تأثیر دو برنامه آزمایشی دوچرخه ثابت در آب با و بدون محدودیت گردش خون بر پارامترهای فرکانس قدم و تقارن راه رفتن در زنان مبتلا به مولتیپل‌اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه مربی‌گری ورزش، دانشکده تربیت‌بدنی و علوم ورزشی، دانشگاه خوارزمی، تهران، ایران.

2 دانشیار، گروه حرکات اصلاحی و آسیب‌شناسی ورزشی، دانشکده تربیت بدنی، دانشگاه شهید بهشتی تهران، ایران

3 استادیار، گروه آسیب شناسی و حرکات اصلاحی، پردیس بین المللی کیش دانشگاه تهران، کیش، ایران

4 گروه آسیب‌شناسی و حرکات اصلاحی، دانشکده تربیت‌بدنی و علوم ورزشی، دانشگاه تهران، تهران، ایران.

چکیده

اهداف: مولتیپل‌اسکلروزیس، یک بیماری نورولوژی است که باعث آسیب میلین سیستم عصبی مرکزی می‌شود. هدف از مطالعه حاضر، بررسی تأثیر دو برنامه آزمایشی دوچرخه ثابت در آب با و بدون محدودیت گردش خون فرکانس قدم و تقارن طول گام زنان مبتلا به مولتیپل‌اسکلروزیس بود.
مواد و روش‌ها: بیست بیمار داوطلب با درجه ناتوانی بین 4-1 به ‌صورت هدفمند انتخاب و به‌ طور تصادفی به دو گروه آزمایش با محدودیت گردش خون (10=n) و گروه آزمایش بدون محدودیت گردش خون (10=n) تقسیم شدند. هر دو گروه به ‌مدت شش هفته و سه جلسه در هفته به رکاب زدن روی دوچرخه آبی (سه نوبت 6دقیقه‌ای با یک دقیقه استراحت بین نوبت‌ها و HRmax 60-65 درصد پرداختند. جهت ایجاد محدودیت جریان خون برای گروه با محدودیت جریان خون از کاف روی قسمت فوقانی هر دو پا با فشار 10±96 میلی‌متر جیوه استفاده شد. برای اندازه‌گیری پارامترهای فرکانس قدم و تقارن طول گام از دوربین Casio Exilim EX-F با فرکانس سیصد هرتز، نرم‌افزار آنالیز حرکت KINOVEA استفاده شد. جهت تجزیه ‌و تحلیل داده‌ها، از نرم‌افزار SPSS و آزمون‌های آماری تی زوجی و تحلیل کوواریانس (ANCOVA) برای مقایسه دو گروه استفاده شد (0/05≥P).
یافته‌ها: نتایج نشان داد تفاوت معنا‌داری بین دو نوع آزمایش و اثر آن‌ها روی پارامترهای فرکانس قدم و تقارن طول گام وجود ندارد.
نتیجه‌گیری: با توجه به نتایج به‌دست‌آمده، هر دو نوع آزمایش با و بدون محدودیت گردش خون اثر معنا‌داری بر پارامترهای مورد نظر در راه رفتن زنان مبتلا به MS نداشتند، اما اجرای این آزمایشات به بیماران MS در مقایسه با بی‌تحرکی به آن‌ها پیشنهاد می‌شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effect of Exercise With Stationary Bike in Water with and Without Blood Flow Restriction on Step Frequency and Step Length Symmetry of Women With Multiple Sclerosis

نویسندگان [English]

  • Reza Habibi 1
  • Amir Hosein Baratii 2
  • Mahdieh Akoochakian 3
  • Masoud Sebyani 4
  • Elham Shirzad 4
1 Department of Sport Coaching, Faculty of Physical Education and Sport Science, Kharazmi University, Tehran, Iran.
2 Associate Professor, Department of Corrective Exercises and Sports Injuries, Faculty of Physical Educational and Sport Sciences, Shahid Behshti University, Tehran, Iran.
3 Department of Sport Science, Kish International Campus, University of Tehran, Kish, Iran.
4 Department of Corrective Exercises and Sports Injuries, Faculty of Sport Science, University of Tehran, Tehran, Iran.
چکیده [English]

Background and Aims: Multiple Sclerosis (MS) is a neurological disease that cause damage to the myelin membrane of the central nervous system. The present study aims to investigate the effect of exercise with stationary bike in water with and without Blood Flow Restriction (BFR) on step frequency and step length symmetry of women with MS.
Methods: Participants were 20 women with MS and a disability degree of 1-4 who were selected purposefully and randomly divided into two groups of exercise with BFR (n=10) and without BFR (n=10). Each group performed cycling in water for 6 weeks, 3 sessions per week (3 sets each for 6 minutes with 1-minute rest interval and HRmax of 60%-65%). A cuff was used on the upper part of both legs with a pressure of 96±10 mmHg for BFR. The step frequency and step length symmetry were measured using the Casio EXILIM EX-F1 camera at 300 Hz frequency and analyzed in KINOVEA software. Collected data were statistically analyzed in SPSS software using paired t-test and ANCOVA to compare the two groups.
Results: There was no significant difference between the two groups in the study variables (P≥0.05).
Conclusion: The two exercises with and without BFR have no effect on the gait parameters of women with MS, but these exercises are recommend for inactive MS patients.

کلیدواژه‌ها [English]

  • Aerobic training
  • Blood occlusion
  • Kaatsu training
  • Training in water

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 10، شماره 2
خرداد و تیر 1400
صفحه 320-331

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سابقه مقاله

  • تاریخ دریافت: 03 خرداد 1399
  • تاریخ بازنگری: 13 تیر 1399
  • تاریخ پذیرش: 14 تیر 1399
  • تاریخ اولین انتشار: 01 خرداد 1400

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