سلامت روانی و جسمانی: نقش پیلاتس بر بهبود افسردگی، شدت درد و زاویه کایفوز زنان

هدف: اﻓﺰاﯾﺶ ﻗﻮس ﻧﺎﺣﯿﻪ ﭘﺸﺘﯽ ﺑﺎ ﻋﻨﻮان ﻋﺎرﺿﻪ ﻫﺎﯾﭙﺮﮐﺎﯾﻔﻮز ﺑﻪ دﻟﯿﻞ ﮐﻤﺒﻮد ﺗﺤﺮک، درﯾﺎﻓﺖ ﻣﺤﺮک ﻫﺎی ﻣﺤﯿﻄﯽ و ﻧﯿﺰ اﻟﮕﻮﻫﺎی ﺣﺮﮐﺘﯽ ﻧﺎﻣﻨﺎﺳﺐ ﯾﻪ وﺟﻮد ﻣﯽ آﯾﻨﺪ و اﺛﺮات ﻧﺎﻣﻄﻠﻮﺑﯽ ﺑﺮ ﻋﻤﻠﮑﺮد رواﻧﯽ، اﺟﺘﻤﺎﻋﯽ و ﻓﯿﺰﯾﻮﻟﻮژﯾﮏ اﻓﺮاد ﺑﺠﺎ ﻣﯽ ﮔﺬارد. ﻟﺬا ﻫﺪف از ﺗﺤﻘﯿﻖ ﺣﺎﺿﺮ ﺑﺮرﺳﯽ ﻧﻘﺶ ﭘﯿﻼﺗﺲ ﺑﺮ ﺑﻬﺒﻮد اﻓﺴﺮدﮔﯽ، ﺷﺪت درد و زاوﯾﻪ ﮐﺎﯾﻔﻮز زﻧﺎن ﻣﯿﺎﻧﺴﺎل ﺷﻬﺮﺳﺘﺎن ﺷﻬﺮﺿﺎ ﻣﯽ ﺑﺎﺷﺪ . روش پژهش: در اﯾﻦ ﺗﺤﻘﯿﻖ 30 ﻧﻔﺮ از زﻧﺎن ﻋﻀﻮ ﺑﺎﺷﮕﺎه ﻣﺒﺘﻼ ﺑﻪ ﻫﺎﯾﭙﺮﮐﺎﯾﻔﻮز )زاوﯾﻪ ﮐﺎﯾﻔﻮز≥ 40(، ﺑﺎ داﻣﻨﻪ ﺳﻨﯽ20 ﺗﺎ 40 ﺳﺎل اﻧﺘﺨﺎب و ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه ﺗﺠﺮﺑﯽ ) 15ﻧﻔﺮ( و ﮐﻨﺘﺮل ) 15ﻧﻔﺮ( ﻗﺮار ﮔﺮﻓﺘﻨﺪ. اﯾﻦ ﺗﺤﻘﯿﻖ از ﻧﻮع ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶ آزﻣﻮن- ﭘﺲ آزﻣﻮن ﺑﻮد. ﻣﯿﺰان اﻓﺴﺮدﮔﯽ، ﺷﺪت درد، زاوﯾﻪ ﮐﺎﯾﻔﻮز آزﻣﻮدﻧﯽ ﻫﺎی ﻫﺮ دو ﮔﺮوه ﺗﺠﺮﺑﯽ و ﮐﻨﺘﺮل، ﭘﯿﺶ از آزﻣﻮن )ﯾﮏ ﺳﺎﻋﺖ ﻗﺒﻞ از ﺷﺮوع اوﻟﯿﻦ ﺟﻠﺴﻪ ﺗﻤﺮﯾﻨﯽ( و ﻫﻤﭽﻨﯿﻦ دوازده ﻫﻔﺘﻪ ﭘﺲ از اﻋﻤﺎل ﻣﺘﻐﯿﺮ ﻣﺴﺘﻘﻞ )ﺑﻌﺪ از ﭘﺎﯾﺎن ﺟﻠﺴﺎت ﺗﻤﺮﯾﻦ(، ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮن اﻓﺴﺮدﮔﯽ beck، ﺧﻂ ﮐﺶ درد و ﮐﺎﯾﻔﻮﻣﺘﺮ اﻧﺪازه ﮔﯿﺮی و ﺛﺒﺖ ﺷﺪﻧﺪ. در اﺑﺘﺪا ﻧﺮﻣﺎﻟﯿﺘﯽ و ﺑﺮاﺑﺮی وارﯾﺎﻧﺴﻬﺎ داده ﻫﺎ ﺑﺎ آزﻣﻮﻧﻬﺎی ﮐﻠﻤﻮﮔﺮاف اﺳﻤﯿﺮﻧﻒ و ﻟﻮﯾﻦ ﺑﺮرﺳﯽ و ﺟﻬﺖ ﺗﺤﻠﯿﻞ داده ﻫﺎ از آﻣﺎر ﺗﻮﺻﯿﻔﯽ و اﺳﺘﻨﺒﺎﻃﯽ)ﺗﺤﻠﯿﻞ ﮐﻮارﯾﺎﻧﺲ ﺗﮏ ﻣﺘﻐﯿﺮه( در ﺳﻄﺢ0/05 اﺳﺘﻔﺎده ﺷﺪ. یافته ها: ﻧﺘﺎﯾﺞ ﺗﺤﻘﯿﻖ ﻧﺸﺎن داد ﮐﻪ ﺑﻌﺪ از دوازده ﻫﻔﺘﻪ ﺗﻤﺮﯾﻦ ﭘﯿﻼﺗﺲ ﺗﻔﺎوت ﻣﻌﻨﺎداری در ﻣﯿﺰان اﻓﺴﺮدﮔﯽ )8/7 = f(، ﺷﺪت درد )9/08 =f (، و زاوﯾﻪ ﮐﺎﯾﻔﻮز )7/6 =f ( ﮔﺮوه ﺗﺠﺮﺑﯽ در ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﻣﺸﺎﻫﺪه ﺷﺪ )p≤0/05( . نتیجه گیری: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﺗﻤﺮﯾﻨﺎت ﭘﯿﻼﺗﺲ ﺗﺎﺛﯿﺮات ﻣﺜﺒﺖ و ﻣﻌﻨﺎداری ﺑﺮ ﮐﺎﻫﺶ اﻓﺴﺮدﮔﯽ، ﮐﺎﻫﺶ ﺷﺪت درد ﻧﺎﺣﯿﻪ ﭘﺸﺖ و زاوﯾﻪ ﮐﺎﯾﻔﻮز زﻧﺎن 20ﺗﺎ 40ﺳﺎل دارد. ﺑﻨﺎﺑﺮاﯾﻦ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻫﻤﯿﺖ ﺳﻼﻣﺖ روان اﻓﺮاد ﺟﺎﻣﻌﻪ و ﻫﻤﭽﻨﯿﻦ ﺳﺎﺧﺘﺎر ﺟﺴﻤﺎﻧﯽ ﻃﺒﯿﻌﯽ ﺑﺪن، ﭘﯿﺸﻨﻬﺎد ﻣﯽ ﺷﻮد از ﺗﻤﺮﯾﻨﺎت ﭘﯿﻼﺗﺲ ﺑﻪ ﻋﻨﻮان روﺷﯽ ﻣﻔﯿﺪ و ﮐﻤﮑﯽ ﺑﺮای ﺑﻬﺒﻮد وﺿﻌﯿﺖ روﺣﯽ و ﺟﺴﻤﯽ اﻓﺮاد ﻣبتلا ﺑﻪ اﻓﺴﺮدﮔﯽ و ﻣﺸﮑﻼت اﺳﮑﻠﺘﯽ ﻋﻀﻼﻧﯽ اﺳﺘﻔﺎده ﮔﺮدد.

