Bimonthly of Education Strategies in Medical Sciences دوماهنامه علمی- پژوهشی راهبردهای آموزش در علوم پزشکی Educ Strategy Med Sci Medical Sciences http://edcbmj.ir 1 admin 2345-5284 2345-5284 fa jalali 1405 5 1 gregorian 2026 8 1 19 2 online 1 fulltext
fa تاثیر سه برنامه آموزشی شعرکودکانه اصلاحی پاسچرال با و بدون تمرینات اصلاحی معمول بر وضعیت سر و شانه به جلو دانش‌آموزان 10-8 ساله the effect of three postural corrective based childhood poetry training with and without common usual corrective exercises program on Forward head and shoulder deformities posture of 8 to 10 years old students سلامت Health پژوهشی اصيل Original Research <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">مقدمه: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">ناهنجاری سر&shy; و &shy;شانه به&shy; جلو در دانش &shy;آموزان به&shy; دلیل اتخاذ وضعیت‌ها و عادات غلط پاسچرال، یکی &shy;از شایع&shy;ترین ناهنجاری&shy; های وضعیتی به شمار می &shy;رود. در این مطالعه تاثیر سه&shy; روش آموزش شعرکودکانه اصلاحی&shy; پاسچرال با و بدون تمرینات&shy;&shy; اصلاحی معمول بر وضعیت&shy; سر و شانه به&shy; جلو دانش‌آموزان بررسی شده است.</span></span></span></span></span></span></span></span> <div><b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روش کار:</span></span></span></b> <span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در این تحقیق نیمه&shy;&shy; تجربی، 45 دانش‌آموز پسر مبتلا به سر و شانه به جلو به&shy; عنوان نمونه&shy; آماری به صورت در دسترس انتخاب و به روش تصادفی در سه گروه: اصلاح&shy; پاسچر فقط با شعر کودکانه پاسچرال، اصلاح پاسچر فقط با تمرینات&shy; اصلاحی معمول و اصلاح پاسچر به صورت ترکیبی با شعرکودکانه پاسچرال همراه با تمرینات &shy;اصلاحی معمول، قرار گرفتند. جهت سنجش میزان سر و شانه به</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:">&shy; </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">جلو از روش فتوگرامتری استفاده &shy;گردید.</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:">&shy; </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">جهت مقایسه میانگین&shy; ها قبل و بعد از تی</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">-زوجی و جهت مقایسه بین گروه&shy; ها از آنوای یک-راهه با سطح معناداری 0/005 استفاده&shy; گردید</span></span></span></div> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">یافته ها:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">اختلاف میانگین &shy;های پیش&shy;</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">و پس </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">&shy;آزمون بین گروه&shy; ها در میزان زاویه سر و شانه به جلو تفاوت&shy; معناداری را نشان&shy; داد (0/0001=</span></span></span><span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">). اما تغیرات میانگین&shy; ها در گروه ترکیبی آموزش شعر پاسچرال همراه با تمرینات اصلاحی معمول بیشتر بود.</span></span></span><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">نتیجه گیری:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">هر سه روش بر کاهش میزان ناهنجاری سر و شانه به جلو موثر بود، اما </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">ترکیب آموزش شعرکودکانه پاسچرال با تمرینات&shy; اصلاحی تاثیر بهتری نسبت به انجام دو روش به &shy;صورت مجزا داشت، بنابراین، آموزش شعرکودکانه پاسچرال همراه با تمرینات اصلاحی را می&shy; تواند به&shy;&shy; عنوان روش مؤثرتری، در اصلاح ناهنجاری سر و شانه به جلو توصیه نمود.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span> <div><span style="font-size:11pt"><span style="line-height:150%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">کلمات کلیدی:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">شعر پاسچرال، حرکات &shy;اصلاحی، پاسچر، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:">سر و شانه به جلو، دانش &shy;آموزان</span></span></span><b>&nbsp; </b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></div> <p><span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></span></b> <span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Forward head and shoulder deformity in students is one of the most common postural abnormalities due to wrong postures and pastural habits.</span></span></span> <span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">In this study, the effect of three methods of teaching corrective children&#39;s poetry with and without the usual corrective exercises on the forward head and shoulder posture of students has been investigated.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Methods</span></span></span></b><b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">:</span></span></span></b> <span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">In this semi-experimental research, 45 male students w</span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">ith forward head and shoulders as a statistical sample were randomly selected in three groups: Pasteur correction only with Pasteur children&#39;s poetry, Pasteur correction only with</span></span></span> <span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The usual corrective exercises and Pasteur&#39;s correction were combined with Pasteur&#39;s children&#39;s </span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">poetry</span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> along with the usual corrective exercises.</span></span></span> Photogrammetric method was used to measure head and shoulder forward. To compare the averages before and after paired t-test and to compare between groups,one-way ANOVA with a significance level of 0.005 was used<span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">.</span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <b><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Findings:</span></span></span></b><span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"> <span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">difference the pre and post-test averages between the groups showed a significant difference in head and shoulder forward angle(P=0.0001).</span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">But the changes of the averages were more in the combined group of teaching pastoral poetry along with the usual correctional exercises.</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusions:</span></span></span></b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">All three methods were effective in reducing the amount of forward head and shoulder deformity,</span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">But the combination of teaching children&#39;s pastural poetry with corrective exercises had a better effect than doing the two methods separately.</span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">therefore,teaching children&#39;s </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">postural</span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> poetry together Corrective exercises can be recommended as a more</span></span></span> <span lang="EN-US" style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">effective method in correcting head and shoulder forward deformity.</span></span></span></span></span></span><br> <b><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Keywords:</span></span></span></b><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Postural Poetry</span></span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">,corrective exercises,</span></span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Posture</span></span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">,</span></span></span></span><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Head and shoulders forward</span></span></span></span><span lang="EN-US" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:black">,students</span></span></span></span></p> شعر پاسچرال, حرکات اصلاحی, پاسچر, سر و شانه به جلو, دانش آموزان Keywords:Postural Poetry,corrective exercises,Posture, Head and shoulders forward,students 25 41 http://edcbmj.ir/browse.php?a_code=A-10-3268-1&slc_lang=fa&sid=1 REZA RAJABI رضا رجبی rrajabi@ut.ac.ir 100319475328460043159 100319475328460043159 Yes University of Tehran دانشگاه تهران marzieh mokhtari karchegani مرضیه مختاری کرچگانی mokhtari.marzieh.1371@gmail.com 100319475328460043160 100319475328460043160 No University of Tehran دانشگاه تهران Mohmad karimizade ardakani محمد کریمی زاده اردکانی m.karimizadeh@ut.ac.ir 100319475328460043161 100319475328460043161 No University of Tehran دانشگاه تهران