تاثير تمرينات اصلاحي بر كنترل پوسچر و كيفيت زندگي نظاميان مبتلا به كمردرد مزمن

The Effect of Corrective Exercises on Posture Control and Quality of Life of Military Staff with Chronic Low Back Pain

زﻣﯿﻨﻪ و ﻫﺪف: آﺳﯿﺐﻫﺎي اﺳﮑﻠﺘﯽ ﻋﻀﻠﺎﻧﯽ ﻋﺎﻣﻞ اﺻﻠﯽ ﻧﺎﺗﻮاﻧﯽ در ﭘﺮﺳﻨﻞ ﻧﻈﺎﻣﯽ ﻫﺴﺘﻨﺪ. در اﯾﻦ ﺑﯿﻦ ﮐﻤﺮدرد ﯾﮑﯽ از ﻣﺸﮑﻠﺎت ﺷﺎﯾﻊ و ﭘﺮﺧﻄﺮ در ﻣﯿﺎن ﻧﻈﺎﻣﯿﺎن اﺳﺖ. ﮐﻤﺮدرد ﺑﯿﺸﺘﺮ در ﭘﺮﺳﻨﻞ ﻧﯿﺮوي ﮐﺎر ﻓﻌﺎل و در ﻣﺤﯿﻂﻫﺎي ﻧﻈﺎﻣﯽ ﻧﺴﺒﺖ ﺑﻪ ﺳﺎﯾﺮ ﺟﻤﻌﯿﺖﻫﺎ ﺷﺎﯾﻊ اﺳﺖ. ﻟﺬا ﻫﺪف از اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﯽ ﺗﺎﺛﯿﺮ ﺗﻤﺮﯾﻨﺎت اﺻﻠﺎﺣﯽ ﺑﺮ ﮐﻨﺘﺮل ﭘﻮﺳﭽﺮ و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﻧﻈﺎﻣﯿﺎن ﻣﺒﺘﻠﺎ ﺑﻪ ﮐﻤﺮدرد ﻣﺰﻣﻦ ﺑﻮد. روشﻫﺎ: ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ از ﻧﻮع ﺗﺤﻘﯿﻘﺎت ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶ آزﻣﻮن- ﭘﺲ آزﻣﻮن ﺑﻮد ﮐﻪ ﻧﻤﻮﻧﻪ آﻣﺎري آن را 30 ﻧﻔﺮ از ﻧﻈﺎﻣﯿﺎن ﻣﺒﺘﻠﺎ ﺑﻪ ﮐﻤﺮدرد ﺑﺎ ﻣﯿﺎﻧﮕﯿﻦ ﺳﻨﯽ 35/6 ﺳﺎل ﮐﻪ ﺑﺼﻮرت ﺗﺼﺎدﻓﯽ اﻧﺘﺨﺎب ﺷﺪﻧﺪ ﺗﺸﮑﯿﻞ دادﻧﺪ. ﺑﺮاي اﻧﺪازه ﮔﯿﺮي ﮐﻨﺘﺮل ﭘﺎﺳﭽﺮ و ﺗﻌﺎدل آزﻣﻮدﻧﯽﻫﺎ از ﺗﺴﺖ ﺗﻌﺎدﻟﯽ واي )Y Balance Test( اﺳﺘﻔﺎده ﺷﺪ. ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺑﻪ وﺳﯿﻠﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺳﺎزﻣﺎن ﺟﻬﺎﻧﯽ ﺑﻬﺪاﺷﺖ ) World Health Organization( اﻧﺪازهﮔﯿﺮي ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: در ﺳﻠﺎﻣﺖ ﺟﺴﻤﺎﻧﯽ، ﺳﻠﺎﻣﺖ رواﻧﺸﻨﺎﺧﺘﯽ و ﺳﻠﺎﻣﺖ ﻣﺤﯿﻄﯽ از ﺧﺮده ﻣﻘﯿﺎسﻫﺎي ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﺗﻔﺎوت ﻣﻌﻨﯽداري ﺑﯿﻦ ﭘﯿﺶ آزﻣﻮن و ﭘﺲ آزﻣﻮن وﺟﻮد ﻧﺪارد )P>0/05(. اﮔﺮ ﭼﻪ در ﺧﺮده ﻣﻘﯿﺎس ﺳﻠﺎﻣﺖ اﺟﺘﻤﺎﻋﯽ ﺗﻔﺎوت ﻣﻌﻨﯽدار ﺑﻮد )P<0/05(. ﺗﻌﺎدل در ﭘﯿﺶ آزﻣﻮن و ﭘﺲ آزﻣﻮن ﮔﺮوه ﮐﻨﺘﺮل ﺗﻔﺎوت ﻣﻌﻨﺎداري ﻧﺪاﺷﺖ )P>0/05(. ﻧﺘﺎﯾﺞ آزﻣﻮن t ﻫﻤﺒﺴﺘﻪ ﺑﺮ ﻣﺘﻐﯿﺮﻫﺎي ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﺗﻌﺎدل ﮔﺮوه ﺗﺠﺮﺑﯽ ﻧﺸﺎن داد ﮐﻪ از ﺧﺮده ﻣﻘﯿﺎسﻫﺎي ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ: ﺳﻠﺎﻣﺖ ﺟﺴﻤﯽ و ﺳﻠﺎﻣﺖ ﻣﺤﯿﻄﯽ در ﭘﯿﺶ آزﻣﻮن و ﭘﺲ آزﻣﻮن ﺗﻔﺎوت ﻣﻌﻨﺎداري ﻧﺪاﺷﺘﻪاﻧﺪ )P>0/05( در ﺣﺎﻟﯽ ﮐﻪ ﺧﺮده ﻣﻘﯿﺎسﻫﺎي ﺳﻠﺎﻣﺖ رواﻧﺸﻨﺎﺧﺘﯽ و ﺳﻠﺎﻣﺖ اﺟﺘﻤﺎﻋﯽ در ﭘﯿﺶ آزﻣﻮن و ﭘﺲ آزﻣﻮن ﺗﻔﺎوت ﻣﻌﻨﯽداري را ﻧﺸﺎن دادﻧﺪ )P<0/05(. ﻧﺘﯿﺠﻪ ﮔﯿﺮي: ﻧﺘﺎﯾﺞ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻧﺸﺎن داد ﮐﻪ ﺗﻤﺮﯾﻨﺎت اﺻﻠﺎﺣﯽ ﺑﺮ ﺷﺎﺧﺺﻫﺎي ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﮐﻨﺘﺮل ﭘﺎﺳﭽﺮ ﻧﻈﺎﻣﯿﺎن ﻣﺒﺘﻠﺎ ﺑﻪ ﮐﻤﺮدرد ﻣﺰﻣﻦ ﺗﺎﺛﯿﺮ ﻣﺜﺒﺖ داﺷﺘﻪ اﺳﺖ. ﺑﻨﺎﺑﺮاﯾﻦ ﭘﯿﺸﻨﻬﺎد ﻣﯽﺷﻮد ﮐﻪ در ارﮔﺎنﻫﺎي ﻧﻈﺎﻣﯽ ﺗﻤﺮﯾﻨﺎت اﺻﻠﺎﺣﯽ در ﮐﻨﺎر ﺳﺎﯾﺮ ﺗﻤﺮﯾﻨﺎت ﻣﻮرد ﺗﻮﺟﻪ ﻗﺮار ﮔﯿﺮد.

