بررسی اثرات تمرینات ورزشی در آب بر علائم حرکتی و دردهای فیزیکی زنان یائسه شده مبتلا به استئوآرتریت زانو: یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه ارتوپدی، دانشکده پزشکی، مرکز آموزشی درمانی شهداء، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

2 دانشیار گروه بیهوشی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.

چکیده

مقدمه: یائسگی، یکی از عوامل خطر ابتلاء به استئوآرتریت زانو است که موجب متحمل شدن عوارضی همچون درد و محدودیت حرکتی می‌شود. مشارکت افراد در برنامه‌های درمانی همچون مداخلات خودمراقبتی با نتایج مفیدی همراه بوده است؛ مطالعه حاضر با هدف بررسی اثرات تمرینات ورزشی در آب بر علائم حرکتی و دردهای فیزیکی زنان یائسه شده مبتلا به استئوآرتریت زانو انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی شده در سال 1398 با مشارکت 42 شرکت‌کننده در دانشگاه علوم پزشکی تبریز انجام شد. پس از تخصیص تصادفی افراد به گروه‌های مداخله و کنترل، گروه مداخله به میزان 12 جلسه (هر جلسه 50 دقیقه) ورزش‌های ساده را در آب انجام دادند. اطلاعات موجود بر اساس پرسشنامه شدت استئوآرتریت زانو جمع‌آوری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های کولموگروف-اسمیرنوف، دقیق فیشر، کای دو و تی مستقل انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: میانگین کل نمره استئوآرتریت شرکت‌کنندگان گروه مداخله قبل از دریافت مداخله 90/12±15/121 و گروه کنترل 49/11±19/129 بود که از نظر آماری اختلاف آماری معناداری نداشت (209/0=p)؛ اما پس از دریافت مداخله، اختلاف آماری معناداری بین گروه مداخله (55/5±81/74) و کنترل (89/11±12/127) مشاهده شد (001/0=p).
نتیجه‌گیری: انجام ورزش‌های ساده در آب موجب بهبود دردهای فیزیکی و علائم استئوآرتریت در زنان یائسه می‌گردد.

کلیدواژه‌ها


عنوان مقاله [English]

Effects of Water Exercise Training on Motor Symptoms and Physical Pains of Postmenopausal Women with Knee Osteoarthritis: A Randomized Clinical Trial

نویسندگان [English]

  • Mohammad Reza Moharrami 1
  • Abbasali Dorosti 2
  • Behrouz Nazari 1
1 Assistant Professor, Department of Orthopedics, Faculty of Medicine, Shohada, Medical Training Center, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Associate Professor, Department of Anesthesiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده [English]

Introduction: Menopause is one of the risk factors for knee osteoarthritis which causes complications such as pain and movement restriction. Involving people in treatment programs such as self-care interventions has been associated with beneficial results. This study was performed with aim to evaluate the effects of water exercise training on motor symptoms and physical pains in postmenopausal women with knee osteoarthritis.
Methods: This randomized clinical trial study was performed with participation of 42 women in Tabriz University of Medical Sciences in 2019. After random assignment of the subjects to the intervention and control groups, the intervention group performed simple water exercises for 12 sessions (50 minutes each session). Data were collected using Knee injury and osteoarthritis outcome score questionnaire. Data were analyzed by SPSS software (version 20) and Kolmogorov-Smirnov, Fisher exact, Chi-square and independent t-test. P<0.05 was considered statistically significant.
Results: The mean total score of osteoarthritis in the intervention group before the intervention was 121.15 ± 12.90 and in the control group was 129.19 ±11.49, which was not significantly different (p= 0.209), but after receiving the intervention, statistically significant difference was observed between the intervention group (74.81 ± 5.55) and the control group (127.12 ± 11.89) (p= 0.0001).
Conclusion: Simple water exercises improve physical pain and osteoarthritis symptoms in postmenopausal women.

