پديد آورندگان :
ﻣﺘﻘﯽ، ﻣﻨﯿﺮه داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺷﻬﯿﺪ ﺑﻬﺸﺘﯽ - داﻧﺸﮑﺪه ﺗﻮاﻧﺒﺨﺸﯽ - مرﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻓﯿﺰﯾﻮﺗﺮاﭘﯽ , ﺷﻤﺲ اﻟﺪﯾﻨﯽ، ﻋﻠﯿﺮﺿﺎ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺑﻘﯿﻪ اﻟﻠﻪ (ﻋﺞ) - اﻧﺴﺘﯿﺘﻮ ﺳﺒﮏ زﻧﺪﮔﯽ - ﺗمرﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻓﯿﺰﯾﻮﻟﻮژي ورزﺷﯽ , ﻏﻨﺠﺎل، ﻋﻠﯽ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺑﻘﯿﻪ اﻟﻠﻪ (ﻋﺞ) - ﻣﺮﮐﺰ ﺗﺤﻘﯿﻘﺎت ﻣﺪﯾﺮﯾﺖ ﺳﻠﺎﻣﺖ
چكيده فارسي :
زﻣﯿﻨﻪ و ﻫﺪف: ﮔﺮدن درد ﯾﮏ ﺑﯿﻤﺎري ﺷﺎﯾﻊ و اﺧﺘﻠﺎﻟﯽ ﻧﺴﺒﺘﺎً زودرس در ﻣﯿﺎن ﭘﺮﺳﻨﻞ ﻧﻈﺎﻣﯽ ﻣﯽﺑﺎﺷﺪ ﮐﻪ ﺑﺎﻋﺚ ﻧﺎﺗﻮاﻧﯽ، ﮐﺎﻫﺶ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ، ﺑﻬﺮهوري، آﻣﺎدﮔﯽ رزﻣﯽ ﻧﯿﺮوﻫﺎ، و اﻓﺰاﯾﺶ ﻫﺰﯾﻨﻪﻫﺎي ﻣﺮاﻗﺒﺖﻫﺎي ﺑﻬﺪاﺷﺘﯽ ﻣﯽﺷﻮد. ﻫﺪف اﯾﻦ ﺗﺤﻘﯿﻖ ﺗﻌﯿﯿﻦ ﻋﻮاﻣﻞ ﺧﻄﺮﺳﺎز ﻣﺮﺗﺒﻂ
ﺑﺎ ﮔﺮدن درد در ﻧﯿﺮوﻫﺎي ﭘﺎﯾﻮر ﻣﺬﮐﺮﻧﻈﺎﻣﯽ ﺑﻮد. روشﻫﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻮرد ﺷﺎﻫﺪي، 200 ﻓﺮد ﭘﺎﯾﻮر ﻣﺬﮐﺮ ﻧﻈﺎﻣﯽ ﻣﺒﺘﻠﺎ ﺑﻪ ﮔﺮدن درد ﻣﺰﻣﻦ و 200 ﻓﺮد ﻧﻈﺎﻣﯽ ﺳﺎﻟﻢ از ﻃﺮﯾﻖ ﻧﻤﻮﻧﻪﮔﯿﺮي ﺗﺼﺎدﻓﯽ ﺳﺎده ﺑﺮرﺳﯽ ﺷﺪﻧﺪ. اﺑﺰارﻫﺎي ﻣﻮرد اﺳﺘﻔﺎده ﻋﺒﺎرت ﺑﻮدﻧﺪ از: ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻪ ﻗﺴﻤﺘﯽ )اﻃﻠﺎﻋﺎت ﻓﺮدي و ﺟﻤﻌﯿﺖ ﺷﻨﺎﺧﺘﯽ، اﻃﻠﺎﻋﺎت ﺷﻐﻠﯽ، و اﻃﻠﺎﻋﺎت ﺑﺎﻟﯿﻨﯽ( ﺑﺎ ﺳﻮاﻟﺎت ﺑﺴﺘﻪ، ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي اﺳﺘﺎﻧﺪارد Job Related Physical Demands) JRPD ،(Neck disability index) NDI(، و Health Risk Appraisals) HRA(. ﺑﺮاي اﻓﺮاد ﻫﺮ دو ﮔﺮوه ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي ﻣﺬﮐﻮر ﭘﺮ ﮔﺮدﯾﺪ و اﻃﻠﺎﻋﺎت ﻓﺮدي، ﺷﻐﻠﯽ و ﺑﺎﻟﯿﻨﯽ ﻣﻮردﻧﻈﺮ و
