نوع مقاله : مقاله پژوهشی Released under CC BY-NC 4.0 license I Open Access I
نویسندگان
1 گروه علوم ورزشی، دانشکده علوم انسانی، دانشگاه شهرکرد ، شهرکرد، ایران .
2 گروه علوم ورزشی، دانشکده علوم انسانی، دانشگاه شهرکرد، شهرکرد، ایران .
3 گروه جراحی مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.
چکیده
مقدمه: مولتیپل اسکلروزیس (اماس) از شایعترین بیماریهای خودایمنی التهابی مزمن سیستم عصبی مرکزی است که بر سیستمهای حرکتی و حسی پایه برای کنترل تعادل در هنگام ایستادن و راه رفتن تأثیرگذار است. هدف پژوهش حاضر بررسی اثر هشت هفته تمرینات حس عمقی بر تعادل، خستگی و کیفیت زندگی زنان مبتلا به اماس بود.
روش پژوهش: جامعة آماری پژوهش شامل زنان 20 تا 50 سالۀ مبتلا به اماس با نمرۀ مقیاس وضعیت شدت ناتوانی 1تا 4 و عضو انجمن اماسشهر اصفهان بودند. از بین بیماران 30 داوطلب به روش نمونهگیری در دسترس انتخاب و در دو گروه تجربی و کنترل تقسیم شدند. آزمودنیهای هر دو گروه پیش از شروع برنامۀ تمرینی پرسشنامههای شدت خستگی و کیفیت زندگی بیماران اماس را تکمیل و در آزمون مقیاس تعادل برگ شرکت کردند. گروه تجربی به مدت هشت هفته تمرینات حس عمقی را سه جلسه در هفته و به مدت60 دقیقه اجرا کردند و گروه کنترل در این مدت فعالیتهای روزمره خود را انجام دادند. در پایان برنامه، آزمونهای قبل تکرار شد. دادهها از طریق آزمونهایt مستقل و t زوجی و در سطح خطای 0/05 تحلیل شد.
یافتهها: نتایج نشان داد در گروه تجربی پیشآزمون و پسآزمون تعادل، خستگی و کیفیت زندگی تفاوت معناداری داشت. همچنین مقایسة نتایج پسآزمون دو گروه تجربی و کنترل نشانداد تعادل و کیفیت زندگی تفاوت معناداری داشت.
نتیجهگیری: در مجموع هشت هفته تمرینات حس عمقی تعادل بیماران اماس را بهبود بخشید و کیفیت زندگی آنان را ارتقا داد، ولی بر کاهش میزان خستگی آنان مؤثر نبود. بنابراین استفاده از تمرینات حس عمقی برای بهزیستی بیماران اماس توصیه میشود.
کلیدواژهها
عنوان مقاله [English]
The Effect of Proprioceptive Training on Balance, Fatigue, and Quality of Life of Women With Multiple Sclerosis
نویسندگان [English]
- Niloufar Emamian 1
- Ali Shafizadeh 2
- Masoud Etemadifar 3
1 Department of sports sciences, Faculty of Humanities, Shahrekord University, Shahrekord, Iran.
2 Department of sports sciences, Faculty of Humanities, Shahrekord University, Shahrekord, Iran .
3 Department of Neurosurgery, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran.
چکیده [English]
Introduction: Multiple sclerosis (MS) is one of the most common chronic inflammatory autoimmune diseases of the central nervous system that affects the motor and sensory systems to control balance while standing and walking. This study aimed to investigate the effect of eight weeks of proprioceptive training on balance, fatigue, and quality of life of women with MS.
Methods: The statistical population of this research included 20- to 50-year-old women with MS and a total score of 1 to 4 on the Expanded Disability Status Scale (EDSS) that are members of the Isfahan MS Association. From this population, 30 volunteers were selected conveniently and assigned to experimental and control groups. Participants of both groups completed the Fatigue Severity Scale (FSS), Multiple Sclerosis Quality of Life-54 (MSQOL-54), and Berg Balance Scale (BBS) tests before starting the training program. The experimental group performed 60-minute proprioceptive training for eight weeks and three sessions a week, and the control group performed their daily activities during this period. After 8 weeks of training, both experimental and control groups repeated the previous tests. The data were analyzed using independent and paired t-tests at the significant level of 0.05.
Results: The results showed that there was a significant difference in balance, fatigue, and quality of life of the experimental group in the post-test compared with the pre-test (P<0.05). Also, the comparison of the post-test results of the two experimental and control groups showed a significant difference in the balance and quality of life of MS patients (P<0.05).
Conclusion: Overall, eight weeks of proprioceptive training improved the balance and quality of life of MS patients, but it was not effective in reducing their fatigue. Therefore, the use of proprioceptive training is recommended for the well-being of MS patients.
کلیدواژهها [English]
- Balance
- Fatigue
- Multiple Sclerosis
- Proprioception
- Quality of Life
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