومکانیک ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ‏ایران

چکیده

هدف:
هدف از پژوهش حاضر بررسی تاثیر آنی و طولانی مدت تمرینات در آب و تراباند بر نیروی عکس­العمل زمین طی راه رفتن در افراد با پای پرونیت می ­باشد.
روش بررسی:
پژوهش حاضر از نوع نیمه ­تجربی با طرح اندازه ­گیری تکراری با گروه کنترل بود. نمونه آماری پژوهش حاضر شامل 45 دانشجوی پسر دانشگاه محقق اردبیلی دارای پای پرونیت با دامنه سنی 25-18 سال بودند که به طور هدفمند و داوطلبانه در این پژوهش شرکت کردند. آزمودنی­ ها به طور تصادفی در سه گروه تمرین در آب، تمرین با تراباند و کنترل قرار گرفتند. سرعت راه رفتن و اوج مولفه های نیروی عکس­ العمل زمین در سه مرحله پیش ­آزمون، بلافاصله و بعد از 8 هفته تمرین در آب و تراباند مورد بررسی قرار گرفت. از صفحه نیروی برتک با نرخ نمونه­ برداری 1000 هرتز برای ثبت نیروی عکس ­العمل زمین طی راه رفتن استفاده شد. همچنین برای تحلیل داده‌ها از آزمون تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی بونفرونی در سطح معناداری 05/0≥p استفاده شد.
یافته­ ها­:
نتایج نشان داد سرعت راه رفتن بعد از 8 هفته تمرین با تراباند (0/032=P) و تمرین در آب (0/025=p) در مقایسه با پیش ­آزمون افزایش معنی­ داری داشت. مولفه عمودی نیروی عکس ­العمل زمین در مرحله برخورد پاشنه بعد از 8 هفته تمرین در آب (0/002=P) و تراباند (0/032=P) در مقایسه با پیش ­آزمون کاهش معنی­ داری داشت. همچنین مولفه عمودی نیروی عکس ­العمل زمین در مرحله پیش­روی بعد از 8 هفته تمرین با تراباند در مقایسه با پیش ­آزمون افزایش معنی ­داری داشت (0/015=P). به­علاوه مولفه قدامی-خلفی نیروی عکس ­العمل زمین در مرحله پیش­روی بعد از 8 هفته تمرین در آب در مقایسه با پیش ­آزمون افزایش معنی­ داری داشت (0/001=P).
نتیجه ­گیری:
با توجه به نتایج تحقیق می­توان نتیجه گرفت که تمرینات در آب و تراباند در بلند مدت اثر کلینیکی و درمانی بر افراد داری پای پرونیت دارد و برای اصلاح الگوی راه رفتن می ­تواند مفید باشد.

کلیدواژه‌ها


  1. Jafarnezhadgero AA, Amirzadeh N, Hoseinpour A, Siahkouhian M, Mokhtari MA. Evaluation of Frequency Spectrum of Ground Reaction Force during Walking on Sand and Flat Surface in Individuals with Pronated Foot. SJRM 2020; 93-101. [Persian]
  2. Chen K-C, Tung L-C, Tung C-H, Yeh C-J, et al. An investigation of the factors affecting flatfoot in children with delayed motor development. Research in developmental disabilities 2014; 35(3): 639-645.
  3. Dunn J, Link C, Felson D, Crincoli M, et al. Prevalence of foot and ankle conditions in a multiethnic community sample of older adults. AJE 2004; 159(5): 491-498.
  4. Kothari A, Dixon P, Stebbins J, Zavatsky A, Theologis T. The relationship between quality of life and foot function in children with flexible flatfeet. Gait & posture 2015; 41(3): 786-90.
  5. Lin C-J, Lai K-A, Kuan T-S, Chou Y-L. Correlating factors and clinical significance of flexible flatfoot in preschool children. IFPOS 2001; 21(3): 378-382.
