مقایسة تغییر ابعاد عضلة مولتی‌فیدوس گردنی در طی فعالیت‌های مفصل شانه با استفاده از مدل‌های پیش‌بینی‌کننده

نوع مقاله: مقاله کامل پژوهشی

نویسندگان

1 کارشناس ارشد مهندسی پزشکی- بیومکانیک، دانشگاه صنعتی سهند، تبریز، ایران

2 دانشیار گروه مهندسی پزشکی- بیومکانیک، دکترای تخصصی بیومکانیک، دانشگاه صنعتی سهند، تبریز، ایران

3 استادیار گروه فیزیوتراپی، دکترای تخصصی فیزیوتراپی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

10.22041/ijbme.2017.22453

چکیده

عضلة مولتی‌فیدوس گردنی، یکی از عضله‌های عمقی اکستنسور گردن است که اختلال در عملکرد آن در افراد مبتلا به گردن­درد گزارش‌شده ‌است. با توجه به وجود محدودیت‌ها در  ثبت الکترومایوگرافی این عضله، در سال‌های اخیر از اولتراسوند برای درک چگونگی فعالیت آن استفاده‌شده‌ است. هدف این مطالعه، ارزیابی چگونگی تغییر ابعاد این عضله در شش جهت حرکتی مفصل شانه در افراد سالم و مبتلا به گردن­درد مزمن و همچنین ارائة مدل‌های پیش‌بینی‌کننده است. برای این منظور، رابطة  نیروی مفصل شانه در طول انقباض با تغییر بُعد قدامی-خلفی، بُعد جانبی، اندازه و نسبت ‌شکل عضلة مولتی‌فیدوس در ابتدا برای افراد و فعالیت‌ها و سپس با بلاک ‌کردن افراد در فعالیت‌ها به­صورت مجزا (مکان ویرگول ابهام دارد: آیا برای افراد در فعالیت های مجزا است یا اینکه جدا از هم ارزیابی شدند؟) با استفاده از روش رویة پاسخ ارزیابی شد. درنهایت با تقسیم‌بندی داده‌ها، مدل‌های پیش‌بینی‌کننده برای فعالیت ابداکشن در نیروی 50-0درصد از بیشترین انقباض ارادی فرد در افراد سالم و نیروی 100-50درصد در افراد مبتلا ارائه‌ شدند. بُعد قدامی-خلفی عضله، همبستگی بیشتری از سایر عامل‌ها با نیروی ایجادشده نشان ‌داد. مقدار «R2» برای بُعد قدامی-خلفی عضله قبل و بعد از تقسیم‌بندی داده در افراد سالم، به­ترتیب برابر با 552/0 و 66/0 و در افراد مبتلا، به­ترتیب برابر با 339/0 و 505/0 است. با توجه به ضریب همبستگی مدل‌ها و افزایش آن با تقسیم‌بندی داده‌ها، به‌نظر می‌رسد بررسی تغییر بُعد قدامی-خلفی این عضله در طی ابداکشن ایزومتریک شانه با نیروی 50-0 درصد از بیشترین انقباض ارادی فرد برای افراد سالم و 100-50 درصد برای افراد مبتلا به گردن­درد مزمن می‌تواند اطلاعات مفیدتری از چگونگی عملکرد آن ارائه‌ دهد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of the Cervical Multifidus Muscle Dimansions Change During the Shoulder Joint Activities using of Predictive Models

نویسندگان [English]

  • Sharare Kian-Bostanabad 1
  • Mahmoud Reza Azghani 2
  • Leila Rahnama 3
1 M.Sc، Department of Mechanical Engineering، Sahand University of Technology، Tabriz، Iran
2 Ph.D، Associate Professor in Biomechanics، Department of Mechanical Engineering، Sahand University of Technology، Tabriz، Iran
3 Ph.D، Assistant Professor in Physiology،University of Social Welfare and Rehabilitation Sciences، Tehran، Iran
چکیده [English]

The cervical multifidus muscle is known as one of the deep neck extensor muscles that its dysfunction have been reported in people with neck pain.With regard to the limits on the evaluation of this muscle activity using electromyography, ultrasound was used to find out its function recently. The aim of this study is evaluation of this muscle dimansions change during six shoulder joint activities in healthy subjects and people with chronic neck pain and providing predictive models. So The relationship between strength of shoulder joint during contraction with the changes of anterior-posterior dimension, lateral dimension, shape ratio and size of the cervical multifidus muscle were assessed using of Response Surface Method in the first step for subjects and activities and then for activities with subject blocking. Finally, predictive models were provided for abduction activity in 0-50% of maximum voluntary contraction (MVC) for healthy subjects and 50-100% for patients with data clustering. The anterior-posterior dimension showed a higher correlation with the shoulder joint strength than other factors. R2 values for this dimension in healthy subjects before and after data clustering is 0.552 and 0.66 and in patients is 0.339 and 0.505 respectively. Given the models correlation coefficient and its enhance by data clustering, it seems that evaluation of anterior-posterior dimension of this muscle during isometric abduction activiy of shoulder joint with the sttrength of 0-50% MVC for healthy subjects and 50-100% for patients with neck pain can be provide useful information about its function.

کلیدواژه‌ها [English]

  • Ultrasound
  • cervical multifidus muscle
  • muscle dimensions
  • predictive models
  • Response surface methodology

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