fa تاثیر آنی اصلاح الگو کینماتیک دویدن با استفاده از الگو Pose بر عوامل کینماتیکی مرتبط با درد کشککی رانی در دوندگان آسیب شناسی و حرکات اصلاحی آسیب شناسی و حرکات اصلاحی پژوهشي Research <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">مقدمه</span></span></b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">: درد کشککی رانی</span></span> <span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">یکی از شایع ترین مشکلات ارتوپدی زانو در دوندگان می باشد.الگوی</span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> یک برنامه آموزشی راه رفتن مبتنی بر مربی است که هدف آن اصلاح راه رفتن برای کاهش خطر آسیب است. بنابراین هدف از پژوهش حاضر بررسی تأثیر آنی اصلاح الگوی کینماتیک دویدن با استفاده از الگو </span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> بر عوامل کینماتیکی مرتبط با درد کشککی رانی در دوندگان است.</span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></b><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.1pt">‌</span></span></span></b><b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.1pt">ها</span></span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.1pt">:</span></span></span><a name="_Hlk183850574"> </a><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">پژوهش حاضر از نوع کارآزمایی میدانی می باشد که 40 دونده سالم (با میانگین سنی </span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">5/7</span></span><span lang="AR-SA" style="font-size:13.0pt"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">6/25)</span></span> <span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">&nbsp;در دو گروه کنترل(20نفر)</span></span> <span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">و گروه باز آموزی راه رفتن با روش</span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> (20 نفر) </span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">قرار گرفت</span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">. به مدت 30 دقیقه بازآموزی دویدن آموزش داده شد و متغیرهای کینماتیک اندام تحتانی شامل زاویه تنه، زاویه افتادگی لگن در سمت مخالف، والگوس داینامیک زانو، زاویه فلکشن زانو، زاویه دورسی فلکشن مچ پا قبل و بعد از مداخله </span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> ثبت گردید. جهت تجزیه و تحلیل اطلاعات از نرم افزار</span></span><span dir="LTR" style="font-size:13.0pt">SPSS20</span><span style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> استفاده شد.</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">یافته</span></span></b><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.2pt">‌</span></span></span></b><b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">ها</span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">: </span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">نتایج تحلیل آماری نشان داد که استفاده از الگوی </span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> می تواند سبب بهبود الگوی کینماتیک دویدن شود، به طوری که در گروه مداخله زاویه تنه در سمت راست<a name="_Hlk184017840"> (</a></span></span><span dir="LTR" style="font-size:13.0pt">P<0.01</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">) با اندازه اثر </span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">656/0</span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">، زاویه افتادگی لگن در سمت مخالف (</span></span><span dir="LTR" style="font-size:13.0pt">P<0.01</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">)با اندازه اثر </span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">737/0</span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">، والگوس داینامیک زانو در سمت چپ (</span></span><span dir="LTR" style="font-size:13.0pt">P<0.02</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">)با اندازه اثر </span></span><span lang="AR-LB" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">428/0</span></span> <span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">و در سمت راست (</span></span><span dir="LTR" style="font-size:13.0pt">P<0.01</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">)با اندازه اثر </span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">583/0</span></span> <span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">و زاویه حداکثر فلکشن زانو در در سمت چپ (</span></span><span dir="LTR" style="font-size:13.0pt">P<0.01</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">)با اندازه اثر </span></span><span lang="AR-LB" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">746/0 </span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">و در سمت راست (</span></span><span dir="LTR" style="font-size:13.0pt">P<0.01</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">)با اندازه اثر </span></span><span lang="AR-LB" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">600/0</span></span><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> می با</span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">شد.</span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.1pt">نتیجه گیری</span></span></span></b><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"><span style="letter-spacing:-.1pt">:</span></span></span> <span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">طبق یافته ها بازآموزی الگوی دویدن به روش</span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:"> به صورت بازخورد آنی می تواند بر کینماتیک دوبعدی مفاصل کمربند لگنی و زانو تاثیرگذار بوده و سبب بهبود عملکرد آنها شود.</span></span><span dir="LTR" style="font-size:13.0pt"></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">واژه های کلیدی</span></span></b><span lang="AR-SA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">: </span></span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">کینماتیک، دویدن، الگو </span></span><span dir="LTR" style="font-size:13.0pt">Pose</span><span lang="FA" style="font-size:13.0pt"><span b="" lotus="" style="font-family:">، درد کشککی رانی.<span style="letter-spacing:-.1pt"></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Introduction</span></span></span></b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">: Patellofemoral pain is one of the most common orthopedic knee problems in runners. The Pose model is an instructor-led gait training program that aims to modify gait to reduce the risk of injury. Therefore, the aim of the present study was to investigate the immediate effect of modifying the running kinematic pattern using the Pose model on kinematic factors associated with patellofemoral pain in runners.</span></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Materials and Methods: </span></span></span></b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">The present study was a field trial in which 20 healthy runners were divided into two groups: a control group and a gait retraining group using the Pose method. Running retraining was taught for 30 minutes, and lower limb kinematic variables including trunk angle, contralateral hip drop angle, dynamic knee valgus, knee flexion angle, and ankle dorsiflexion angle were recorded before and after the Pose intervention. SPSS20 software was used to analyze the data.</span></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Results: </span></span></span></b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">The results of statistical analysis showed that using the Pose model can improve the running kinematic pattern, so that in the intervention group, the trunk angle on the right side (P<0.01) with an effect size of 0.656, the hip drop angle on the opposite side (P<0.01) with an effect size of 0.737,the dynamic knee valgus on the left side (P<0.02) with an effect size of 0.428 and on the right side (P<0.01) with an effect size of 0.583,and the maximum knee flexion angle on the left side (P<0.01) with an effect size of 0.746 and on the right side (P<0.01) with an effect size of 0.600.</span></span></span></span></span><br> <span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Conclusion</span></span></span></b><span style="font-size:13.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">: retraining the running pattern using the Pose method as immediate feedback can affect the two-dimensional kinematics of the pelvic girdle and knee joints and improve their performance.</span></span></span></span></span><br> &nbsp; کینماتیک, دویدن, درد کشککی رانی Kinematics, Running, Pose pattern, Patellofemoral pain 0 0 http://jsmt.khu.ac.ir/browse.php?a_code=A-10-2142-1&slc_lang=fa&sid=1 mohammad shahpoori محمد شاهپوری mohammad.shahpoori@yahoo.com 10031947532846005663 10031947532846005663 No بیمارستان رازی قائمشهر، علوم پزشکی مازندران Amir Letafatkar امیر لطافتکار letafatkaramir@yahoo.com 10031947532846005664 10031947532846005664 Yes دانشگاه خوارزمی، تهران، ایران Ali Abbasi علی عباسی abbasi@khu.ac.ir 10031947532846005665 10031947532846005665 No دانشگاه خوارزمی، تهران، ایران