:: دوره 23، شماره 1 - ( بهار 1400 ) ::
جلد 23 شماره 1 صفحات 72-64 برگشت به فهرست نسخه ها
اثر ارتزهای بافت‌دار پا بر فرکانس فعالیت الکتریکی عضلات اندام تحتانی، زمان اتکا و راحتی افراد بالای 55 سال حین راه رفتن
عارفه مختاری ملک آبادی1 ، امیرعلی جعفرنژادگرو 2، محسن برغمدی3 ، عباس معمارباشی4
1- کارشناس ارشد بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل. ایران.
2- دانشیار بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران. ، amiralijafarnezhad@gmail.com
3- دانشیار بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.
4- استاد بیومکانیک ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.
چکیده:   (7190 مشاهده)

زمینه و هدف: گیرنده‌های حس عمقی در کف پای سالمندان کارایی کمتری دارند و تقویت و تحریک این بخش می‌تواند منجر به کاهش خطر افتادن در آنان گردد. یکی از شیوه‌های تقویت گیرنده‌های حسی-عمقی در این افراد استفاده از کفی بافت‌دار است. این مطالعه به منظور مقایسه اثر ارتزهای بافت‌دار پا بر فرکانس فعالیت الکتریکی عضلات اندام تحتانی، زمان اتکا و راحتی افراد بالای 55 سال حین راه رفتن انجام شد.

روش بررسی: این مطالعه شبه تجربی روی 14 زن و 14 مرد در محدوده سنی 56 تا 70 سال که دارای توانایی راه رفتن به صورت مستقل و سلامت جسمی و ذهنی بودند؛ انجام شد. آزمودنی‌ها در پنج وضعیت بدون ارتز و استفاده از چهار نوع ارتز (شامل کفی‌های پا از نوع بافت‌دار ریز و درشت در دو نوع منعطف و سخت) مورد مقایسه قرار گرفتند. به منظور ثبت فعالیت الکتریکی، 8 الکترود بر روی عضلات درشت نی قدامی، دوقلو داخلی، پهن داخلی، پهن خارجی، دو سر رانی، نیم وتری، سرینی و راست کننده ستون فقرات در محل مهره 3 کمری قرار داده شدند.

یافته‌ها: میزان طیف فرکانس فعالیت عضلات درشت نی قدامی و پهن داخلی در مردان نسب به زنان افزایش آماری معنی‌داری نشان داد (P<0.05). فرکانس عضله پهن داخلی در شرایط راه رفتن با ارتز بافت‌دار درشت نسبت به شرایط راه رفتن بدون کفی افزایش آماری معنی‌داری داشت (P<0.05). ارتز بافت‌دار درشت منعطف نسبت به ارتز بافت‌دار ریز از نظر راحتی، معنی‌دار بود (P<0.05). زمان اتکا در هیچیک از شرایط از نظر آماری معنی‌دار نبود.

نتیجه‌گیری: افزایش فرکانس الکترومایوگرافی عضله پهن داخلی هنگام استفاده از ارتز درشت منعطف می‌تواند در افزایش جذب شک و کاهش نرخ بارگذاری عمودی وارد بر پا موثر باشد که این به خودی خود سبب کاهش خطر آسیب در اندام تحتانی افراد بالای 55 سال می‌گردد.

