fa بررسی یک دوره تمرین منتخب تعادلی بر عملکرد فیزیولوژیکی، حرکتی و تعادلی بیماران پارکینسون فیزیولوژی ورزشی Sport Physiology پژوهشي-کامل Research(Original) <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" koodak="" lang="FA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="color:black">بیماری پارکینسون یکی از شایع</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">ترین اختلالات تحلیل برنده سیستم عصبی مرکزی است که باعث کندی حرکت، لرزش، بی ثباتی وضعیتی، کاهش تعادل و اختلال سیستم اعصاب خودکار می</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">شود. هدف این پژوهش بررسی یک دوره تمرین منتخب تعادلی بر عملکرد فیزیولوژیکی، حرکتی و تعادلی بیماران پارکینسون بود.</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:#0e101a"></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="color:black">در این مطالعه مداخله‌ای، 30 بیمار زن مبتلا به پارکینسون در مرحله 3-1 بیماری براساس مقیاس (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">H&Y</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">)، مراجعه‌کننده به بیمارستان علی ابن</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">ابیطالب زاهدان، به صورت هدفمند و داوطلبانه انتخاب و در دو گروه 15 نفره تجربی و کنترل قرار گرفتند. گروه تجربی علاوه بر درمان دارویی، به مدت 8 هفته، هفته‌ای 3 جلسه 60 دقیقه ای به فعالیت پرداختند. بیماران گروه کنترل فقط پیگیری شدند. مطالعه از نوع مداخله</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">ی قبل و بعد بود. ارزیابی با استفاده از شاخص</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">های تعادلی </span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">&nbsp;Berg</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">(</span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">Berg balance scale</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">)، دینامومتر دیجیتال پا وکمر و تست بلند شدن و رفتن زمان</span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="color:black">دار(</span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">Timed up and go</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black"> یا</span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black"> TUG</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">) در ابتداو انتهای دوره به عمل آمد. به منظور بررسی طبیعی بودن توزیع داده</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">ها از آزمون کولموگروف- اسمیرنوف، جهت بررسی همگنی واریانس دو گروه از آزمون لون و برای اختلافات بین میانگین</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">ها از آزمون</span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">t</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black"> وابسته استفاده شد و با نرم‌افزار 22</span></span><span dir="LTR" style="font-size:10.0pt"><span style="color:black">SPSS</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black"> آنالیز شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span> <span b="" lang="FA" style="font-family:" zar="">میانگین نمره </span><span dir="LTR" style="font-size:10.0pt">Berg</span><span b="" lang="FA" style="font-family:" zar=""> بیماران پس از مداخله 10/28</span><span lang="FA" style="font-size:10.0pt">&plusmn;</span><span b="" lang="FA" style="font-family:" zar="">48/69 به‌طور معنی‌داری افزایش یافت (0/05</span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">></span></span><span dir="LTR" style="font-size:10.0pt">P</span><span b="" lang="FA" style="font-family:" zar="">). میانگین قدرت عضلات پا پس از مداخله 0/092</span><span lang="FA" style="font-size:10.0pt">&plusmn;</span><span b="" lang="FA" style="font-family:" zar="">0/456 افزایش یافت(0/05</span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">></span></span><span dir="LTR" style="font-size:10.0pt">P</span><span b="" lang="FA" style="font-family:" zar="">). هم‌چنین میانگین </span><span dir="LTR" style="font-size:10.0pt">TUG</span><span b="" lang="FA" style="font-family:" zar=""> پس از مداخله 3/63</span><span lang="FA" style="font-size:10.0pt">&plusmn;</span><span b="" lang="FA" style="font-family:" zar="">18/14 به‌طور معنی<span style="letter-spacing:-.2pt">‌</span>داری کاهش یافت(0/05</span><span lang="FA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">></span></span><span dir="LTR" style="font-size:10.0pt">P</span><span b="" lang="FA" style="font-family:" zar="">).<span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="color:black">به نظر می</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">رسد انجام تمرینات تعادلی منجر به افزایش تعادل و قدرت عضلات پا وکاهش زمان برخاستن و راه &nbsp;رفتن در بیماران پارکینسونی</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black"> می</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="color:black">گردد.</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="tab-stops:284.