بررسی تاثیر فوری یک جلسه ارتعاش کامل بدن بر روی شاخص های تعادلی در زنان مبتلا به نوروپاتی دیابتی نوع 2

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کمیته پژوهشی دانشجویان، دانشجوی کارشناسی ارشد فیزیوتراپی، گروه فیزیوتراپی، دانشکده علوم توانبخشی،دانشگاه علوم پزشکی شهید بهشتی،تهران، ایران

2 دکترای تخصصی فیزیوتراپی، دانشیار گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 دکترای تخصصی فیزیوتراپی، استاد گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

4 استاد آمار زیستی، گروه علوم پایه، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

5 دانشجوی دکترای پرستاری، گروه پرستاری، دانشکاه علوم پزشکی ایران، تهران، ایران

چکیده

مقدمه و اهداف
نوروپاتی دیابتی به علت درگیری اعصاب محیطی، باعث کاهش تعادل می­شود. پژوهش­ های کمی، تغییرات شاخص­ های تعادلی را بعد از استفاده از دستگاه لرزش کلی بدن (Whole Body Vibration) بیان کرده ­اند. هدف مطالعه حاضر، بررسی تغییرات شاخص­ های تعادلی به ­صورت فوری بعد از استفاده از دستگاه لرزش کلی بدن در بیماران نوروپاتی دیابتی نوع دو است.
مواد و روش­ ها
مطالعه حاضر، تک­ جلسه­ ای و از نوع کارآزمایی بالینی یک­ سوکور است. 32 بیمار نوروپاتی دیابتی، به دو گروه مداخله و درمان­ نما تقسیم شدند. بیماران در گروه مداخله 6 بار با استراحت یک دقیق ه­ای، روی دستگاه لرزش کلی بدن، با فرکانس HZ30 و آمپلی­تود mm2، با زانوهای خم­شده تا 30 درجه ایستادند. در گروه درمان ­نما، بیماران با همان شرایط گروه مداخله، اما روی صفحه دستگاه خاموش قرار گرفتند. بیماران هر دو گروه قبل و بعد از مداخله، با دستگاه بایودکس مورد ارزیابی قرار گرفتند. با توجه به توزیع نرمال داده ­ها با استفاده از آزمون شاپیرو-ویلک، برای مقایسه بین گروهی از تحلیل کوواریانس و برای مقایسه درون­ گروهی از آزمون t-زوجی استفاده شد.
یافته ­ها
یافته ­ها نشان داد بر اساس آزمون t-زوجی، تعادل کلی (p=0.000)، تعادل در جهت قدامی-خلفی (p=0.000) و تعادل در جهت طرفین (p=0.033)، قبل و بعد در گروه مداخله، تغییرات معناداری را نشان دادند، اما در گروه درمان­نما، تعادل کلی (p=0.06)، تعادل در جهت قدامی-خلفی (p=0.33) و تعادل در جهت طرفین (p=0.79)، تغییرات معناداری مشاهده نشد. در مقایسه نتایج دو گروه، با استفاده از آزمون t-مستقل، تعادل کلی (p=0.000)، تعادل در جهت قدامی-خلفی (p=0.000) و تعادل طرفین (p=0.027) به دست آمد، هر سه متغیر دارای اختلاف معناداری شد.
نتیجه­ گیری
به نظر می‌رسد دستگاه لرزش کل بدن می­تواند در کوتاه­مدت در بهبود تعادل در زنان مبتلا به نوروپاتی دیابتی موثر باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Investigating the Immediate Effect of One Session of Whole Body Vibration on Equilibrium Ondices in Women with Type 2 Diabetes Mellitus

نویسندگان [English]

  • Elnaz Sohrabzadeh 1
  • Sedigheh Sadat Naimi 2
  • khosro khademi-Kalantari 3
  • Alireza Akbarzadeh Baghban 4
  • Fatemeh Sanaeti 5
1 Student Research Committee, MSc Student in Physiotherapy, Department of Physiotherapy, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Associate Professor, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Professor, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Professor, Department of Basic Sciences, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 PhD Student of Nursing, Iran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aims: Diabetic neuropathy leads to a reduction in the balance due to peripheral nerves involvement. On the other hand, quantitative studies have shown changes in balance indicators after using the body's entire body vibration. The purpose of the present study was to evaluate the changes of equilibrium indices immediately after using the apparatus for whole body vibration in patients with type II diabetic neuropathy.
Materials and Methods: In the current single-session, single-blind clinical trial study, 32 patients with diabetic neuropathy were divided into two experimental and control groups. Patients in the intervention group, stood on the laser screen of the body's total vibration, with a frequency of 30HZ and an amplitude of 2 mm, knees bent to 30 degrees for six times with a one-minute rest. In the control group, there were patients with the same conditions, but they stood still on the device screen. Patients in both groups were evaluated before and after intervention using Biodex device. Regarding the normal distribution of data, Shapiro-Wilk test was used. Also, t-paired test and covariance analysis were run for further comparisons.
Results: Based on t-paired sample test, general balance (p = 0.000), balance in the anterior-posterior direction (p = 0.000), and balance in side direction (p = 0.033), before and after intervention, revealed significant changes (P = 0.06); however, in the control group, general balance (p = 0.06), balance in the anterior-posterior direction (p = 0.33), and balance in side direction (p = 0.79) were not significantly different compared between pretest and posttest. Comparing the results of the two groups, using independent t-test, general equilibrium (p = 0.000), balance in the anterior-posterior direction (p = 0.000), and bilateral balance (p = 0.027) showed statistically significant differences.
Conclusion: According to the results, the whole body vibration can be effective in improving the balance in the short time.

کلیدواژه‌ها [English]

  • Diabetic neuropathy
  • Complete body vibration
  • Balance
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