واژه‌های کلیدی: ارتز، الکترومایوگرافی، عضلات اندام تحتانی
Article ID: Vol23-08
متن کامل [PDF 773 kb]   (11229 دریافت)    
نوع مطالعه: تحقيقي | موضوع مقاله: توانبخشی
فهرست منابع
1. Valentijn SAM, van Hooren SAH, Bosma H, Touw DM, Jolles J, van Boxtel MPJ, Ponds RWHM. The effect of two types of memory training on subjective and objective memory performance in healthy individuals aged 55 years and older: a randomized controlled trial. Patient Educ Couns. 2005 Apr; 57(1): 106-14. DOI: 10.1016/j.pec.2004.05.002 [DOI] [PubMed]
2. Shigematsu R, Chang M, Yabushita N, Sakai T, Nakagaichi M, Nho H, et al. Dance-based aerobic exercise may improve indices of falling risk in older women. Age and ageing. 2002; 31(4): 261-66. DOI: 10.1093/ageing/31.4.261 [Article] [DOI]
3. Ebrahimi Fakhar MR, Zand S. [Nutritional status and associated factors in elderly residents in nursing homes]. Payesh. 2013; 12(2): 143-49. [Article in Persian] [View at Publisher]
4. You SH. Effect of Multisensory Intervention on Locomotor Function in Older Adults With a History of Frequent Falls. KAUTPT. 2004; 11(4): 1-10. [Article]
5. Sadeghi H, Prince F, Zabjek KF, Allard P. Sagittal-hip-muscle power during walking in old and young able-bodied men. Journal of Aging and Physical Activity. 2001; 9(2): 172-83. DOI: 10.1123/japa.9.2.172 [Article] [DOI]
6. Mann R, Birks Y, Hall J, Torgerson D, Watt I. Ageing. Exploring the relationship between fear of falling and neuroticism: a cross-sectional study in community-dwelling women over 70. Age Ageing. 2006 Mar; 35(2): 143-7. DOI: 10.1093/ageing/afj013 [DOI] [PubMed]
7. Salari-Moghaddam F, Sadeghi-Demneh E, Ja'farian F S. [The Effects of Textured Insole on Ankle Proprioception and Balance in Subjects with the Risk of Falling]. Arch Rehabil. 2015; 16(1): 58-65. [Article in Persian] [View at Publisher]
8. Palluel E, Olivier I, Nougier V. The lasting effects of spike insoles on postural control in the elderly. Behav Neurosci. 2009 Oct; 123(5): 1141-47. DOI: 10.1037/a0017115 [DOI] [PubMed]
9. Corbin DM, Hart JM, McKeon PO, Ingersoll CD, Hertel J. The effect of textured insoles on postural control in double and single limb stance. J Sport Rehabil. 2007 Nov; 16(4): 363-72. DOI: 10.1123/jsr.16.4.363 [DOI] [PubMed]
10. Yalla SV, Crews RT, Fleischer AE, Grewal G, Ortiz J, Najafi BJCB. An immediate effect of custom-made ankle foot orthoses on postural stability in older adults. Clin Biomech (Bristol, Avon). 2014 Dec; 29(10): 1081-88. DOI: 10.1016/j.clinbiomech.2014.10.007 [DOI] [PubMed]
11. Mulford D, Taggart HM, Nivens A, Payrie C. Arch support use for improving balance and reducing pain in older adults. Appl Nurs Res. 2008 Aug; 21(3): 153-58. DOI: 10.1016/j.apnr.2006.08.006 [DOI] [PubMed]
12. Hatton AL, Dixon J, Rome K, Martin D. Standing on textured surfaces: effects on standing balance in healthy older adults. Age and Ageing. 2011; 40(3): 363-68. DOI: 10.1093/ageing/afr026 [Article] [DOI]
13. Winter DA. Biomechanics and motor control of human movement. 4th ed. New Jersey: Wiley. 2009; pp: 200-59.
14. Roman-Liu D, Konarska M. Characteristics of power spectrum density function of EMG during muscle contraction below 30%MVC. J Electromyogr Kinesiol. 2009 Oct; 19(5): 864-74. DOI: 10.1016/j.jelekin.2008.05.002 [DOI] [PubMed]
15. Mesin L, Cescon C, Gazzoni M, Merletti R, Rainoldi A. A bi-dimensional index for the selective assessment of myoelectric manifestations of peripheral and central muscle fatigue. J Electromyogr Kinesiol. 2009 Oct; 19(5): 851-63. DOI: 10.1016/j.jelekin.2008.08.003 [DOI] [PubMed]
