ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ يﻮﻧاز ﻞﺼﻔﻣ درد ناﺰﯿﻣ و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ،ﯽﻘﻤﻋ ﺲﺣ ﺮﺑ ﺲﺗﻼﯿﭘ و ژﺎﺳﺎﻣ ﺮﯿﺛﺎﺗ ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ
ﯽﻤﺷﺎﻫ لﻮﺘﺑ هﺪﯿﺳ .1
ﻪﺘﺳاﺮﯿﭘ زوﺮﻬﺑ دار ﯽﻧﺎﺤﺒﺳ ﻪﻟﻻﻮﮔ .2
3
و1 و2 ﯽﺳﺎﻨﺷ ﺐﯿﺳآ ﺪﺷرا ﯽﺳﺎﻨﺷرﺎﮐ يﻮﺠﺸﻧاد3 ﯽﺷزرو
ناﺮﻬﺗ هﺎﮕﺸﻧاد ﯽﺣﻼﺻا تﺎﮐﺮﺣ و
هﺪﯿﮑﭼ
زا دﻮـﺧ ﯽﺘـﺳرﺪﻨﺗ و ﺖﻣﻼﺳ دﻮﺒﻬﺑ ﺖﻬﺟ داﺮﻓا هزوﺮﻣا ﻪﮐ ﺪﻨﺘﺴﻫ ﻦﯾﻮﻧ ﯽﻨﯾﺮﻤﺗ ي هﻮﯿﺷ ود ﺲﺗﻼﯿﭘ و ژﺎﺳﺎﻣ درد ناﺰـﯿﻣ و ﯽـﺘﮐﺮﺣ ﻪﻨﻣاد ،ﯽﻘﻤﻋ ﺲﺣ ﺮﺑ ﺲﺗﻼﯿﭘ و ژﺎﺳﺎﻣ ﺮﯿﺛﺎﺗ ﺶﻫوﮋﭘ ﻦﯾا زا فﺪﻫ. ﺪﻨﻨﮐ ﯽﻣ هدﺎﻔﺘﺳا نآ ﯽﻧدﻮﻣزآ.ﺪﺷﺎﺑ ﯽﻣ ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ يﻮﻧاز ﻞﺼﻔﻣ ﻣ ﻦﯾا يﺎﻫ
ﻞﻣﺎﺷ ﻪﻌﻟﺎﻄ ﻪـﺑ ﻼﺘﺒﻣ رﺎﻤﯿﺑ30
ﯽﻨﺳ ي ﻪﻨﻣاد ﺎﺑ ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ ﺎﺗ40
ﻪـﺳ رد ﯽﻓدﺎـﺼﺗ رﻮـﻃ ﻪـﺑ و ﺪﻨﻤﻓﺪﻫ ترﻮﺻ ﻪﺑ ﻪﮐ ﺪﻧدﻮﺑ لﺎﺳ60
هوﺮﮔ هزاﺪﻧا ياﺮﺑ .ﺪﻧﺪﺷ ﻢﯿﺴﻘﺗ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ ﻦﯾﺮﻤﺗ ،لﺮﺘﻨﮐ هﺮﻔﻧ10
ﺮﺘﻣﺎـﯿﻧﻮﮔوﺮﺘﮑﻟا زا ﯽﻘﻤﻋ ﺲﺣ يﺮﯿﮔ
اﺪﯾد سﺎﯿﻘﻣ زا ﺰﯿﻧ درد تﺪﺷ ياﺮﺑ و ﯽﮑﯾﺮﺘﮑﻟا ) درد ير
ﺰـﯿﻧ نارﺎﻤﯿﺑ يﻮﻧاز ﯽﺘﮐﺮﺣ ﻪﻨﻣاد.ﺪﺷ هدﺎﻔﺘﺳا(VAS
فﺎﻄﻌﻧا زا هدﺎﻔﺘﺳا ﺎﺑ نﻮـﻣزآ زا هدﺎﻔﺘـﺳا ﺎـﺑ ﺎـﻫ هداد ندﻮـﺑ لﺎـﻣﺮﻧ ﻦﯿـﯿﻌﺗ زا ﺪﻌﺑ .ﺪﺷ يﺮﯿﮔ هزاﺪﻧا نﻮﺘﯿﻟ ﺞﻨﺳ
ياﻮﻧآ نﻮﻣزآ زا ،ﮏﻠﯾووﺮﯿﭘﺎﺷ ﮏﯾ
هداد ﻞﯿﻠﺤﺗ و ﻪﯾﺰﺠﺗ ﺖﻬﺟ ﻪﻫار نﺪـﯾد ياﺮـﺑ ﯽﮐﻮﺗ يدﺮﮕﯿﭘ نﻮﻣزآ زا و ﺎﻫ
توﺎﻔﺗ يﺎﻫ هوﺮﮔ ﻦﯿﺑ رد درد ناﺰـﯿﻣ و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ،ﻮﻧاز ﯽﻘﻤﻋ ﺲﺣ ﺖﻗد رد داد نﺎﺸﻧ ﺞﯾﺎﺘﻧ .ﺪﺷ هدﺎﻔﺘﺳا ﺎﻫ
)دراد دﻮﺟو يرادﺎﻨﻌﻣ توﺎﻔﺗ ﺎﻫ هوﺮﮔ ﻦﯿﺑ /05
≤0 يﺎـﻫ هوﺮﮔ داﺮﻓا ﻪﮐ داد نﺎﺸﻧ ﺰﯿﻧ ﯽﮐﻮﺗ ﯽﺒﯿﻘﻌﺗ نﻮﻣزآو .(P
اد و ﯽﻘﻤﻋ ﺲﺣ ﺖﻗد يرادﺎﻨﻌﻣ رﻮﻃ ﻪﺑ لﺮﺘﻨﮐ هوﺮﮔ ﻪﺑ ﺖﺒﺴﻧ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ ﻦﯾﺮﻤﺗ و ﺮﺗﻻﺎـﺑ ﯽـﺘﮐﺮﺣ ﻪـﻨﻣ
)ﺪﻨﺘﺷاد ﺮﺘﻤﮐ درد ناﺰﯿﻣ /05
≤0 ﺺﺧﺎـﺷ رد يرادﺎﻨﻌﻣ توﺎﻔﺗ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ ﯽﺑﺮﺠﺗ يﺎﻫ هوﺮﮔ ﻦﯿﺑ ﯽﻟو (P
) ﺪﺸﻧ هﺪﯾد هﺪﺷ ﺮﮐذ يﺎﻫ /05
0
>
ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .(P ﯽـﻨﯾﺮﻤﺗ ي هﻮﯿـﺷ ود ﺮـﻫ ندﻮـﺑ ﺶـﺨﺑ ﺮﺛا و ﻖﯿﻘﺤﺗ ﺞﯾﺎﺘﻧ
ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ تﻻﻼﺘﺧا زا ﯽﺧﺮﺑ ﺮﺑ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ تﺎﻨﯾﺮﻤﺗ ﻦﯾا ﻪﮐ دﺮﮐ ﺎﻋدا ناﻮﺗ ﯽﻣ
.دﻮﺷ ﯽﻣ ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ ﯽﺘﺳرﺪﻨﺗ و ﯽﺘﻣﻼﺳ دﻮﺒﻬﺑ ﺐﺒﺳ
ﯿﭘ.ژﺎﺳﺎﻣ.ﺪﯿﯾﻮﺗﺎﻣور ﺖﯾﺮﺗرآ : يﺪﯿﻠﮐ تﺎﻤﻠﮐ ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ،درد ،ﯽﻘﻤﻋ ﺲﺣ.ﺲﺗﻼ
Abstract
Massage and pilates are two new exercise methods that people do for improving their health. The purpose of this study was to investigate effect of massage and pilates on proprioception sense, range of motion and the extent of knee joint pain in patients with rheumatoid arthritis. 30 patients with rheumatoid arthritisranging from 40-60 years old were experimented and divided into three groups of 10 in control, pilates and massage groups.
Proprioception sense was measured by electronic electro goniometerand pain intensity was measured by Visual Analog Scale (VAS). The range of motion of patients' knee was measured by Liton versatile meter. After determining the normality of the data, using Shapiro Wilk Test, one-way ANOVA test was used for analyzing the data and Tukey test was used for finding the differences among groups. The results showed that in the intensity of proprioception sense of knee, the range of motion and the extent of pain there was meaningful differences among groups(P≤0.05). Tukey test revealed that pilates and massage groups had a meaningfully higher deep sense intensity and range of motion and less pain in contrast to control group (P≤ 0.05). But there was no meaningful difference between pilates and massage experimental groups in these indices (P≥0.05).
