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شیوع و علل آسیب های زانو در فوتبالیست های مرد حرفه ای

نوشته شده در تاریخ : یکشنبه 19 دی 1389   12:34 ق.ظ

چکیده

هدف: هدف این تحقیق بررسی شیوع و علل آسیب های زانو در فوتبالیست های حرفه ای مرد کشور ایران در لیگ 84- 85 می باشد.

روش: اطلاعات مربوط به آسیب های زانو ( نوع، مکانیسم، زمان بروز آسیب، مناطق بروز آسیب ) در بازیکنان حاضر در 16 تیم لیگ برتر فوتبال ایران با استفاده از پرسشنامه تعدیل یافته فولر و همکاران(2006)، از طریق مصاحبه با بازیکنان آسیب دیده و پزشک تیم ها ثبت شد. از بین 16 تیم حاضر در لیگ یک تیم به پرسشنامه ها پاسخ نداد. میانگین و انحراف استاندارد سن افراد آسیب دیده 6/5 ± 23 سال ، قد 54/0± 76/1 متر، وزن 2/6± 8/74 کیلوگرم بود. از آمار توصیفی و همچنین از کای اسکور ( ضریب خی دو ) برای تجزیه و تحلیل داده ها استفاده شد.

نتایج: نتایج تحقیق نشان داد که از بین 415 بازیکن حاضر در لیگ 43 نفر دچار آسیب در ناحیه زانو شده بودند (62 آسیب ؛ برابر 9/14 آسیب در هر 100 بازیکن). بیشترین نوع آسیب، آسیب لیگامنت متقاطع قدامی ( 2/53 درصد) بود که 5/12 درصد همراه با آسیب مینیسک داخلی و لیگامنت جانبی داخلی بود. آسیب در پای برتر (9/62 درصد) به طور معنا داری بیشتر از پای غیر برتر (1/37 درصد) بود (04/0=Pء،12/4=2 χ). همچنین آسیب در نیمه دوم و در دقایق 90- 76 مسابقات (3/35 درصد) به طور معناداری بیشتری از دیگر زمان ها بود (002/0=Pء،52/18=2 χ). همچنین آسیب های غیر برخوردی (1/66 درصد) به طور معنا داری بیشتر از آسیب های برخوردی ( 87/33 درصد ) مشاهده شدند (01/0=Pء،45/6=2 χ).

بحث و نتیجه گیری: یکی از یافته های مهم این تحقیق نسبت بالای آسیب های زانو در مردان فوتبالیست حرفه ای و همچنین درصد بالای آسیب لیگامنت متقاطع قدامی در این افراد بود که این یافته با نتایج روی و همکاران ( 2005) مطابقت دارد. آسیب در پای برتر بیشتر از پای برتر مشاهده شد که از دلایل احتمالی آنرا می توان میزان استفاده زیاد از حرکت باز شدن زانو در ورزش فوتبال و عدم تعادل عضلات زانو دانست. بیشترین آسیب در 15 دقیقه انتهایی نیمه دوم و در نیمه دوم مشاهده شد، تخلیه گلیکوژنی و خستگی ناشی از آنرا می توان از دلایل احتمالی این نتایج عنوان کرد. توجه بیشتر به راهکارهای پیشگیری از آسیب بی شک منجر به کاهش آسیب در تیم های ورزشی می شود. نتایج حاصل از این تحقیق اطلاعات لازم برای پیشگیری از آسیب را در اختیار دست اندکاران امور پزشکی تیم ها قرار می دهد.



نوشته شده توسط:saeed norouzi
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