اثر دوازده جلسه تمرینات تحریک دهلیزی بر عملکرد تعادلی کودکان مبتلا به اختلال هماهنگی رشدی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار، گروه تربیت بدنی، دانشگاه پیام نور، تهران، ایران

2 گروه تربیت بدنی، واحد تنکابن، دانشگاه آزاد اسلامی، مازندران، ایران

چکیده

مقدمه و اهداف
یکی از مشخصه­های بارز کودکان مبتلا به اختلال هماهنگی رشدی، کنترل پاسچر ضعیف است. این کودکان کمتر قادر به کنترل تعادل خود در موقعیت­های متغیر هستند، به این دلیل که آنها به اختلالات تعادلی در مقایسه با همسالان خود آهسته­تر پاسخ می­دهند. از این رو هدف از انجام تحقیق حاضر بررسی تاثیر دوازده جلسه تمرینات تحریک دهلیزی بر عملکرد تعادلی کودکان مبتلا به اختلال هماهنگی رشدی بود.
مواد و روش­ ها
مطالعه حاضر از نوع تجربی با طرح پیش­آزمون-پس­آزمون همراه با گروه کنترل بود که در آن 30 کودک مبتلا به اختلال هماهنگی رشدی به صورت تصادفی انتخاب و در دو گروه آزمایش و کنترل قرار گرفتند. به منظور ارزیابی تعادل پویا و ایستا از آزمون راه رفتن پاشنه به پنجه و آزمون اصلاح­شده لک­لک استفاده گردید. پروتکل تمرینی شامل انجام تمرینات تحریک دهلیزی به مدت دوازده جلسه، هر هفته سه جلسه و هر جلسه 45 دقیقه بود.
یافته­ ها
تفاوت معناداری بین گروه­های آزمایش و کنترل در پس­آزمون تعادل پویا و ایستا مشاهده شد؛ به طوری که میانگین نمرات تعادلی در گروه آزمایش نسبت به کنترل بهتر بود.
نتیجه­ گیری
به نظر می‌رسد مداخلات تمرینی تحریک دهلیزی به مدت دوازه جلسه می­تواند جهت بهبود تعادل پویا و ایستا کودکان مبتلا به اختلال هماهنگی رشدی موثر باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effect of 12 Sessions of Vestibular Stimulation Exercises on the Balance Performance in Children with Developmental Coordination Disorder

نویسندگان [English]

  • Amir Hamzeh Sabzi 1
  • Samaneh Damanpak 2
  • Manouchehr Tatari Hasan Gavyar 1
1 Assistant Professor, Payame Noor University, Tehran, Iran
2 Department of Physical Education, Tonekabon Branch, Islamic Azad University, Mazandaran, Iran
چکیده [English]

Background and Aims: One of the main characteristics of children with DCD is poor postural control. Compared with their peers, these children are less capable of controlling their balance during variable circumstances due to the fact that they respond more slowly to balance disturbances. Therefore, the purpose of the present study was to investigate the effect of 12 sessions of vestibular stimulation exercises on the balance of performance in children with developmental coordination disorder.
Materials and Methods: In the current experimental study with pretest, posttest design, 30 children with DCD were randomly divided into two groups of experiment and control. The modified strok test and walking heel to toe test were used to assess dynamic and static balance. Experimental protocol included vestibular stimulation exercises for 12 sessions, 3 sessions a week, with each session lasting for 45 minutes.
Results: The experimental and control groups were significantly different in posttest in terms of dynamic and static balance in that the average balance scores in experimental group were better than those of the control group.
Conclusion: According to the results, vestibular stimulation exercises interventions for 12 sessions could be effective to improve dynamic and static balance in individuals with developmental coordination disorders.