  6. Miyazaki T, Wada M, Kawahara H, Sato M, et al. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis.Annal of the rheumatic diseases 2002; 61(7): 617-622.
  7. Betsch M, Schneppendahl J, Dor L, Jungbluth P, et al. Influence of foot positions on the spine and pelvis. Arthritis care & research 2011; 63(12): 1758-1765.
  8. Bird AR, Bendrups AP, Payne CB. The effect of foot wedging on electromyographic activity in the erector spinae and gluteus medius muscles during walking. Gait & posture 2003; 18(2): 81-91.
  9. Chuckpaiwong B, Nunley JA, Mall NA, Queen RM. The effect of foot type on in-shoe plantar pressure during walking and running. Gait & posture. 2008; 28(3): 405-411.
  10. Farahpour N, Jafarnezhad A, Damavandi M, Bakhtiari A, Allard P. Gait ground reaction force characteristics of low back pain patients with pronated foot and able-bodied individuals with and without foot pronation. Journal of biomechanics 2016; 49(9): 1705-1710. [Persian]
  11. Hunt AE, Smith RM. Mechanics and control of the flat versus normal foot during the stance phase of walking. Clinical biomechanics 2004; 19(4): 391-397.
  12. Castro MP, Figueiredo MC, Abreu S, Sousa H, et al. The influence of gait cadence on the ground reaction forces and plantar pressures during load carriage of young adults. Applied ergonomics 2015; 49: 41-6.
  13. Lamoureux E, Sparrow WA, Murphy A, Newton RU. The effects of improved strength on obstacle negotiation in community-living older adults. Gait & posture 2003; 17(3): 273-83.
  14. Munro CF, Miller DI, Fuglevand AJ. Ground reaction forces in running: a reexamination. Journal of biomechanics 1987; 20(2): 147-55.
  15. Almosnino S, Kajaks T, Costigan PA. The free moment in walking and its change with foot rotation angle. BMC Sports Science, Medicine and Rehabilitation 2009; 1(1): 1-9.
  16. Jafarnezhadgero A, Alavi Mehr S. The Effect of Thera-Band Resistance Training on the Electromyography Frequency Spectrum of Trunk and Lower Limb Muscles in Low Back Pain Patients with Pronated Feet During Walking: A Clinical Trial. Journal of Rafsanjan University of Medical Sciences 2019; 18(5): 427-440. [Persian]
  17. Ziaei M, Esmaeili H, Mirshkar M. Effect of Plyometric and Theraband Tainings on Ankle Proprioception and Strength in Adolescent Soccer Players. JPSR 2020; 9(2): 16-29.
  18. Aghakeshizade F, Saghari M, Shojaeddin SS. The Effect of Thera-Band Resistive Exercises on Pain, Dynamic Balance, and Function of Amateur Teenage Basketball Players. JAP 2020; 11(1): 14-24. [Persian]
  19. Khodabakhshi M, Ashoori H. The Effect of 6 weeks of strength exercise with Traband on some of the variables anaerobic power in young basketball players. Research in Sport Medicine and Technology 2015; 13(10): 47-57. [Persian]
  20. Maher CG. Effective physical treatment for chronic low back pain. Orthopedic Clinics 2004; 35(1): 57-64.
  21. Shourabi P, Bagheri R, Ashtary-Larky D, Wong A, et al. Effects of hydrotherapy with massage on serum nerve growth factor concentrations and balance in middle aged diabetic neuropathy patients. Complementary therapies in clinical practice 2020; 39: 101-109. [Persian]
  22. Stensdotter A-K, Hodges P, Mellor R, Sundelin G, Häger-Ross C. Quadriceps activation in closed and in open kinetic chain exercise. MSSE 2003; 35(12): 2043-2047.
