نوع مقاله : مقاله پژوهشی

نویسندگان

1 . دانشیار فیزیولوژی ورزشی، گروه علوم ورزشی، دانشکدۀ علوم انسانی، دانشگاه مراغه، مراغه، ایران

2 دکتری یادگیری حرکتی، دانشکدۀ علوم ورزشی، دانشگاه ارومیه، ارومیه، ایران

3 دکتری فیزیولوژی ورزشی، دانشکدۀ علوم ورزشی، دانشگاه ارومیه، ارومیه، ایران

چکیده

هدف پژوهش‌ حاضر بررسی تأثیر تمرینات تعلیقی بر توانایی عملکردی، تعادل و ترس از سقوط در زنان مبتلا به ام اس بود. 36 نفر از افراد مبتلا به ام اس به دو گروه کنترل و تجربی تقسیم شدند. پروتکل تمرینی شامل تمرینات تعلیقی به مدت 12 هفته، هر هفته سه جلسه و هر جلسه در حدود 30 دقیقه انجام شد. داده‌ها با استفاده از آزمون تحلیل کوواریانس تجزیه­وتحلیل شدند. نتایج نشان داد در زمینۀ تعادل، توانایی عملکردی و ترس از سقوط در زنان دارای ام اس تفاوت معنا‌داری بین گروه تجربی و کنترل وجود دارد. همچنین تفاوت بین نمرات عملکرد حرکتی، تعادل و ترس از سقوط، قبل و بعد از تمرینات تعلیقی، در گروه تجربی معنادار بود. یافته‌های پژوهش‌ حاضر نشان داد انجام تمرینات تعلیقی تعادل، ترس از سقوط و توانایی عملکردی زنان دارای ام اس را بهبود می‌بخشد. پیشنهاد می‌شود از تمرینات تعلیقی به­منظور کنترل و بهبود عملکرد حرکتی افراد مبتلا به ام اس استفاده شود.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of suspended stabilization exercises on functional ability, balance and fear of falling in women with MS

نویسندگان [English]

  • Solmaz Babaei 1
  • masoomeh parvaneh 2
  • samaneh dastah 3

1 university of maragheh

2 urmia university

3 urmia university

چکیده [English]

The aim of this study was to investigate the effect of suspended stabilization exercises on functional ability, balance and fear of falling in women with MS. Thirty women with MS were divided into control and experimental groups. The training protocol consisted of 12 weeks of suspended exercise that was performed for 12 weeks, 3 sessions per week and about 30 minutes per session. Covariance analysis was used to data analyze. The results showed that there was a significant difference between the experimental and control groups in balance, functional ability and fear of falling in women with MS. Also, there was a difference between motor performance scores. , Balance and fear of falling before and after suspended stabilization exercises were significant in the experimental group. The findings of the present study showed that suspension exercises improve balance, fear of falling and functional ability of women with MS. It is recommended that suspension exercises be used to control and improve the motor function of people with MS.

کلیدواژه‌ها [English]

  • Multiple sclerosis
  • suspended stabilization exercises
  • performance ability
  • balance
  • fear of falling
  1.  

    1. Balkan A, Salci Y. Respiratory muscle strength: Effects on functional capacity, quality of life and fatigue in women with multiple sclerosis. Medicine Science. 2020;9(1):154-9
    2. Maleki1 M, Khadijeh I, Safavi Bayat:Z, Mehrabi Y. Assessment of the Risk of Falls Related to Imbalance among Patients with Multiple Sclerosis Referred to the MS Society of Tehran Nursing and Midwifery. 2015;25(90):1-9. [In Persian].
    3. 3-Cameron M H, Nilsagård Y E. Measurement and treatment of imbalance and fall risk in multiple sclerosis using the International Classification of Functioning, Disability and Health model. Physical Medicine and Rehabilitation Clinics of North America. 2013; 24 (2) 337-354.
    4. Shams A, Taherii H, Nikkhah K, Samad Zadeh S. The effects of one period of selective exercise training with instructions focus of attention on motor function of multiple sclerosis patients. Journal of Student Research Committee Vice Chancellor for Research, Mashhad University of Medical Sciences. 2015;18(61):28-34. [In Persian].
    5. 5-Shamway-cook A WM. Motor control theory and practical application. Lippincott
      Williams & Wilkins 3rd ed. 2001; 2(3):197-261
    6. Rezvankhah Golsefidi R, Emami Hashemi S.A. Effect of Pilates Exercise on the Number of Fall, Fear of Falling, and Reaction Time of Women with Multiple Sclerosis. J Rehab Med. 2017; 6(2):150-159. [In Persian].

