اثر یک دوره برنامه تمرینی اجرایی ویژه بر اختلالات گام برداری بیماران مبتلا به پارکینسون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد تربیت بدنی، گرایش رفتار حرکتی، دانشگاه اصفهان، دانشکده علوم ورزشی

2 استادیار گروه رفتار حرکتی، دانشکده علوم ورزشی، دانشگاه اصفهان

3 استادیار گروه رفتار حرکتی، دانشگاه اصفهان، دانشکده علوم ورزشی

4 دانشیار گروه نورولوژی، دانشگاه علوم پزشکی اصفهان

چکیده

مقدمه و اهداف
اختلالات گام برداری از علل مهم افتادن و آسیب دیدگی ها در بیماران مبتلا به پارکینسون محسوب میشوند از این رو هدف از مطالعه ی حاضر بررسی اثر 8 هفته تمرینات اجرایی ویژه  بر اختلالات گام برداری بیماران مبتلا به پارکینسون  می باشد.
مواد و روش­ها
تحقیق از نوع نیمه تجربی و طرح تحقیق به صورت پیش آزمون- پس آزمون به همراه گروه کنترل اجرا گردید.  14 بیمار پارکینسونی مبتلا به انجماد راه رفتن (مرحله 2 - 5 مقیاس هوهن و یاهر ) به طور در دسترس انتخاب و  به صورت تصادفی به دو گروه کنترل (5 مرد و 2 زن) و تجربی ( 4 مرد و 3 زن) با میانگین سنی 92/10 ±21/60  تقسیم شدند. گروه تجربی علاوه بر درمان های دارویی در 8 هفته تمرینات اجرایی ویژه شرکت کردند. در حالی که گروه شاهد در این مدت فقط درمان دارویی دریافت کردند. اختلالات گام برداری توسط پرسشنامه انجماد راه رفتن اندازه گیری شد. داده ها با استفاده از روش آماری تی مستقل مورد تحلیل قرار گرفت.
یافته‌ها
نتایج نشان داد که اثر یک دوره تمرینات اجرایی بر میانگین کاهش امتیازات انجماد راه رفتن در گروه تجربی در مقایسه با کنترل معنی دار بوده است (05/0≥P). نتیجه‌گیری
تمرینات اجرایی ویژه می تواند به عنوان یک روش مداخله ای در بهبود اختلالات گام برداری بیماران مبتلا به پارکینسون  استفاده شود
 

کلیدواژه‌ها

عنوان مقاله [English]

The effects of a specific executive training program on gait disturbance in patients with Parkinson's disease

نویسندگان [English]

  • Mehdi Zameni Motlagh 1
  • Maryam Nezakat Alhosseini 2
  • Hamid Salehi 3
  • Ahmad Chitsaz 4
1 MS, Department of Sport Sciences, University of Isfahan
2 Assistant Professor, Department of Sport Sciences, University of Isfahan
3 Assistant Professor, Department of Sport Sciences, University of Isfahan
4 Associate Professor, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences
چکیده [English]

Background and Aim: Gait disorder can be considered as one of the main reasons of falls and injuries among patients with Parkinson’s disease. Therefore, the purpose of the present study was to investigate the effect of 8 weeks of specific executive training on gait difficulties in patients with Parkinson's disease.
Materials and Methods: The study followed a quasi-experimental design with a pre-test/post-test design and a control group. The participants were 14 patients with Parkinson's disease (mean age 60.21±10.92 years) with freezing of gait (2-5 Hohn and Yahr scale) who were selected through convenience sampling and were randomly assigned to experimental (4 males and 3 females) and control (5 males and 2 females) groups. The experimental group received an 8-week specific executive training together with pharmaceutical treatment. However, the control group received pharmaceutical treatment only. Freezing of Gait Questionnaire was used to collect data on gait disorder. Also, an independent t-test was run to analyze the collected data.
Results: The results indicated that specific executive training had a significant effect on reducing gait disorder scores for the experimental group compared with that in the control group (p<0.05).
Conclusion: It can be concluded that specific executive training can be an appropriate training method to help improve freezing of gait in individuals with freezing of gait.

کلیدواژه‌ها [English]

  • Freezing of gait
  • Neurocognitive executive functions
  • Freezing of gait severity
  • Freezing of gait frequency

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 5، شماره 1
فروردین و اردیبهشت 1395
صفحه 156-167

فایل ها

سابقه مقاله

  • تاریخ دریافت: 10 تیر 1394
  • تاریخ بازنگری: 25 شهریور 1394
  • تاریخ پذیرش: 07 آبان 1394
  • تاریخ اولین انتشار: 01 فروردین 1395

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