Middle Eastern Journal of Disability Studies

fa تأثیر تمرینات بدنی بر سینرژی‌های عضلانی در الگوی راه‌رفتن Exercises on Muscle Synergies in Gait Pattern توانبخشی Rehabilitation مقاله پژوهشی اصیل Original Research Article زمینه و هدف: تغییرهای سیستم عصبی و تارهای عضلانی با فعالیت بدنی رخ می‌دهد و الگوی راه‌رفتن متأثر از تغییرات در این دو قسمت است؛ بنابراین محقق به مطالعهٔ اثر تمرین‌های بدنی بر سینرژی‌های عضلانی در الگوی راه‌رفتن پرداخت. روش‌بررسی: جامعهٔ آماری این پژوهش نیمه‌آزمایشی را مردان جوان فعال آموزشکدهٔ فنی‌و‌حرفه‌ای امام‌علی تشکیل دادند. ۲۶ آزمودنی در دو گروه فعال و غیرفعال به‌صورت نمونهٔ دردسترس در این پژوهش شرکت کردند. به‌منظور اندازه‌گیری الگوی فعالیت عضلانی، دستگاه الکترومیوگرافی بایومتریک (هشت‌کاناله، مدل PS850، ساخت انگلستان) به‌کار رفت و پس از اندازه‌گیری این الگو در فعالیت راه‌رفتن، سینرژی عضلانی ازطریق الگوریتم HALS استخراج شد. از آمار توصیفی جهت توصیف داده‌ها و از آزمون یومن‌ویتنی در سطح معناداری ۰٫۰۵≥p به‌منظور مقایسهٔ تعداد سینرژی‌های دو گروه و نیز نرم‌افزار SPSS نسخهٔ ۱۶ استفاده شد. یافته‌ها: نتایج مشخص کرد که میانگین تعداد سینرژی‌ها در گروه فعال (۰٫۳۷±۳٫۱۶) کمتر از گروه غیرفعال (۰٫۴۸±۴٫۶۸) است؛ ضمن اینکه ناپایداری بیشتری در بار عاملی و الگوی زمانی هر سینرژی در گروه غیرفعال دیده می‌شود. نتایج مقایسه نیز اختلاف معناداری بین الگوی سینرژی عضلانی گروه فعال و غیرفعال نشان می‌دهد (۰٫۰۵≥p). نتیجه‌گیری: یافته‌های سینرژی در گروه فعال بیانگر کارایی بیشتر سیستم یا کارآمدی سیستم حرکتی است و تعداد سینرژی‌های بیشتر و ناپایداری سهم عضلات در گروه غیرفعال، ناکارآمدی سیستم حرکتی را معین می‌کند. <div style="text-align: justify;">Background & Objective: Some researchers studied on gait pattern; however, the complex neuromuscular system has led to extensive research in this area. A concept recently developed to understand the gait pattern is muscle synergy, which is defined as muscle coordination in order to achieve a specific neural target. Identifying basic neural patterns can be effective in understanding the mechanism and development of the movement patterns. On the other hand, changes in the nervous system and muscle fibers occur with physical activity. Considering that walking patterns are affected by changes in the nervous system and muscle fibers, the effect of exercise on muscle synergies has not yet been clarified. In this research, the effect of exercise on muscle synergies in walking patterns studied. Methods: Young men in Imam Ali’s technical and vocational school formed the statistical population of this semi–experimental study. Twenty–six subjects participated in two active and inactive groups as available samples in this study. The active and inactive subjects did not have a history of neurological problems, traumatic injury, visual impairment, balance, or any history of athletic injury. Before starting the research, the method of implementation and the necessary explanations were provided about the experiment. After the completion of the consent form, the measurement process was started. In order to measure the pattern of muscle activity during walking, a biometric electromyography system (eight–channel model; PS850; UK) was used. Target areas of eight muscles of the gluteus medius, vastus lateralis, rectus femoris, medial hamstring, lateral hamstring, tibialis anterior, gastrocnemius and soleus were determined using Seniam instructions. After determining the electrode placement, the areas were cleaned with alcohol in order to reduce the resistance of the skin. In the next step, chloride–silver electrodes were placed at inter–electrode distance of 20 mm. Data collection was done at a frequency of 1000 Hz. Participants were asked to practice