16. Lauriti L, Motta LJ, de Godoy CHL, Biasotto-Gonzalez DA, Politti F, Mesquita-Ferrari RA, et al. Influence of temporomandibular disorder on temporal and masseter muscles and occlusal contacts in adolescents: an electromyographic study. BMC Musculoskelet Disord. 2014 Apr; 15: 123. DOI: 10.1186/1471-2474-15-123 [DOI] [PubMed]
17. De Felício CM, Ferreira CLP, Medeiros APM, Da Silva MAMR, Tartaglia GM, Sforza C. Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity: a correlation study. J Electromyogr Kinesiol. 2012 Apr; 22(2): 266-72. DOI: 10.1016/j.jelekin.2011.11.013 [DOI] [PubMed]
18. Solomonow M, Baten C, Smit J, Baratta R, Hermens H, D'Ambrosia R, et al. Electromyogram power spectra frequencies associated with motor unit recruitment strategies. J Appl Physiol (1985). 1990 Mar; 68(3): 1177-85. DOI: 10.1152/jappl.1990.68.3.1177 [DOI] [PubMed]
19. Larsson B, Kadi F, Lindvall B, Gerdle B. Surface electromyography and peak torque of repetitive maximum isokinetic plantar flexions in relation to aspects of muscle morphology. J Electromyogr Kinesiol. 2006 Jun; 16(3): 281-90. DOI: 10.1016/j.jelekin.2005.07.009 [DOI] [PubMed]
20. Bilodeau M, Goulet C, Nadeau S, Arsenault AB, Gravel D. Comparison of the EMG power spectrum of the human soleus and gastrocnemius muscles. Eur J Appl Physiol Occup Physiol. 1994; 68(5): 395-401. DOI: 10.1007/BF00843735 [DOI] [PubMed]
21. Wakeling JM, Rozitis AI. Spectral properties of myoelectric signals from different motor units in the leg extensor muscles. J Exp Biol. 2004 Jun; 207(Pt 14): 2519-28. DOI: 10.1242/jeb.01042 [DOI] [PubMed]
22. Miller JE, Nigg BM, Liu W, Stefanyshyn DJ, Nurse MA. Influence of foot, leg and shoe characteristics on subjective comfort. Foot Ankle Int. 2000 Sep; 21(9): 759-67. DOI: 10.1177/107110070002100908 [DOI] [PubMed]
23. Mündermann A, Stefanyshyn DJ, Nigg BM. Relationship between footwear comfort of shoe inserts and anthropometric and sensory factors. Med Sci Sports Exerc. 2001 Nov; 33(11): 1939-45. DOI: 10.1097/00005768-200111000-00021 [DOI] [PubMed]
24. Wolfson L, Whipple R, Derby C, Judge J, King M, Amerman P, et al. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. J Am Geriatr Soc. 1996 May; 44(5): 498-506. DOI: 10.1111/j.1532-5415.1996.tb01433.x [DOI] [PubMed]
25. Vellas BJ, Wayne SJ, Romero L, Baumgartner RN, Rubenstein LZ, Garry PJ. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc. 1997 Jun; 45(6): 735-38. DOI: 10.1111/j.1532-5415.1997.tb01479.x [DOI] [PubMed]
26. Jonsson E, Seiger A, Hirschfeld H. One-leg stance in healthy young and elderly adults: a measure of postural steadiness? Clin Biomech (Bristol, Avon). 2004 Aug; 19(7): 688-94. DOI: 10.1016/j.clinbiomech.2004.04.002 [DOI] [PubMed]
27. El-Kashlan HK, Shepard NT, Asher AM, Smith-Wheelock M, Telian SA. Evaluation of clinical measures of equilibrium. Laryngoscope. 1998 Mar; 108(3): 311-19. DOI: 10.1097/00005537-199803000-00002 [DOI] [PubMed]
28. Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther. 1984 Jul; 64(7): 1067-70. DOI: 10.1093/ptj/64.7.1067 [DOI] [PubMed]
29. Bohannon RW. Single limb stance times: a descriptive meta-analysis of data from individuals at least 60 years of age. Topics in Geriatric Rehabilitation. 2006; 22(1): 70-77. [View at Publisher]
30. Abdolvahabi Z, Shirpour Bonab S, Rahmati H, Naini SS. The effects of ankle plantar flexor and knee extensor muscles fatigue on dynamic balance of the female elderly. World Appl Sci J. 2011; 15(9): 1239-45. [Article]
31. Kelaher D, Mirka GA, Dudziak KQ. Effects of semi-rigid arch-support orthotics: an investigation with potential ergonomic implications. Appl Ergon. 2000 Oct; 31(5): 515-22. DOI: 10.1016/s0003-6870(00)00018-1 [DOI] [PubMed]
32. Mündermann A, Wakeling JM, Nigg BM, Humble RN, Stefanyshyn DJ. Foot orthoses affect frequency components of muscle activity in the lower extremity. Gait Posture. 2006 Apr; 23(3): 295-302. DOI: 10.1016/j.gaitpost.2005.03.004 [DOI] [PubMed]