کلیدواژه‌ها [English]

  • Static balance
  • Dynamic balance
  • Vestibular stimulation
  • Children
  • Developmental coordination disorder

مراجع

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®): American Psychiatric Pub; 2013.##
  2. Fong SS, Ng SS, Chung LM, Ki W, Chow LP, Macfarlane DJ. Direction-specific impairment of stability limits and falls in children with developmental coordination disorder: implications for rehabilitation. Gait & posture. 2016;43:60-4. ##
  3. Grove CR, Lazarus J-AC. Impaired re-weighting of sensory feedback for maintenance of postural control in children with developmental coordination disorder. Human movement science. 2007;26(3):457-76. ##
  4. Cairney J, Veldhuizen S. Is developmental coordination disorder a fundamental cause of inactivity and poor health‐related fitness in children? Developmental Medicine & Child Neurology. 2013;55:55-8. ##
  5. Ball MF. Developmental coordination disorder: Hints and Tips for the Activities of daily living: Jessica Kingsley Publishers; 2002. ##
  6. Wilson PH, Maruff P, Lum J. Procedural learning in children with developmental coordination disorder. Human Movement Science. 22;4:515-26. ##
  7. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice: Lippincott Williams & Wilkins; 2007. ##
  8. Macnab JJ, Miller LT, Polatajko HJ. The search for subtypes of DCD: Is cluster analysis the answer? Human Movement Science. 2001;20(1-2):49-72. ##
  9. Smits-Engelsman B, Wilson P, Westenberg Y, Duysens J. Fine motor deficiencies in children with developmental coordination disorder and learning disabilities: An underlying open-loop control deficit. Human movement science. 2003;22(4-5):495-513. ##
  10. Baumeister AA, Kellas G. Distribution of reaction times of retardates and normals. American Journal of Mental Deficiency. 1968##.
  11. Bialer I, Doll L, Winsberg BG. A modified Lincoln-Oseretsky motor development scale: provisional standardization. Perceptual and motor skills. 1974;38(2):599-614. ##
  12. Carmeli E, Bar-Yossef T, Ariav C, Levy R, Liebermann DG. Perceptual-motor coordination in persons with mild intellectual disability. Disability and rehabilitation. 2008;30(5):323-29. ##
  13. Allen S, Casey J. Developmental coordination disorders and sensory processing and integration: Incidence, associations and co-morbidities. British journal of occupational therapy. 2017;80(9):549-57. ##
  14. Uyanik M, Bumin G, Kayihan H. Comparison of different therapy approaches in children with Down syndrome. Pediatrics international. 2003;45(1):68-73. ##
  15. Carter K, Sunderman S, Burnett SW. The Effect of Vestibular Stimulation Exercises on Balance, Coordination, and Agility in Children with Down Syndrome. American Journal of Psychiatry and Neuroscience. 2018;6(2):28. ##
  16. Menear K. Parents’ perceptions of health and physical activity needs of children with Down syndrome. Down Syndrome Research and Practice. 2007;12(1):60-8. ##
  17. Giagazoglou P, Sidiropoulou M, Mitsiou M, Arabatzi F, Kellis E. Can balance trampoline training promote motor coordination and balance performance in children with developmental coordination disorder? Research in developmental disabilities. 2015;36:13-9. ##
  18. Jelsma D, Geuze RH, Mombarg R, Smits-Engelsman BC. The impact of Wii Fit intervention on dynamic balance control in children with probable Developmental Coordination Disorder and balance problems. Human movement science. 2014;33:404-18. ##
  19. Kordi H, Sohrabi M, Saberi Kakhki A, Attarzadeh Hosseini SR. The effect of strength training based on process approach intervention on balance of children with developmental coordination disorder. Archivos argentinos de pediatria. 2016;114. ##
  20. Smits-Engelsman BC, Jelsma LD, Ferguson GD. The effect of exergames on functional strength, anaerobic fitness, balance and agility in children with and without motor coordination difficulties living in low-income communities. Human movement science. 2017;55:327-37. ##
  21. Alizadeh H ZPM. Executive functions in children with developmental coordination disorder with and without. Cognitive Science News. 2005;23(24):49-55. ##
