چکیده:
ﻆ ﭘﺎﯾﺪاری 20) ﻣﯽﺑﺎﺷﺪ 2 ﻣﻘﺪﻣﻪ: ﯾﮑﯽ از ﻣﻬﻢﺗﺮﯾﻦ رﺑﺎطﻫﺎی ﺗﺜﺒﯿﺖ ﮐﻨﻨﺪه زاﻧﻮ رﺑﺎط ﺻﻠﯿﺒﯽ ﻗﺪاﻣﯽ ﺗﺄﺛﯿﺮ ﺷﺪﯾﺪی ﺑﺮ ﻋﻤﻠﮑﺮد ﺣﺮﮐﺘﯽ زاﻧﻮ و ﺗﻌﺎدل ACL دﯾﻨﺎﻣﯿﮑﯽ_اﺳﺘﺎﺗﯿﮑﯽ و ﻫﻤﺎﻫﻨﮕﯽ ﺣﺮﮐﺘﯽ ﻣﻔﺼﻞ زاﻧﻮ ﮐﻤﮏ ﻣﯽﮐﻨﺪ. آﺳﯿﺐ از ACL (. در اﯾﻦ ﭘﮋوﻫﺶ، ﺗﺄﺛﯿﺮ ﺗﻤﺮﯾﻨﺎت ﺗﺴﺮﯾﻌﯽ ﺑﺮ ﺗﻌﺎدل دﯾﻨﺎﻣﯿﮑﯽ و اﺳﺘﺎﺗﯿﮑﯽ ورزشﮐﺎراﻧﯽ ﮐﻪ ﺑﺎزﺳﺎزی 5) اﻓﺮاد ﻣﯽﮔﺬارد BPTBG از ﻃﺮﯾﻖ ACL ورزشﮐﺎر ﺑﺎ ﺑﺎزﺳﺎزی 30: ﻃﺮﯾﻖ ﻋﻤﻞ آرﺗﺮوﺳﮑﻮﭘﯽ داﺷﺘﻪاﻧﺪ ارزﯾﺎﺑﯽ ﺷﺪه اﺳﺖ. ﻣﻮاد و روشﻫﺎ ﺑﺎ 3 ﻧﻔﺮی ﮐﻨﺘﺮل و ﺗﺠﺮﺑﯽ ﺗﻘﺴﯿﻢ ﺑﻨﺪی ﺷﺪﻧﺪ. ﮔﺮوه ﺗﺠﺮﺑﯽ، 15 ﺳﺎل اﻧﺘﺨﺎب و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه 28/7 ﻣﯿﺎﻧﮕﯿﻦ ﺳﻨﯽ و6، 3 ﻫﻔﺘﻪ اﺟﺮا ﮐﺮدﻧﺪ. در ﭘﺎﯾﺎن ﻣﺎهﻫﺎی 24 ﭘﺮوﺗﮑﻞ ﺑﺎزﺗﻮاﻧﯽ ﺗﺴﺮﯾﻌﯽ و ﮔﺮوه ﮐﻨﺘﺮل، ﯾﮏ دورهی ﻓﯿﺰﯾﻮﺗﺮاﭘﯽ ﻣﻌﻤﻮل را ﺑﻪ ﻣﺪت ﻣﺴﺘﻘﻞ ﺑﺮای ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﻧﺘﺎﯾﺞ T و آزﻣﻮن repeated measure ANOVA ﺗﻌﺎدل ﭘﻮﯾﺎ و اﯾﺴﺘﺎ ﻣﻮرد ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺖ. از 9 ﺑﻬﺮه ﮔﺮﻓﺘﻪ ﺷﺪ. ﻧﺘﺎﯾﺞ: در ﻫﺮ دو ﮔﺮوه) ﮔﺮوه ﺑﺎزﺗﻮاﻧﯽ ﺗﺴﺮﯾﻌﯽ و ﮐﻨﺘﺮل (ﺗﻌﺎدل اﯾﺴﺘﺎ و ﭘﻮﯾﺎ اﻧﺪام ﺟﺮاﺣﯽ ﺷﺪه 0 /05 در ﺳﻄﺢ ﮐﻢﺗﺮ از اﻧﺪام ﺳﺎﻟﻢ ﺑﻮد. ﺗﻌﺎدل اﯾﺴﺘﺎ و ﭘﻮﯾﺎ زاﻧﻮ در ﮔﺮوه ﺗﺠﺮﺑﯽ ﻧﺴﺒﺖ ﺑﻪ ﮔﺮوه ﮐﻨﺘﺮل ﺑﯿﺸﺘﺮ ﺑﻮد. ﭘﺎﯾﺪاری اﻧﺪام ﺗﺤﺘﺎﻧﯽ در ﮔﺮوه ﺗﺠﺮﺑﯽ ﺑﯿﺸﺘﺮ از ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد (. ﻧﺘﯿﺠﻪﮔﯿﺮی: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﻧﻘﺺ ﻣﻮﺟﻮد در ﺗﻌﺎدل اﯾﺴﺘﺎ و ﭘﻮﯾﺎی ورزﺷﮑﺎران p=0/05) ﺣﺘﯽ ﺑﻌﺪ از ﻣﺮاﺣﻞ ﺑﺎزﺗﻮاﻧﯽ ﺑﻪ ﻃﻮر ﮐﺎﻣﻞ ﻣﺮﺗﻔﻊ ﻧﻤﯽﺷﻮد. ﻫﻤﭽﻨﯿﻦ ﺑﺮﻧﺎﻣﻪ ﺗﻤﺮﯾﻨﺎت ﻋﺼﺒﯽ ﻋﻀﻼﻧﯽ ﺑﻪ ﻃﻮر ﻗﺎﺑﻞ ﻣﻼﺣﻈﻪای ﻧﺎﭘﺎﯾﺪاری اﻧﺪام ﺗﺤﺘﺎﻧﯽ را ﮐﺎﻫﺶ ﻣﯽدﻫﺪ و ﺑﺎﯾﺪ ﺑﺨﺶ ﻣﻬﻤﯽ از ﺑﺮﻧﺎﻣﻪ ﺑﺎزﺗﻮاﻧﯽ ورزﺷﮑﺎران را ﺑﺮای ﺑﻪ ﺧﻮد اﺧﺘﺼﺎص دﻫﺪ.
