تاثیر یک دوره برنامه تمرینی یوگا بر شاخص های خستگی عضلانی و تعادل در مبتلایان به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 . دانشیار بیومکانیک ورزشی، دانشکدۀ علوم ورزشی، دانشگاه بیرجند، بیرجند، ایران (نویسنده مسئول)

2 کارشناسی ارشد فیزیولوژی ورزشی، دانشکدۀ علوم ورزشی، دانشگاه بیرجند، بیرجند، ایران 3. استادیار دانشگاه آزاد اسلامی واحد جهرم

3 استادیار دانشگاه آزاد اسلامی واحد جهرم

4 دکتری حرکات اصلاحی و آسیب‌شناسی ورزشی (تربیت‌بدنی ویژه)، دانشگاه گیلان، گیلان، ایران

10.22089/smj.2021.10266.1478

چکیده

ام اس نوعی بیماری پیشرونده می باشد که با تخریب غلاف میلین سیستم عصبی مرکزی همراه است. لذا پژوهش حاضر با هدف مطالعه، تأثیر دوازده هفته تمرین یوگا بر میزان خستگی و تعادل در بیماران مرد و زن مبتلا به مولتیپل اسکلروزیس پرداخته شد. در این تحقیق 22 زن و مرد مبتلا به ام اس عضو انجمن ام اس فارس، به صورت تصادفی به دو گروه مساوی تمرینات یوگا و کنترل تقسیم شدند. میزان خستگی عضلانی به وسیله دستگاه الکترومیوگرافی و شاخص تعادل به وسیله آزمون تعادلی برگ نتایج نشان داد قبل و بعد از تمرینات یوگا اندازه گیری شد. بعد از دوازده هفته تمرین یوگا، بر میزان سیگنال الکترومیوگرافی حاصل از خستگی عضلانی تاثیر معناداری داشته است. همچنین نتایج مربوط به تعادل نشان دهنده بهبود شاخص های تعادلی ب در گروه تجربی نسبت به گروه کنترل بود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of a Yoga Exercise Program on Muscle Fatigue and Balance Indices in Patients with Multiple Sclerosis

نویسندگان [English]

  • saeed ilbeigi 1
  • Mostafa Haghighi 2
  • Asghar Nikseresht 3
  • Mehdi Mahjoor 4
2 Faculty of Sport Sciences, University of Birjand
3 Azad University of Jahrom
4 faculty of sport sciences, university of Gilan
چکیده [English]

Multiple sclerosis (MS) is a progressive disease associated with the destruction of the myelin sheath of the central nervous system. The most common problems in these patients are muscle fatigue and balance disorders. Therefore, the aim of this study was to investigate the effect of 12-week yoga practice on fatigue and balance in male and female patients with MS. In this study, 22 men and women with MS, members of the Fars MS Association, were randomly divided into equally experimental (yoga exercises) and control groups. Muscle fatigue was measured by electromyography and balance index was measured by leaf balance test before and after yoga exercises. Data were analyzed using independent and paired t-tests. The results showed that after 12-week yoga practice, it had a significant effect on the amount of electromyography signal from muscle fatigue. Moreover, the results related to balance indicated an improvement in balance indices after 12 weeks of balance exercises in the experimental group compared to the control group. According to the results, this exercise method can be used to improve muscle fatigue and balance in these patients.

کلیدواژه‌ها [English]

  • Multiple Sclerosis
  • Yoga
  • Balance
  • Muscle fatigue
  1.  