Background and Aim: Musculoskeletal injuries are a major cause of disability in military personnel. Meanwhile, low back pain is one of the most common and high-risk problems among the military. Low back pain is more common in active-duty personnel and in military settings than in other populations. Therefore, the aim of this study was the survey of the effect of corrective exercises on posture control and quality of life of soldiers with chronic low back pain. Methods: The present study was a quasi-experimental study with a pre-test-post-test design, the statistical sample consisted of 30 soldiers with low back pain with a mean age of 35.6 who were randomly selected. The Y Balance Test was used to measure the control of the passport and the balance of the subjects. The quality of life was measured by the World Health Organizationchr('39')s Quality of Life Questionnaire. Results: In physical health, psychological health and environmental health, subscales of quality of life, there is no significant difference between pre-test and post-test (P<0.05). However, there was a significant difference in the subscale of social health (P<0.05). The balance between pre-test and post-test of the control group was not significantly different (P<0.05). The results of correlated t-test on the variables of quality of life and balance in the experimental group showed that there was no significant difference between subscales of quality of life: physical health and environmental health in pre-test and post-test (P<0.05) while subscales of psychological health and social health showed a significant difference in pre-test and post-test (P<0.05). Conclusion: The results of the present study showed that corrective exercises had a positive effect on the quality of life indicators and posture control of soldiers with chronic low back pain. Therefore, it is recommended that corrective exercises be considered in military organs along with other exercises.