According to this research results and effectiveness of both pilates and massage exercise methods on some of ﯽﺷزرو ﺐﻃ
the disorders of patients with rheumatoid arthritis, it can be claimed that these exercises can improve the health of patients with rheumatoid arthritis.
Keywords: Rheumatoid Arthritis, Massage, Pilates, Proprioception Sense, Pain, Range of Motion.
ﻪﻣﺪﻘﻣ
و يﺮﯿﮔرد ﺎﺑ ﻪﮐ ﺖﺳا ﮏﯿﻤﺘﺴﯿﺳ و ﻦﻣﺰﻣ ﯽﺑﺎﻬﺘﻟا يرﺎﻤﯿﺑ ﮏﯾ ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ ﻪـﻨﯾﺮﻗ و هﺪﻧوﺮﺸﯿﭘ ﯽﻠﮑﺷﺪﺑ
ي ﯽﻣ ﺺﺨﺸﻣ ﻞﺻﺎﻔﻣ .دﻮﺷ
ﯽﺋﺎﻧاﻮﺗ ﺶﻫﺎﮐ ﻪﺑ ﺮﺠﻨﻣ يرﺎﻤﯿﺑ ﻦﯾا ﯽﺘﮐﺮﺣ يﺎﻫ
ﺲﺣ ﺖﻗد رد لﻼﺘﺧا ﻪﻠﻤﺟ زا
درد دﺎﺠﯾا و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ﺖﯾدوﺪﺤﻣ ،ﯽﻘﻤﻋ ﯽﻣ نﺎﯾﻼﺘﺒﻣ رد
دﻮﺷ ،نارﺎﮑﻤﻫ و ﯽﺑ) ﺲﺗﻼﯿﭘ تﺎﻨﯾﺮﻤﺗ .(2003
ﻞﻣﺎﺷ تﺎﮐﺮﺣ ﯽﺸﺸﮐ ﯽﺗرﺪﻗو ﺖﺳا
ﻪﮐ لﻮﻃرد ﻪﻨﻣاد ﯽﺘﮐﺮﺣ ﻔﻣ ﺎﺑ،ﻞﺼ ﮏﯾ ﺖﻋﺮـﺳ لﺮـﺘﻨﮐ
هﺪـﺷ هاﺮـﻤﻫ ﺎـﺑ
ﺰﮐﺮﻤﺗ و ﺲﻔﻨﺗ يﺎﻫ مﺎﺠﻧا ﻖﯿﻤﻋ نوﺪﺑ ﻪﮐ دﻮﺷ ﯽﻣ
ﯽﻃ شﺮﭘ،ﺖﻓﺎﺴﻣ ﺶﻬﺟو
،دﺮﯿﮔ ﯽﻣ مﺎﺠﻧا ﺮﯿﺧا تﺎﻌﻟﺎﻄﻣ
