بررسی اثر یک دوره تمرینات تعادلی و ترکیبی شناختی بر نوسانات قامتی زنان مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس‌ ارشد دانشگاه فردوسی مشهد

2 دانشیار دانشگاه فردوسی مشهد

3 استادیار دانشگاه فردوسی مشهد

4 دانشیار دانشگاه علوم پزشکی مشهد

چکیده

هدف از پژوهش حاضر، بررسی اثر یک دوره تمرینات تعادلی و ترکیبی شناختی بر نوسانات قامتی زنان مبتلا به مولتیپل اسکلروزیس می­باشد. در این پژوهش، 30 نفر از زنان 25 تا 45 سالۀ عضو انجمن ام­. اس خراسان رضوی با نمرۀ ناتوانی جسمانی (یک تا چهار) شرکت داشتند که به­­صورت تصادفی به سه گروه مساوی (دو گروه تجربی و یک گروه کنترل) تقسیم شدند. گروه‌های تجربی به­مدت هشت هفته و هر هفته سه جلسه تمرینات تعادلی مرکز ثقل را انجام دادند و گروه تمرینات ترکیبی­ نیز علاوه­بر تمرینات مرکز ثقل، یک تکلیف شناختی را ­حین انجام حرکات اجرا نمود­. ارزیابی نوسانات قامتی بیماران به‌وسیلۀ تست ایستادن روی صفحۀ نیرو،­ قبل و بعد از دورۀ تمرینات انجام شد و میانگین نوسانات مرکز فشار اندازه‌گیری گردید. همچنین، جهت تجزیه­و­تحلیل داده­ها از آزمون لون و تحلیل کوواریانس استفاده شد. یافته­ها نشان می­دهد که تفاوت معناداری بین میانگین نوسانات گروه‌ها در دو سطح قدامی ـ خلفی و میانی ـ جانبی وجود دارد. آزمون توکی نیز بیانگر آن است که بین میانگین نوسانات گروه‌های تجربی با گروه کنترل در هر دو سطح قدامی ـ خلفی و میانی ـ جانبی تفاوت معناداری وجود دارد (P<0.05). به­طور­کلی، نتایج پژوهش نشان می­دهد که تمرینات تعادلی مرکز ثقل و ترکیبی شناختی، موجب کاهش نوسانات قامتی زنان مبتلا به ام. ‌اس می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effect of a period balance training and cognitive combination on postural sway women with multiple sclerosis

نویسندگان [English]

  • Azam Enferadi Doughabadi 1
  • Hamidreza Taheri Torbati 2
  • Alireza Saberi Kakhki 3
  • Karim Nik khah 4
چکیده [English]

Multiple sclerosis is the most widespread inflammatory disease. One of the main problems of individuals afflicted with MS is postural control. According to the significant needs for postural control, the present study aims to examine the effect of a course of balancing and combinational exercises on postural fluctuations of women with MS. In this study, 30 women, aged 25-45, who were members of MS Society of Khorasan Razavi and had a physical disability score of (1-4), were randomly assigned to three equal groups (two experimental groups and a control group). Experimental groups did center balancing exercises for eight weeks, three sessions each week. Combinational exercises group also did a cognitive task during the center balancing exercises. Fluctuations in patients’ posture were measured by standing on a power platform pre and post balancing exercises and the average fluctuation of the center of pressure was measured. Leaven and Covariate Analysis were used for comparison of means. The results showed that there is a significant difference between the average fluctuations of two groups in anterior-posterior and medial-lateral. The results of Tukey test showed that there is a significant difference between the average fluctuations of experimental groups in anterior-posterior and medial-lateral (P<0.05). The results showed that generally the center balancing and combinational cognitive exercises lead to a decrease in postural fluctuations of women with MS.

کلیدواژه‌ها [English]

  • Multiple Sclerosis
  • Center balancing exercises
  • Cognitive Task
  • Postural fluctuations
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