  23. Haq SA, Davatchi F. Osteoarthritis of the knees in the Copcord world. IJRD  2011; 14(2): 122-129.
  24. Ciolac E, Garcez-Leme L, Greve J. Resistance exercise intensity progression in older men. International journal of sports medicine 2010; 31(06): 433-438.
  25. Jafarnezhadgero AA, Majlesi M, Azadian E. Gait ground reaction force characteristics in deaf and hearing children. Gait & posture 2017; 53: 236-240. [Persian]
  26. Picciano AM, Rowlands MS, Worrell T. Reliability of open and closed kinetic chain subtalar joint neutral positions and navicular drop test. JOSPT 1993; 18(4): 553-558.
  27. McWalter EJ, Cibere J, MacIntyre NJ, Nicolaou S, et al. Relationship between varus-valgus alignment and patellar kinematics in individuals with knee osteoarthritis. JBJS 2007; 89(12): 2723-2731.
  28. Lange B, Chipchase L, Evans A. The effect of low-Dye taping on plantar pressures, during gait, in subjects with navicular drop exceeding 10 mm. JOSPT 2004; 34(4): 201-9.
  29. Andersen LL, Andersen CH, Mortensen OS, Poulsen OM, et al. Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Physical therapy 2010; 90(4): 538-49.
  30. Topp R, Woolley S, Hornyak III J, Khuder S, Kahaleh B. The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. ACRM 2002; 83(9): 1187-1195.
  31. Mousavi A, Arabmomeni A. The Effects of Three Comprehensive Corrective Exercise Protocols on the Correction of Flexible Flat Foot in Boy Students with Overweight. JAUMS 2021; 21(2): 157-170. [Persian]
  32. Nakagawa TH, Muniz TB, Baldon RdM, Dias Maciel C, et al. The effect of additional strengthening of hip abductor and lateral rotator muscles in patellofemoral pain syndrome: a randomized controlled pilot study. Clinical rehabilitation 2008; 22(12): 1051-1060.
  33. Bálint GP, Buchanan WW, Ádám A, Ratkó I, et al. The effect of the thermal mineral water of Nagybaracska on patients with knee joint osteoarthritis—a double blind study. Clinical rheumatology 2007; 26(6): 890-894.
  34. Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Physical therapy 2007; 87(1): 32-43.
  35. Irandoust K, Taheri M. The effect of aquatic training on kinematic walking patterns of elderly women. International Archives of Health Sciences 2019; 6(1): 1-5. [Persian]
  36. Tsourlou T, Benik A, Dipla K, Zafeiridis A, Kellis S. The effects of a twenty-four-week aquatic training program on muscular strength performance in healthy elderly women. JSCR 2006; 20(4): 811-819.
  37. Chen K-M, Li C-H, Chang Y-H, Huang H-T, Cheng Y-Y. An elastic band exercise program for older adults using wheelchairs in Taiwan nursing homes: A cluster randomized trial. IJNS 2015; 52(1): 30-8.
  38. Aemi SZ, Dadgar S, Pourtaghi F, Hoseini Z, Moghadam Z. The effect of exercise program using elastic band in improving the old women's health. IJOGI 2016; 18(177): 20-5.
  39. Kwak C-J, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. JPTS  2016; 28(11): 3189-96.
  40. Holviala J, Kraemer W, Sillanpää E, Karppinen H, et al. Effects of strength, endurance and combined training on muscle strength, walking speed and dynamic balance in aging men. European journal of applied physiology 2012; 112(4): 1335-47.
  41. Ahn N, Kim K. Effects of an elastic band resistance exercise program on lower extremity muscle strength and gait ability in patients with Alzheimer’s disease. Journal of physical therapy science 2015; 27(6): 1953-1955.
  42. Buchner DM, Cress ME, De Lateur BJ, Esselman PC, Margherita AJ, Price R, et al. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 1997; 52(4): 218-224.
  43. Judge JO, Whipple RH, Wolfson LI. Effects of resistive and balance exercises on isokinetic strength in older persons. JAGS 1994; 42(9): 937-946.