ﻒـﻠﺘﺨﻣ ﯽﻧﺪـﺑ يﺎـﻫ ﯽﮔدﺎـﻣآ و ﯽﻧﺪﺑ يﺎﻫ ﭗﯿﺗ مﺎﻤﺗ ،ﻦﯿﻨﺳ مﺎﻤﺗ ياﺮﺑ ﺲﺗﻼﯿﭘ شزرو ﻪﮐ ﺪﻧا هدﺮﮐ شراﺰﮔ شزرو ﺞﯾﺎﺘﻧ ﻢﯿﺳﺮﺗ ياﺮﺑ نﺎﻘﻘﺤﻣ ﯽﻟو ،ﺖﺳا ﺐﺳﺎﻨﻣ ﻞـﻣاﻮﻋ ﺮﯾﺎـﺳ و ﯽـﺘﮐﺮﺣ دﺮـﮑﻠﻤﻋ دﻮﺒﻬﺑ يور ﺲﺗﻼﯿﭘ
ﺪﻨﺘﺴﻫ يﺮﺘﺸﯿﺑ تﺎﻘﯿﻘﺤﺗ ﺪﻨﻣزﺎﯿﻧ ﯽﺘﻣﻼﺳ ،نارﺎﮑﻤﻫ و ﻮﮔرآ يد)
.(2011 ژﺎـﺳﺎﻣ زا زﺎـﺑﺮﯾد ﻪـﺑ ناﻮـﻨﻋ شور
ﻞﻤﮑﻣ ياﺮﺑ
،نﺎﻣرد دﻮﺒﻬﺑ دﺮﮑﻠﻤﻋ و يﺮﯿﮕﺸﯿﭘ زا
عﻮﻗو تﺎﻣﺪﺻ هدﺎﻔﺘﺳا
ﯽﻣ هﺪﺷ ﺖـﺳا . ةﺪـﯿﻘﻋ لﻮـﻤﻌﻣ نآ
ﺖﺳا ﻪﮐ مﺎﺠﻧا ﮥﻧاﺮﻫﺎﻣ ژﺎﺳﺎﻣ ﺐﺟﻮﻣ ﺶﻫﺎﮐ لﺎﻤﺘﺣا زوﺮﺑ
،ﺐﯿﺳآ دﻮﺒﻬﺑ دﺮـﮑﻠﻤﻋ ﺖـﯾﺎﻤﺣو
زا ﺪـﻧور ﻢﯿﻣﺮـﺗ
ﺖﻓﺎﺑ ﺎﻫ ﯽﻣ دﻮﺷ . و ياﺮﺑ نﺪﺑ يدﺎﯾزﺪﯾاﻮﻓ ﻪﻠﻤﺟزا،دراد
ﺶﯾاﺰﻓا نﺎﯾﺮﺟ نﻮﺧ ﺶﻫﺎﮐو ﺶﻨـﺗ
ﺶﻫﺎﮐ،ﯽﻧﻼـﻀﻋ
ﺢﻄﺳ ﮏﯾﺮﺤﺗ يﺮﯾﺬﭘ ﯽﺒﺼﻋ باﺮﻄﺿاو .
ﺎﺑ ﻦﯾا ﯽﻤﻠﻋﺪﻫاﻮﺷ،دﻮﺟو تاﺮﯿﺛﺄﺗدرﻮﻣرد
ژﺎﺳﺎﻣ ﺶﯿﭘ زا ﻦﯾﺮﻤﺗ يور
يﺮﯿﮕﺸﯿﭘودﺮﮑﻠﻤﻋ ﺳآزا
ﯿ ﺐ ﺖـﺳادوﺪﺤﻣرﺎﯿﺴﺑﺎﻫ رﺎـﻨﯾﺎﭘ)
،نارﺎـﮑﻤﻫ و نﻮﻨﮐﺎـﺗ ﻪـﮑﻨﯾا ﻪـﺑ ﻪـﺟﻮﺗ ﺎـﺑ.(2012
ﺖـﯾﺮﺗرآ ﻪـﺑ ﻼﺘـﺒﻣ نارﺎﻤﯿﺑ درد ناﺰﯿﻣ و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ،ﯽﻘﻤﻋ ﺲﺣ ﺮﺑ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ تﺎﻨﯾﺮﻤﺗ ﺮﺛا ﯽﺸﻫوﮋﭘ ﺑ هوﻼﻋ ﺎﺗ دراد ﯽﻌﺳ ﺶﻫوﮋﭘ ﻦﯾا ،ﺖﺳا هداﺪﻧ راﺮﻗ ﻪﺴﯾﺎﻘﻣ درﻮﻣ ار ﺪﯿﺋﻮﺗﺎﻣور ﺗﻼﯿـﭘ تﺎﻨﯾﺮﻤﺗ ﺮﯿﺛﺎﺗ ﻪﮑﻨﯾا ﺮ
ﺲ
و ﺪﯾﺎﻤﻧ ﯽﺳرﺮﺑ داﺮﻓا ﻦﯾا يور ﺮﺑ ﻪﻧﺎﮔاﺪﺟ رﻮﻄﺑ ار ژﺎﺳﺎﻣ ﻦﯿﻨﭽﻤﻫ
