تأثیر هشت هفته تمرینات پیلاتس بر ناهنجاری اسکولیوز غیرساختاری و بهبود تعادل در دانشجویان دختر

نوع مقاله: مقاله پژوهشی

نویسندگان

1 استادیار گروه تندرستی و بازتوانی ورزشی، دانشکده علوم ورزشی و تندرستی، دانشگاه شهید بهشتی، تهران، ایران

2 کارشناس ارشد تربیت بدنی و علوم ورزشی، دانشگاه پیام نور، تهران، ایران

3 دانشجوی دکتری حرکات اصلاحی، دانشگاه تهران، تهران، ایران

چکیده

سابقه و هدف: ناهنجاری اسکولیوزیس انحنای جانبی ستون فقرات همراه با چرخش مهره­ای است و بدشکلی سه بعدی ستون فقرات و مهمترین علت عدم تقارن تنه می­باشد. تغییرات وضعیتی عامل مشکلات تعادلی در مبتلایان به اسکولیوز است. هدف از پژوهش حاضر بررسی تأثیر تمرینات اصلاحی پیلاتس بر بهبود راستای استاتیک ستون فقرات و تعادل دانشجویان دختر مبتلا به اسکولیوزیس غیرساختاری بود.
مواد و روش­ها: پژوهش حاضر از نوع نیمه تجربی با طرح پیش و پس­آزمون روی 25 دختر مبتلا به اسکولیوز غیرساختاری با میانگین سن 65/3±4/27 سال، قد 20/5± 82/161 سانتی متر و جرم 59/4±93/54 کیلوگرم و تقسیم به­طور تصادفی به دو گروه تمرین و کنترل انجام گرفت. برنامة تمرینات پیلاتس، متغیر مستقل و درجۀ اسکولیوز و امتیاز آزمون تعادل پویا متغیرهای وابسته در نظر گرفته شد. از روش فتوگرامتری برای تعیین درجۀ اسکولیوز و از آزمون تعادلی Y جهت تعیین میزان بهبود تعادل استفاده شد.
یافته­ ها: نتایج حاصل از آزمون­t  زوجی پس از هشت هفته تمرینات پیلاتس تفاوت معنا‌داری را در متغیر انحنای جانبی (درجۀ اسکولیوز) بین گروه‌های پژوهش نشان داد. همچنین نتایج حاصل از آزمون عملکردی تعادل Y در دو مرحلة پیش و پس آزمون دارای اختلاف معناداری بود (05/0 P≤).
نتیجهگیری: با توجه به نتایج پژوهش حاضر و ماهیت تمرینات پیلاتس که بر تقسیم متقارن جرم بین دو نیمة­ بدن و تقویت ناحیة مرکزی تأکید دارد، انحنای جانبی ستون فقرات در آزمودنی­های دارای اسکولیوز غیرساختاری کاهش یافت و بهبود در تعادل مشاهده شد. بنابراین پروتکل تمرینات پیلاتس به عنوان یک روش تمرینی جهت اصلاح اسکولیوز غیرساختاری و بهبود تعادل پویا پیشنهاد می­شود.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Eight -Weeks Pilates Exercises on Non-Structural Scoliosis Deformity and Improve Balance in Female Students

نویسندگان [English]

  • Mehdi Gheitasi 1
  • Zahra Pasandideh 2
  • Mahnaz Lordgouie 2
  • Maryam Samavi 2
  • Nahid Allafan 3
1 Assistant Professor, Health & Sport Rehabilitation Department, Faculty of Sport Science & Health, Shahid Beheshti University, Tehran, Iran.
2 Physical Education & Sport Science, University of Payam Noor, Tehran, Iran
3 PhD student of Corrective Exercise, University of Tehran, Tehran, Iran
چکیده [English]

