تاثير تقويت ايزوله عضلات دورکننده و چرخاننده خارجي ران بر قدرت کانسنتريک و اکسنتريک و مکانيک پرش- فرود با استفاده از سيستم امتيازدهي خطاي فرود
ارتقای ایمنی و پیشگیری از مصدومیت ها,
دوره 8 شماره 3 (1399),
16 آبان 2020
,
صفحه 148 - 139
https://doi.org/10.22037/meipm.v8i3.30675
چکیده
سابقه و هدف: فرود يکي از مهمترين مکانيسمهاي آسيب غيربرخوردي رباط متقاطع قدامي است. بين ضعف عضلات دورکننده و چرخاننده خارجي ران و مکانيک فرود ارتباط معنيداري وجود دارد؛ اما تاکنون تحقيقات محدودي در خصوص تأثير تقويت اين عضلات بر الگوي فرود انجام شده است. لذا هدف از تحقيق حاضر بررسي تأثير تقويت ايزوله عضلات دورکننده و چرخاننده خارجي ران بر قدرت درونگرا و برونگرا و مکانيک پرش- فرود با استفاده از سيستم امتيازدهي خطاي فرود بود.
روش بررسي: سي دو مرد داراي ولگوس زانو بيش از 8 درجه بهصورت تصادفي در دو گروه تجربي (16 نفر) و کنترل (16 نفر) قرار گرفتند. سپس گروه تجربي سه جلسه در هفته و به مدت هشت هفته تمرينات تقويتي عضلات دورکننده و چرخاننده خارجي ران را بهصورت دوطرفه انجام دادند. در مرحله پيش و پسآزمون، قدرت عضلات مفصل ران با استفاده از دينامومتر ايزوکنتيک (کين کام) و مکانيک فرود با استفاده از پرسشنامه امتيازدهي خطاي فرود ارزيابي شد. دادهها با استفاده از آزمون تي همبسته و تحليل کوواريانس در سطح معناداري (05/P<0) توسط نرمافزار SPSS مورد تجزيه و تحليل قرار گرفتند.
يافتهها: درخصوص قدرت عضلات مفصل ران و آزمون امتيازدهي خطاي فرود، نتايج تحليل بين گروهي تفاوت معنيداري را نشان داد. آزمودنيهاي گروه تجربي پس از 8 هفته افزايش معنيداري به ترتيب در گشتاور درونگرا و برونگرا دور شدن (001/P<0)، (004/P=0) و چرخش خارجي ران (700/0=P)، (001/P=0) و نيز کاهش معنيداري را در امتياز خطاي فرود (004/P=0) نشان دادند. در گروه کنترل هيچکدام از متغيرها تغيير معنيداري نداشت (05/0<P).
نتيجهگيري: هشت هفته تمرينات تقويتي ايزوله عضلات دورکننده و چرخاننده خارجي ران در بهبود قدرت درونگرا و برونگرا اين عضلات و مکانيک فرود مؤثر بوده است. اين تمرينات احتمالاً با بهبود راستاي لگن و کاهش حرکات جبراني تنه و ولگوس زانو موجب کاهش نمرات خطاي فرود شده است.
How to cite this article: Safari Bak M, Khayam Bashi KH, Esmaeili H, Lenjannejadian SH. The Effects of Isolated Hip Abductor and External Rotator Muscle Strengthening on Concentric and Eccentric Strength and Jump-Landing Mechanics using Landing Error Scoring System. J Saf Promot Inj Prev. 2020; 8(3):139-48.
- تکنيک فرود; قدرت عضلات مفصل ران; خطاي فرود; رباط متقاطع قدامي; پيشگيري از آسيب
ارجاع به مقاله
مراجع
Moeller JL, Lamb MM. Anterior cruciate ligament injuries in female athletes: why are women more susceptible? The physician and sportsmedicine. 1997;25(4):31-54.
Chua EN, Yeung MY, Fu SC, Yung PSH, Zhang Y, Feng H, et al. Motion task selection for kinematic evaluation after anterior cruciate ligament reconstruction: a systematic review. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2016;32(7):1453-65.