هﻮﯿﺷ عﻮﻧ ود ﻦﯾا ﯽﺸﺨﺑﺮﺛا ي
ار ﯽـﻨﯾﺮﻤﺗ
.ﺪﻨﮐ ﻪﺴﯾﺎﻘﻣ ﺰﯿﻧ
شور ﻖﯿﻘﺤﺗ ﯽﺳﺎﻨﺷ
ﻪﻤﯿﻧ ﯽﻘﯿﻘﺤﺗ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﯽﺑﺮﺠﺗ
- ﺶﯿﭘ حﺮﻃ ﺎﺑ يدﺮﺑرﺎﮐ نﻮﻣزآ
- ﺲﭘ ﯽﻣ نﻮﻣزآ ﯽﻧدﻮـﻣزآ .ﺪـﺷﺎﺑ
ﻦـﯾا يﺎـﻫ
ﻞﻣﺎﺷ ﻪﻌﻟﺎﻄﻣ ﻼﺘﺒﻣ رﺎﻤﯿﺑ 30
ﺖﯾﺮﺗرآ ﻪﺑ ﯽﻨﺳ ﻪﻨﻣاد ﺎﺑ ﺪﯿﺋﻮﺗﺎﻣور
ﺎﺗ40 ﺑ ﻪﮐ ﺪﻧدﻮﺑ لﺎﺳ60 ﻪ
و ﺪﻨﻤﻓﺪﻫ ترﻮﺻ
هوﺮﮔ ﻪﺳ رد ﯽﻓدﺎﺼﺗ رﻮﻃ ﻪﺑ و بﺎﺨﺘﻧا سﺮﺘﺳد رد .ﺪﻧﺪـﺷ ﻢﯿـﺴﻘﺗ ژﺎـﺳﺎﻣ و ﺲﺗﻼﯿﭘ ﻦﯾﺮﻤﺗ ،لﺮﺘﻨﮐ هﺮﻔﻧ10
ﯽﻧدﻮﻣزآ ﻦﯾا ﯽﺒﻠﻗ يرﺎﻤﯿﺑ ﻪﻘﺑﺎﺳ ﺎﻫ
- رد ﻞـﻣﺎﮐ ﺖﯾﺎﺿرﺎﺑ و ﺪﻨﺘﺷاﺪﻧ ار ﻢﻈﻨﻣ ﯽﺷزرو ﺖﯿﻟﺎﻌﻓ ﻦﺘﺷاد و ﯽﻗوﺮﻋ
ﺶﻫوﮋﭘ ﻦﯾا هزاﺪﻧا ياﺮﺑ .ﺪﻧدﺮﮐ ﺖﮐﺮﺷ
،ﯽﯾﺎﯾﺎﭘ ياراد) ﯽﮑﯾﺮﺘﮑﻟا ﺮﺘﻣﺎﯿﻧﻮﮔوﺮﺘﮑﻟا زا ﯽﻘﻤﻋ ﺲﺣ يﺮﯿﮔ /88
؛(0
هزاﺪﻧا ياﺮﺑ ) درد يراﺪﯾد سﺎﯿﻘﻣ زا ﺰﯿﻧ درد تﺪﺷ يﺮﯿﮔ
،ﯽﯾﺎﯾﺎﭘ)(VAS
/99 ( 0 ﮏـﯾ ﻞﻣﺎـﺷ ﻪـﮐ ﺪـﺷ هدﺎﻔﺘﺳا
ﯽﻘﻓا ﻂﺧ ﺮـﮕﯾد يﺎـﻬﺘﻧا و (درد دﻮـﺟو مﺪـﻋ) ﺮﻔﺻ يﺎﻬﺘﻧا ﮏﯾ ﻪﮐ يﺮﺘﻣ ﯽﻠﯿﻣ100
ﺗﺪﯾﺪـﺷ)100 درد ﻦﯾﺮ
ﺎﺑ ﺰﯿﻧ نارﺎﻤﯿﺑ يﻮﻧاز ﯽﺘﮐﺮﺣ ﻪﻨﻣاد .ﺖﺳا (ﻦﮑﻤﻣ فﺎﻄﻌﻧا زا هدﺎﻔﺘﺳا
هوﺮـﮔ .ﺪـﺷ يﺮﯿﮔ هزاﺪﻧا نﻮﺘﯿﻟ ﺞﻨﺳ يﺎـﻫ
رد ار ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ تﺎﻨﯾﺮﻤﺗ ﯽﺑﺮﺠﺗ ﻪـﺴﻠﺟ ﺮـﻫ رد و ﻪـﺘﻔﻫ رد ﻪـﺴﻠﺟ ﻪـﺳ ﻞﻣﺎﺷ ﻪﮐ ﺪﻧداد مﺎﺠﻧا ﻪﺘﻔﻫ6
