تاثیر 12 هفته تمرین تعادلی در آب بر وضعیت تعادلی بیماران مبتلا به پارکینسون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 حکیمه بازیار: کارشناس ارشد فیزیولوژی ورزشی، گروه تربیت بدنی، دانشکده تربیت بدنی، دانشگاه اصفهان، اصفهان، ایران،

2 دانشیار، گروه فیزیولوژی ورزشی، دانشکده تربیت بدنی، دانشگاه اصفهان، اصفهان، ایران

3 دانشیار، گروه نورولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

زمینه و هدف: پارکینسون بیماری مزمن، پیشرونده و مخرب سیستم عصبی است که به علت تخریب نورون‌های دوپامینرژیک موجود در ماده سیاه مغز میانی ایجاد می‌شود. اغلب در سن 60-50 سالگی شروع شده و یکی از مشخصات آن عدم تعادل می باشد. هدف از پژوهش حاضر، بررسی تاثیر یک دوره تمرین تعادلی در آب بر تعادل بیماران مبتلا به پارکینسون بود.
مواد و روش ها: تحقیق حاضر از نوع نیمه تجربی و پیش آزمون_ پس آزمون با گروه کنترل بود. جامعه آماری این پژوهش را کلیه بیماران مراجعه‌کننده به بیمارستان الزهراء اصفهان تشکیل دادند. 36 مرد مبتلا به پارکینسون بصورت در دسترس انتخاب شدند و سپس به شکل تصادفی در دو گروه مداخله (20 نفر) و کنترل (16نفر) قرار گرفتند. گروه مداخله علاوه بر درمان دارویی، هر هفته سه جلسه 60 دقیقه ای فعالیت در آب داشتند، در حالی‌که گروه کنترل فقط تحت درمان دارویی بودند و اقدامات معمول را انجام دادند. در ابتدا و انتهای دوره، تعادل بیماران از طریق مقیاس تعادلی برگ (Berg Balance Scale) ارزیابی شد. داده ها با استفاده از آزمونP<0/05) ) ANCOVA و نرم افزار SPSS 19 مورد تجزیه و تحلیل قرار گرفت.
یافته ها: در مقایسه با گروه کنترل، نمرات تعادل گروه مداخله پس از دوازده هفته تمرین تعادلی در آب، افزایش معناداری نشان داد و از 1/49 به 70/53 بهبود یافت.
نتیجه گیری: نتایج نشان داد انجام تمرینات تعادلی در آب می تواند به عنوان یک روش درمانی و مفید در جهت بهبود تعادل و به دنبال آن بهبود عملکرد روزانه بیماران مورد استفاده قرار گیرد. با توجه به شدت بیماری در افراد مورد مطالعه (I-III) نتایج این تحقیق را تنها می‌توان به این گروه از بیماران تعمیم داد .

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effect of twelve weeks balance training in water on postural Balance in Patients with Parkinson's disease

نویسندگان [English]

  • Hakimeh Baziyar 1
  • Seyyed Mohammad Marandi 2
  • Ahmad Chitsaz 3
1 MSc, Department of Physical Education, Isfahan University, Isfahan, Iran,
2 PHD, Associate Professor, Department of physical Education, Isfahan University, Isfahan, Iran
3 MD, Associate Professor, Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Abstract
Background: Parkinson is a chronic, degenerative and destructive disease of the nervous system that is caused by the destruction of dopaminergic neurons that reside in the substantia nigra of the midbrain. It often happens in the ages of between 50 and 60 and one of its characteristics is the lack of balance. The goal by this present research was to study the effect of balance training in water on the patients with PD.
Materials and Methods: The present semi-experimental study used a pretest-posttest control group design. The study population included patients referred to the Hospital of Alzahra. 36 men patients with Parkinson that were non-randomly selected and randomly divided into experimental (n=20) and control (n=16) groups. The experimental group in addition to medication, performed activity in water 3 times/ week, 60 minutes for 12 weeks whereas control subjects were treated only by medication and routine activities performed. Before intervention and three months after the intervention, the patient's balance was assessed by BBS. Data using ANCOVA (P<0.05) and SPSS 19 software was analyzed.
Results: In comparison with the control group, the intervention group balance scores after 12 weeks of balance training in the water were greatly improved(49/1 to 53/70).
Conclusion: Findings showed that balance training in water can be used as useful and effective method to improve balance and in turn daily functioning of PD patients. According to the severity of disease in patients participating in this study (I-III), the results can be extended only to this group of patients.

کلیدواژه‌ها [English]

  • "Hydrotherapy"
  • "Parkinson's disease"
  • "Postural Balance"
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دوره 25، شماره 1
فروردین و اردیبهشت 1397
صفحه 119-126
  • تاریخ دریافت: 23 مهر 1394
  • تاریخ بازنگری: 29 اسفند 1394
  • تاریخ پذیرش: 09 خرداد 1397
  • تاریخ اولین انتشار: 09 خرداد 1397