  22. Karinharju K. Physical fitness and its testing in adults with intellectual disability: University of Jyväskylä; 2005. ##
  23. Lahtinen U, Rintala P, Malin A. Physical performance of individuals with intellectual disability: A 30-year follow-up. Adapted Physical Activity Quarterly. 2007;24(2):125-43. ##
  24. Farokhi MS, Haghgoo HA, Pishyareh E, Hosseini SA, Bakhshi E, Rezazadeh N, et al. Effects Of Active Vestibulotherapy On Motor Disorders In Children With Attention Deficit Hyperactivity Disorder. J Rehab Med. 2017;6(1):74-82. [In Persian] ##
  25. Tramontano M, Medici A, Iosa M, Chiariotti A, Fusillo G, Manzari L, et al. The Effect of Vestibular Stimulation on Motor Functions of Children With Cerebral Palsy. Motor control. 2017;21(3):299-311. ##
  26. Macias JD, Massingale S, Gerkin RD. Efficacy of vestibular rehabilitation therapy in reducing falls. Otolaryngology—Head and Neck Surgery. 2005;133(3):323-5. ##
  27. Hebert JR, Corboy JR, Manago MM, Schenkman M. Effects of vestibular rehabilitation on multiple sclerosis–related fatigue and upright postural control: a randomized controlled trial. Physical therapy. 2011;91(8):1166-83. ##
  28. Bernard-Demanze L, Montava M, Mattei A, Lavieille J, Lacour M. Effects of Vestibular Rehabilitation Therapy on Postural Control and Quality of Life in Patients after a Surgical Microvascular Decompression of the Cochleo-Vestibular Nerve. Otolaryngol (Sunnyvale). 2017;7(318):2. ##
  29. Jafarzadeh S, Pourbakht A, Bahrami E, Jalaie S, Bayat A. Effect of early vestibular rehabilitation on vertigo and unsteadiness in patients with acute and sub-acute head trauma. Iranian journal of otorhinolaryngology. 2018;30(97):85. [In Persian] ##
  30. Zanardini FH, Zeigelboim BS, Jurkiewicz AL, Marques JM, Bassetto J. Reabilitação vestibular em idosos com tontura. Pro-fono Revista de atualização cientifica. 2007;19(2):1-7. ##
  31. Fong SS, Tsang WW, Ng GY. Taekwondo training improves sensory organization and balance control in children with developmental coordination disorder: A randomized controlled trial. Research in Developmental Disabilities. 2012;33(1):85-95. ##
  32. Ayres J. Sensory Integration and the Child. Los Angeles, Western Psychological Services, 1979 Anderson J: Sensory intervention with the preterm infant in the neonatal intensive care unit. Am J Occupational Therapy. 1986;40:19-26. ##
  33. Perrin P, Schneider D, Deviterne D, Perrot C, Constantinescu L. Training improves the adaptation to changing visual conditions in maintaining human posture control in a test of sinusoidal oscillation of the support. Neuroscience letters. 1998;245(3):155-8. ##
  34. Nien Y-H, Tang W-t. The Comparison Of Kinematics Characteristics Of Two Roundhouse Kicking Techniques In Elite Taekwondo Athletes: 2537. Medicine & Science in Sports & Exercise. 2007;39(5):S478. ##
  35. Aydin T, Yildiz Y, Yildiz C, Atesalp S, Kalyon TA. Proprioception of the ankle: a comparison between female teenaged gymnasts and controls. Foot & ankle international. 2002;23(2):123-9. ##
  36. Bressel E, Yonker JC, Kras J, Heath EM. Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. Journal of athletic training. 2007;42(1):42. ##
  37. Lephart S, Giraldo J, Borsa P, Fu F. Knee joint proprioception: a comparison between female intercollegiate gymnasts and controls. Knee surgery, sports traumatology, arthroscopy. 1996;4(2):121-4. ##
  38. Matsuda S, Demura S, Uchiyama M. Centre of pressure sway characteristics during static one-legged stance of athletes from different sports. Journal of sports sciences. 2008;26(7):775-9. ##
  39. Hummel N, Hüfner K, Stephan T, Linn J, Kremmyda O, Brandt T, et al. Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy. PloS one.2014;9(4):e95666. ##
  40. Hänggi J, Koeneke S, Bezzola L, Jäncke L. Structural neuroplasticity in the sensorimotor network of professional female ballet dancers. Human brain mapping. 2010;31(8):1196-206. ##
دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 8، شماره 3
مهر 1398
صفحه 1-8

فایل ها

سابقه مقاله

  • تاریخ دریافت: 21 مهر 1397
  • تاریخ بازنگری: 25 آبان 1397
  • تاریخ پذیرش: 01 دی 1397
  • تاریخ اولین انتشار: 01 مهر 1398

هم رسانی

ارجاع به این مقاله

آمار