اﻧﺠﺎم ﺗﺴﺖﻫﺎي ﻗﯿﺪ ﺷﺪه ﻃﯽ ﯾﮏ ﺟﻠﺴﻪ اﺧﺬ و ﺑﻪ ﺗﻌﯿﯿﻦ ارﺗﺒﺎط ﺑﯿﻦ ﻋﻮاﻣﻞ ﺧﻄﺮﺳﺎز ﻣﺮﺗﺒﻂ ﺑﺎ ﮔﺮدن درد در ﻫﺮ دو ﮔﺮوه ﭘﺮداﺧﺘﻪ ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﺟﻤﻌﯿﺖ ﺷﻨﺎﺧﺘﯽ )ﺳﻦ، ﻗﺪ، وزن، ﺳﺎﺑﻘﻪ ﮐﺎري( ﺗﻔﺎوت آﻣﺎري ﻣﻌﻨﺎداري ﺑﯿﻦ دو ﮔﺮوه ﻧﺸﺎن ﻧﺪاد. ﻣﺘﻐﯿﺮﻫﺎي رﺳﺘﻪ ﺷﻐﻠﯽ ﺳﺨﺖ )0/01=p(، ﺳﺎﺑﻘﻪ ﮐﺎري ﺑﺎﻟﺎ )0/002=p(، ﻓﻌﺎﻟﯿﺖﻫﺎي ﻓﯿﺰﯾﮑﯽ ﺳﻨﮕﯿﻦ و ﻣﺘﻮاﻟﯽ )0/011=p(، ﻣﯿﺰان ﯾﺎ ﺳﻄﺢ ﺗﻤﺮﯾﻨﺎت ورزﺷﯽ ﻧﻮاﺣﯽ ﮔﺮدن–ﮐﺘﻒﻫﺎ و ﮐﻤﺮﺑﻨﺪ ﺷﺎﻧﻪاي )0/002=p(، ﺣﺮﮐﺎت ﻫﻤﺮاه ﺑﺎ ﺑﻠﻨﺪ ﮐﺮدن ﺑﺎر ﺳﻨﮕﯿﻦ ﺑﯿﺶ از 25 ﮐﯿﻠﻮﮔﺮم )0/002=p(، ﻣﯿﺰان ﺳﺎﻋﺎت ﮐﺎري روزاﻧﻪ )0/007=p(، وﺟﻮد دﻓﻮرﻣﯿﺘﯽ در ﺳﺘﻮن ﻓﻘﺮات ﭘﺸﺘﯽ و ﮔﺮدﻧﯽ )0/002=p(، ﺣﺮﮐﺎت ﻫﻤﺮاه ﺑﺎ ﺧﻢ و راﺳﺖ ﺷﺪن )0/002=p(، و ﭼﺮﺧﺶ ﮔﺮدن )0/005=p(، ﺣﺮﮐﺎت ﻫﻤﺮاه ﺑﺎ ﺟﺎﺑﺠﺎﺋﯽ ﺑﺎر ﺳﻨﮕﯿﻦ ﺑﺎ دﺳﺖﻫﺎي ﺑﺎﻟﺎﺗﺮ از ارﺗﻔﺎع ﺷﺎﻧﻪ )0/002=p(، و وﺟﻮد ﭘﻮﺳﭽﺮ ﺑﺪ )0/004=p( ﺗﺎﺛﯿﺮ ﻣﻌﻨﺎدار ﻣﺜﺒﺖ ﺑﺮ اﺑﺘﻠﺎء ﺑﻪ ﮔﺮدن درد داﺷﺘﻨﺪ. ﻣﺘﻐﯿﺮﻫﺎي ﻣﯿﺰان )ﺳﻄﺢ( ﺗﻤﺮﯾﻨﺎت ورزﺷﯽ ﻋﻤﻮﻣﯽ ﺑﺪن )0/002=p(، ﻣﯿﺰان p=0/025) BMI(، ﺳﻄﺢ ﺗﺤﺼﯿﻠﺎت )0/003=p(، ﻣﺪت زﻣﺎن اﺑﺘﻠﺎ ﺑﻪ ﮔﺮدن درد )0/002=p(، ﺳﺎﺑﻘﻪ ﻗﺒﻠﯽ ﮔﺮدن درد )0/01=p(، ﺣﻤﻞ ﮐﯿﻒ و اﺷﯿﺎ ﺳﻨﮕﯿﻦ ﺗﻮﺳﻂ ﮐﻤﺮﺑﻨﺪ
ﺷﺎﻧﻪاي )0/002=p(، ﻣﺼﺮف دﺧﺎﻧﯿﺎت )0/017=p( ﺗﺎﺛﯿﺮ ﻣﻌﻨﺎدار ﻣﻨﻔﯽ ﺑﺮ اﺑﺘﻠﺎء ﺑﻪ ﮔﺮدن درد در ﻧﯿﺮوﻫﺎي ﭘﺎﯾﻮر ﻣﺬﮐﺮ ﻧﻈﺎﻣﯽ داﺷﺘﻨﺪ. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺎ ﺷﻨﺎﺳﺎﯾﯽ ﻋﻮاﻣﻞ ﺧﻄﺮﺳﺎز ﻣﺮﺗﺒﻂ ﺑﺎ ﮔﺮدن درد و ﮐﺎﻫﺶ ﻣﯿﺰان اﯾﻦ ﻋﻮاﻣﻞ ﻣﯽﺗﻮان از اﯾﺠﺎد ﺿﺎﯾﻌﺎت ﺟﺪﯾﺪ و ﯾﺎ وﺳﻌﺖ ﯾﺎﻓﺘﻦ آﻧﻬﺎ ﺟﻠﻮﮔﯿﺮي ﻧﻤﻮد و ﺳﻄﺢ ﮐﺎراﺋﯽ ﻧﯿﺮوﻫﺎي ﻧﻈﺎﻣﯽ را ﺑﻬﺒﻮد ﺑﺨﺸﯿﺪ.
چكيده لاتين :
Background and Aim: Neck pain is a common disease and a relatively early disorder among military personnel. Neck pain causes disability, reduced quality of life, productivity, combat readiness of forces, and increased health care costs. The purpose of this study was to investigate the risk factors associated with neck pain in male military Personnel.