Purpose & Background: Scoliosis is a lateral deviation in spinal column with a vertebral rotation, and a three-dimensional deformity and the most important factor in trunk asymmetry. Postural changes are cause balance problems in scoliotic subjects. The aim of this study was to investigate the effect of Pilates corrective exercise to improve static alignment of spine and dynamic balance in female students with non-structural scoliosis.
Methodology: This study was semi experimental with research design pre and post-test on 25 girls with non-structural scoliosis with average age of 27/4±3/65 yrs., height of 161/82±5/20 cm, and mass of 54/93±4/59 kg that were randomly divided into experimental and control groups. Pilates exercises program was the independent variable, the degree of scoliosis and score of dynamic balance test were dependent variables. Photogrammetry method was used to determine the degree of scoliosis and Y Balance Test to determine of balance improvement.
Results: Results of paired t- test showed a significant difference between experimental and control groups in lateral deviation (degree of scoliosis) after an eight-week Pilates corrective exercises. The results of Y Balance Test showed a significant difference between pre-test and post-test (P≤0.05).
Conclusion: Based on the results of this study it could be said that Pilates exercises, with emphasis on symmetrical division of body weight and strengthen of the Core, significantly decreased lateral deviation of the spinal column in subjects with non-structural scoliosis and developed the balance. Therefore, Pilates corrective exercises as a method to correct non-structural scoliosis and improve the dynamic balance are suggested.

کلیدواژه‌ها [English]

  • Scoliosis
  • Pilates Corrective Exercises
  • Dynamic Balance
  • Photogrammetry