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="font-size:5.0pt"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:85%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt"><span style="line-height:85%"><span b="" style="font-family:" zar="">شماره ثبت کارآزمایی بالینی : 1</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:85%">N</span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:85%"><span b="" style="font-family:" zar="">20171030037099</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:85%">IRCT</span></span><b><i><span lang="FA" style="font-size:10.0pt"><span style="line-height:85%"><span style="font-family:"2 Davat""></span></span></span></i></b></span></span></span></span></span><br> <span dir="LTR"></span> &nbsp; <div dir="rtl"></div> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%">Parkinson&#39;s disease (PD) is a neurodegenerative disorder of the central nervous system which leads to slowness of movement, tremor, postural instability, reduced balance, and autonomic nervous system disorders. The aim of this study was to investigate the effect of selected balance training on physiological, motor and balance performance in patients with PD.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">T</span></span><span style="font-size:10.0pt"><span style="line-height:150%">his pre-post design interventional study was performed in 30 female patients at PD stages 1-3 based on Hoehn and Yahr scale who were willing to participate in our study. They were selected via purposive sampling in Zahedan Ali Ibn Abitaleb Hospital and divided into two groups (n= 15). The intervention group in addition to medications had balance training 3 sessions/week &times;60 min for 8 weeks while patients in the control group were only followed up. Evaluation was performed at the beginning and end of the study using</span></span> <span style="font-size:10.0pt"><span style="line-height:150%">Berg Balance Scale (BBS), leg muscle strength, and the Timed Up and Go (TUG) test. In order to evaluate the normality of data distribution, homogeneity of variance between the two groups, and differences between means, we applied Kolmogorov-Smirnov test, Leven test, and dependent t-test, respectively using SPSS V22. </span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span lang="EN" style="font-size:10.0pt"><span style="line-height:150%">After the intervention, mean BBS score showed significant increase (</span></span><span style="font-size:10.0pt"><span style="line-height:150%">48.69&plusmn;10.28, P<0.05) and we observed significant improvement in the mean score for leg muscle strength (0.456&plusmn;0.092, P<0.05). In this study, mean TUG was found to significantly decrease after the intervention (18.14&plusmn;3.63, P<0.05).</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%">It seems that balanced exercises lead to increased balance, leg muscle strength, and reduced TUG in patients with Parkinson&#39;s disease.</span></span><i><span style="font-size:10.0pt"><span style="line-height:150%"></span></span></i></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:7.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt"></span></span></span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt">(Clinical Trials Registry Number: </span></span></span><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt">IRCT20171030037099N1</span></span></span><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt">)</span></span></span><b><i><span style="font-size:8.0pt"><span style="line-height:150%"><span style="letter-spacing:-.1pt"></span></span></span></i></b></span></span></span><br> &nbsp; تمرینات ورزشی, عملکرد فیزیولوژیکی, حرکتی, تعادلی, بیماری پارکینسون exercise training, physiological function, motor, balance, Parkinson's disease 66 74 http://jmums.mazums.ac.ir/browse.php?a_code=A-11-14808-1&slc_lang=fa&sid=1 Shirin Alinejad شیرین علی نژاد shirinalinezhad@gmail.com 1003194753284600151553 1003194753284600151553 No MSc in Sport Physiology, University of Sistan and Baluchestan, Zahedan, Iran کارشناس ارشد فیزیولوژی ورزش، دانشگاه سیستان و بلوچستان، زاهدان، ایران Ahmad Shahdadi احمد شهدادی shahdadi@hamoon.usb.ac.ir 1003194753284600151554 1003194753284600151554 No Assistant Professor, Department of Physical Education, Faculty of Educational Sciences, University of Sistan and Baluchestan, Zahedan, Iran استادیار، گروه علوم ورزشی، دانشکده علوم تربیتی، دانشگاه سیستان و بلوچستان، زاهدان، ایران Maryam Zare مریم زارع maryamzare.m97@gmail.com 1003194753284600151555 1003194753284600151555 Yes MSc in Sport Physiology, University of Sistan and Baluchestan, Zahedan, Iran کارشناس ارشد فیزیولوژی ورزش، دانشگاه سیستان و بلوچستان، زاهدان، ایران