Methods: In this case-control study, 200 male military personnel with chronic neck pain and 200 healthy military personnel were evaluated by simple random sampling. A three-part questionnaire (demographic, occupational and clinical information) with closed questions, NDI (Neck Disability Index), Job Related Physical Demands questionnaire (JRPD), Health Risk Appraisals questionnaire (HRA) was used as the tools. For both groups, four questionnaires were completed, then the relationship between risk factors associated with neck pain in both groups was determined.
Results: The demographic data (age, height, weight, work experience) was matched between both groups. Among the factors studied, there were positive significant relationships between neck pain with hard job titles (p=0.010), prolong work experience (p=0.002), heavy and continuous physical activity (p=0.011), exercises of neck - shoulders and shoulder belt (p=0.002), movements associated with lifting a heavy load of more than 25 kg (p=0.002), daily working hours (p=0.007), deformity in the dorsal and cervical spine (p=0.002), movements with bending and righting (p=0.002), neck rotation (p=0.005), movements accompanied by heavy load-displacement from the height above the shoulder (p=0.002) and awkward posture (p=0.004). Also, there were negative significant relationships between neck pain with attendance in exercise programs (P=0.003), body mass index (p=0.025) education level (p=0.003), smoking (p=0.017), duration of neck pain (p=0.002), history of neck pain (p=0.010) carrying heavy bags and objects by shoulder belt (p=0.002), and duration of exercise in male military Personnel.
Conclusion: By identifying the risk factors associated with neck pain and reducing the amount of these factors, new lesions or their expansion can be prevented and the level of efficiency of military forces can be improved.
