تأثیر تمرین پیلاتس بر میزان سقوط، ترس از سقوط و زمان عکس‌العمل در زنان مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده تربیت بدنی دانشگاه تهران، تهران، ایران

2 دانشجوی دکتری تخصصی حرکات اصلاحی و آسیب شناسی ورزشی، دانشکده تربیت بدنی دانشگاه خوارزمی، تهران، ایران

چکیده

مقدمه و اهداف
مولتیپل اسکلوروزیس بیماری مزمن و ناتوان کننده سیستم عصبی است که میلین سیستم اعصاب مرکزی )مغز و نخاع) را تخریب می­کند. شایع­ترین عوارض این بیماری خستگی، عدم تعادل، سقوط و گرفتگی عضلات است. هدف از مطالعه حاضر بررسی تاثیر 5 هفته تمرین پیلاتس بر تعداد سقوط، ترس از سقوط و زمان عکس­العمل زنان مبتلا به مولتیپل اسکلروروزیس است.
مواد و روش­ها
در مطالعه حاضر کار آزمایی بالینی تعداد 20 بیمار مبتلا به مولتیپل اسکلوروزیس با درجه بیماری 0 تا 4 و دامنه سنی 20 تا 40 سال انتخاب شدند. بیماران به صورت تصادفی به دو گروه مساوی تجربی و کنترل تقسیم شدند. برنامه تمرینات پیلاتس در گروه تجربی 5 هفته، هفته­ای 3 جلسه و جلسه­ای یک ساعت بود. تعداد سقوط، ترس از سقوط و زمان عکس­العمل قبل و بعد از تمرینات به ترتیب با استفاده از پرسش­نامه خود گزارشی Falls Efficacy Scale International و ارزیابی زمان عکس­العمل اندازه­گیری شد. تجزیه و تحلیل داده­ها با استفاده از آمار توصیفی و تی همبسته و سطح معناداری 05/0=α انجام شد.
یافته­ها
نتایج حاصل از تحقیق نشان می­دهد بین تعداد سقوط، میزان ترس از سقوط و زمان عکس­العمل پیش و پس از تمرینات پیلاتس تفاوت معناداری وجود دارد )001/0(p نتیجه ­گیری
با توجه به نتایج، متخصصان مربوطه می­توانند از تمرینات پیلاتس به عنوان یک درمان مکمل در کنار درمان دارویی برای بیماران مولتیپل اسکلوروزیس استفاده نمایند.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Pilates Exercise on the Number of fall, Fear of Falling and Reaction Time of Women with Multiple Sclerosis

نویسندگان [English]

  • Neda Rezvankhah Golsefidi 1
  • Sayed Ali Emami Hashemi 2
1 Ph.D Candidate in Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
2 Ph.D Candidate in Sport Medicine, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran
چکیده [English]

Background and Aim: Multiple sclerosis is a chronic and debilitating disease which destroys the central nervous system (brain and spinal cord). The most common complications of tqf five weeks of Pilates training on the number of falling, fear of fall, and reaction time in women suffering from MS.
Materials and Methods:The present quasi-experimental study included 40 female patients with MS 0<EDSS> 4 and aged 20-40 years old. Patients were randomly assigned into experimental and control groups. The training program was carried out for five weeks (three sessions of one hour per week). Patients’ number of falling, fear of fall, and reaction time was measured using a self-reporting, fear of fall questionnaire and reaction time device before and after the exercise. Data was analyzed using descriptive statistics and paired T test. α was set at 0.05.
Results: The results showed significant differences in the adjusted mean of the number of falling, fear of falling, and reaction time in the experimental groups (P <04.001), but no difference was observed in the control group. So, Pilates exercise interventions significantly decreased the number of falling, fear of fall, and reaction time in the experimental group.
Conclusion: Pilates training reduced the number of falling, fear of falling, and reaction time in patients with MS. Therefore, such exercises could be used as a complementary treatment alongside medications for MS patients.

کلیدواژه‌ها [English]

  • Multiple sclerosis
  • women
  • Pilates training
  • Fear of fall
  • Reaction time
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