تأثیر هشت هفته تمرین مقاومتی با کش بر شدت خستگی، کیفیت زندگی و قدرت عضلات اندام تحتانی مردان مبتلا به مولتیپل اسکلروزیس

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد آسیب شناسی ورزشی و حرکات اصلاحی دانشکده تربیت بدنی دانشگاه خوارزمی تهران، ایران

2 دانشیار آسیب شناسی ورزشی و حرکات اصلاحی دانشکده تربیت بدنی دانشگاه خوارزمی تهران، ایران

3 استادیار آسیب شناسی ورزشی و حرکات اصلاحی دانشکده تربیت بدنی دانشگاه خوارزمی تهران، ایران

چکیده

مقدمه و اهداف
متأسفانه علی­رغم مزایای ویژه کش­های مقاومتی در تمرینات توانبخشی بیماران مولتیپل اسکلروزیس، مطالعات اندکی در این زمینه گزارش شده است. هدف از مطالعه­ی پیش رو، بررسیتأثیر هشت هفته تمرین مقاومتی با کش بر شدت خستگی، کیفیت زندگی و قدرت عضلات اندام تحتانی مردان مبتلا به مولتیپل اسکلروزیس بود.
مواد و روش­ها
30 بیمار (با مقیاس ناتوانی 1 تا 4، سن 25 تا 35 سال، توانایی راه رفتن مستقل) انجمن ملی ام­اس تهران، به­طور داوطلبانه در پژوهش حاضر شرکت کردند و به­صورت تصادفی به دو گروه تجربی (15نفر) و کنترل (15 نفر) تقسیم شدند. هشت هفته تمرین مقاومتی، 3 بار در هفته به­صورت پیشرونده روی این بیماران اجرا شد. خستگی و کیفیت زندگی به ترتیب با پرسش­نامه­های خستگی و 36 سوالی ارزیابی شد. قدرت عضلات با دینامومتر دستی اندازه­گیری شد. برای تحلیل داده­ها از آزمون­های T با سطح معناداری 05/0 P≤استفاده شد.
یافته­ها
نتایج t مستقل تفاوت معناداری (خستگی 029/0=P، کیفیت زندگی 000/0=P، قدرت پلانتار فلکسورها 007/0=P، اکستنسورهای زانو و ران به ترتیب 000/0=P، 001/0=P) را در پس­آزمون دو گروه تجربی و کنترل نشان داد، در حالی که در پیش­آزمون دو گروه تفاوت معناداری مشاهده نشد. نتایج t همبسته نیز تفاوت معناداری (خستگی 019/0=P، کیفیت زندگی 000/0=P، قدرت پلانتار فلکسورها 010/0=P، اکستنسورهای زانو و ران به ترتیب 000/0=P، 002/0=P) را در مقایسه میانگین­های پیش­آزمون پس­آزمون گروه تجربی نشان داد، در حالی که مقایسه میانگین­های پیش­آزمون پس­آزمون گروه کنترل معنادار نبود.
نتیجه­ گیری
هشت هفته تمرین مقاومتی می­تواند به­طور معنا­داری خستگی، کیفیت زندگی و قدرت بیماران مولتیپل اسکلروزیس را بهبود بخشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of Eight Week Theraband Resistance Training on the Fatigue Severity, the Quality of Life, and the Muscular Strength of the Lower Extremity In Men with Multiple Sclerosis

نویسندگان [English]

  • Behnam Moradi 1
  • Sadredin Shojaadin 2
  • Malihe Hadadnezhad 3
1 MSc, Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport‌ Sciences, Kharazmi‌ University‌ of Tehran. Iran
2 Associate Professor, Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, Kharazmi University of Tehran, Iran
3 Associate Professor, Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, Kharazmi University of Tehran, Iran
چکیده [English]

Background and Aim: Despite special benefits of the theraband resistance in rehabilitative exercises for patients suffering from Multiple Sclerosis (MS), only a few studies have been reported investigating this method of therapy. Thus, the current study was conducted to investigate the effect of eight weeks of theraband resistance training on the fatigue severity, the quality of life, and muscular strength of the lower extremity in men with MS.
Materials and Methods: A total of 30 patients from Tehran National MS Society (with the disability scale of 1 to 4, aged 25-35, and the ability to walk) participated in the present study on a voluntary basis and were randomly assigned to experimental and control groups, 15 each. Next, patient participants took part in eight weeks of resistance training, three times a week. Fatigue and the quality of life were assessed using the fatigue and 36-item questionnaires, respectively, and muscular strength was measured using a dynamometer. For data analysis, t-tests were run with the significance level set at P≤0/05.
Results: Independent samples t-test showed a significant difference between the post-tests of the experimental and control groups (FSS: P=0/029, QOL: P=0/000, Plantar flexors: P=0/007, and Extensors of the knee and hip: P=0/000 and P=0/001, respectively), whereas no significant difference was observed between the pre-tests. Also, dependent samples t-test revealed a significant difference in the means of the pretest-posttest comparisons for the experimental group (FSS: P=0/019, QO: P=0/000, Plantar flexors: P=0/010, and Extensors of the knee and hip: P=0/000 and P=0/002, respectively), while comparison of pretest-posttest means did not reveal a meaningful difference in the control group.
Conclusion: Eight weeks of resistance training can significantly improve the fatigue, the quality of life, and muscular strength of patients with MS.

کلیدواژه‌ها [English]

  • Theraband ResistanceTraining
  • Fatigue
  • Quality of life
  • Strength
  • Multiple sclerosis
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