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

مراجع

  1. Umphred, D.A. and C. Carlson, Neurorehabilitation for the physical therapist assistant. 2006: SLACK Incorporated.##
  2. Holland, N.J. and M. Madonna, Nursing grand rounds: multiple sclerosis. Journal of Neuroscience nursing, 2005. 37(1): p. 15-19. ##
  3. Ashtari, F., V. Shaygannzhad, F. Heidari, and M. Akbari, Estimating the prevalence of familial disease in Multiple sclerosis in Isfahan. Isfahan University of Medical Sciences, 2011. 138: p. 555-61. ##
  4. Holland, A., R. O’Connor, A. Thompson, E. Playford, and J. Hobart, Talking the talk on walking the walk. Journal of neurology, 2006. 253(12): p. 1594-1602. ##
  5. Atri, A.E., M. Saeedi, F. Sarvari, and M.K. Sokhangooy, The Effect of Aquatic Exercise Program on Fatigue in Women with Multiple Sclerosis. Journal of Mazandaran University of Medical Sciences (JMUMS), 2012. 22(94): p. [In Persian] ##
  6. Braunwald, E., A. Fauci, D. Kasper, K. Hauser, D. Longo, and J. Jameson, Harrison's manual of medicine. 2001: McGraw Hill Professional. ##
  7. Nafisi, S., Multiple sclerosis disease seminar. Neda Jornal 1387. 10(2): p. 9,10. ##
  8. Rasova, K., E. Havrdova, P. Brandejsky, M. Zálišová, B. Foubikova, and P. Martinkova, Comparison of the influence of different rehabilitation programmes on clinical, spirometric and spiroergometric parameters in patients with multiple sclerosis. Multiple Sclerosis, 2006. 12(2): p. 227-234. ##
  9. Taraghi, Z., E. Ilali, M. Abedini, A. Zarvani, I. Khoshnama, R. Mohammadpour, et al., Quality of life among multiple sclerosis patients. Iran Journal of Nursing, 2007. 20(50): p. 51-59. ##
  10. Soltani, M., S.M. Hejazi, A. Noorian, A. Zendedel, and F. Ashkanifar, The effect of aerobic training on the improvement of expanded disability status scale (EDSS) in multiple sclerosis patients. 2009. ##
  11. Huntley, A. and E. Ernst, Complementary and alternative therapies for treating multiple sclerosis symptoms: a systematic review. Complementary therapies in medicine, 2000. 8(2): p. 97-105. ##
  12. Rabe`e, A., The effect of body balance by using functional clinical tests of balance on multiple sclerosis patients of khozestan state. Journal of medical sciences, 1389. 9(1). ##
  13. Frzovic, D., M.E. Morris, and L. Vowels, Clinical tests of standing balance: performance of persons with multiple sclerosis. Archives of physical medicine and rehabilitation, 2000. 81(2): p. 215-221. ##
  14. Matsuda, P.N., A. Shumway-Cook, A.M. Bamer, S.L. Johnson, D. Amtmann, and G.H. Kraft, Falls in multiple sclerosis. PM&R, 2011. 3(7): p. 624-632. ##
  15. Simpson Jr, S., B. Taylor, and I. van der Mei, A profile of the Multiple Sclerosis Longitudinal Study: Evaluating environmental, behavioural and genetic predictors of clinical outcomes in multiple sclerosis. Australasian Epidemiologist, 2012. 19(2): p. 33-37. ##
  16. Karlsson, M.K., T. Vonschewelov, C. Karlsson, M. Cöster, and B.E. Rosengen, Prevention of falls in the elderly: a review. Scandinavian journal of public health, 2013. 41(5): p. 442-454. ##
  17. Ambrose, A.F., G. Paul, and J.M. Hausdorff, Risk factors for falls among older adults: a review of the literature. Maturitas, 2013. 75(1): p. 51-61. ##
  18. Kalron, A., Z. Dvir, and A. Achiron, Effect of a cognitive task on postural control in patients with a clinically isolated syndrome suggestive of multiple sclerosis. European journal of physical and rehabilitation medicine, 2011. 47(4): p. 579-586. ##
  19. Kalron, A. and A. Achiron, Postural control, falls and fear of falling in people with multiple sclerosis without mobility aids. Journal of the neurological sciences, 2013. 335(1): p. 186-190. ##
