fa تاثیر اضافه کردن تحریک الکتریکی به تمرینات متمرکز تنه بر درد، ناتوانی، کیفیت زندگی و ترس از حرکت زنان سالمند مبتلا به کمردرد مزمن غیر اختصاصی توانبخشی سالمندی geriatric rehabilitation پژوهشي اصیل Original research <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مقدمه</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: تمرینات متمرکز بر عضلات تنه باعث کاهش درد و بهبود عملکرد در بیماران مبتلا به کمردرد مزمن غیر اختصاصی می‌شود. هدف اصلی این پژوهش، مقایسه اثر اضافه کردن تحریک الکتریکی به تمرینات متمرکز تنه بر درد، ناتوانی، کیفیت زندگی و ترس از حرکت در زنان سالمند مبتلا به کمردرد مزمن غیر اختصاصی بود.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">روش</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: تحقیق حاضر از نوع نیمه تجربی با طرح پیش آزمون _ پس آزمون با گروه کنترل بود. سی&shy;وشش زن سالمند مبتلا به کمردرد مزمن غیر اختصاصی به‌طور تصادفی ساده در سه گروه تمرینات متمرکز تنه با و بدون تحریک الکتریکی و گروه کنترل (هر گروه 12 نفر) تقسیم شدند. هر دو گروه تجربی به مدت هشت هفته، هر هفته سه جلسه در کلینیک فیزیوتراپی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مداخلات درمانی شامل ترکیبی از گرما و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">تحریک الکتریکی عصب از راه پوست</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">را دریافت کردند. مقیاس دیداری درد، پرسشنامه ناتوانی رولند و موریس، پرسشنامه کیفیت زندگی و مقیاس ترس از حرکت </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">TSK&ndash;11</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">قبل و بعد از مداخله ارزیابی شد. برای تحلیل داده&shy;ها از آزمون&shy;های تحلیل کوواریانس یکراهه و بونفرونی استفاده شد.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">یافته&shy;ها</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">: میانگین شدت درد و ناتوانی در هر دو گروه تجربی کاهش معناداری نشان داد</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">(p<0.001)</span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">،</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> در حالی که کیفیت زندگی و کاهش ترس از حرکت بهبود یافت (</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">p=0.003)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">. گروه تمرینات همراه با تحریک الکتریکی بیشترین بهبود را در تمامی متغیرها نشان داد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">.</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">(p<0.001)</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">نتیجه</span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">گیری</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">:</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">علی&shy;رغم اثربخشی معناداری هر دو گروه تجربی در بهبود متغیرهای مدنظر، اضافه کردن تحریک الکتریکی دارای اندازه اثر بیشتری نسبت به گروه تمرینات مرکز تنه بوده، از این رو</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> ممکن است</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"> استفاده از این روش برای درمان کمردرد سالمندان </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مفید باشد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">.</span></span></span></span></span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="color:black"><span lang="FA" style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Introduction</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: </span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Trunk-focused exercises are known to reduce pain and improve function in patients with nonspecific chronic low back pain. The primary aim of this study was to compare the effects of adding electrical stimulation to trunk-focused exercises on pain, disability, quality of life, and Kinesiophobia in elderly women with nonspecific chronic low back pain.</span></span></span><span dir="RTL" lang="AR-SA" style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methods</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">: </span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">his semi-experimental study employed a pre-test&ndash;post-test control group design. Thirty-six elderly women with nonspecific chronic low back pain were randomly assigned into three groups: trunk-focused exercises with electrical stimulation, trunk-focused exercises without electrical stimulation, and a control group (12 participants per group). Both intervention groups underwent an eight-week treatment program, receiving therapeutic interventions&mdash;including heat therapy and transcutaneous electrical nerve stimulation (TENS)&mdash;three sessions per week at a physiotherapy clinic. Pain was assessed using the Visual Analog Scale (VAS), disability with the Roland-Morris Disability Questionnaire, quality of life with a standard QoL questionnaire, and fear of movement with the Tampa Scale for Kinesiophobia (TSK&ndash;11), both before and after the intervention. Data were analyzed using one-way ANCOVA and Bonferroni post hoc tests.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> Both experimental groups showed significant reductions in mean pain intensity and disability scores (p < 0.001), as well as improvements in quality of life and reduced fear of movement (p = 0.003). The group receiving trunk exercises combined with electrical stimulation demonstrated the greatest improvements across all outcome variables (p < 0.001).</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span style="color:black"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> While both experimental protocols were effective in improving the targeted outcomes, adding electrical stimulation yielded a greater effect size compared to trunk-focused exercises alone. Therefore, this combined approach may be beneficial for managing chronic low back pain in elderly individuals.</span></span></span><span dir="RTL" lang="AR-SA" style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <br> &nbsp; کمردرد, تحریک الکتریکی درمانی, کیفیت زندگی, سالمندان, ترس از حرکت Low back pain, electrical stimulation therapy, quality of life, Aged, Kinesiophobia, 1 11 http://joge.ir/browse.php?a_code=A-10-871-1&slc_lang=fa&sid=1 Shima Hazareh شیما هزاره shimahazareh@yahoo.com 10031947532846009226 10031947532846009226 No Kharazmi University دانشگاه خوارزمی Sadredin Shojaedin صدرالدین شجاع الدین shojaedin@khu.ac.ir 10031947532846009227 10031947532846009227 Yes Kharazmi University دانشگاه خوارزمی Malihe Hadadnezhad ملیحه حدادنژاد m.hadadnezhad@yahoo.com 10031947532846009228 10031947532846009228 No Kharazmi University دانشگاه خوارزمی