mental and physical health: the role of pilates on improving depression, pain intensity, and kyphosis angle in women

objective: increased curvature of the back, known as hyperkyphosis, occurs due to lack of mobility, environmental stimuli, and inappropriate movement patterns, and has adverse effects on psychological, social, and physiological functioning. therefore, the aim of this study is to investigate the role of pilates in improving depression, pain intensity, and kyphosis angle in middle-aged women in shahreza city.method the present study was conducted to examine the effect of 12 weeks pilates exercises on depression, pain and hyperkyphosis in the women of shahreza city. thus, 30 gym women with hyperkyphosis (kyphosis angle ≥40) at the age range 20-40 years were selected and randomly assigned to 15 subjects in experimental and 15 in the control groups. the study was semi-experimental with pre-test and post-test design. pain and kyphosis angle of the subjects in both experimental and control groups, pre-test, one hour before the beginning of the first session in the club and after the test, in the final session after the completion of the class, using a pain reliever and a kyphometer in all people were measured and recorded. to describe the data, mean and standard deviation were used and for data analysis, one-variable covariance analysis was used at 0.05 significance level.results: results showed that pilates exercises had a positive and significant effect on depression, back pain and kyphosis angle in women 20 to 40 (p≤0.05).conclusions: the results showed that pilates exercises have positive and significant effects on reducing depression, reducing the severity of back pain, and reducing the angle of kyphosis in women aged 20 to 40.therefore, considering the importance of the mental health of individuals in society as well as the normal physical structure of the body, it is suggested that pilates exercises be used as a useful and helpful method to improve the mental and physical condition of people prone to depression and musculoskeletal problems.