ارﺗﺒﺎط ﺑﯿﻦ وﺿﻌﯿﺖ ﺳﺮ ﺑﻪ ﺟﻠﻮ و ﮐﯿﻔﻮز ﭘﺸﺘﯽ ﺑﺎ ﮐﻤﺮدرد ﻣﺰﻣﻦ ﻏﯿﺮ اﺧﺘﺼﺎﺻﯽ در ﻣﺮدان ﻧﻈﺎﻣﯽ

The Relationship between Forward Head Position and Dorsal Kyphosis with non-specific Chronic Low Back Pain in Military Mans

ﭘﻮﺳﭽﺮ ﻧﺎﻣﻨﺎﺳﺐ ﺑﺪن و اﺧﺘﻼف در زواﯾﺎي ﺳﺘﻮن ﻓﻘﺮات ﻣﻨﺠﺮ ﺑﻪ آﺳﯿﺐﻫﺎي ارﺗﻮﭘﺪي ﻣﯽﺷﻮد. وﺿﻌﯿﺖ ﺳﺮ ﺑﻪ ﺟﻠﻮ و ﮐﯿﻔﻮز از ﺟﻤﻠﻪ ﻋﻮارض ﻧﺎﺷﯽ از ﭘﻮﺳﭽﺮ ﻧﺎﻣﻨﺎﺳﺐ ﻣﯽﺑﺎﺷﺪ ﮐﻪ ﻣﯽﺗﻮاﻧﺪ ﺑﻪ ﮐﻤﺮدرد ﺧﺘﻢ ﺷﻮﻧﺪ. ﻫﺪف از ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺮرﺳﯽ ارﺗﺒﺎط ﺑﯿﻦ وﺿﻌﯿﺖ ﺳﺮ ﺑﻪ ﺟﻠﻮ و ﮐﯿﻔﻮز ﭘﺸﺘﯽ ﺑﺎ ﮐﻤﺮدرد ﻣﺰﻣﻦ ﻏﯿﺮ اﺧﺘﺼﺎﺻﯽ در ﻣﺮدان ﻧﻈﺎﻣﯽ ﺑﻮد. روشﻫﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺗﺤﻠﯿﻠﯽ- ﻣﻘﻄﻌﯽ، 60ﻣﺮد ﻧﻈﺎﻣﯽ ﻣﯿﺎﻧﺴﺎل ﺑﻪ ﺻﻮرت در دﺳﺘﺮس ﻫﺪﻓﻤﻨﺪ ﺑﻪ دو ﮔﺮوه 30 ﻧﻔﺮه داراي ﮐﻤﺮ درد ﻣﺰﻣﻦ ﻏﯿﺮ اﺧﺘﺼﺎﺻﯽ و ﺳﺎﻟﻢ ﺗﻘﺴﯿﻢ ﺷﺪﻧﺪ )ﺑﺎ داﻣﻨﻪ ﺳﻨﯽ: ﺳﺎﻟﻢ 10/01 ± 43/4 ﺳﺎل و ﮐﻤﺮدرد 6/6 ± 45/1 ﺳﺎل(. ﺳﭙﺲ اﻃﻼﻋﺎت ﻣﺮﺗﺒﻂ ﺑﺎ ﮐﯿﻔﻮز ﭘﺸﺘﯽ ﺑﺎ ﮐﺎﯾﻔﻮﻣﺘﺮ، داﻣﻨﻪ ﺣﺮﮐﺎت ﮐﻤﺮ ﺑﻪ وﺳﯿﻠﻪ ﮔﻮﻧﯿﺎﻣﺘﺮ، وﺿﻌﯿﺖ ﺳﺮ رو ﺑﻪ ﺟﻠﻮ ﺑﻪ ﮐﻤﮏ دﺳﺘﮕﺎه ﺑﺎدي وﯾﮋن ﺟﻤﻊ آوري ﺷﺪ. ﺑﺮاي ﻃﺒﯿﻌﯽ ﺑﻮدن ﺗﻮزﯾﻊ دادهﻫﺎ از آزﻣﻮن Kolmogorov–Smirnov و ﺑﺮاي ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ دادهﻫﺎ از آزﻣﻮنﻫﺎي Independent t و -chisquare در ﻧﺮم اﻓﺰار SPSS 19 ﺑﺎ ﺳﻄﺢ ﻣﻌﻨﯽداري اﺳﺘﻔﺎده ﮔﺮدﯾﺪ )0/05< P(. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ وﺿﻌﯿﺖ ﺳﺮ روﺑﻪ ﺟﻠﻮ در اﻓﺮاد ﺑﺎ ﮐﻤﺮ درد ﻣﺰﻣﻦ و ﺑﺪون ﮐﻤﺮ درد ﺗﻔﺎوت ﻣﻌﻨﯽ داري وﺟﻮد داﺷﺖ )0/036 = P(. در ﺣﺎﻟﯽ ﮐﻪ ﺑﯿﻦ ﮐﯿﻔﻮز در اﻓﺮاد ﺑﺎ ﮐﻤﺮ درد ﻣﺰﻣﻦ و ﺑﺪون ﮐﻤﺮدرد ﺗﻔﺎوت ﻣﻌﻨﯽداري وﺟﻮد ﻧﺪاﺷﺖ )0/73 = P(. در ﺑﺮرﺳﯽ ﻫﻤﺒﺴﺘﮕﯽ ﻧﯿﺰ ﻣﺸﺨﺺ ﺷﺪ ﮐﻪ ﺑﯿﻦ ﮐﯿﻔﻮز ﺑﺎ ﺳﺮ رو ﺑﻪ ﺟﻠﻮ در اﻓﺮاد ﺑﺎ ﮐﻤﺮ درد ﻣﺰﻣﻦ )0/924 = P( و اﻓﺮاد ﺳﺎﻟﻢ )0/062 = P( ارﺗﺒﺎط ﻣﻌﻨﯽ داري وﺟﻮد ﻧﺪاﺷﺖ. ﻣﯿﺰان زاوﯾﻪ داﻣﻨﻪ ﺣﺮﮐﺖ ﮐﻤﺮ ارﺗﺒﺎط ﻣﻌﻨﯽ داري ﺑﺎ ﻣﯿﺰان زاوﯾﻪ ﮐﯿﻔﻮز ﻧﺎﺣﯿﻪ ﺗﻮراﺳﯿﮏ در اﻓﺮاد ﺑﺎ ﮐﻤﺮ درد ﻣﺰﻣﻦ )0/088 = P( ﻫﻤﭽﻨﯿﻦ اﻓﺮاد ﺳﺎﻟﻢ )0/544 = P( ﻧﺪاﺷﺖ. ﻋﻼوه ﺑﺮ اﯾﻦ وﺿﻌﯿﺖ ﺳﺮ ﺑﻪ ﺟﻠﻮ ارﺗﺒﺎط ﻣﻌﻨﯽداري ﺑﺎ VAS در اﻓﺮاد ﺑﺎ ﮐﻤﺮ درد ﻣﺰﻣﻦ ﻧﺪاﺷﺖ )0/330 = P(، اﻣﺎ ارﺗﺒﺎط ﻣﻌﻨﯽ داري ﺑﯿﻦ وﺿﻌﯿﺖ ﺳﺮ ﺑﻪ ﺟﻠﻮ ﺑﺎ VAS در اﻓﺮاد ﺳﺎﻟﻢ ﺗﺎﯾﯿﺪ ﺷﺪ )0/006 = P(. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺎ ﻣﻌﺎﯾﻨﻪ ﺳﺘﻮن ﻣﻬﺮه و ﺑﺮرﺳﯽ دردﻫﺎي ﮔﺮدﻧﯽ در ﻣﺮدان ﺳﺎﻟﻢ ﻧﻈﺎﻣﯽ ﻣﯽﺗﻮان ﺗﻐﯿﯿﺮات وﺿﻌﯿﺘﯽ را ﺗﺸﺨﯿﺺ داد و از اﯾﺠﺎد ﮐﻤﺮ دردﻫﺎي ﻣﺰﻣﻦ ﺟﻠﻮﮔﯿﺮي ﮐﺮد. ﻫﻤﭽﻨﯿﻦ ارزﯾﺎﺑﯽ ﭘﻮﺳﭽﺮ ﮐﻤﮏ ﻣﯽﮐﻨﺪ ﺗﺎ ﺑﺎ ﺗﺠﻮﯾﺰ ورزشﻫﺎي اﺻﻼﺣﯽ ﻫﺮﮔﻮﻧﻪ درد و وﺿﻌﯿﺖ ﻏﯿﺮﻃﺒﯿﻌﯽ ﻋﻀﻼت ﺿﻌﯿﻒ را اﺻﻼح ﮐﻨﯿﻢ.

