مجله علوم پزشکی پارس

بررسی ارتباط کمردرد مکانیکی با پروناسیون بیش از حد پا در بیماران مراجعه کننده به مرکز آموزشی درمانی حضرت رسول اکرم (ص)

نویسندگان

دانشگاه علوم پزشکی ایران

چکیده

مقدمه :  بر اساس فرضیه زنجیره حرکتی دکتر یاندا، عملکرد نامناسب و تغییر شکل یک سگمان حرکتی می تواند سایر سگمان های حرکتی بدن رامتاثر سازد. لذا هدف از پژوهش پیش رو، بررسی ارتباط بین کمردرد و کف پای صاف در بیماران مراجعه کننده به بیمارستان حضرت رسول اکرم (ص) است .

روش کار : در این پژوهش مقطعی 242 نفر در دو  گروه مبتلا به کمردرد و سالم مورد  بررسی قرار گرفتند. در این مطالعه علاوه بر اطلاعات دموگرافیک ، شدت و سابقه کمردرد  ،انعطاف پذیری تنه ،‌ وجود صافی کف پا  و دامنه حرکتی دورسی فلکسون مچ پا  مورد ارزیابی قرار گرفتند. یافته های حاصل از ارزیابی ها ، با استفاده از آزمون تی مستقل(  Independent sample T- Test)  و آزمون آماری کای مربع ( Chi-Square ) مورد تجزیه و تحلیل قرار گرفت.

یافته ها : نتایج این پژوهش ارتباط  معناداری را بین پروناسیون بیش از حد پا  و بروز کمردرد نشان داد (001/ 0= p < /span>).  هم چنین بین شدت کمردرد و صافی کف پا (001/ 0= p < /span>) و نیز بین سابقه ابتلا به کمر درد  و صافی کف پا ارتباط معناداری مشاهده شد(001/ 0= p < /span> ).علاوه بر این ، بر اساس آزمون آماری کای مربع ، رابطه معناداری بین صافی کف پا و دامنه حرکتی دورسی فلکسیون مچ پا دیده شد(014 /0 = p < /span>).

نتیجه گیری :‌ یافته های این مطالعه موید وجود ارتباط معناداری بین بروز ، شدت و سابقه کمردرد در مبتلایان به صافی کف پا است.علاوه بر این در مبتلایان به صافی کف پا دامنه حرکتی دورسی فلکسیون مچ پا کاهش یافته بود.

کلیدواژه‌ها

عنوان مقاله [English]

The correlation between mechanical low back pain and foot overpronation in patients referred to Hazrat Rasool Hospital.

نویسندگان [English]

  • Azar Moezy
  • Sina Malai
  • Haleh Dadgostar

چکیده [English]

Background and purpose: Based on Janda’s theory of kinetic chain, dysfunction in one motor segment can affect other segments in the body. The purpose of the study was to determine the correlation between Low Back Pain (LBP) and foot overpronation in patients referred to Hazrat Rasool Hospital.

Materials and Methods: In this cross sectional study, 242 subjects were classified into two groups, LBP and healthy groups and evaluated for the duration and intensity of LBP, flexibility of trunk, foot overpronation (by  Helbing sign and Navicular Drop test ) and  ankle dorsiflexion range. The Independent sample t- test and Chi-Square test were conducted for statistical analysis of the data.

Results: A significant correlation between foot overpronation and LBP (p=0.001) was found in the study. There were significant relations between LBP intensity and foot overpronation

 (p=0.001); between the history of LBP and foot overpronation (p=0.001) and also on the between foot overpronation and ankle dorsiflexion range (p=0.014).

Conclusion: The findings of this study indicate significant relations between the incidence, intensity and duration of LBP in patients with foot overpronation; also, the ankle dorsiflexion range was reduced in the subjects with foot overpronation.

کلیدواژه‌ها [English]

  • Flat Foot
  • Foot Overpronation
  • Low back pain
  • Helbing Sign
  • Navicular Drop
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مجله علوم پزشکی پارس
دوره 14، شماره 4 - شماره پیاپی 38
دی 1395
صفحه 51-61