     

    1. Simpson Jr S, Taylor B, van der Mei I. A profile of the Multiple Sclerosis Longitudinal Study: Evaluating environmental, behavioural and genetic predictors of clinical outcomes in multiple sclerosis. Australasian Epidemiologist, 2012. 19(2):
      33-37.
    2. Karlsson M.K, Vonschewelov C. Karlsson M. Cöster B.E. Rosengen, Prevention of falls in the elderly: a review. Scandinavian journal of public health. 2013;41(5):
      442-454.
    3. Kalron A, Achiron A. Postural control, falls and fear of falling in people with multiple sclerosis without mobility aids. Journal of the neurological sciences, 2013. 335(1):
      186-190.
    4. Matsuda P.N, Shumway-Cook A.M, Bamer S.L, Johnson D. Amtmann, and G.H. Kraft, Falls in multiple sclerosis. PMR, 3(7): 624-632.
    5. Coote S, Hogan N, Franklin S. Falls in people with multiple sclerosis who
      use a walking aid: prevalence, factors, and effect of strength and balance interventions. Arch Phys Med Rehabil.2013; 94: 616-21.
    6. Khorshid Sokhangu M, Rahnama N, Etemadifar M, Rafeii M. the effect of neuromuscular exercise on balance and motor function in woman with multiple sclerosis. The Journal of Urmia University of Medical Sciences. 2018;29(5):
      362-371. [In Persian].
    7. Kjolhede T, Vissing K, Dalgas U. Multiple sclerosis and progressive resistance training: a systematic review. Mult Scler 2012;18(9):1215–28.
    8. Moghadasi A, Ghasemi G, Sadeghidemneh E, Etemadifar M. Effect of TRX Suspension Training on Functional Balance in Patients with Multiple Sclerosis. Scientific Journal of Ilam University of Medical Sciences. 2019; 27(2): 51-63.
      [In Persian].
    9. Lederman E. Neuromuscular rehabilitation in manual and physical therapy. 1th ed. Edinburgh Churchill Livingstone Publication. 2010;.5-65
    10. 16-Mok NW, Yeung EW, Cho JC, Hui SC, Liu KC, Pang CH. Core muscle activity
      during suspension exercises. J Sci Med Sport 2015; 18:189-94.
    11. Mohammad Reza Hossein-Abadi, Gholamali Ghasemi, Mohammad Esmaeil Goharjoo, Mohammad Faizi. Effects of Core Stability Exercises and Special Suspension Exercises on Functional Disability and Pain in People with Nonspecific Chronic Low Back Pain. J Rehab Med. 2020; 9(2):71-78. [In Persian].
    12. Gaedtke A, Moart T. TRX suspension training: A new functional training
      approach for older adults – development, training control and feasibility. Int J Exerc
      Sci 2015; 8: 224-33.
    13. Dudgeon WD, Herron JM, Aartun JA, Thomas DD, Kelley EP, Scheett TP.
      Physiologic and metabolic effects of a suspension training workout. Int J Sports
      Sci 2015; 5: 65-72
    14. Babaee J, Keshavarz M, Haidarnia A, Shayegan M. Effect of a Health education program on quality of line in patients undergoing coronary artery bypass surgery. Act Med Iran 2007; 45: 69-74. [In Persian].
    15. Marwick TH, Zuchowski C, Lauer MS, Secknus MA, Williams J, Lytle
      Functional status and quality of life in patients with heart failure undergoing coronary bypass surgery after assessment of myocardial viability. J Am Coll Cardiol Mar1999; 33: 750-8.
