نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران
2 استاد، گروه آسیب شناسی ورزشی و حرکت اصلاحی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران
3 استادیار، گروه آسیب شناسی ورزشی و حرکات اصلاحی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران
چکیده
مقدمه: پژوهش حاضر اثر هشت هفته تمرینات واکنشی عصبی-عضلانی (RNT) بر کنترل قامت، قدرت عضلانی و کیفیت زندگی سالمندان را مورد بررسی قرار داد.
روش شناسی: آزمودنیها 30 زن سالمند بودند که در قالب دو گروه تمرین و کنترل در مطالعه شرکت کردند. آنها قبل و بعد از هشت هفته تمرین آزمون عملکردی تعادل ایستا (آزمون دسترسی عملکردی)، تعادل پویا ( آزمون زماندار نشستن و برخاستن) و قدرت عضلانی (دستگاه دینامومتر پایی) را انجام دادند. همچنین خطر زمین خوردن و کیفیت زندگی از طریق پرسشنامه خطر سقوط هاپکینز و کیفیت زندگلی لیپاد اندازه گیری شد. بعد از انجام پیشآزمون، گروه تمرین شش هفته تمرین واکنشی عصبی عضلانی دریافت کرد و گروه کنترل در هیچ برنامه تمرینی شرکت نکرد. دادهها با استفاده از نرم افزار آماری SPSS نسخه 21 و با روش آنوا با اندازههای تکراری مورد تجزیه و تحلیل قرار گرفت.
نتایج: تعادل ایستا (003/0=p)، آزمون زمان دار نشستن و برخاستن (035/0=p)، خطرسقوط (نمره خطر سقوط) (047/0=p) و کیفیت زندگی (018/0=p) در گروه تجربی نسبت به گروه کنترل تفاوت معناداری نشان داد. با وجود افزایش قدرت عضلانی در گروه تمرین عصبی -عضلانی، اما بهبود قدرت عضلانی تنها در عضلات باز کننده زانو پای راست (009/0=p) و چپ (010/0=p) و عضلات نزدیک کننده ران پای چپ (001/0=p) نسبت به گروه کنترل حاصل شد.
نتیجه گیری: یک دوره تمرین عصبی-عضلانی باعث بهبود تعادل ایستا، قدرت عضلانی، کاهش خطر سقوط و کیفیت زندگی زنان سالمند می شود و این نوع از تمرینات احتمال افتادن و به زمین خوردن سالمندان را کاهش می دهد.
کلیدواژهها
عنوان مقاله [English]
Investigating the effect of eight weeks of reactive neuromuscular training (RNT) on body control, muscle strength and quality of life of older adults
نویسندگان [English]
- Fuzieh Alhamashi 1
- Nader Rahnama 2
- Morteza Sadeghi 3
1 PhD student of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
2 Full Professor, Department of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
3 Assistant Professor, Department of Sport Injuries and Corrective Exercise, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
چکیده [English]
The present study investigated the effect of eight weeks of reactive neuromuscular training (RNT) on postural control, muscle strength and quality of life in older adults.
The subjects were 30 elderly women who participated in two groups of experience and control. They took static balance test (Functional Reach test), dynamic balance (Timed up and Go test (TUG)) and muscle strength (foot dynamometer device), Before and after eight weeks of training., the risk of falling and the quality of life were measured through the Hopkins fall risk questionnaire and the Lipad quality of life measurement. then the experience group received six weeks of neuromuscular training and the control group did not participate in any exercise program. Data were analyzed using SPSS and repeated measures ANOVA method.
static balance (p=0.003), TUG(p=0.035), fall risk (p=0.047) and quality of life (p=0.018) in experience group showed a significant difference compared to the control group. muscle strength improved only in the knee extensor muscles of the right leg (p=0.009) and left (p=0.010) and the left hip adductor muscles (p=0.001) compared to the control group.
A course of neuromuscular training improved static balance, muscle strength, reduce the risk of falling and quality of life of elderly women. However, this type of exercise reduces the possibility of elderly people falling down. A course of neuromuscular training improved static balance, muscle strength, reduce the risk of falling and quality of life of elderly women. However, this type of exercise reduces the possibility of elderly people falling down.
کلیدواژهها [English]
- neuromuscular training
- aging
- fall risk
- muscle strength
- Shumway-Cook A, Woollacott MH. Motor control: theory and practical applications. Philadelphia: Lippincqtt Williams & Wilkins; 1995.