    1. Farsi A, Ashayeri H, Mohammadzadeh S. The effect of six weeks balance training program on kinematic of walking in women elderly people. Iranian Journal of Ageing. 2015;9(4):278-87. (In Persian)
    2. Asadi Samani Z, Rahnama N, Reisi J, Lenjan Nejadian S. Effect of 3 months square stepping exercise and resistance training on postural balance and fear of falling in elderly woman. Studies in Sport Medicine. 2019;11(25):59-80. (In Persian)
    3. Soares WJ, Lopes AD, Nogueira E, Candido V, de Moraes SA, Perracini MR. Physical activity level and risk of falling in community-dwelling older adults: systematic review and meta-analysis. Journal of aging and physical activity. 2018;27(1):34-43.
    4. Bergquist R, Weber M, Schwenk M, Ulseth S, Helbostad JL, Vereijken B, et al. Performance-based clinical tests of balance and muscle strength used in young seniors: a systematic literature review. BMC geriatrics. 2019;19(1):1-14.
    5. Jiakponnah NN, Unson C, Chukwurah QC. Correlates of Strength and Balance Training Exercises in Older African American Adults. The Gerontologist. 2021.
    6. Dashti P, Shabanim M, Moazami M. Comparison of the effects of two selected exercises of Theraband and Pilates on the balance and strength of lower limb in elderly women. IJOGI, 2015. Vol. 18, No. 153, pp. 1-9. (In Persian)
    7. Norozi E, Mahdavi nejad R, Norozi K. The effect of eight weeks of selected exercises on the strength of hip abductors and balance of healthy elderly women. Journal of Sport Medicine. 2016. Mar 23;16(8):23-33.‎ (In Persian).
    8. Ma CZ-H, Lam W-K, Chang B-C, Lee WC-C. Can Insoles Be Used to Improve Static and Dynamic Balance of Community-Dwelling Older Adults? A Systematic Review on Recent Advances and Future Perspectives. Journal of aging and physical activity. 2020;28(6):971-86.
    9. Narr R, Daly K, O'Neill A, Linkchorst K, Sanders J, Paulson S, editors. The Effects of Vision Impairment on Balance in Athletes and Non-Athletes. International Journal of Exercise Science: Conference Proceedings; 2018.
    10. Vaugoyeau M, Viel S, Amblard B, Azulay J, Assaiante C. Proprioceptive contribution of postural control as assessed from very slow oscillations of the support in healthy humans. Gait & posture. 2008;27(2):294-302.
    11. Henry M, Baudry S. Age-related changes in leg proprioception: implications for postural control. Journal of neurophysiology. 2019;122(2):525-38.
    12. Kiaghadi A, Bahramizadeh M, Hadadi M. Effect of Textured and Prefabricated Insole Use With Medical or Sports Shoes on Dynamic Postural Control in Elderly People. Topics in Geriatric Rehabilitation. 2020;36(1):55-9.
    13. Kobesova A, Davidek P, Morris CE, Andel R, Maxwell M, Oplatkova L, et al. Functional postural-stabilization tests according to Dynamic Neuromuscular Stabilization approach: Proposal of novel examination protocol. Journal of Bodywork and Movement Therapies. 2020;24(3):84-95.
    14. Sokhangu MK, Rahnama N, Etemadifar M, Rafeii M, Saberi A. Effect of Neuromuscular Exercises on Strength, Proprioceptive Receptors, and Balance in Females with Multiple Sclerosis. International Journal of Preventive Medicine. 2021;12(1):5.
    15. Hopper AJ, Haff EE, Joyce C, Lloyd RS, Haff GG. Neuromuscular training improves lower extremity biomechanics associated with knee injury during landing in 11–13 year old female netball athletes: a randomized control study. Frontiers in physiology. 2017;8:883.
    16. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. International journal of sports physical therapy. 2013;8(1):62.
    17. Clausen B, Holsgaard-Larsen A, Roos EM. An 8-week neuromuscular exercise program for patients with mild to moderate knee osteoarthritis: a case series drawn from a registered clinical trial. Journal of athletic training. 2017;52(6):592-605.
    18. GHASEMI E, SHAYEGANNEJAD V, ASHTARI F, MORADI B, REZAEI E, KEIVANFAR N. An investigation on the effects of neuromuscular exercise on balance, gait and the depression of paitent with MS. 2011.
    19. Benfiry N, Ganji B, Beigi SS. The Effect of 8 Weeks of Dynamic Neuromuscular Stability (DNS) Exercises on the Performance and Quality of Men and Women's Life with Apoplexy (Stroke). Egyptian Academic Journal of Biological Sciences, E Medical Entomology & Parasitology. 2018;10(1):83-93.

     

     