دوﺪﺣ تﺪﻣ ﻪﺑ هوﺮﮔ ود ﺮﻫ اﺪﺘﺑا رد .دﻮﺑ ﻪﻘﯿﻗد40
ﯽﻣ مﺮﮔ ﻪﻘﯿﻗد5 ﻞﻣﺎـﺷ ﺲﺗﻼﯿﭘ ﯽﻨﯾﺮﻤﺗ ﻪﺴﻠﺟ ﺮﻫ ؛ﺪﻧدﺮﮐ
مارآ ،ﯽﻌﯿﺒﻃ ﺖﯿﻌﺿو ﯽﯾﺎﺳﺎﻨﺷ ،ﯽﺘﯿﻌﺿو ﻪﯾﺎﭘ تﺎﻨﯾﺮﻤﺗ ﻪﻘﯿﻗد30 ﯽﺘﻣﺎﻘﺘـﺳا ،لدﺎـﻌﺗ و ﯽﺸﺸﮐ تﺎﮐﺮﺣ ،يزﺎﺳ
ياﺮﺑ .دﻮﺑ ﯽﺗرﺪﻗ و ﯽﺴﻔﻨﺗ مﺎﺠﻧا
ﯽﻣ ﻪﺘﺳاﻮﺧ داﺮﻓا زا ژﺎﺳﺎﻣ ﺪﺷ
ﻪﮐ ﻪﺑ ترﻮﺻ قﺎﻃ زﺎﺑ ﮏﺸﺗ يور ﺮﺑ هﺪﯿﺑاﻮﺧ
تﺪﻣ ﻪﺑ و ﮓﻨﯿﮐوﺮﺘـﺳا يﺎـﻫ ﮏﯿﻨﮑﺗ زا نار ي ﻪﻟﺎﺸﮐ ﺎﺗ ﻼﺗﺎﭘ يﻻﺎﺑ زا نار يﻮﻠﺟ ﺖﻤﺴﻗ ياﺮﺑ ﻪﻘﯿﻗد 15
–
ﻠﻓا ﻮ ژار - .ﺪﺷ ﯽﻣ هدﺎﻔﺘﺳا ژﺎﺴﯾﺮﺘﭘ ﺖﯿﻟﺎﻌﻓ ﻢﻫ لﺮﺘﻨﮐ هوﺮﮔ
ﺘـﺷاد ار دﻮـﺧ ﯽﮔﺪﻧز يدﺎﻋ يﺎﻫ ﺪﻨ
. ﻦﯿـﯿﻌﺗ زا ﺪـﻌﺑ
ﮏﻠﯾووﺮﯿﭘﺎﺷ نﻮﻣزآ زا هدﺎﻔﺘﺳا ﺎﺑ ﺎﻫ هداد ندﻮﺑ لﺎﻣﺮﻧ ياﻮﻧآ نﻮﻣزآ زا
ﮏﯾ هداد ﻞﯿﻠﺤﺗ و ﻪﯾﺰﺠﺗ ﺖﻬﺟ ﻪﻫار ﺎـﻫ
توﺎﻔﺗ نﺪﯾد ياﺮﺑ ﯽﮐﻮﺗ يدﺮﮕﯿﭘ نﻮﻣزآ زا و هوﺮﮔ ﻦﯿﺑ يﺎﻫ
.ﺪﺷ هدﺎﻔﺘﺳا ﺎﻫ
ﺎﻫ ﻪﺘﻓﺎﯾ
لوﺪﺟ .1 ﺞﯾﺎﺘﻧ ﺗ نﻮﻣزآ ياﺮﺑ ﻪﻫار ﮏﯾ ﺲﻧﺎﯾراو ﻞﯿﻠﺤ رد ﺎﻫ هوﺮﮔ يﻮﻧاز درد ناﺰﯿﻣ و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ،ﯽﻘﻤﻋ ﺲﺣ ﺖﻗد
نﻮﻣزآ ﺲﭘ ﻪﻠﺣﺮﻣ
ﻪﺘﺴﺑاو ﺮﯿﻐﺘﻣ ﻪﺟرد
يدازآ F
ﺢﻄﺳ يراد ﯽﻨﻌﻣ ﺎﺗا روﺬﺠﻣ
ﯽﻘﻤﻋ ﺲﺣ ﺖﻗد
2 /40
9 /001
0
* /54
0
ﯽﺘﮐﺮﺣ ﻪﻨﻣاد
2 /67
56 /001
0
* /47