Kaur M, Ribeiro DC, Theis J-C, Webster KE, Sole G. Movement patterns of the knee during gait following ACL reconstruction: a systematic review and meta-analysis. Sports Medicine. 2016;46(12):1869-95.
Titchenal MR, Chu CR, Erhart-Hledik JC, Andriacchi TP. Early Changes in Knee Center of Rotation During Walking After Anterior Cruciate Ligament Reconstruction Correlate With Later Changes in Patient-Reported Outcomes. The American journal of sports medicine. 2017;45(4):915-21.
Flanigan DC, Everhart JS, Pedroza A, Smith T, Kaeding CC. Fear of reinjury (kinesiophobia) and persistent knee symptoms are common factors for lack of return to sport after anterior cruciate ligament reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2013;29(8):1322-9.
Lohmander L, Östenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis & Rheumatology. 2004;50(10):3145-52.
Etnoyer J, Cortes N, Ringleb SI, Van Lunen BL, Onate JA. Instruction and jump-landing kinematics in college-aged female athletes over time. Journal of athletic training. 2013;48(2):161-71.
Onate J, Cortes N, Welch C, Van Lunen B. Expert versus novice interrater reliability and criterion validity of the landing error scoring system. Journal of sport rehabilitation. 2010;19(1):41-56.
Khayambashi K, Ghoddosi N, Straub RK, Powers CM. Hip muscle strength predicts noncontact anterior cruciate ligament injury in male and female athletes: a prospective study. The American journal of sports medicine. 2016;44(2):355-61.
Jacobs C, Mattacola C. Sex differences in eccentric hip-abductor strength and knee-joint kinematics when landing from a jump. Journal of Sport Rehabilitation. 2005;14(4):346-55.
Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. Journal of athletic training. 2007;42(1):76-83. [Pubmed]
Hewett TE, Myer GD, Ford KR, Heidt RS, Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes. The American journal of sports medicine. 2005;33(4):492-501.
Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. Journal of Orthopaedic & Sports Physical Therapy. 2003;33(11):639-46.
Nakagawa TH, Moriya ETU, Maciel CD, Serrao FV. Frontal plane biomechanics in males and females with and without patellofemoral pain. Medicine & Science in Sports & Exercise. 2012;44(9):1747-55.
Trendelenburg F. Trendelenburg’s test: 1895. 1998.
Plagenhoef S, Evans FG, Abdelnour T. Anatomical data for analyzing human motion. Research quarterly for exercise and sport. 1983;54(2):169-78.
Noyes FR, Barber-Westin S. ACL injuries in the female athlete: causes, impacts, and conditioning programs: Springer; 2018.
Padua DA, Marshall SW, Boling MC, Thigpen CA, Garrett Jr WE, Beutler AI. The Landing Error Scoring System (LESS) is a valid and reliable clinical assessment tool of jump-landing biomechanics: the JUMP-ACL study. The American journal of sports medicine. 2009;37(10):1996-2002.
Oñate JA, Guskiewicz KM, Marshall SW, Giuliani C, Yu B, Garrett WE. Instruction of jump-landing technique using videotape feedback: altering lower extremity motion patterns. The American journal of sports medicine. 2005;33(6):831-42.
Willy RW, Davis IS. The effect of a hip-strengthening program on mechanics during running and during a single-leg squat. Journal of orthopaedic & sports physical therapy. 2011;41(9):625-32.
Baldon RdM, Lobato D, Carvalho LP, Wun P, Santiago P, Serrão FV. Effect of functional stabilization training on lower limb biomechanics in women. Med Sci Sports Exerc. 2012;44(1):135-45.
Tsai Y-J, Chia C-C, Lee P-Y, Lin L-C, Kuo Y-L. Landing Kinematics, Sports Performance, and Isokinetic Strength in Adolescent Male Volleyball Athletes: Influence of Core Training. Journal of Sport Rehabilitation. 2019;1(aop):1-8.
