ارتباط تعادل با استقلال در فعالیت های پایه و کارساز روزمره زندگی افراد مبتلا به مولتیپل اسکلروزیس شهر تهران

نوع مقاله : مقاله پژوهشی

نویسندگان

مربی، عضو هیات علمی گروه کاردرمانی و مرکز تحقیقات عصبی عضلانی، دانشکده توان بخشی، دانشگاه علوم پزشکی سمنان، سمنان، ایران

10.22037/jrm.2016.1100167

چکیده

مقدمه و اهداف
مولتیپل اسکلروزیس یکی از شایع ترین بیماری خود ایمنی مزمن است. با توجه به اهمیت نقش استقلال در فعالیت های روزمره و ارتباط آن با تعادل هدف از این مطالعه بررسی ارتباط تعادل با استقلال در فعالیت های پایه روزمره زندگی  بیماران مالتیپل اسکلروزیس شهر تهران است.
مواد و روش ها
در این مطالعه مقطعی، 40  بیمار مولتیپل اسکلروزیس به صورت غیر احتمالی ساده ( 20 نفر مرد و 20 نفر زن)  با میانگین سنی (455/7) 25/39 سال ومدت زمان گذشته از بیماری (488/15) 85/35 شرکت کردند. تمامی افراد شرکت کننده توانایی راه رفتن بدون استفاده از وسیله کمکی و هم چنین توانایی انجام مستقل فعالیت های روزمره را داشتند. آن ها در یک جلسه با درنظرگیری زمان استراحت با استفاده از شاخص های تعادلی برگ، بارتل، لاتون و FIM مورد ارزیابی قرار گرفتند.
یافته ها
بنابرنتایج آزمون هم بستگی پیرسون با اطمینان 95/0 ، ضریب هم بستگی تعادل با شاخص بارتل 396/0 و سطح معناداری 011/0 ، ضریب هم بستگی تعادل با شاخص لاتون 415/0و سطح معناداری 008/0 ، ضریب هم بستگی تعادل با شاخص FIM 484/0و سطح معناداری 002/0 بود که به دلیل 005/0>p  رابطه بین تعادل با شاخص های بارتل، لاتون و FIM در بیماران مولتیپل اسکلروزیس معنی دار بود.  
نتیجه گیری
در این مطالعه به نظر می رسد عامل  تعادل می تواند وابستگی و استقلال این بیماران را در فعالیت های روزمره آتی و مشارکت اجتماعی افراد را تحت تاثیر قرار دهد. با توجه به این که همه ی بیماران داری درجاتی از استقلال در فعالیت های روزمره زندگی و تعادل بودند، پیشنهاد می شود مطالعات بعدی در جامعه آماری بزرگتر به صورت مطالعه ی طولی انجام گیرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Relationship between Balance and Independence in Basic and Instrumental Activities of Daily Living of Patient with Multiple Sclerosis in Tehran

نویسندگان [English]

  • Minasadat Mirshoja
  • Ali-Akbar Pahlevanian
MSc in Occupational Therapy, School of Rehabilitation Sciences, Semnan University of Medical Sciences, Semnan, Iran
چکیده [English]

Background and Aim: Multiple sclerosis is the most common chronic autoimmune disease. Given the importance of independence in daily activities and its relationship with balance, the goal of the present study was to investigate the relationship between balance and independence in basic and instrumental activities of daily life of the patients with multiple sclerosis in Tehran.
Materials and Method: Participants of the present cross-sectional study were 40 MS patients (20 males and 20 females) with a mean age of (7.455) 39.25 and duration of illness for (15.488) 35.85. All the participants could walk independently and could perfrom their daily acitivities. They were evaluated using Balance Berg Scale, Barthel Index, Instrumental Activity of Daily Living Lawton version, and Functional Independed Measure in a single session and with intervals.
Results: According to pearson correlation coefficient, with confidence certainty set at 0.95, correlation coefficients were found to be 0.396 between balance and Barthel index with a significant level of 0.011, 0.415 between balance and with Latown index and significant level of 0.008, and 0.484 between balance and equilibrium FIM and 0.002 confidence level. Considering P<0.005, the relationship between balance and Barthel Index, Latown, and FIM, was significant in these patients.
Conclusion: It seems that balance can affect independence of these patients in their daily activities and social participation. Considering the fact that all the participants had some degrees of independence in their daily activities and balance, it is recommended that further studies be carried out among a larger population in a longitudinal study.

کلیدواژه‌ها [English]

  • Balance
  • Basic Activities of Daily Living
  • Instrumental Activities of Daily Living
  • Multiple sclerosis
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