  44. Idland G, Sylliaas H, Mengshoel AM, Pettersen R, Bergland A. Progressive resistance training for community-dwelling women aged 90 or older; a single-subject experimental design. Disability and Rehabilitation 2014; 36(15): 1240-128.
  45. Webber SC, Porter MM. Effects of ankle power training on movement time in mobility-impaired older women. MSSE 2010; 42(7): 1233-1240.
  46. Rosendahl E. Fall prediction and a high-intensity functional exercise programme to improve physical functions and to prevent falls among older people living in residential care facilities 2006; 3(1): 15-24.
  47. Lopopolo RB, Greco M, Sullivan D, Craik RL, Mangione KK. Effect of therapeutic exercise on gait speed in community-dwelling elderly people: a meta-analysis. Physical therapy 2006; 86(4): 520-540.
  48. Mehdizadeh Mollabashi L, Safavy Bayat Z, Yagmaey F, Mehraby Y. The effect of balanced exercises on balance level of elderly in nursing homes. Journal of Urmia Nursing & Midwifery Faculty 2011;  9(4): 31-38. [Persian]
  49. Hwang B. Effect of resistance excercise using elastic band on functional fitness and body composition in elderly women. Unpublished master’s thesis, Kookmin University. 2006; 2(6): 25-31.
  50. Patterson RM, Stegink Jansen CW, Hogan HA, Nassif MD. Material properties of thera-band tubing. Physical therapy 2001; 81(8): 1437-1445.
  51. Mattos Fd, Leite N, Pitta A, Bento PCB. Effects of aquatic exercise on muscle strength and functional performance of individuals with osteoarthritis: a systematic review. Revista brasileira de reumatologia 2016; 56: 530-542.
  52. Frohman AN, Okuda DT, Beh S, Treadaway K, et al. Aquatic training in MS: neurotherapeutic impact upon quality of life. ACTN 2015; 2(8): 864-72.
  53. S K, V T. Effect of aquatic therapy exercises with and without the use of Jacuzzi on the lower limb strength and the quality of life in elderly women. Journal of Gerontology 2018; 3(1): 22-35.
  54. Shahidi M, Minoonejad H, Rajabi R, Seidi F. Effect of Eight Weeks of Selected Aquatic Exercises on Landing Error in Male Athletes Prone to Anterior Cruciate Ligament Damage. JRM 2019; 8(1): 109-18. [Persian]
  55. Jafarzadeh h, Mohamadi mf. Effect of six weeks’ exercise with traband on dynamic balance of 15-17 years old soccer players with genu varum deformity. JRM 2021; 3(2):3 2-40. [Persian]
  56. Hasanzadeh F, Tabatabaei h. The impact of two ressistance training methods on dynamic balance, fall risk and range of motion in active elderly women. JRM 2020;4(2):10-18.[Persian]
  57. Karimi Z, Shojaedin SS. Effect of Eight Weeks of Training with and without Traband on the Range of Motion, Proprioception, Strength, and Quality of Life in Sedentary Middle-Aged Women with Knee osteoarthritis. JRM 2020; 9(1): 173-182. [Persian]
  58. Lee H-C, Lee ML, Kim S-R. Effect of exercise performance by elderly women on balance ability and muscle function. JPTS  2015; 27(4): 989-92.
  59. Sharma L. Proprioceptive impairment in knee osteoarthritis. Rheumatic Disease Clinics 1999; 25(2): 299-314.
  60. Stergiou N, Giakas G, Byrne JE, Pomeroy V. Frequency domain characteristics of ground reaction forces during walking of young and elderly females. Clinical Biomechanics 2002; 17(8): 615-617.
  61. Roemmich RT, Stegemöller EL, Hass CJ. Lower extremity sagittal joint moment production during split-belt treadmill walking. Journal of biomechanics 2012; 45(16): 2817-2821.