Lawrence III RK, Kernozek TW, Miller EJ, Torry MR, Reuteman P. Influences of hip external rotation strength on knee mechanics during single-leg drop landings in females. Clinical biomechanics. 2008;23(6):806-13.
de Marche Baldon R, Lobato DFM, Carvalho LP, Santiago PRP, Benze BG, Serrão FV. Relationship between eccentric hip torque and lower-limb kinematics: gender differences. Journal of applied biomechanics. 2011;27(3):223-32.
Fulkerson JP. Diagnosis and treatment of patients with patellofemoral pain. The American journal of sports medicine. 2002;30(3):447-56.
Shahidi M, MinoNejad H, Rajabi R, Seyedi F. Effect of Eight Weeks of Selected Aquatic Exercises on Landing Error in Male Athletes Prone to Anterior Cruciate Ligament Damage. J Rehab Med. 2019;8(1):109-18.
Norouzi K, Mahdavinezhad R, Mohamadi Mr, Ariamanesh A. The effect of neuromuscular training on hip strength, core and jump-landing mechanics in athletes with anterior cruciate ligament reconstruction. Journal for Research in Sport Rehabilitation. 2019;7(13):77-89.
Jackson KM, Beach TA, Andrews DM. The Effect of an Isometric Hip Muscle Strength Training Protocol on Valgus Angle During a Drop Vertical Jump in Competitive Female Volleyball Players. International Journal of Kinesiology & Sports Science. 2017;5(4):1-9.
Clark M, Lucett S, editors. NASM essentials of corrective exercise training. Lippincott Williams & Wilkins; 2010 Sep 21.
Thompson JA, Tran AA, Gatewood CT, Shultz R, Silder A, Delp SL, et al. Biomechanical effects of an injury prevention program in preadolescent female soccer athletes. The American journal of sports medicine. 2017;45(2):294-301.
Perrin D. Isokinetic exercise and assessment. Human Kinetics Pub. Inc; 1993.
Boling MC, Padua DA, Alexander Creighton R. Concentric and eccentric torque of the hip musculature in individuals with and without patellofemoral pain. Journal of athletic training. 2009;44(1):7-13.
Olsen O-E, Myklebust G, Engebretsen L, Bahr R. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. The American journal of sports medicine. 2004;32(4):1002-12.
Khayambashi K, Mohammadkhani Z, Ghaznavi K, Lyle MA, Powers CM. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: a randomized controlled trial. journal of orthopaedic & sports physical therapy. 2012;42(1):22-9.
Smith BI, Curtis D, Docherty CL. Effects of hip strengthening on neuromuscular control, hip strength, and self-reported functional deficits in individuals with chronic ankle instability. Journal of sport rehabilitation. 2018;27(4):364-70.
Snyder KR, Earl JE, O’Connor KM, Ebersole KT. Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clinical Biomechanics. 2009;24(1):26-34.
Moritani T, deVries HA. Neural factors versus hypertrophy in the time course of muscle strength gain. American journal of physical medicine. 1979;58(3):115-30.
Lieber RL. Skeletal muscle structure, function, and plasticity: Lippincott Williams & Wilkins; 2002.
Noyes FR, Barber-Westin SD, Fleckenstein C, Walsh C, West J. The drop-jump screening test: difference in lower limb control by gender and effect of neuromuscular training in female athletes. The American journal of sports medicine. 2005;33(2):197-207.
Beutler AI, Sarah J, Marshall SW, Padua DA, Boden BP. Muscle strength and qualitative jump-landing differences in male and female military cadets: The jump-ACL study. Journal of sports science & medicine. 2009;8(4):663.
fallahmohammadi M, Shojaadin S, Letafatkar A, Takomjani EE, Eslami M. Relationship between core stability and strength of some lower extremity muscles, and jump-landing biomechanics using Landing Error Scoring System. journal of Applied Exercise Physiology. 2018;13(26):125-38.
Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. journal of orthopaedic & sports physical therapy. 2010;40(2):42-51.
- چکیده مشاهده شده: 275 بار