0
درد ناﺰﯿﻣ
2 /78
5 /001
0
* /34
0
يﺮﯿﮔ ﻪﺠﯿﺘﻧ و ﺚﺤﺑ
ﺖـﻗد يﺎـﻫ ﺺﺧﺎﺷ رد يرادﺎﻨﻌﻣ دﻮﺒﻬﺑ ﺚﻋﺎﺑ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ ﯽﻨﯾﺮﻤﺗ هﻮﯿﺷ ود ﺮﻫ ﻖﯿﻘﺤﺗ ﺞﯾﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ،ﯽﻘﻤﻋ ﺲﺣ ﺶﻫﺎﮐ
ﻼﺘﺒﻣ نارﺎﻤﯿﺑ رد ﻮﻧاز درد ناﺰﯿﻣ ﻪﺑ
ﺪﯿﺋﻮﺗﺎﻣور ﺖﯾﺮﺗرآ دﻮﺷ ﯽﻣ
ﻻﺎـﻤﺘﺣا و
.ﺪﻨﺷﺎﺑ ﺮﺛﻮﻣ ﺪﻨﻧاﻮﺗ ﯽﻣ هزاﺪﻧا ﮏﯾ ﻪﺑ هﻮﯿﺷ ود ﻦﯾا ﻦﯿﻨﭼ ﻦﯾا ناﻮﺗ ﯽﻣ ﯽﻘﻤﻋ ﺲﺣ ﻪﺑ طﻮﺑﺮﻣ ﺞﯾﺎﺘﻧ ﺮﯿﺴﻔﺗ ياﺮﺑ
دﺮﮐ ﺎﻋدا ﻪﮐ
ﺮﺣ و ﺖﯿﻌﻗﻮﻣ ﺲﺣ ﻪﺑ ﯽﻧﻼﻀﻋ كود زا ﯽﻟﺎﺳرا يﺎﻫ لﺎﻨﮕﯿﺳ ﺎﺑ ﻪﻄﺑار رد ﯽﻣﻮﻤﻋ ﻖﻓاﻮﺗ ﮏﯾ ﺖﮐ
ماﺪﻧا ﻪﮐ ،نارﺎـﮑﻤﻫ و ﯽـﺷﺎﺑﻮﺳ) دراد دﻮـﺟو ﺪﻨﮐ ﯽﻣ ﮏﻤﮐ ﻤﻣ ﯽﻧﻼـﻀﻋ كود .(2008
زا ﺪـﻌﺑ ﺖـﺳا ﻦـﮑ
ﮏﯾﺮﺘﻨﺴﮐا تﺎﻨﯾﺮﻤﺗ ،لﺎﮕﺳ) دﻮﺷ لﺎﻌﻓ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ رد ﯽﺸﺸﮐ تﺎﻨﯾﺮﻤﺗ و
،ﺲﯿﻟﺎﭽﺳﺎﭘ ؛2004 (2007
ﮏﯾﺮﺤﺗ ﻻﺎﻤﺘﺣا ﻪﮐ يﺎﻫ هﺪﻧﺮﯿﮔ
ﺴﻤﻟ ﯽ يرﺎﺸﻓو تﻼﻀﻋ،ﺖﺳﻮﭘ
ﺪﻧاﻮﺗ ﯽﻣ لﻮﺴﭙﮐو دﻮﺒﻬﺑ ﺚﻋﺎﺑ
ﺲﺣ ﯽﻘﻤﻋ
دﻮﺷ تﺎﮑﯾﺮﺤﺗ،
يا ﻪﺴﻣﻻ ﯽﻘﻤﻋو
نﻮﮔﺎﻧﻮﮔ ژﺎﺳﺎﻣ و ﺲﺗﻼﯿﭘ تﺎﻨﯾﺮﻤﺗ ﺮﺛا رد
ﺐﺟﻮﻣ ﻢﻫاﺮﻓ نﺪـﺷ تﺎـﻋﻼﻃا
ﺲﺣ ﯽﻘﻤﻋ ﺖﺳﻮﭘ هﺪﯾدﺮﮔ و ﯽﯾﺎﻧاﻮﺗ ﻮﻧاز ﻞﺼﻔﻣ ار
ياﺮﺑ ﺎﭘ ﻻ ﺶﯾ تﺎﮐﺮﺣ ﺖﯿﻌـﺿو و
ﺎـﻫ ﻻﺎـﺑ دﺮـﺑ ﯽـﻣ رد .