  20. Farma, B.S., Introduction to multiple sclerosis 1, translation company Bayer Farma Shrink Office. . Tehran. Jalal Publication, 1389: p. [In Persian] ##
  21. Pilates, J.H. and W.J. Miller, Return to life through Contrology. 2001: Christopher Publishing House. ##
  22. Muscolino, J.E. and S. Cipriani, Pilates and the “powerhouse”—I. Journal of bodywork and movement therapies, 2004. 8(1): p. 15-24. ##
  23. Ali Zamani, S., G.A. Ghasemi, A. Karimi, and H. Salehi, Pilates exercise effect on pain and general health of female patients with chronic low back pain. Journal of Research in Rehabilitation Sciences, 2011. 7(1). ##
  24. ĠREZ, G.B., Pilates exercise positively affects balance, reaction time, muscle strength, number of falls and psychological parameters in 65+ years old women, 2009, MIDDLE EAST TECHNICAL UNIVERSITY. ##
  25. Freeman, J., E. Fox, M. Gear, and A. Hough, Pilates based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC neurology, 2012. 12(1): p. 19. ##
  26. Marandi, S.M., V.S. Nejad, Z. Shanazari, and V. Zolaktaf, A comparison of 12 weeks of pilates and aquatic training on the dynamic balance of women with mulitple sclerosis. International journal of preventive medicine, 2013. 4(Suppl 1): p. S110. ##
  27. Shanazari, Z.M., Seyyed Mohammad; Shayegannejad, Vahid, The Effect of Pilates Exercises And Aquatic Trainning On Walking Speed In Women With Multiple Sclerosis. J Mazand Univ Med Sci 2013; 23(98): 257-264. [In Persian] ##
  28. Bird, M.-L., The effect of exercise and physical activity on physical fall risks, 2012, University of Tasmania. ##
  29. Meyer-Moock, S., Y.-S. Feng, M. Maeurer, F.-W. Dippel, and T. Kohlmann, Systematic literature review and validity evaluation of the Expanded Disability Status Scale (EDSS) and the Multiple Sclerosis Functional Composite (MSFC) in patients with multiple sclerosis. BMC neurology, 2014. 14(1): p. 1. ##
  30. Thompson, A.J. and J.C. Hobart, Multiple sclerosis: assessment of disability and disability scales. Journal of neurology, 1998. 245(4): p. 189-196. ##
  31. Romani-Ruby, C. and M. Clark, Pilates Mat Work: A Manual For Fitness and Rehabilitation Professionals. Tarentum, Pennsylvania: Word Association Publishers, 2003. 10: p. 3-15. ##
  32. Urquhart, D.M., P.W. Hodges, T.J. Allen, and I.H. Story, Abdominal muscle recruitment during a range of voluntary exercises. Manual therapy, 2005. 10(2): p. 144-153. ##
  33. Schmid, A.A., M. Van Puymbroeck, and D.M. Koceja, Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study. Archives of physical medicine and rehabilitation, 2010. 91(4): p. 576-583. ##
  34. Khajavi, D., Validation and Reliability of Persian Version of Fall Efficacy Scale-International (FES-I) in community-dwelling older adults. Iranian Journal of Ageing, 2013. 8(2): p. 39-47. [In Persian] ##
  35. Van Vliet, R., P. Hoang, S. Lord, S. Gandevia, and K. Delbaere, Falls efficacy scale-international: a cross-sectional validation in people with multiple sclerosis. Archives of physical medicine and rehabilitation, 2013. 94(5): p. 883-889. ##
  36. Spirduso, W., K. Francis, and P. MacRae, Health, exercise and cognitive function. Physical dimensions of aging. Champaign, Illinois: Human Kinetics, 2005: p. 211-232. ##
  37. Irez, G.B., R.A. Ozdemir, R. Evin, S.G. Irez, and F. Korkusuz, Integrating Pilates exercise into an exercise program for 65+ year-old women to reduce falls. Journal of sports science & medicine, 2011. 10(1): p. 105. ##
  38. Sosnoff, J.J., M.J. Socie, M.K. Boes, B.M. Sandroff, J.H. Pula, Y. Suh, et al., Mobility, balance and falls in persons with multiple sclerosis. 2011. ##
  39. Balouchy R, A.g., E naderi , H sodoghi, The Effects of Cawthorne and Cooksey Exercises on the Quality of