- Rezaee R, Anbarian M, Sarshin A. The effect of erector spine muscles fatigue on balance compensation in kyphotic subjects after postural perturbations in sagital Journal of Research in Rehabilitation Sciences. 2013;9(3):525-39. [In Persian]
- Gonzalez-Freire M, de Cabo R, Studenski SA, Ferrucci L. The neuromuscular junction: aging at the crossroad between nerves and muscle. Frontiers in Aging Neuroscience. 2014;6:208.
- Abolhassani F, Moayyeri A, Naghavi M, Soltani A, Larijani B, Shalmani HT. Incidence and characteristics of falls leading to hip fracture in Iranian population. Bone. 2006;39(2):408-13 [In Persian]
- Gerson LW, Camargo Jr CA, Wilber ST. Home modification to prevent falls by older ED patients. The American Journal of Emergency Medicine. 2005;23(3):295-8.
- Sadeghi Dehcheshmeh M, Rahnama N, Sadeghi Dehcheshmeh H. Effect of 8 weeks neuromuscular exercise on ankle joint proprioception on male soccer players. Journal for Research in Sport Rehabilitation. 2015;3(6):49-58. [In Persian]
- Nagelli CV, Wordeman SC, Di Stasi S, Hoffman J, Marulli T, Hewett TE. Neuromuscular training improves biomechanical deficits at the knee in anterior cruciate ligament-reconstructed athletes. Clin J Sport Med. 2019;3(12):113-9.
- Nouri H, Sheikhhoseini R, Eslami R, Ghorbani M-R. The Effects of reactive neuromuscular training on the upper quarter posture in students with forward head posture: a randomized clinical trial. International Journal of School Health. 2020;7(2):54-60. [In Persian]
- Harrison BC, Hart JM. Reactive neuromuscular training in low-back pain rehabilitation: part two. Athletic Training and Sports Health Care; 2011.
- Myer GD, Ford KR, Palumbo OP, Hewett TE. Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. The Journal of Strength & Conditioning Research. 2005;19(1):51-60.
- Raj V. Importance of neuromuscular training of athletes. IJSS. 2015;5:141-5.
- Resende Neto AGd, Santos MS, Silva RJS, Santana JMd, Silva-Grigoletto MED. Effects of different neuromuscular training protocols on the functional capacity of elderly women. Revista Brasileira de Medicina do Esporte. 2018;24(2):140-4.
- Sazo-Rodríguez S, Méndez-Rebolledo G, Guzmán-Muñoz E, Rubio-Palma P. The effects of progressive neuromuscular training on postural balance and functionality in elderly patients with knee osteoarthritis: a pilot study. Journal of Physical Therapy Science. 2017;29(7):1229-35.
- Seada Y, Elsayed E, Talat W. Impact of reactive neuromuscular training on falling in parkinson’s disease. Indian Journal of Physiotherapy & Occupational Therapy. 2013;7(2):65-70.
- Taghavi SMR. The validity and reliability of the General Health Questionnaire (G.H.Q). Journal of Psychology. 2001;5(4):891-98. [In Persian]
- Pordehkordi A, Pormirza R. The effect of exercise on quality of life in elderly in Shahrekord. Iran J Ageing. 2006;2(6):216-23.
- Hojati H, Dadgari A, Mirrezaie SM. Validity and reliability of Persian version of Johns Hopkins Fall Risk Assessment Tool among aged people. Qom University of Medical Sciences Journal. 2018;12(2):45-53. [In Persian]
- Fathi RZ, Aslankhani MA, Farsi AR, Abdoli B, Zamani SS. A comparison of three functional tests of balance in identifying fallers from non-fallers in elderly people. Knowledge & Health. 2010;4(4):22-7. [In Persian]
- Jafari M, SHamshiri M. Reviewing the static and dynamic balance in predicting the risk of falls in elderly people in Tehran. Journal of Urmia Nursing And Midwifery Faculty. 2015;12(11):1045-53. [In Persian]
- 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]
- McLeod T, Armstrong T, Miller M, Sauers JL. Balance improvements in female high school basketball players after a 6-week neuromuscular-training program. J Sport Rehabil. 2009;18(4):465-81.
