مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

مرور سیستماتیک تأثیر تمرینات زنجیره حرکتی باز و بسته بر درمان سندرم درد کشککی- رانی

نوع مقاله : مقاله مروری

نویسندگان
1 استادیار، گروه آموزش تربیت بدنی، دانشگاه فرهنگیان، تهران، ایران
2 استادیار، گروه بیومکانیک ورزشی، دانشکده‌ی علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
3 دانشجوی دکتری بیومکانیک ورزشی، گروه بیومکانیک ورزشی، دانشکده‌ی علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
4 دانشجوی رشته کینزیولوژی، دانشکده‌ی سلامت، دانشگاه یورک، تورنتو، انتاریو، کانادا
10.48305/jims.v44.i849.0057
چکیده
مقدمه: سندرم درد کشککی- رانی (Patellofemoral pain syndrome) PFPS از شایع‌ترین اختلالات اسکلتی- عضلانی است که به‌ویژه در افراد فعال و ورزشکاران مشاهده می‌شود. سبب‌شناسی یک سندرم چندعاملی است، اما ضعف و اختلال در عملکرد عضلات اندام تحتانی نقش کلیدی در پاتومکانیک آن دارد. این اختلال به‌ویژه در زنجیره حرکتی مشهود است. تمرینات زنجیره حرکتی باز (Open kinetic chain) OKC و بسته (Closed kinetic chain) CKC به‌عنوان دو رویکرد مهم در توانبخشی PFPS مطرح هستند. این مطالعه‌ی مروری سیستماتیک با هدف ارزیابی شواهد موجود درباره تأثیر تمرینات OKC و CKC بر کاهش درد و بهبود عملکرد در بیماران مبتلا به PFPS انجام شده است.
روش‌ها: این مطالعه به صورت مروری سیستماتیک انجام شد. جستجوی مقالات انگلیسی در بازه زمانی ٢٠١0 تا ٢٠٢6 در در پایگاههای خارجی Scopus، WOS، PubMed و در موتور جستجوی Google Scholar صورت گرفت و در نهایت 15 مقاله مرتبط بر اساس معیارهای ورود و خروج انتخاب شد. اثربخشی تمرینات زنجیره جنبشی باز و بسته در مدیریت درد و ارتقای عملکرد حرکتی بیماران مبتلا به PFPS مقایسه و بررسی گردید.
یافته‌ها: یافته‌های این مطالعه‌ی مروری نشان داد که تمرینات عملکردی مبتنی بر کنترل تنه، تمرینات زنجیره بسته، و رویکردهای ترکیبی، نسبت به تمرینات سنتی، تأثیر بیشتری در کاهش درد و بهبود عملکرد بیماران مبتلا به PFPS دارند. به‌طور کلی، مداخلات چندبعدی و فردمحور، مؤثرترین رویکرد در مدیریت این سندرم محسوب می‌شوند.
نتیجه‌گیری: مدیریت مؤثر PFPS نیازمند رویکردی چندبعدی و فردمحور است که تقویت عضلات کلیدی، بهبود کنترل حرکتی، افزایش انعطاف‌پذیری و استفاده از تمرینات متنوع عملکردی را تلفیق کند. این ترکیب می‌تواند به کاهش درد، بهبود عملکرد و اصلاح پایدار الگوهای حرکتی منجر شود.
کلیدواژه‌ها

موضوعات


عنوان مقاله English

Systematic Review of the Effect of Open and Closed Kinetic Chain Exercises on the Treatment of Patellofemoral Pain Syndrome

نویسندگان English

Shirin Aali 1
Farhad Rezazadadeh 2
Nastaran Moradzade 3
Parsa Forghani 4
1 Assistant Professor, Department of Physical Education, Farhangian University, Tehran
2 Assistant Professor, Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
3 PhD Student, Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
4 Kinesiology and Health Sciences Student, Faculty of Health, York University, Toronto, Ontario, Canada
چکیده English

Background: Patellofemoral pain syndrome (PFPS) is one of the most common musculoskeletal disorders, especially in active individuals and athletes. Although the etiology of this syndrome is multifactorial, weakness and dysfunction of the lower limb muscles, especially in the motor chain, play a key role in its pathomechanics. Open kinetic chain (OKC) and closed kinetic chain (CKC) exercises are considered two important approaches in PFPS rehabilitation. This systematic review aimed to evaluate the available evidence on the effect of OKC and CKC exercises on pain reduction and function improvement in patients with PFPS.

Methods: This study was conducted as a systematic review. A search for English articles between 2010 and 2026 was conducted in the external databases Scopus, WOS, PubMed, and Google Scholar. Finally, 15 relevant articles were selected based on the inclusion and exclusion criteria. The effectiveness of open- and closed-chain exercises in pain management and improving motor function in patients with PFPS was compared and investigated.

Findings: The findings of this review study showed that functional exercises based on trunk control, closed-chain exercises, and combined approaches are more effective than traditional exercises in reducing pain and improving function in patients with PFPS. Overall, multidimensional and person-centered interventions are considered the most effective approach to managing this syndrome.

Conclusion: Effective management of PFPS requires a multifaceted, individualized approach that combines strengthening key muscles, improving motor control, increasing flexibility, and using a variety of functional exercises. This combination can lead to reduced pain, improved function, and lasting modification of movement patterns.

کلیدواژه‌ها English

Open kinetic chain exercises
Closed kinetic chain exercises
Patellofemoral pain syndrome
Functional movement
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دوره 44، شماره 849
هفته 1، فروردین
فروردین و اردیبهشت 1405
صفحه 57-74

  • تاریخ دریافت 19 بهمن 1404
  • تاریخ پذیرش 02 اسفند 1404