33. Granacher U, Muehlbauer T, Gruber M. A qualitative review of balance and strength performance in healthy older adults: impact for testing and training. J Aging Res. 2012; 2012: 708905. DOI: 10.1155/2012/708905 [DOI] [PubMed]
34. Alavi-Mehr SM, Jafarnezhadgero AA, Salari-Esker F, Zago M. Acute effect of foot orthoses on frequency domain of ground reaction forces in male children with flexible flatfeet during walking. Foot (Edinb). 2018 Dec; 37: 77-84. DOI: 10.1016/j.foot.2018.05.003 [DOI] [PubMed]
35. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May; 39(2): 175-91. DOI: 10.3758/bf03193146 [DOI] [PubMed]
36. Harifmoradi K, Farahpour N, Karimi M T, Bahram A. Analysis of Dynamic Balance during Walking in Patients with Parkinson's Disease & Able-Bodied Elderly People. Physical Treatments: Specific Physical Therapy Journal. 2015; 4(4): 191-98. [View at Publisher]
37. Jafarnezhadgero AA, Madadi-Shad M, McCrum C, Karamanidis K. Effects of Corrective Training on Drop Landing Ground Reaction Force Characteristics and Lower Limb Kinematics in Older Adults With Genu Valgus: A Randomized Controlled Trial. J Aging Phys Act. 2019 Feb; 27(1): 9-17. DOI: 10.1123/japa.2017-0315 [DOI] [PubMed]
38. Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000 Oct; 10(5): 361-74. DOI: 10.1016/s1050-6411(00)00027-4 [DOI] [PubMed]
39. Lynn SK, Costigan PA. Effect of foot rotation on knee kinetics and hamstring activation in older adults with and without signs of knee osteoarthritis. Clin Biomech (Bristol, Avon). 2008 Jul; 23(6): 779-86. DOI: 10.1016/j.clinbiomech.2008.01.012 [DOI] [PubMed]
40. Craig CE, Goble DJ, Doumas M. Proprioceptive acuity predicts muscle co-contraction of the tibialis anterior and gastrocnemius medialis in older adults' dynamic postural control. Neuroscience. 2016 May; 322: 251-61. DOI: 10.1016/j.neuroscience.2016.02.036 [DOI] [PubMed]
41. Omuro K, Shiba Y, Obuchi S, Takahira N. [Effect of Ankle Weights on EMG Activity of the Semitendinosus and Knee Stability During Walking by Community-Dwelling Elderly]. Rigakuryoho Kagaku. 2011; 26(1): 55-59. [Article in Japanese] [Article]
42. Mercer VS, Gross MT, Sharma S, Weeks E. Comparison of gluteus medius muscle electromyographic activity during forward and lateral step-up exercises in older adults. Phys Ther. 2009 Nov; 89(11): 1205-14. DOI: 10.2522/ptj.20080229 [DOI] [PubMed]
43. Tsuboi H, Nishimura Y, Sakata T, Ohko H, Tanina H, Kouda K, et al. Age-related sex differences in erector spinae muscle endurance using surface electromyographic power spectral analysis in healthy humans. Spine J. 2013 Dec; 13(12): 1928-33. DOI: 10.1016/j.spinee.2013.06.060 [DOI] [PubMed]
44. Jafarnezhadgero AA, Alavi-Mehr SM, Granacher U. Effects of anti-pronation shoes on lower limb kinematics and kinetics in female runners with pronated feet: The role of physical fatigue. PLoS One. 2019 May; 14(5): e0216818. DOI: 10.1371/journal.pone.0216818 [DOI] [PubMed]
45. Sharifian M, Taheri A, Karimi M T. [Comparison of the Effect of Prefabricated Foot Orthoses on Pain and Quality of Life in Women With Plantar Fasciiti]. Arch Rehabil. 2018; 19(1): 18-25. DOI: 10.21859/jrehab.19.1.18 [Article in Persian] [View at Publisher] [DOI]
46. Landorf KB, Keenan AM, D Herbert R. Effectiveness of different types of foot orthoses for the treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2004 Nov-Dec; 94(6): 542-49. DOI: 10.7547/0940542 [DOI] [PubMed]
47. Iglesias MEL, de Bengoa Vallejo RB, Peña DP. Impact of soft and hard insole density on postural stability in older adults. Geriatr Nurs. 2012 Jul-Aug; 33(4): 264-71. DOI: 10.1016/j.gerinurse.2012.01.007 [DOI] [PubMed]