کلیدواژه‌ها [English]

  • Menopause
  • Osteoarthritis
  • Physical pain
  • Water Sports
  1. Santoro N, Crawford SL, El Khoudary SR, Allshouse AA, Burnett-Bowie SA, Finkelstein J, et al. Menstrual Cycle Hormone Changes in Women Traversing Menopause: Study of Women's Health Across the Nation. J Clin Endocrinol Metab 2017; 102(7):2218-2229.
  2. Kargozar R, Azizi H, Salari R. A review of effective herbal medicines in controlling menopausal symptoms. Electron Physician. 2017; 9(11):5826-5833.
  3. Gandhi J, Chen A, Dagur G, Suh Y, Smith N, Cali B, et al. Genitourinary syndrome of menopause: an overview of clinical manifestations, pathophysiology, etiology, evaluation, and management. Am J Obstet Gynecol 2016; 215(6):704-711.
  4. Perich T, Ussher J, Meade T. Menopause and illness course in bipolar disorder: A systematic review. Bipolar Disord 2017; 19(6):434-443.
  5. Mahajan A, Patni R. Menopause and Osteoarthritis: Any Association ? J Midlife Health 2018; 9(4):171-172.
  6. Watt FE. Hand osteoarthritis, menopause and menopausal hormone therapy. Maturitas 2016; 83:13-8.
  7. Jordan KP, Edwards JJ, Porcheret M, Healey EL, Jinks C, Bedson J, et al. Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care. Osteoarthritis Cartilage 2017; 25(10):1588-1597.
  8. Gurt A, Llorente J, López M, Tío L, Sena B, Marco E, et al. Impact of a self-care education program for patients with osteoarthritis. Osteoarthritis and Cartilage 2018; 26:S326.
  9. Adams J, Prior J, Sibbritt D, Connon I. The use of self-care practices and products by women with chronic illness: A case study of older women with osteoarthritis and osteoporosis. Women's Health and Complementary and Integrative Medicine: Routledge 2018;89-105.
  10. Østerås N, Jordan KP, Clausen B, Cordeiro C, Dziedzic K, Edwards J, et al. Self-reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and the UK. RMD Open 2015; 1(1):e000136.
  11. Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee: a Cochrane systematic review. Br J Sports Med 2015; 49(24):1554-7.
  12. Nguyen C, Lefèvre-Colau MM, Poiraudeau S, Rannou F. Rehabilitation (exercise and strength training) and osteoarthritis: A critical narrative review. Ann Phys Rehabil Med. 2016 Jun;59(3):190-195.
  13. Kunduracilar Z, Guvenir Sahin H, Sonmezer E, Sozay S. The effects of two different water exercise trainings on pain, functional status and balance in patients with knee osteoarthritis. Complement Ther Clin Pract 2018; 31:374-378.
  14. Silvis M, Sylvester J, Hacken B, Wawrzyniak J, Kelly R, Lynch S, et al. Comparison of three exercise modalities on patient reported symptoms of knee osteoarthritis: a randomized prospective study. J Arthritis 2016; 5(5):1-5.
  15. Heywood S, McClelland J, Geigle P, Rahmann A, Villalta E, Mentiplay B, et al. Force during functional exercises on land and in water in older adults with and without knee osteoarthritis: Implications for rehabilitation. The Knee 2019; 26(1):61-72.
  16. Saraei-Pour S, Salavati M, Akhbari B, Kazem-Nezhad A. Translation and Adaptation of Knee Injury and Osteoarthritis Outcome Score (KOOS) in to Persian and Testing Persian Version Reliability Among Iranians with Osteoarthritis. Archives of Rehabilitation 2007; 8(1):42-6.
  17. Aghamohammadi D, Mehdinavaz Aghdam A, Khanbabayi Gol M. Prevalence of Infections Associated with Port and Predisposing Factors in Women with Common Cancers Under Chemotherapy Referred to Hospitals in Tabriz in 2015. Iran J Obstet Gynecol Infertil 2019; 21(11):7-13.
  18. Khanbabaei Gol M, Mobaraki-Asl N, Ghavami Z, Zharfi M, Mehdinavaz Aghdam A. Sexual violence against mastectomy women improved from breast cancer. Iran J Obstet Gynecol Infertil 2019; 22(5):52-60.