- Zamani S, Ganji B, Shahbeigi S. Effect of eight weeks of DNS exercise on fatigue and balance in woman with multiple sclerosis (MS). In: International Conference on Physical Education and Sports [Internet]. Tehran; 2016. [In Persian]
- Rahimi M, Hasanpor Z, Sharifi R, Haghighi M. Effect of eight-week dynamic neuromuscular stabilization training on balance, fall risk and lower extremity strength in healthy elderly women. Studies in Sport Medicine. 2020;12(28):107-26. [In Persian]
- Zareyi H, Norasteh A, Koohboomi M. Effect of combined training (strength and stretching) on balance, risk of falling, and quality of life in the elderly. The Scientific Journal of Rehabilitation Medicine. 2018;7(2):201-8. [In Persian]
- Bondi D, Jandova T, Verratti V, D’Amico M, Kinel E, D’Attilio M, et al. Static balance adaptations after neuromuscular electrical stimulation on quadriceps and lumbar paraspinal muscles in healthy elderly. Sport Sciences for Health. 2022;
18:85-96. - Ageberg E, Link A, Roos EM. Feasibility of neuromuscular training in patients with severe hip or knee OA: the individualized goal-based NEMEX-TJR training program. BMC Musculoskeletal Disorders. 2010;11(1):1-7.
- Horak FB. Postural orientation and equilibrium. In: Handbook of copmprehensive physiology (Section 12: Exercise). American Physiological Society; 1996. pp. 55-92.
- Lee K, Lee YW. Efficacy of ankle control balance training on postural balance and gait ability in community-dwelling older adults: a single-blinded, randomized clinical trial. Journal of Physical Therapy Science. 2017;29(9):1590-5.
- Beyranvand R, Sahebozamani M, Daneshjoo A. The effect of 8-week aquatic exercise on postural control and balance recovery strategy of elderly men: a randomized controlled trial. Medicina Dello Sport. 2018;71:284-95.
- Resende AGd, Santos MS, Silva RJS, Santana JMd, Silva-Grigoletto MED. Effects of different neuromuscular training protocols on the functional capacity of elderly women. Revista Brasileira de Medicina do Esporte. 2018;24:140-4.
- https://www.fifa.com/mm/document/fifafacts/bcoffsurv/bigcount.statspackage_7024.pdf.
- Bazrafshan MRe, Hoseini MA, Rahgozar M, Madah BS. The effect of exercise in elderly women's quality of life. Salmand: Iranian Journal of Ageing. 2007;2(1):196-204. [In Persian]
- Borzoo S, Arastoo A, Ghasemzade R, Zahednezhad S, Habibi A, Latifi SM. Effects of aerobic exercise on quality of life in residents of geriatric homes, Ahvaz, Iran. Iranian Journal of Ageing. 2011;6(1):47-51. [In Persian]
- Tartibian B, Heidary D, Mehdipour A, Akbarizadeh S. The effect of exercise and physical activity on sleep quality and quality of life in Iranian older adults: a systematic review. Journal of Gerontology. 2021;6(1):18-31. [In Persian]
- Khazanin H, Daneshmandi H, Fakoor Rashid H. Effect of selected fall-proof exercises on fear of falling and quality of life in the elderly. Iranian Journal of Ageing. 2022;16(4):564-77. [In Persian]
- Khodaparast S, Abdi H, Bakhshalipour V, Babaee Bigham Lahiji M. The effect of aerobic exercise on improving the mental quality of sleep and quality of life of the elderly. Journal of Research in Behavioural Sciences. 2022;19(4):662-70. [In Persian]
- Marquez DX, Aguiñaga S, Vásquez PM, Conroy DE, Erickson KI, Hillman C, et al. A systematic review of physical activity and quality of life and well-being. Translational Behavioral Medicine. 2020;10(5):1098-109.
- Sato D, Kaneda K, Wakabayashi H, Nomura T. The water exercise improves health-related quality of life of frail elderly people at day service facility. Quality of Life Research. 2007;16(10):1577-85.
- Imagama S, Hasegawa Y, Matsuyama Y, Sakai Y, Ito Z, Hamajima N, et al. Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people. Archives of Osteoporosis. 2011;6(1):13-20.
- Tsai L-C, Sigward SM, Pollard CD, Fletcher MJ, Powers CM. Effects of fatigue and recovery on knee mechanics during side-step cutting. Med Sci Sports Exerc. 2009;41(10):1952-7.