Introduction: Anterior Cruciate Ligament (ACL) is one of the main knee stabilizing ligaments (1). ACL helps to preserve the dynamic, static stability and motor coordination of knee joint. ACL injuries have a great effect on the motor performance of knee and balance individuals (2). In this study, the effect of acceleratory trainings on the dynamic and static stability of the lower extremity of those athletics undergone ACL operation via arthroscopy has been evaluated. Methods: In this research, 30 volunteers who had undergone reconstruction of ACL via BPTBG with average age 28.7 were selected and then randomly divided into two control and experimental groups that each one includes 15 subjects. Experimental group started accelerated rehabilitation program and continued that for 24 weeks and control group attended the general physiotherapy course. At the end of the 3rd, 6th and 9th months, the dynamic and static balance was evaluated. Repeated measure ANOVA was used for the comparisons of assessment times’ means, and independent T test was used for comparison of two groups’ results at 0.05 levels. Results: In both groups, the dynamic and static balance operated lower extremity was less than healthy ones. The dynamic and static balance knee was significantly greater in experimental group compared to control group. The dynamic and static stability of the lower extremity was higher in the experimental group (p=0.05). Conclusion: results indicate that, after reconstruction of ACL and rehabilitation period malfunctions will not be perfectly removed in the dynamic and static balance of athletics. Too the results point out that the neuromuscular trainings program should play a significant role on rehabilitation program for better rehabilitation of athletics.