Life, Balance and Fatigue in Patients with Multiple Sclerosis. Journal of Ilam University of Medical Sciences, 2013. 21(7): p. 43-53. ##

  1. Tinetti, M.E., Preventing falls in elderly persons. New England journal of medicine, 2003. 348(1): p. 42-49.
  2. Gillespie, L.D., M.C. Robertson, W.J. Gillespie, C. Sherrington, S. Gates, L.M. Clemson, et al., Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev, 2012. 9(11(.##
  3. Wells, C., G.S. Kolt, and A. Bialocerkowski, Defining Pilates exercise: a systematic review. Complementary therapies in medicine, 2012. 20(4): p. 253-262. ##
  4. Wells, C., G.S. Kolt, P. Marshall, B. Hill, and A. Bialocerkowski, Effectiveness of Pilates exercise in treating people with chronic low back pain: a systematic review of systematic reviews. BMC medical research methodology, 2013. 13(1): p. 7. ##
  5. Fox, E.E., THE EFFECTS OF PILATES BASED CORE STABILITY TRAINING IN PEOPLE WITH MS. 2015. ##
  6. Sekendiz, B., Ö. Altun, F. Korkusuz, and S. Akın, Effects of Pilates exercise on trunk strength, endurance and flexibility in sedentary adult females. Journal of Bodywork and Movement Therapies, 2007. 11(4): p. 318-326. ##
  7. Cattaneo, D., J. Jonsdottir, M. Zocchi, and A. Regola, Effects of balance exercises on people with multiple sclerosis: a pilot study. Clinical rehabilitation, 2007. 21(9): p. 771-781. ##
  8. Finlayson, M., T.V. Denend, and E. Shevil, Multiple perspectives on the health service need, use, and variability among older adults with multiple sclerosis. Occupational Therapy in Health Care, 2004. 17(3-4): p. 5-25. ##
  9. Friedman, S.M., B. Munoz, S.K. West, G.S. Rubin, and L.P. Fried, Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. Journal of the American Geriatrics Society, 2002. 50(8): p. 1329-1335. ##
  10. Zijlstra, G., J. Van Haastregt, E. Van Rossum, J.T.M. Van Eijk, L. Yardley, and G.I. Kempen, Interventions to reduce fear of falling in community‐living older people: a systematic review. Journal of the American Geriatrics Society, 2007. 55(4): p. 603-615. ##
  11. Clemson, L., R.G. Cumming, H. Kendig, M. Swann, R. Heard, and K. Taylor, The effectiveness of a community‐based program for reducing the incidence of falls in the elderly: A randomized trial. Journal of the American Geriatrics Society, 2004. 52(9): p. 1487-1494. ##
  12. Tennstedt, S., J. Howland, M. Lachman, E. Peterson, L. Kasten, and A. Jette, A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 1998. 53(6): p. P384-P392. ##
  13. Zhang, J.-G., K. Ishikawa-Takata, H. Yamazaki, T. Morita, and T. Ohta, The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Archives of gerontology and geriatrics, 2006. 42(2): p. 107-116. ##
  14. Collardeau, M. and J.B. ALTER, Effects of a prolonged run on simple reaction time of well trained runners. Perceptual and motor skills, 2001. 93(3): p. 679-689. ##
  15. Kashihara, K. and Y. Nakahara, SHORT-TERM EFFECT OF PHYSICAL EXERCISE AT LACTATE THRESHOLD ON CHOICE REACTION TIME 1, 2. Perceptual and motor skills, 2005. 100(2): p. 275-291. ##
  16. Madan, M., D. Thombre, B. Bharathi, T. Nambinarayan, S. Thakur, N. Krishnamurthy, et al., Effect of yoga training on reaction time, respiratory endurance and muscle strength. Indian J Physiol Pharmacol, 1992. 36(4): p. 229-232. ##
  17. Kaesler, D., R. Mellifont, P.S. Kelly, and D. Taaffe, A novel balance exercise program for postural stability in older adults: a pilot study. Journal of Bodywork and Movement Therapies, 2007. 11(1): p. 37-43. ##
دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 6، شماره 2
خرداد و تیر 1396
صفحه 150-159

فایل ها

سابقه مقاله

  • تاریخ دریافت: 26 شهریور 1394
  • تاریخ بازنگری: 24 بهمن 1394
  • تاریخ پذیرش: 29 خرداد 1395
  • تاریخ اولین انتشار: 01 تیر 1396

هم رسانی

ارجاع به این مقاله

آمار