48. Maki BE, Holliday PJ, Topper AK. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. J Gerontol. 1994 Mar; 49(2): M72-84. DOI: 10.1093/geronj/49.2.m72 [DOI] [PubMed]
49. Nurse MA, Hulliger M, Wakeling JM, Nigg BM, Stefanyshyn DJ. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005 Oct;15(5):496-506. DOI: 10.1016/j.jelekin.2004.12.003 [DOI] [PubMed]
50. Wakeling JM, Syme DA. Wave properties of action potentials from fast and slow motor units of rats. Muscle Nerve. 2002 Nov; 26(5): 659-68. DOI: 10.1002/mus.10263 [DOI] [PubMed]
51. Sadoyama T, Masuda T, Miyata H, Katsuta S. Fibre conduction velocity and fibre composition in human vastus lateralis. Eur J Appl Physiol Occup Physiol. 1988; 57(6): 767-71. DOI: 10.1007/BF01076001 [DOI] [PubMed]
52. Wakeling JM, Liphardt AM, Nigg BM. Muscle activity reduces soft-tissue resonance at heel-strike during walking. J Biomech. 2003 Dec; 36(12): 1761-69. DOI: 10.1016/s0021-9290(03)00216-1 [DOI] [PubMed]
53. Farahpour N, Jafarnezhadgero AA, Allard P, Majlesi M. Muscle activity and kinetics of lower limbs during walking in pronated feet individuals with and without low back pain. J Electromyogr Kinesiol. 2018 Apr; 39: 35-41. DOI: 10.1016/j.jelekin.2018.01.006 [DOI] [PubMed]
54. Jafarnezhadgero AA, Madadi-Shad M, Alavi-Mehr SM, Granacher U. The long-term use of foot orthoses affects walking kinematics and kinetics of children with flexible flat feet: A randomized controlled trial. PLoS One. 2018 Oct; 13(10): e0205187. DOI: 10.1371/journal.pone.0205187 [DOI] [PubMed]
55. Hatton AL, Dixon J, Rome K, Martin D. Effect of foot orthoses on lower limb muscle activation: a critical review. Physical Therapy Reviews. 2008; 13(4): 280-93. DOI: 10.1179/174328808X252037 [Article] [DOI]
56. Sultan J, Chapman G, Jones R. The effect of lateral wedge insoles on the asymptomatic knee of patients with medial compartment knee osteoarthritis. Orthopaedic Proceedings. 2013 Jan; 95-B(Supp 1): 65. [Article]
57. Beurskens R, Bock O. Age-Related Deficits of Dual-Task Walking: A Review. Neural Plast. 2012; 2012: 131608. DOI: 10.1155/2012/131608 [DOI] [PubMed]
58. Wrobel JS, Najafi B. Diabetic foot biomechanics and gait dysfunction. J Diabetes Sci Technol. 2010 Jul; 4(4): 833-45. DOI: 10.1177/193229681000400411 [DOI] [PubMed]
59. Mueller MJ. Therapeutic footwear helps protect the diabetic foot. J Am Podiatr Med Assoc. 1997 Aug; 87(8):360-4. DOI: 10.7547/87507315-87-8-360 [DOI] [PubMed]
60. Martin KL, Blizzard L, Wood AG, Srikanth V, Thomson R, Sanders LM, et al. Cognitive function, gait, and gait variability in older people: a population-based study. J Gerontol A Biol Sci Med Sci. 2013 Jun; 68(6): 726-32. DOI: 10.1093/gerona/gls224 [DOI] [PubMed]
61. Qu X. Age-related cognitive task effects on gait characteristics: do different working memory components make a difference? J Neuroeng Rehabil. 2014 Oct; 11: 149. DOI: 10.1186/1743-0003-11-149 [DOI] [PubMed]
62. Zijlstra W. Assessment of spatio-temporal parameters during unconstrained walking. Eur J Appl Physiol. 2004 Jun; 92(1-2): 39-44. DOI: 10.1007/s00421-004-1041-5 [DOI] [PubMed]
63. Nigg BM, Stergiou P, Cole G, Stefanyshyn D, Mündermann A, Humble N. Effect of shoe inserts on kinematics, center of pressure, and leg joint moments during running. Med Sci Sports Exerc. 2003 Feb; 35(2): 314-19. DOI: 10.1249/01.MSS.0000048828.02268.79 [DOI] [PubMed]
64. Mündermann A, Nigg BM, Humble RN, Stefanyshyn DJ. Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners. Med Sci Sports Exerc. 2003 Oct; 35(10): 1710-19. DOI: 10.1249/01.MSS.0000089352.47259.CA [DOI] [PubMed]


XML   English Abstract   Print



بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.
دوره 23، شماره 1 - ( بهار 1400 ) برگشت به فهرست نسخه ها