Improper body posture and differences in spinal angles can lead to orthopedic injuries. Forward head and kyphosis are some of the complications of improper posture that can lead to back pain. The aim of the present study was to investigate the relationship between forward head position and dorsal kyphosis with non-specific chronic low back pain in military mans. Methods: In this cross-sectional study, 60 middle-aged military men aged were purposefully divided into two groups of 30 people with non-specific chronic low back pain and healthy (Age range: healthy 43.4 ± 10/10 years and low back pain 45.1 ± 6.6 years). Then, information related to dorsal kyphosis was collected with a kyphometer, range of motion of the back by goniometer, and forward head position using a body-vision device. Kolmogorov – Smirnov test was used for data normality and Independent t and chi-square tests were used for data analysis in Spss19 software with significant level (P <0.05). Results: The results showed that there was a significant difference between forward head position in patients with chronic low back pain and without low back pain (P = 0.036). While there was no significant difference between kyphosis in people with chronic low back pain and without low back pain (P = 0.73). In the correlation study, it was found that there was no significant relationship between kyphosis and forward head in people with chronic back pain (P = 0.924) and healthy people (P = 0.062). The angle of range of motion of the lumbar spine was not significantly related to the angle of the thoracic kyphosis angle in patients with chronic low back pain (P = 0.088) and healthy individuals (P = 0.544). In addition, forward head position was not significantly associated with VAS in patients with chronic low back pain (P = 0.330), but a significant association between forward head position and VAS was confirmed in healthy subjects (P = 0.006). Conclusion: By examining the spine and examining neck pain in healthy military men, it is possible to detect postural changes and prevent chronic back pain. Postural evaluation also helps to correct any pain and abnormal condition of weak muscles by prescribing corrective exercises.