ﯿـﭘ تﺎﻨﯾﺮﻤﺗ ﻪﮐ دﺮﮐ ﺎﻋدا ناﻮﺗ ﯽﻣ ﺰﯿﻧ درد نﺪﺷ ﻢﮐ و ﯽﺘﮐﺮﺣ ﻪﻨﻣاد ﺶﯾاﺰﻓا ﺎﺑ ﻪﻄﺑار ﻖـﯾﺮﻃ زا ژﺎـﺳﺎﻣ و ﺲﺗﻼ
نوﺮـﻧ ﺖـﯿﻟﺎﻌﻓ ﺶﻫﺎﮐ و يﮋﻠﮔ يﺮﺗو ماﺪﻧا ﻪﻠﯿﺳو ﻪﺑ ﯽﻧﻼﻀﻋ يﺎﻫ كود رﺎﮐدﻮﺧ رﺎﻬﻣ ﺐﺒـﺳ ﯽـﺘﮐﺮﺣ يﺎـﻫ
يﺮﯾﺬﭘ فﺎﻄﻌﻧا ﺶﯾاﺰﻓا نﺪﺷ ﺮﺗ ناور و درد ناﺰﯿﻣ و ﯽﮑﺸﺧ ﺶﻫﺎﮐ ،
ﻞﺻﺎﻔﻣ ﺖﮐﺮﺣ .ددﺮﮔ ﯽﻣ
ﯽﯾاﺮﺟا مﺎﯿﭘ -
عﻮﻧ ودﺮﻫ ﺖﺒﺜﻣ تاﺮﺛا ﺮﺿﺎﺣ ﻖﯿﻘﺤﺗ ﻪﮑﻨﯾا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ :ﺶﻫوﮋﭘ ﯽﻤﻠﻋ ژﺎـﺳﺎﻣ و ﺲﺗﻼﯿﭘ ﻦﯾﺮﻤﺗ
ﺺﺧﺎﺷ ﺮﺑ ار ﺲﺣ ﺖﻗد يﺎﻫ
ﻪﻨﻣاد ،ﯽﻘﻤﻋ ناﺰـﯿﻣ و ﯽﺘﮐﺮﺣ
ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ يﻮـﻧاز ﻞـﺼﻔﻣ درد ﺖـﯾﺮﺗرآ ﻪـﺑ
-
ﺪﯿﺋﻮﺗﺎﻣور ار
نﺎﺸﻧ ﺪﻫد ﯽﻣ ناﺮﮕﻧﺎﻣرد ﻪﺑ
ﯽﻣ دﺎﻬﻨﺸﯿﭘ دﻮﺷ
رد ﻼﺘﺒﻣ نارﺎﻤﯿﺑ ﺖﯿﻌﺿو دﻮﺒﻬﺑ ﺖﻬﺟ ﺖـﯾﺮﺗرآ ﻪﺑ
-
هﻮﯿﺷ ﻪﮐ تﺎﻨﯾﺮﻤﺗ عﻮﻧ ﻦﯾا زا ﺪﯿﺋﻮﺗﺎﻣور ﻤﯾا و ﻦﯾﻮﻧ يﺎﻫ
.ﺪﻨﯾﺎﻤﻧ هدﺎﻔﺘﺳا ﺪﻨﺘﺴﻫ ﯽﻨ
ﻊﺑﺎﻨﻣ 1. Subasi SS, Gelecek N, Aksakoğlu G. Effects of Different Warm-Up Periods on Knee Proprioception
and Balance in Healthy Young Individuals. J Sport Rehabil 2008;17: 186-205.
2. Bae, S. C., Kim, S. J., & Sung, M. K. (2003). Inadequate antioxidant nutrient intake and altered plasma antioxidant status of rheumatoid arthritis patients.Journal of the American College of Nutrition, 22(4), 311-315.
3. Segal NA, Hein J, Basford JR(2004)." The effects ofPilates training on flexibility and body composition: anobservational study". Arch Phys Med Rehabil;85:1977-81.
4. Paschalis V, Nikolaidis MG, Giakas G, Jamurtas AZ, Pappas A, Koutedakis Y. The effect of eccentric exercise on position sense and joint reaction angle of the lower limbs. Muscle & Nerve 2007; 35:496- 503.
5. Pinar S., Kaya F., Bicer B., Erzeybek M.S., Cotuk H.B. (2012)."Different recovery methods and muscle performances after exhausting exercise: comparison of the effects of electrical muscle stimulation and massage". Biol. Sport. Vol. 29, pp: 269-275.
6. Rydeard, R. Leger, A. Smith, D. (2006). "Pilates – based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability". J orthop sports phyther, 36 (7). PP: 472- 84.