    1. Lim YL, Lepsikova M, Singh DKA, editors. Effects of dynamic neuromuscular stabilization on lumbar flexion kinematics and posture among adults with chronic non-specific low back pain: a study protocol. Regional Conference on Science, Technology and Social Sciences (RCSTSS 2016); 2018: Springer.
    2. Ghasempour L, Hoseini FS, Soleymani M, Ahmadi M. Effects of physical fitness exercise, mental exercise and mindfulness exercise on static and dynamic balance in elderly women. Iranian Journal of Ageing. 2017;12(2):180-91. (In Persian).
    3. Valipour Dehnou V, Motamedi R. assessing and comparing of balance and flexibility among elderly men and women in the age group of 60-79 years. Iranian Journal of Ageing. 2018;13(2):210-21.
    4. Thomas JR, Salazar W, Landers DM. What is missing in p<. 05? Effect size. Research quarterly for exercise and sport. 1991;62(3):344-8.
    5. Mahdieh L, Zolaktaf V, Karimi MT. The Effect of Fundamental Training on General and Specific Functional Movements in Female Students. Journal of Exercise Science and Medicine. 2018;10(1):131-45.
    6. Naemi Kia M, Gholami A. Effect of Walking Training on Artificial Cobblestone Mats on Gait Spatio-Temporal Parameters for the Elderly Women. Motor Behavior. 2018;9(30):71-86. (In Persian).
    7. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical therapy. 2000;80(9):896-903.
    8. Khasnis A, Gokula R. Romberg's test. Journal of postgraduate medicine. 2003;49(2):169.
    9. Resende SM, Rassi CM. Effects of hydrotherapy in balance and prevention of falls among elderly women. Brazilian Journal of Physical Therapy. 2008;12(1):57-63.
    10. Gibson AL, Wagner D, Heyward V. Advanced Fitness Assessment and Exercise Prescription, 8E: Human kinetics; 2018.
    11. Taheri M, Mirmoezzi M, Sabaghi M. Effects of aquatic on balance and preventing of fall among healthy elderly men. J Saf Promot Inj Prev. 2018;6:144-51.
    12. Alikhajeh Y, Hosseini SRA, Moghaddam A. Effects of hydrotherapy in static and dynamic balance among elderly men. Procedia-Social and Behavioral Sciences. 2012;46:2220-4.
    13. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Physical therapy. 1997;77(8):812-9.
    14. Irandoust K, Taheri M. The impact of yoga and pilates exercises on older adults. Iranian Journal of Ageing. 2016;11(1):152-61. (In Persian).
    15. Yoon HS, You JSH. Reflex-mediated dynamic neuromuscular stabilization in stroke patients: EMG processing and ultrasound imaging. Technology and health care. 2017;25(S1):99-106.
    16. Oppelt M, Juehring D, Sorgenfrey G, Harvey PJ, Larkin-Thier SM. A case study utilizing spinal manipulation and dynamic neuromuscular stabilization care to enhance function of a post cerebrovascular accident patient. Journal of bodywork and movement therapies. 2014;18(1):17-22.
    17. Juehring DD, Barber MR. A case study utilizing Vojta/Dynamic Neuromuscular Stabilization therapy to control symptoms of a chronic migraine sufferer. Journal of bodywork and movement therapies. 2011;15(4):538-41.
    18. Bokarius V. Long-term efficacy of dynamic neuromuscular stabilization in treatment of chronic musculoskeletal pain. Age. 2008;18(25):3.
    19. Kobesova A, Dzvonik J, Kolar P, Sardina A, Andel R. Effects of shoulder girdle dynamic stabilization exercise on hand muscle strength. Isokinetics and Exercise Science. 2015;23(1):21-32.
    20. Zareiy H, Norasteh A, Koohboomi M, Rasht I. Effect of Combined Training (Strength and Stretching) on Balance, Risk of Falling, and Quality of Life in the Elderly. J Rehab Med. 2018;7(2):201-8. (In Persian)
    21. Farsi A, Abdoli B, Baraz P. Effect of balance, strength, and combined training on the balance of the elderly women. Iranian Journal of Ageing. 2015;10(3):54-61. (In Persian).
    22. Zamani S, Ganji B, Shahabeigi S. The effect of eight weeks of DNS training on the balance of women with multiple sclerosis, . the first national conference on the development of sports science in the field of health, prevention and championship, Qazvin, Imam Khomeini International University. 2016.
    23. McLeod TCV, Armstrong T, Miller M, Sauers JL. Balance improvements in female high school basketball players after a 6-week neuromuscular-training program. Journal of sport rehabilitation. 2009;18(4):465-81.
    24. Arruda E, Amaral AP, Politti F, Hage Y, Gomes C, Cesar G, et al. Immediate effects of mandibular mobilization on static balance in individuals with temporomandibular disorder pilot study. Clin Exp Med Lett. 2012;53(4):165-9.
    25. Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. Journal of bodywork and movement therapies. 2013;17(2):259-65.

    Gomes-Neto M, Lopes JM, Conceição CS, Araujo A, Brasileiro A, Sousa C, et al. Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis. Physical therapy in Sport. 2017;23:136-42.