    16. Lusardi MM. Functional performance in community living older. J Geriatric Phys Therap 2004; 26:14-22.
    17. Khajavi, D., Validation and Reliability of Persian Version of Fall Efficacy Scale-International (FES-I) in community-dwelling older adults. Iranian Journal of Ageing, 2013;2(8): 39-47
    18. Cattaneo D, De Nuzzo C, Fascia T, Macalli M, Pisoni I, Cardini R. Risks of falls in subjects with multiple sclerosis. Arch Phys Med Rehabil. 2002; 83: 864–67.
    19. 25-Ghasemi E. The effect of neuromuscular training on balance in Multiple sclerosis patients. Archives of Physical Medicine and Rehabilitation. 2011; 7(2). [In Persian].
    20. Guner S, Hagharı S, Inanıc F, Alsancak S, Aytekın G. Knee muscle strength in multiple sclerosis relationship with gait characteristics. J Phys Ther Sci 2015; 27: 809-13.
    21. Dalgas U, Stenager E, Jakobsen J, Petersen T, Hansen H, Knudsen C, et al.
      Resistance training improves muscle strength and functional capacity in multiple sclerosis. Neurology 2009; 73:1478-84.
    22. Sadek MT. Effect of TRX suspension training as a prevention program to avoid the shoulder pain for swimmers Science, Move Health 2016; 16: 222-7.
    23. Hamza A. The effects of core strength training with and without suspension on lipid peroxidation and lunge speed for young fencers. Sci Move Health 2013; 13:129-36.
    24. Finlayson, M., T.V. Denend, and E. Shevil, Multiple perspectives on the health service need, use, and variability among older adults with multiple sclerosis. Occupational Therapy in Health Care, 2004. 17(3-4): 5-25.
    25. Zijlstra, G, J. Van Haastregt, E. Van Rossum, J.T.M. Van Eijk, L. Yardley, and G.I. Kempen, Interventions to reduce fear of falling in community‐living older people: a systematic review. Journal of the American Geriatrics Society, 2007. 55(4): 603-615.
    26. Zhang, J.-G., K. Ishikawa-Takata, H. Yamazaki, T. Morita, and T. Ohta, The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Archives of gerontology and geriatrics, 2006. 42(2): 107-116.
    27. Schmid A.A, Van Puymbroeck D.M. Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study. Archives of physical medicine and rehabilitation, 2010. 91(4):576- 583.
    28. Mohamadi Dinani Z, Nezakatolhossaini M, Esfarjani F, Etemadifar M. The effect of 8-week Pilates training on motor function and depression in subjects with Multiple Sclerosis (MS). J Res Rehabil Sci 2013; 9(2): 308-17. [In Persian].
    29. Tarakci E, Yeldan I, Huseyinsinoglu BE, Zenginler Y, Eraksoy M. Group exercise training for balance, functional status, spasticity, fatigue and quality of life in multiple sclerosis: a randomized controlled trial. Clinical rehabilitation. 2013.
    30. Jensen MP, Ehde DM, Gertz KJ, Stoelb BL, Dillworth TM, Hirsh AT, et al. Effects of self-hypnosis training and cognitive restructuring on daily pain intensity and catastrophizing in individuals with multiple sclerosis and chronic pain. International Journal of Clinical and Experimental Hypnosis. 2010; 59(1):45-63.
    31. DeBolt LS, McCubbin JA. The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Arch Phys Med Rehabil 2004; 85(2): 290-7.