دوره 6، شماره 2 - ( 6-1399 )                   جلد 6 شماره 2 صفحات 66-85 | برگشت به فهرست نسخه ها


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Norasteh A A, Payandeh M, Mohammad Ashour Z. Investigation of Knee Arthrokinematic Changes Before and After Reconstruction of Anterior Cruciate Ligament: A Systematic Review. J Sport Biomech. 2020; 6 (2) :66-85
URL: http://biomechanics.iauh.ac.ir/article-1-222-fa.html
نورسته علی اصغر، پاینده مصطفی، محمد عاشور زاهر. بررسی تغییرات آرتروکینماتیک زانو قبل و بعد از بازسازی رباط متقاطع قدامی: یک مطالعه مروری نظام‌‌‌‌‌‌مند. مجله بیومکانیک ورزشی. 1399; 6 (2) :66-85

URL: http://biomechanics.iauh.ac.ir/article-1-222-fa.html


1- گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت‌بدنی و علوم ورزشی، دانشگاه گیلان، رشت، ایران.
چکیده:   (636 مشاهده)
هدف: هدف از تحقیق حاضر بررسی تغییرات آرتروکینماتیک زانو قبل و بعد از بازسازی رباط متقاطع قدامی و همچنین بررسی این تغییرات بعد از یک دوره تمرینات توان‌بخشی بود.
روش ها: در این مقاله مروری نظام‌مند سعی شد مطالعات انجام‌شده در زمینه موضوع تحقیق از سال 1970 تا 2020 جمع‌آوری شود. در همین راستا وب‌سایت‌های وب آو ساینس، گوگل اسکالر، ساینس دایرکت، اسکوپوس، پابمد، مد لاین، پدرو، سینال، اسپورت دیسکاس، ام‌بیس، مورد استفاده قرار گرفت و از کلیدواژه‌های مرتبط با موضوع نیز برای جست‌وجوی مقالات استفاده شد. 
یافته ها: با توجه به روش جست‌وجو 127 مقاله یافت شد که در انتها با توجه به معیارهای ورود و خروج بیست مقاله بررسی و نهایی شد. پانزده تحقیق از بیست تحقیق یافت‌شده گزارش کرده‌اند که گلاید قدامی در زانوی آسیب‌دیده نسبت به زانوی سالم به شکل معنی‌داری افزایش یافته است. البته این تغییر آرتروکینماتیکی نسبت به افراد سالم در اپی‌کندیل داخلی بیشتر از اپی‌کندیل خارجی بود. بعد از گلاید قدامی به ترتیب افزایش گلاید داخلی و چرخش خارجی دومین و سومین تغییر آرتروکینماتیکی مشهودی بود که بین دو گروه رخ داد. در بین مقالات این اتفاق‌نظر دیده می‌شود که بیشترین اختلاف آرتروکینماتیکی مشاهده‌شده در افراد آسیب‌دیده نسبت به افراد سالم بین 15 درجه فلکشن و اکستنشن کامل زانو رخ داده است و در انتها یافته‌های تحقیقات بیانگر این موضوع بود که آرتروکینماتیک زانو بعد از بازسازی، با قبل آن مشابهت بیشتری داشت تا با زانو سالم و همچنین حرکات آرتروکینماتیکی رباط بازسازی‌شده حتی بعد از یک دوره توان‌بخشی نیز با زانوی بازسازی‌نشده شباهت بیشتری داشت تا با زانوی سالم.
نتیجه گیری: با توجه به بررسی نتایج مقالات گذشته و بارزتر بودن تغییر گلاید قدامی، گلاید داخلی و تا حدودی چرخش خارجی در افراد دارای پارگی رباط متقاطع قدامی و همچنین عدم تفاوت آرتروکینماتیکی قبل و بعد از بازسازی رباط متقاطع قدامی و برنامه‌های توان‌بخشی رایج، به نظر می‌رسد برنامه‌های توان‌بخشی و تکنیک‌های بازسازی رباط متقاطع قدامی به شکل دقیق‌تر و هدف‌دارتر در راستای اصلاح یا جلوگیری از بروز تغییرات آرتروکنیماتیکی ذکر‌شده برنامه‌ریزی شود. 
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نوع مطالعه: پژوهشي | موضوع مقاله: تخصصي
دریافت: 1399/4/4 | پذیرش: 1399/4/7 | انتشار: 1399/6/11

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