مقایسه پوسچر بالاتنه و دامنه حرکتی شانه درزنان مبتلا به شانه منجمد و سالم.

ﺷﺎﻧﮥ ﻣﻨﺠﻤﺪ از ﺷﺎﯾﻊ ﺗﺮﯾﻦ دﻻﯾﻞ درد و ﻧﺎﺗﻮاﻧﯽ ﺷﺎﻧﻪ اﺳﺖ ﮐﻪ ﻣﯽﺗﻮاﻧﺪ ﺑﺎ ﭘﻮﺳﭽﺮ ﺿﻌﯿﻒ و ﻣﺤﺪودﯾﺖ ﺣﺮﮐﺘﯽ ﮐﻤﺮﺑﻨﺪ ﺷﺎﻧﻪ در ارﺗﺒﺎط ﺑﺎﺷﺪ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﻪ ﻣﻘﺎﯾﺴﮥ ﭘﻮﺳﭽﺮ ﺑﺎﻻﺗﻨﻪ و داﻣﻨﮥ ﺣﺮﮐﺘﯽ ﺷﺎﻧﻪ در زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﺷﺎﻧﮥ ﻣﻨﺠﻤﺪ و ﺳﺎﻟﻢ ﭘﺮداﺧﺖ. اﯾﻦ ﭘﮋوﻫﺶ روی 30زن ﻣﺒﺘﻼ ﺑﻪ ﺷﺎﻧﮥ ﻣﻨﺠﻤﺪ و 30زن ﺳﺎﻟﻢ ﺷﻬﺮﺳﺘﺎن اﯾﻼم اﻧﺠﺎم ﺷﺪ. در اﯾﻦ ﭘﮋوﻫﺶ زاوﯾﮥ ﺳﺮ و ﺷﺎﻧﻪﺑﻪﺟﻠﻮ ، ﺑﺎ اﺳﺘﻔﺎده از ﺗﺼﻮﯾﺮﺑﺮداری؛ داﻣﻨﮥ ﺣﺮﮐﺘﯽ ﻓﻠﮑﺸﻦ، اﺑﺪاﮐﺸﻦ و ﭼﺮﺧﺶ ﺧﺎرﺟﯽ ﺷﺎﻧﻪ ﺑﻪوﺳﯿﻠﮥ ﮔﻮﻧﯿﺎﻣﺘﺮ و اﻧﺤﻨﺎی ﮐﺎﯾﻔﻮز ﺳﯿﻨﻪای ﺗﻮﺳﻂ ﺧﻂ ﮐﺶ ﻣﻨﻌﻄﻒ اﻧﺪازهﮔﯿﺮی ﺷﺪ. ﺑﺮای ﺑﺮرﺳﯽ ﻧﺘﺎﯾﺞ از ﺗﯽﻣﺴﺘﻘﻞ در ﺳﻄﺢ ﻣﻌﻨﺎداری 0/05اﺳﺘﻔﺎده ﺷﺪ. ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﺑﯿﻦ زاوﯾﻪ ﺳﺮ و ﺷﺎﻧﻪﺑﻪﺟﻠﻮ، ﮐﺎﯾﻔﻮز، داﻣﻨﮥ ﺣﺮﮐﺘﯽ ﻓﻠﮑﺸﻦ ، اﺑﺪاﮐﺸﻦ و ﭼﺮﺧﺶ ﺧﺎرﺟﯽ در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﺷﺎﻧﮥ ﻣﻨﺠﻤﺪ و ﺳﺎﻟﻢ ﺗﻔﺎوت ﻣﻌﻨﺎداری وﺟﻮد دارد. ﯾﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن ﻣﯽدﻫﺪ اﻓﺮاد ﺑﺎ ﺷﺎﻧﮥ ﻣﻨﺠﻤﺪ ، در ﻣﻘﺎﯾﺴﻪ ﺑﺎ اﻓﺮاد ﺳﺎﻟﻢ، زاوﯾﮥ ﺷﺎﻧﻪﺑﻪﺟﻠﻮ (0/001=p)، ﺳﺮﺑﻪﺟﻠﻮ (0/044=p) و ﮐﺎﯾﻔﻮز ( 0/016=p) ﺑﯿﺸﺘﺮ و ﻣﯿﺰان داﻣﻨﮥ ﺣﺮﮐﺘﯽ ﭼﺮﺧﺶ ﺧﺎرﺟﯽ ، ﻓﻠﮑﺸﻦ، اﺑﺪاﮐﺸﻦ ﺷﺎﻧﮥ ﮐﻤﺘﺮی دارﻧﺪ (0/001=p). ﺑﻨﺎﺑﺮاﯾﻦ ﭘﯿﺸﻨﻬﺎد ﻣﯽﺷﻮد ﺑﺮای ﺑﻬﺒﻮد داﻣﻨﮥ ﺣﺮﮐﺘﯽ ﺷﺎﻧﻪ در اﻓﺮاد ﺷﺎﻧﮥ ﻣﻨﺠﻤﺪ، ﭘﻮﺳﭽﺮ ﺑﺎﻻﺗﻨﻪ ﺑﺮرﺳﯽ ﺷﻮد و ﺑﺮﻧﺎﻣﮥ اﺻﻼﺣﯽ ﺑﺮای اﺻﻼح ﻧﺎﻫﻨﺠﺎری اﯾﻦ اﻓﺮاد ﻣﺪ ﻧﻈﺮ ﻗﺮار ﺑﮕﯿﺮد.

comparison of upper body posture and shoulder range of motion in women with and without frozen shoulder

Frozen shoulder syndrome is one of the most common causes of shoulder pain and disability, which can be associated with poor posture and limited mobility of the shoulder girdle. The study compared upper body posture and shoulder range of motion in women with frozen and healthy shoulders. This study was conducted on 30 women with frozen shoulders and 30 healthy women in Ilam. In the present study, the head and shoulder angle was measured using imaging, the range of motion flexion, abduction and external rotation of the shoulder was measured through the goniometer and curvature of the thoracic kyphosis and a flexible ruler was used to evaluate the results of independent ttest at a significant level 0.05. The results showed a significant difference between head and shoulder angle in front, kyphosis, range of motion flexion, abduction and external rotation in patients with frozen and healthy shoulders. Findings indicated that people with frozen shoulders were more likely than healthy individuals to have anterior shoulder angle (P = 0.001), anterior head (P = 0.044) and kyphosis (P = 0.016). External Rotation Range of motion, flexion, abduction had less shoulder (P = 0.001). Therefore, it is suggested that in order to improve the range of motion of the shoulder in people with frozen shoulder, the posture of the upper body should be examined and a correction program should be considered to correct the anomaly of these people.