Occupational Medicine Quarterly Journal
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tkj
Medical Sciences
http://tkj.ssu.ac.ir
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2251-8274
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2026
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اثرات انحرافات پا بر کمردرد مزمن غیراختصاصی: مروری بر مطالعات گذشته
The effects of podiatric deviations on nonspecific chronic low back pain
عمومى
General
مروری
Review Article
<span style="font-size:12pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> کمردرد</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> (Low back pain) </span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">یک مشکل رایج، پرهزینه و ناتوانکنندهای است که از شیوع بالایی در جامعه جهانی برخوردار است. اگرچه کمردرد می</span></span><span lang="FA" style="font-size:11.0pt">¬</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">تواند توسط آسیب</span></span><span lang="FA" style="font-size:11.0pt">¬</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">های حاد ایجاد شود، اختلالات بیومکانیکی نیز نشان داده شده است که باعث ایجاد کمردرد مزمن می-شود. هدف از این مطالعه، بررسی اثرات انحرافات پا بر کمردرد مزمن غیراختصاصی می</span></span><span lang="FA" style="font-size:11.0pt">¬</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">باشد</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> این پژوهش مروری نظاممند با جستجوی مقالات منتشرشده بین سال</span></span><span lang="FA" style="font-size:11.0pt">¬</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">های 2004 </span></span><span lang="FA" style="font-size:11.0pt"><span arial="" style="font-family:">–</span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> 2024 در پایگاه</span></span><span lang="FA" style="font-size:11.0pt">¬</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">های اطلاعاتی</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Pubmed Google Scholar, Medline, Scopus, </span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">و</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Embase </span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">انجام شد. برای جست و جو، از کلیدواژههایی مانند</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">: Low Back Pain, Foot pronated, Pes planus, Flat Foot, Splay Foot supinated, Podiatric deviation, Pelvic tilt, Pes cavus ,Excessive pronation ,Hullux valgus, Foot” </span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">استفاده شده است</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> از میان 1314 مقاله بررسیشده، 88 مقاله مرتبط با معیارهای ورود شناسایی شد. پس از ارزیابی کیفیت مقالات با مقیاس</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> PEDro</span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">، 15</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">مقاله که بررسی اثرات انحرافات پا بر کمردرد مزمن غیراختصاصی بررسی کرده بودند، انتخاب شدند که در این بین سه مقاله اثر</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Pes planus </span></span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">و هفت مقاله کف پای صاف و دو مقاله وضعیت و عملکرد پا و دو مقاله شست کج و یک مقاله انحراف استخوان پاشنه بر کمردرد موردبررسی قرار داده بودند</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:"> نتایج نشان می</span></span><span lang="FA" style="font-size:11.0pt">¬</span><span lang="FA" style="font-size:11.0pt"><span b="" nazanin="" style="font-family:">دهد انحرافات پا با تغییر در راه رفتن و طول پا میتواند تراز لگن را مختل کرده و به کمردرد منجر شود. پژوهشهای بیشتری برای تعریف دقیقتر تغییرات وضعیتی پا، ساختار، عملکرد و ارتباط آنها با تغییرات ساختاری، سینماتیکی و عصبی-عضلانی پروگزیمال موردنیاز است</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><i><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></i></b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""> Low back pain (LBP) is a prevalent, costly, and debilitating issue with a high prevalence in the global community. While acute injuries can cause low back pain, biomechanical disorders have also been identified as contributors to chronic low back pain. This study aimed to investigate the effects of leg deviations on nonspecific chronic back pain.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><i><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods: </span></span></i></b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">This systematic review was conducted by searching for articles published between 2004-2024 in Pubmed, Google Scholar, Scopus, Medline, and Embase databases. The search used keywords such as "Low Back Pain, Foot pronated, Pes planus, Flat Foot, Splay Foot supinated, Podiatric deviation, Pelvic tilt, Pes cavus, Excessive pronation, Hullux valgus, Foot."</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><i><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></i></b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""> Out of 1,314 articles reviewed; 88 articles related to the inclusion criteria were identified. Following quality assessment using the PEDro scale, 15 articles were selected for detailed analysis. These included three articles on the effect of Pes planus, seven articles on flat feet, and two articles on foot posture and function. Additionally, two articles focused on hullux valgus and one article examined heel bone deviation on low back pain.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><i><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></i></b><span style="font-size:11.0pt"><span new="" roman="" style="font-family:" times=""> The findings suggest that foot deviations, with changes in gait and leg length, can potentially disrupt pelvic alignment, leading to low back pain. Further research is needed to comprehensively define postural changes in foot position, structure, function and their relationship with changes in structural, kinematic, and proximal neuromuscular training is required.</span></span></span></span></span>
کمردرد, کف پای صاف, شست کج, انحرافات پا
Back pain, Flat feet, Hallux valgus, Podiatric deviations
80
92
http://tkj.ssu.ac.ir/browse.php?a_code=A-11-1344-1&slc_lang=fa&sid=1
Fariba
Moradi
فریبا
مرادی
faribamoradi@sport.uk.ac.ir