مجله جراحی استخوان و مفاصل ایران

ارتباط کف پای صاف بر کمردرد مزمن غیراختصاصی (مروری نظام‌مند بر مطالعات گذشته)

نوع مقاله : مروری

نویسندگان

فریبا مرادی 1
منصور صاحب الزمانی 2
سعید بحیرایی 3

1 دانشجوی دکتری آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید باهنر کرمان، کرمان، ایران.

2 استاد گروه آسیب شناسی و بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید باهنر، کرمان، ایران.

3 استادیار گروه آسیب شناسی و بیومکانیک ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه شهید باهنر، کرمان، ایران.

https://doi.org/10.22034/ijos.2025.510437.1128
چکیده
چکیده
کمردرد مزمن غیراختصاصی یکی از علل اصلی ناتوانی و کاهش کیفیت زندگی است که عوامل بیومکانیکی متعددی در ایجاد آن نقش دارند. صافی کف پا به‌عنوان یک ناهنجاری ساختاری، با تغییر در توزیع نیروهای مکانیکی، افزایش استرس بر ستون فقرات و ناپایداری حرکتی، ممکن است در بروز یا تشدید این عارضه مؤثر باشد. این مطالعه، با رویکرد مرور نظام‌مند، شواهد ارتباط بین صافی کف پا و کمردرد را بررسی می‌کند. این مطالعه مطابق دستورالعمل‌های PRISMA انجام شد. مقالات بین سال‌های ۲۰۰۴ تا ۲۰۲۵ از پایگاه‌های PubMed، Scopus، Medline، Embase و Google Scholar با استفاده ازMeSH Terms جست‌وجو شدند. مطالعات براساس معیارهای ورود و خروج مشخص انتخاب و کیفیت روش‌شناسی آن‌ها با مقیاس نیوکاسل-اتاوا (NOS) برای مطالعات کوهورت و مورد - شاهدی و مقیاس PEDro برای کارآزمایی‌های بالینی تصادفی‌شده (RCTs) ارزیابی شد. درمجموع، یازده مطالعه واجد شرایط تحلیل شدند. صافی کف پا ازطریق تغییرات سینماتیکی اندام تحتانی، افزایش چرخش داخلی زانو و لگن و تأثیر بر بیومکانیک ستون فقرات می‌تواند شدت و تداوم کمردرد را افزایش دهد. بااین‌حال، برخی مطالعات این ارتباط را قطعی تأیید نکردند. صافی کف پا با. تغییر در توزیع نیروهای مکانیکی و الگوهای حرکتی می‌تواند موجب بی‌ثباتی عملکردی ستون فقرات و افزایش استرس کمری و شاید عامل خطر برای «کمردرد مزمن غیراختصاصی» باشد. مطالعات آینده با روش‌های پیشرفته‌ی بیومکانیکی ضروری است.

کلیدواژه‌ها

کف پای صاف
بیومکانیک
مرور سیستماتیک
موضوعات

عنوان مقاله English

Effect of Transcutaneous Electrical Nerve Stimulation on Knee Osteoarthritis Symptoms (A Systematic Review and Meta-analysis)

نویسندگان English

Fariba Moradi 1
Mansor Sahebozamani 2
Saeed Bahiraei 3
1 1. Ph.D. student in sports injury and corrective exercises at the Shahid Bahonar University of Kerman, Kerman, Iran.
2 2. Prof. of Sport Therapy & Rehabilitation Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.
3 Assistant Professor of Adapted Physical Activity Faculty of Physical Education and Sports Science, Shahid Bahonar University of Kerman, Iran.
چکیده English

Abstract
Non-specific chronic low back pain (NSCLBP) is a leading cause of disability and reduced quality of life, with multiple biomechanical factors contributing to its pathophysiology. Flatfoot (Pes Planus), as a structural abnormality, may play a role in the onset or exacerbation of this condition by altering the distribution of mechanical forces, increasing spinal stress, and inducing movement instability. This systematic review evaluates the existing evidence regarding the relationship between flatfoot and NSCLBP. This study was conducted following the PRISMA guidelines. Articles published between 2004 and 2025 were searched in PubMed, Scopus, Medline, Embase, and Google Scholar using MeSH Terms. Studies were selected based on predefined inclusion and exclusion criteria, and their methodological quality was assessed using the Newcastle-Ottawa Scale (NOS) for cohort and case-control studies and the PEDro scale for randomized controlled trials (RCTs). A total of 11 eligible studies were analyzed. Findings suggested that flatfoot may contribute to increased severity and persistence of chronic low back pain by inducing kinematic alterations in the lower limb by increasing internal rotation of the knee and hip, and affecting spinal biomechanics. However, some studies did not confirm this association definitively. Flatfoot may be considered a potential risk factor for NSCLBP., by altered mechanical force distribution and movement patterns leading to increased lumbar stress. Further studies employing advanced biomechanical assessment methods are required to better understand this relationship and develop targeted interventions.

کلیدواژه‌ها English

Low Back Pain
Flatfoot
Biomechanics
Systematic Review
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مجله جراحی استخوان و مفاصل ایران
دوره 23، شماره 4
پاییز 1404
صفحه 200-208

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