اثر 8 هفته تمرینات ثبات دهنده مرکزی منتخب همراه با مصرف ویتامین D بر کیفیت زندگی و سلامت روان زنان مبتلا به کمردرد مزمن غیر اختصاصی

نوع مقاله : مقاله پژوهشی

نویسندگان

گروه تربیت بدنی، واحد قائمشهر، دانشگاه آزاد اسلامی، قائمشهر، ایران

چکیده

مقدمه و هدف: بر اساس شواهد فعالیت‌های ورزشی و ویتامینD، علاوه بر نقش خود در توسعه سلامت جسمانی، تاثیر مهمی بر اختلالات شناختی، رفتاری و خلقی دارند. در مطالعه حاضر اثربخشی تمرینات ثبات دهنده مرکزی و مصرف ویتامین D بر کیفیت زندگی و سلامت روان زنان مبتلا به کمردرد مزمن بررسی شد.
مواد و روش ها: در این مطالعه کارآزمایی بالینی بر روی زنان دارای کمردرد مزمن انجام شد، در ابتدا 48 بیمار به روش نمونه‌گیری در دسترس انتخاب، سپس بطور تصادفی به 4 گروه کنترل، تمرین، ویتامین D و ترکیبی (تمرین + ویتامین D) تقسیم شدند. تمرینات ثبات دهنده مرکزی طی 8 هفته توسط گروه‌های تمرین و ترکیبی انجام شد و گروه‌های ویتامینD  و ترکیبی (50000 واحد) مصرف نمودند. از پرسشنامه‌های کیفیت زندگی (SF-36) و سلامت عمومی (GHQ) برای       جمع آوری داده‌ها استفاده شد. آنالیز داده‌ها با استفاده از آزمون‌های t زوجی و تحلیل واریانس یک طرفه در سطح معناداری کمتر از 05/0 انجام شد.
نتایج: سطوح ویتامین D در تمامی آزمودنی‌ها پایین‌تر از حد نرمال بود. کیفیت زندگی و سلامت عمومی زنان مبتلا به کمردرد پس از تمرینات ورزشی، مصرف ویتامین D و مداخله ترکیبی بهبود یافت. بعلاوه مداخله ترکیبی با افزایش بیشتری در کیفیت زندگی در مقایسه با دو مداخله درمانی دیگر و توسعه سلامت روان در مقایسه مصرف ویتامین D همراه بود.
نتیجه‌گیری: به نظر می‌رسد روش‌های درمانی استفاده از تمرینات ثبات دهنده مرکزی، مصرف ویتامین D و یا مداخله ترکیبی می‌تواند به افراد مبتلا به کمردرد با سطح پایین ویتامین D در بهبود کیفیت زندگی و سلامت عمومی کمک نماید.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of 8 weeks of selected central stabilization exercises with vitamin D consumption on the quality of life and mental health of women with non-specific chronic back pain

نویسندگان [English]

  • masoumeh habibian
  • Seyyed Jafar Moosavi
  • ali davari
Department of Physical Education and Sports Sciences, Qaemshahar Branch, Islamic Azad University, Qaemshahar, Iran
چکیده [English]

Background and Objective: According to evidence, sports activities and vitamin D, in addition to their role in developing physical health, have a considerable impact on cognitive, behavioral and mood disorders. In the present study, the effectiveness of core stabilization exercises and vitamin D consumption on quality of life (QL) and mental health (MH) of women with chronic low back pain was investigated.
Materials and Methods: This clinical trial study was performed on women with chronic low back pain. First, 48 patients were selected by available sampling method, then randomly divided into 4 groups: control, exercise, vitamin D and combined (exercise+vitamin D). Core stabilization exercises were performed by training and combined groups for 8 weeks, and vitamin D and combined groups took vitamin D (50,000 IU) weekly. SF-36 QL and general health (GHQ) questionnaires were used to collect data. Data analysis was performed using paired t-test and  one-way analysis of variance at a significance level of P< 0.05.
Results: Vitamin D levels were lower than normal in all subjects. The QL and MH of women with low back pain improved after exercise, vitamin D intake, and combined intervention. The combined intervention was associated with a greater increase in QL compared to the other two therapeutic interventions and the development of MH compared to vitamin D intake.
Conclusion: It seems that therapies using core stabilization exercises, vitamin D intake or combination intervention can help people with low back pain and low levels of vitamin D in improving QL and MH.

کلیدواژه‌ها [English]

  • Chronic low back pain
  • Selected core stabilization exercises
  • Mental health (MH)
  • Quality of life (QL)
  • Vitamin D

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دانشور پزشکی
دوره 30، شماره 6 - شماره پیاپی 163
بهمن و اسفند 1401
صفحه 20-31

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