  19. Khanbabaei Gol M, Rezvani F, Ghavami Z, Mobaraki-Asl N. Prevalence of neuropathic pain and factors affecting sleep quality in women with breast cancer after radiotherapy. Iran J Obstet Gynecol Infertil 2019; 22(6):46-53.
  20. Khanbabaei Gol M, Aghamohammadi D. Effect of intravenous infusion of magnesium sulfate on opioid use and hemodynamic status after hysterectomy: double-blind clinical trial. Iran J Obstet Gynecol Infertil 2019; 22(7):32-8.
  21. Montazer M, Hadadi Z, Ghavami Z, Khanbabaei Gol M. Relationship of Body Mass Index with Chronic Pain after Breast Surgery in Women with Breast Cancer. Iran J Obstet Gynecol Infertil 2019; 22(8):10-8.
  22. Alvandfar D, Alizadeh M, Khanbabayi Gol M. Prevalence of pregnancy varicose and its effective factors in women referred to gynecology hospitals in Tabriz. Iran J Obstet Gynecol Infertil 2019; 22(9):1-7.
  23. Mehdi KG. Prevalence of pregnancy varicose and its effective factors in women referred to gynecology hospitals in Tabriz. Iran J Obstet Gynecol Infertil 2019; 22(9):1-7.
  24. Fakhari S, Bile Jani I, Atashkhouei S, Khanbabayi Gol M, Soliemanzadeh S. Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial. Iran J Obstet Gynecol Infertil 2019; 22(10):12-20.
  25. Gol MK, Dorosti A, Montazer M. Design and psychometrics cultural competence questionnaire for health promotion of Iranian nurses. J Educ Health Promot 2019; 8:155.
  26. Aghamohamadi D, Gol MK. An investigation into the effects of magnesium sulfate on the complications of succinylcholine administration in nulliparous women undergoing elective cesarean section: A double-blind clinical trial. International Journal of Women's Health and Reproduction Sciences 2019; 7(4):520-5.
  27. Haghdoost M, Mousavi S, Gol MK, Montazer M. Frequency of Chlamydia trachomatis infection in spontaneous abortion of infertile women during first pregnancy referred to tabriz university of medical sciences by nested PCR method in 2015. International Journal of Women's Health and Reproduction Sciences 2019; 7(4):526-30.
  28. Mobaraki-Asl N, Ghavami Z, Gol MK. Development and validation of a cultural competence questionnaire for health promotion of Iranian midwives. J Educ Health Promot 2019; 8:179.
  29. Castrogiovanni P, Musumeci G. Which is the best physical treatment for osteoarthritis?. Journal of functional morphology and kinesiology 2016; 1(1):54-68.
  30. Lai Z, Wang X, Lee S, Hou X, Wang L. Effects of whole body vibration exercise on neuromuscular function for individuals with knee osteoarthritis: study protocol for a randomized controlled trial. Trials 2017; 18(1):437.
  31. Hammerich AS, Anemaet WK. Applying the evidence for Exercise prescription in older adults with knee osteoarthritis. Current Geriatrics Reports 2016; 5(3):179-90.
  32. Goh SL, Persson MSM, Stocks J, Hou Y, Welton NJ, Lin J, et al. Relative Efficacy of Different Exercises for Pain, Function, Performance and Quality of Life in Knee and Hip Osteoarthritis: Systematic Review and Network Meta-Analysis. Sports Med 2019; 49(5):743-761.
  33. Dias JM, Cisneros L, Dias R, Fritsch C, Gomes W, Pereira L, et al. Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial. Braz J Phys Ther 2017; 21(6):449-456.
  34. Munukka M, Waller B, Häkkinen A, Nieminen MT, Lammentausta E, Kujala UM, et al. Physical Activity Is Related with Cartilage Quality in Women with Knee Osteoarthritis. Med Sci Sports Exerc 2017; 49(7):1323-1330.
  35. Silva MR, Alberton CL, Portella EG, Nunes GN, Martin DG, Pinto SS. Water-based aerobic and combined training in elderly women: Effects on functional capacity and quality of life. Exp Gerontol 2018; 106:54-60.