walking more times to familiarize with the test. Then the main test was performed with five repetitions. Three appropriate efforts were eventually selected as the main test. MVC test was performed to normalize the process of muscle activity pattern, at the end of the measurement. Data processing was carried out by means of MATLAB R2014b. The fourth order Betterworth low–pass filter was used with a cut–off frequency of 10–500 Hz. EMG signals were rectified and the maximum value of MVC was normalized. A fourth order Butterworth low–pass filter with a cut–off frequency of 10–500 Hz was used. Again, a fourth order low–pass filter with a cut off frequency of 10 Hz was used and stored as a matrix of 8×100 to calculate muscle synergy. Muscle synergy was extracted using the HALS algorithm, after measuring the muscle activity pattern and preparing the 8×100 matrix. Descriptive statistics were used to describe the data and the Mann–Whitney test was used to compare the number of synergy vector in the two groups at a significant level of p<0.05 using SPSS software version 16. Results: The results showed that the mean number of synergies in the active group is 3.16±0.37 and the active group is 4.68 ± 0.48. More instability was observed in the load of each synergy and the time pattern of any synergy in the inactive group. In addition, the RMS values between the muscle activity pattern and the reconstructed pattern in all muscles of two groups was smaller than 0.02, which confirm accuracy of synergies extraction. The results of Mann–Whitney test did not show a significant difference when synergies were compared (p<0.05). Conclusion: The results of synergy revealed that the system was more efficient in the active group. It seems synergy support some kind of integrity of the motor system. In the inactive group, it also showed the inefficiency of the motor system, which confirmed the possibility of increased load on the musculoskeletal system and the risk of its disorders. These findings point out again that the experience can affect neurological health and factors.</div> تمرین, سینرژی عضلانی, راه‌رفتن. Exercise, Muscle Synergy, Gait. 147 147 http://jdisabilstud.org/browse.php?a_code=A-10-1058-1&slc_lang=fa&sid=1 Hossein Nabavinik حسین نبوی نیک Hossein.nabavinik@gmail.com 100319475328460052290 100319475328460052290 Yes Department of Biomechanic and Sport Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University گروه بیومکانیک و آسیب‌شناسی ورزشی، دانشکدهٔ تربیت‌بدنی و علوم‌ورزشی، دانشگاه خوارزمی Heydar Sadeghi حیدر صادقی Sadeghi@yahoo.com 100319475328460052291 100319475328460052291 No Department of Biomechanic and Sport Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University گروه بیومکانیک و آسیب‌شناسی ورزشی، دانشکدهٔ تربیت‌بدنی و علوم‌ورزشی، دانشگاه خوارزمی Hamidreza Kobravi حمیدرضا کبروی hkobravi@mshdiau.ac.ir 100319475328460052292 100319475328460052292 No Department of Biomedical Engineering, Islamic Azad University of Mashhad گروه مهندسی‌پزشکی، دانشگاه آزاد اسلامی مشهد Amirhossein Barati امیرحسین براتی Ahbarati20@gmail.com 100319475328460052293 100319475328460052293 No Department of Sport Injuries and Corrective Exercises, Shahid Rajaee Teacher Training University گروه آسیب‌شناسی ورزشی و حرکات اصلاحی، دانشکدهٔ تربیت‌بدنی و علوم‌ورزشی، دانشگاه تربیت دبیر شهیدرجایی Malihe Hadadnezhad ملیحه حدادنژاد hadadnezhad@yahoo.com 100319475328460052294 100319475328460052294 No Department of Biomechanic and Sport Injuries, Faculty of Physical Education and Sport Sciences, Kharazmi University گروه بیومکانیک و آسیب‌شناسی ورزشی، دانشکدهٔ تربیت‌بدنی و علوم‌ورزشی، دانشگاه خوارزمی