fa اثر تمرینات مقاومتی و تمرینات تقویتی چهار سر رانی بر درد، سرعت راه رفتن، کیفیت زندگی و تعادل زنان سالمند مبتلا به آرتروز زانو مسائل جسمی سالمندان elderly physical issues پژوهشي اصیل Original research <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="tab-stops:right 165.4pt left 413.2pt right 468.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه :</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">&nbsp;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">هدف پژوهش </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">اثر </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یک دوره</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تمرینات مقاومتی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">و</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تقویتی چهار سر رانی بر درد، سرعت راه رفتن، کیفیت زندگی و تعادل زنان سالمند مبتلابه آرتروز زانو می باشد.</span></span></span><b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Tahoma",sans-serif"></span></span></span></b></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">روش کار:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> روش پژوهش از نوع نیمه تجربی&nbsp; بود. جامعه آماری شامل 45 زن با میانگین 65 سال شهرستان بروجرد، که به صورت تصادفی به سه گروه (گروه اول: تمرینات مقاومتی، گروه دوم: تمرینات تقویتی چهار سر رانی و گروه سوم کنترل) تقسیم شدند.. متغیرهای </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">درد با</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">VAS</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">)،</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> سرعت راه رفتن</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> با آزمون زمان برخاستن و تردمیل </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، کیفیت زندگی با </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">پرسشنامه </span></span></span><span dir="LTR" style="border:none windowtext 1.0pt; font-size:12.0pt; padding:0cm"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">WHOQOL-BREF</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، آزمون‌های تعادل ایستا و پویا با آزمون شارپند و رومبرگ ارزیابی شدند. آزمودنی&rlm;های گروه </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مداخله </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تمرین را </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">4 هفته هر هفته 5 جلسه انجام</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> دادند. گروه کنترل در این مدت مداخله ای دریافت نکردند.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تحلیل داده</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">ها با </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">&nbsp;آزمون آنوا دو راهه و برای تفاوت بین گروهی پیش آزمون و پس</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">آزمون ها از ازمون </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">T</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> همبسته در سطح معناداری 05/0 ></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">p</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> انجام شد.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> نتایج آزمون تی زوجی نشان داد هر دو گروه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تمرینات مقاومتی و تقویتی چهارسر رانی پس از مداخله شدت درد، کیفیت زندگی در مقایسه با گروه کنترل بطور معناداری بهبود یافته است(</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">001/0 ></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">p</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">). اما در بهبود سرعت راه رفتن، تعادل ایستا و پویا در مقایسه با گروه کنترل معناداری نبودند(</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">05/0 ></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">p</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">).&nbsp;</span></span></span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتیجه گیری:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> با توجه به اثربخشی تحقیق، هر دو پروتکل تمرینی برای بهبودی این فاکتورها در زنان سالمند مبتلا به استئوآرتریت زانو پیشنهاد می گردد.</span></span></span> <br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Introduction</span></b><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">:</span> <span new="" roman="" style="font-family:" times="">The aim of the study is to determine the effect of a course of resistance and quadriceps strengthening exercises on pain, walking speed, quality of life and balance in elderly women with knee osteoarthritis.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Research Method:</span></b><span new="" roman="" style="font-family:" times=""> The research method was semi-experimental and pre-test, post-test</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.&nbsp;</span></span></span></span></span></span></span><span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span new="" roman="" style="font-family:" times="">The statistical population included 45 women with an average age of 65 years in Borujerd city, who were randomly divided into three groups (group one: resistance exercises, group two: quadriceps strengthening exercises, and group three: control)</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.</span><span new="" roman="" style="font-family:" times=""> Pain variables were assessed with (VAS), walking speed with the rise time and treadmill test, quality of life with&nbsp; WHOQOL-BREF questionnaire, static and dynamic balance tests with the Sharpand and Romberg tests</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.</span><span new="" roman="" style="font-family:" times=""> The subjects in the intervention group performed the exercise 5 sessions per week for 4 weeks</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.</span><span new="" roman="" style="font-family:" times=""> The control group did not receive any intervention during this period</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.</span><span new="" roman="" style="font-family:" times=""> Data analysis was performed with SPSS software (version 26) and two-way ANOVA test, and for the difference between the pre-test and post-test groups, the paired t-test was performed at a significance level of p <0.05.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Results</span></b><span new="" roman="" style="font-family:" times="">: The results of the paired t-test showed that both resistance and quadriceps strengthening exercise groups significantly improved pain intensity and quality of life compared to the control group after the intervention (p <0.001)</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.</span><span new="" roman="" style="font-family:" times=""> However, there was no significant improvement in walking speed, static and dynamic balance compared to the control group (p <0.05)</span><span b="" dir="RTL" lang="FA" nazanin="" style="font-family:">.</span><span new="" roman="" style="font-family:" times="">&nbsp;</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><span new="" roman="" style="font-family:" times=""> According to the effectiveness of research findings, both exercise protocols are suggested to improve these factors in elderly women with knee osteoarthritis.</span></span></span></span></span></span></span><br> &nbsp; آرتروز زانو, تمرینات تقویتی و مقاومتی, درد, کیفیت زندگی. Knee osteoarthritis, strengthening and resistance exercises, pain, quality of life. 67 80 http://joge.ir/browse.php?a_code=A-10-738-4&slc_lang=fa&sid=1 raihaneh nadimi ریحانه ندیمی reyhaneh.nadimi1992@gmail.com 10031947532846009245 10031947532846009245 No Razi University دانشگاه رازی Manuchehr Haidary منوچهر حیدری mhaidary2000@yahoo.com 10031947532846009246 10031947532846009246 Yes Razi University دانشگاه رازی