##Thomas JR, Nelson JK, Silverman SJ. 2007. Methods of Research in Physical Education. Artmed Porto Alegre.## Gheitasi M, Alizadeh MH, Rajabi R, Ebrahimi E, Haghverdian S. 2014.  Effect of Eight-Week Routine Corrective Exercises (Stretching-Strengthening Exercises) on Lateral Curve of Spine in Non-structural Scoliotic Subjects with the Use of Photogrammetry. Jsport pec. 10(20): 93-106.## Raudenbush B, Simela A, Joseph H. 2013. A review of the evaluation, diagnosis and nonsurgical treatment of adolescent idiopathic scoliosis. Osteopathic Family Physician. 5 (4): 158-68. ## Yu M, Silvestre C, Mouton T, Rachkidi R, Zeng L, Roussouly P. 2013. Analysis of the cervical spine sagittal alignment in young idiopathic scoliosis: a morphological classification of 120 cases. European spine journal. 22(11): 2372-81. ## Han J, Xu Q, Yang Y, Yao Z, Zhang C. 2015. Evaluation of quality of life and risk factors affecting quality of life in adolescent idiopathic scoliosis. Intractable & rare diseases research. 4(1): 12-6.## Czaprowski D, Kotwicki T, Biernat R, Urniaz J, Ronikier A. 2012. Physical capacity of girls with mild and moderate idiopathic scoliosis: influence of the size, length and number of curvatures. European spine journal. 21(6): 1099-105.## Pialasse JP, Simoneau M. 2014. Effect of bracing or surgical treatments on balance control in idiopathic scoliosis: three case studies. The Journal of the Canadian Chiropractic Association. 58(2): 131-40.## Blum CL. 2002. Chiropractic and Pilates therapy for the treatment of adult scoliosis. Journal of Manipulative and Physiological Therapeutics. 25 (4): 1-8.## Alves de Araujo ME, Bezerra da Silva E, Bragade Mello D, Cader SA, Shiguemi Inoue Salgado A, Dantas EH. 2012. The effectiveness of the Pilates method: reducing the degree of non-structural scoliosis, and improving flexibility and pain in female college students. Journal of body work and movement therapies. 16 (2): 191-8.## Kim HS. 2014. Evidence-based of nonoperative treatment in adolescent idiopathic scoliosis. Asian spine journal. 8(5): 695-702.## Fusco C, Zaina F, Atanasio S, Romano M, Negrini A, and Negrini S. 2011. Physical exercises in the treatment of adolescent idiopathic scoliosis: An updated systematic review. Physiotherapy Theory and Practice. 27(1): 80–114.## Peterka RJ, Loughlin PJ. 2004. Dynamic regulation of sensorimotor integration in human postural control. J Neurophysiol. 91(1): 410–23.## Saremi Sh, Chaleh Chaleh M, Bararpour E, Omid Ali F. 2014. The impact of A Corrective Exercises Program on Dynamic Balance in Individuals with Idiopathic Scoliosis. Journal of Rehabilitation. 14(4): 18-25.## Guedes B, Cader S, Valim N, Torres O, Monteiro de Oliveira E, Dantas E. 2010. Pilates method in personal autonomy, static balance and quality of life of elderly females. Journal of Bodywork and Movement Therapies. 14(2): 195-202.## Cruz FA, Fernandes J, Laranjo L, Bernardo LM, Silva A. 2011. A systematic review of the effects of Pilates method of exercise in healthy people. Arch Phys Med Rehabil; 92(12): 2071-81.## Irez G B, Ozdemir R A, Evin R, Irez S G, Korkusuz F. 2011. Integrating Pilates Exercise into an Exercise Program for +65 Year-Old Women to Reduce Falls. J Sports Sci Med. 10(1): 105–111.## Patias P, Grivas TB, Kaspiris A, Aggouris C, Drakoutos E. 2010. A review of the trunk surface metrics used as Scoliosis and other deformities evaluation indices. Scoliosis. 5(12). (Review article).## Saad KR, Colombo AS, João SMA. 2009. Reliability and Validity of The Photogrammetry Or Scoliosis Evaluation: A Cross-Sectional Prospective Study”. Journal of Manipulative and Physiological Therapeutics; 423-430.## Emery K, De Serres SJ, McMillan A, Côté JN. 2010. The effects of a Pilates training program on arm-trunk posture and movement. Clin Biomech (Bristol, Avon). 25: 124– 130. ## Monticone M, Ambrosini E, Cazzaniga D, Rocca B, Ferrante S. 2014. Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis: Results of a randomised controlled trial. Eur Spine J. 23: 1204–1214.## Kathiresan G, Cornelius T. 2013. Idiopathic Thoracoscoliosis Treatment using a combination of Documentation Based Care (DBC) Back active reconditioning programme and Schroth methods. A prospective case study. International Journal of Physiotherapy and Research. (4): 148-53.## Ameri E, Behtash H, Mobini B, Bouzari B, Shoostarizadeh T, Kabiri P. 2008. Pathologic Study of Paraspinal Muscles in Different Types of Scoliosis. Journal of Isfahan Medical School. 26(88): 46-53.## Banigol F, Rajabi R. 2010. Evaluation of effectiveness the pilates exercise on pain and lombopelvic stability in non specific chronic LBP”. Journal of movement science and sports. 14(2): 9-21. ## Kloubec JA. 2010. Pilates for improvement of muscle endurance, flexibility, balance, and posture. Journal of Strength and Conditioning Research. 24(3): 661-667. ## Bernardo LM. 2007. The effectiveness of Pilates training in healthy adults: An appraisal of the research literature. Journal of Body work and Movement Therapies. 11: 106–110.## Endleman I, Critchley DJ. 2008. Transversus abdominis and obliquus internus activity during pilates exercises. measurement with ultrasound scanning. Archives of Physical Medicine and Rehabilitation. 89(11): 2205-2212.## Gouveia KMC, Gouveia EC. 2008. The transversus abdominis muscle and its function on the lumbar spine stabilization. Fisioterapia em Movimento. 21(3): 45-50.## Gladwell V, Haggarm M. 2006. Dose a program of pilates improve chronic non – specific low back pain. Sport rehabili journal. 15(4): 338-350.## Oliveira1 L, Horodéski J. 2013. Effect of the method pilates in reducing the scoliosis level in patients with osteocondrose – case study. Saúde Meio Ambient. 2(1): 44-58.## Weiss HR. 2011. The method of Katharina Schroth-history. principles and current development. Scoliosis. 6 (17).## Bot S.D.M, caspers M, Van Royen B.J, Toussiant H.M, Kingma I. 1999. Biomechanical analysis of posture in patients with spinal kyphosis due to ankylosing spondylitis. A pilot study. Rheumatology. 38:441-443.## Newell D, Shead V, Sloane L. 2012. Changes in gait and balance parameters in elderly subjects attending an 8-week supervised Pilates programme. Journal of Bodywork & Movement Therapies. 16: 549-554.##Mokhtari M, Nezakatalhossaini M, Esfarjani F. 2013. The effect of 12-week Pilates exercises on depression and balance associated with falling in the elderly. Procedia-social and Behavioral Sciences. 70: 1714 – 1723. ## Ju H, Kak H, Chae-Woo, L. 2014. The Effects of Pilates Mat Exercise on the Balance Ability of Elderly Females. J Phys Ther Sci. 26(2): 291–293.## Isabela P, Appell C, Pérez1 VR, de Maio Nascimento M, Hans J, Coriolano A. 2012. The Pilates Method to Improve Body Balance in the Elderly. Arch Exerc Health Dis. 3(3): 188-193.## Hyun J, Hwangbo K, Lee CW. 2014. The Effects of Pilates Mat Exercise on the Balance Ability of Elderly Females. J Phys Ther Sci. 26(2): 291–293.##