مقایسۀ زمان‌بندی عضلات مرکزی بدن در ورزشکاران با سابقۀ جراحی بازسازی رباط صلیبی قدامی با ورزشکاران سالم حین فرود آمدن

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس‌ارشد، گروه فیزیوتراپی، دانشکدۀ توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران.

2 دانشجوی دکتری تخصصی آسیب‌شناسی ورزشی، دانشگاه شهید باهنر کرمان، کرمان، ایران.

3 کارشناس‌ارشد، گروه فیزیوتراپی، دانشکدۀ توانبخشی، دانشگاه علوم پزشکی تهران، تهران، ایران.

چکیده

اختلال در مکانیسم پیش‌خوراند سیستم کنترل حرکتی یکی از دلایل اصلی ایجادکنندۀ آسیب رباط صلیبی قدامی است. بررسی الگوی فعالیت عضلات ناحیۀ مرکزی در بیماران با جراحی لیگامنت صلیبی قدامی و افراد سالم حین فرود آمدن موضوع این تحقیق است.
شرکت‌کنندگان در این مطالعۀ غیرتجربی که به‌صورت مورد شاهدی صورت گرفت، 15 فرد سالم به‌عنوان گروه کنترل و 15 نفر با جراحی لیگامنت صلیبی قدامی بودند. الکترومیوگرافی از عضلات ارکتور اسپاین، مایل داخلی، و گلوتئوس مدیوس گرفته شده تا شاخص‌های زمان تأخیر شروع فعالیت عضلانی و زمان رسیدن به حداکثر فعالیت عضلانی در حین فرود آمدن بررسی شود. لحظۀ برخورد پا به زمین با استفاده از صفحۀ حساس به لمس تعیین شد.
زمان تأخیر شروع فعالیت در حین فرود از ارتفاع در گروه سالم به‌طور معنا‌داری کمتر از گروه بیمار بود (05/0P<)، به‌طوری‌که این عضلات در گروه بیماران با جراحی لیگامنت صلیبی قدامی با تأخیر وارد عمل شدند. زمان رسیدن به حداکثر فعالیت عضلانی در گروه سالم به‌طور معناداری کمتر از گروه بیماران بود (05/0P<).
 زمان تأخیر شروع فعالیت و زمان رسیدن به حداکثر فعالیت عضلات مرکزی در افرادی که جراحی لیگامنت صلیبی قدامی انجام دادند، نسبت به افراد سالم تغییر یافت.

کلیدواژه‌ها


عنوان مقاله [English]

A Comparison of Timing of Core Muscles between ACL Reconstructed and Healthy Athletes While Landing

نویسندگان [English]

  • Kamal Rezaiee 1
  • Vahid Mazloum 2
  • Aghil Mamashli 3
چکیده [English]

Altered feed-forward mechanism of the motor control system can be one of the main reasons causing anterior cruciate ligament (ACL) sprain. The aim of this study was to examine the core muscles activation patterns in patients with ACL reconstruction (ACLR) and healthy subjects during landing. 15 healthy subjects as the control group and 15 subjects with ACLR participated in this non-experimental case study.Electromyography of erector spine, internal oblique and gluteus medius muscles was recorded and onset latencies and time to peak latencies were assessed during landing. The time of foot contact with ground was determined by a sensitive surface. Onset time of all muscles during landing in the healthy group was significantly less than ACLR group (P<0.05), that is to say onset latency of these muscles in ACLR group was higher. Time to peak in healthy group was significantly less than ACLR group (P<0.05). The preactivation onset time and time to peak of core muscles were altered in subjects with ACLR compared to healthy subjects.

کلیدواژه‌ها [English]

  • anterior cruciate ligament
  • athletes
  • core muscles
  • Electromyography
  • Timing
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