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تأثیر هفت هفته تمرینات ثبات مرکزی و تعادلی بر عملکرد حرکتی و نارسایی‏های شناختی زنان مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد رفتار حرکتی دانشگاه سمنان

2 استادیار رفتار حرکتی دانشگاه سمنان

3 استادیار عصب‏ شناسی دانشگاه علوم‌پزشکی سمنان

چکیده

هدف از پژوهش حاضر، بررسی تأثیر هفت هفته تمرینات ثبات مرکزی و تعادلی بر عملکرد حرکتی و نارسایی‏های شناختی زنان مبتلا به مولتیپل اسکلروزیس بود. بدین‌منظور، 18 نفر از زنان مبتلا به مولتیپل اسکلروزیس (با مقیاس وضعیت ناتوانی گستردة‌‌ 0 تا 5/4 و میانگین سنی‌ 62/8‌±‌66/36‌سال) براساس شرایط ورود به پژوهش به‌طور هدفمند انتخاب شده و به‌صورت تصادفی در دو گروه کنترل و تجربی جای گرفتند (گروه کنترل 10 نفر و گروه تجربی هشت نفر). جهت ارزیابی عملکرد حرکتی از آزمون 25 فوت راه‎رفتن و آزمون برخاستن و حرکت‌کردن زماندار استفاده شد و به‌منظور بررسی نارسایی‏ های شناختی از پرسش‌نامه نارسایی‏ های شناختی بهر ه گرفته شد. درادامه، گروه تجربی به‌مدت هفت هفته و به‌صورت سه جلسه در هفته تمرینات را انجام داد. این تمرینات شامل: تمرینات ثبات مرکزی روی توپ سوییسی و زمین و تمرینات تعادلی بود. شایان‌ذکر است که طی این مدت گروه کنترل هیچ برنامة ورزشی را انجام نداد. جهت تحلیل نتایج از تحلیل کواریانس استفاده گردید. نتایج نشان می‌دهد که عملکرد حرکتی گروه تجربی در‌مقایسه با گروه کنترل پس از هفت هفته بهبود یافته است (P=0.002 برای آزمون 25 فوت راه‏رفتن و P=0.001 برای آزمون برخاستن و حرکت‌کردن زماندار)؛ اما ‌نمرة کلی نارسایی ‏های شناختی (P=0.001)، نمرة خرده‏ مقیاس حواس‌پرتی (P=0.001)، مشکلات حافظه (P=0.001) و مشکلات سهوی گروه تجربی کاهش داشته است (P=0.001)؛ بنابراین، می توان تمرینات ثبات مرکزی و تعادلی را برای بهبود عملکرد حرکتی و کاهش نارسایی‏ های شناختی از قبیل حواس‌پرتی، مشکلات حافظه و مشکلات سهوی در زنان مبتلا به مولتیپل اسکلروزیس به‌کار برد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effect of 7 Weeks of Core Stability and Balance Training on Motor Function and Cognitive Failures in Women with Multiple Sclerosis

نویسندگان [English]

  • Hajar Shiri 1
  • Mohammad Ali Soltanian 2
  • Nabiollah Asghari 3

1 M.Sc. of Motor Behavior, University of Semnan

2 Assistant Professor of Motor Behavior, University of Semnan

3 Assistant Professor of Neurology, University of Medical Sciences of Semnan

چکیده [English]

The aim of this study was investigating the effect of 7 weeks of core stability and balance training on Motor function and Cognitive Failures in women with multiple sclerosis. For this purpose, 18 women with multiple sclerosis (Expanded Disability Status Scale 0-4.5, mean ± SD age; 36.66 ± 8.62 years) were selected based on the research entrance conditions with purposefully method and divided randomly to experimental and control groups (control group 10 persons and experimental group 8 persons). For evaluate Motor function, were used Timed 25 Foot Walking Test and Timed Up and Go Test. Too for evaluate Cognitive Failures was used Cognitive Failures Questionnaire, Then Experimental group conducted trainingfor 7 weeks, 3 sessions in week, training consist of Core stability training with Swiss ball, Core stability training without Swiss ball and balance training. At that time, Control group didn’t conduct any sport training. For analyzing data used analysis of covariance. Result showed that after 7 weeks, Experimental group in Compare with Control group improved Motor function (P=0.002 for Timed 25-Foot Walking Test, P=0.001 for Timed Up and Go Test) and decreased total score of Cognitive Failures (P=0.001), scores of subscales like Distractibility (P=0.001), Memory (P=0.001) and Blunders problems (0.001) for Experimental group. So, core stability and balance training can be used for improvement Motor function and decreasing Cognitive Failures like Distractibility, Memory and Blunders problems in women with multiple sclerosis.

کلیدواژه‌ها [English]

  • Motor Function
  • Cognitive Failures
  • Women with Multiple Sclerosis
  • Core Stability and Balance Training
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رفتار حرکتی
دوره 9، شماره 27 - شماره پیاپی 27
خرداد 1396
صفحه 17-34
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سابقه مقاله
  • تاریخ دریافت: 11 مهر 1394
  • تاریخ بازنگری: 25 مرداد 1395
  • تاریخ پذیرش: 13 شهریور 1395
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