Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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2022
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تأثیر تمرینات مقاومتی بر شاخص های عملکردی و فیزیولوژیکی در افراد مبتلا به سکته مغزی ایسکمیک:
یک مطالعه مرور سیستماتیک و متاآنالیز
Effects of Resistance Training on Performance and Physiological Indices in Patients with Ischemic Stroke: A Systematic Review and Meta-Analysis
فیزیولوژی ورزشی
Sport Physiology
مروری
Review
<span style="font-size:12pt"><span style="line-height:94%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span b="" lang="AR-SA" style="font-family:" zar="">این مطالعه مروری</span> <span b="" lang="AR-SA" style="font-family:" zar="">فرا تحلیل، با هدف بررسی تأثیر تمرینات مقاومتی بر روی عملکرد اجرایی و شاخص</span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""></span></span><span b="" lang="AR-SA" style="font-family:" zar="">های فیزیولوژیک در بیماران مبتلا به سکته مغزی ایسکمیک انجام پذیرفت.</span> <span lang="FA" style="font-family:"B Zar""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:94%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روشها</span></span></span></span><span lang="AR-SA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span> <span b="" lang="AR-SA" style="font-family:" zar="">جهت شناسایی مطالعات انجام شده کلمات کلیدی مرتبط در</span> <span b="" lang="AR-SA" style="font-family:" zar="">پایگاه</span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""></span></span><span b="" lang="AR-SA" style="font-family:" zar="">های</span> <span b="" lang="AR-SA" style="font-family:" zar="">اطلاعاتی</span> <span b="" lang="AR-SA" style="font-family:" zar="">پاب</span> <span b="" lang="AR-SA" style="font-family:" zar="">مد،</span><span b="" lang="FA" style="font-family:" zar=""> وب آو </span><span b="" lang="AR-SA" style="font-family:" zar="">ساینس و</span> <span b="" lang="AR-SA" style="font-family:" zar="">اسکوپوس جستجو گردید و کلیه </span><span b="" lang="FA" style="font-family:" zar="">مطالعاتی</span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""></span></span><span b="" lang="AR-SA" style="font-family:" zar="">که در این زمینه به</span> <span b="" lang="AR-SA" style="font-family:" zar="">چاپ رسیده</span> <span b="" lang="AR-SA" style="font-family:" zar="">بودند،</span> <span b="" lang="AR-SA" style="font-family:" zar="">استخراج</span> <span b="" lang="AR-SA" style="font-family:" zar="">شد. پس از غربالگری مقالات، 22 مطالعه که معیارهای ورود به مطالعه را دارا بودند، وارد فرا تحلیل شدند.</span><span b="" lang="FA" style="font-family:" zar=""><span style="color:#0e101a"></span></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="line-height:94%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">یافتهها</span></span></span></span><span lang="AR-SA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span> <span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">براساس یافتههای این فرا تحلیل تمرینات مقاومتی تأثیر معناداری روی آزمون 6 دقیقه پیادهروی (0/028 =</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">P</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> ،<br>
32/04 </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">-</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">Difference in means</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">)، تعادلی برگ (0/018 = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">P</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> 2/37 </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">-</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">Difference in means</span></span><span style="line-height:94%"><span b="" style="font-family:" zar=""> )، قدرت پنجه دست (0/001 = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">P</span></span><span style="line-height:94%"><span b="" style="font-family:" zar=""> ، 2/05 </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">-</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">Difference in means</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">) و همچنین آزمون عملکردی سرعت راه رفتن در مبتلایان به سکته مغزی ایسکمیک دارد (0/101 = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">P</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> ، 0/089 </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">-</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">Difference in means</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">). اما، تمرینات مقاومتی تأثیر معنیداری روی آزمون بلند شدن و راه رفتن در مبتلایان به سکته مغزی ایسکمیک ندارد (0/192 = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">P</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> ، 2/27 </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">-</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">Difference in means</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">). از طرفی بر اساس یافتههای حاصل از چند شاخص فیزیولوژیک مختلف در چند زیر گروه، متشکل از شاخص توده بدنی (</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">BMI</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">)، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">TC</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">HDL-C</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> و </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">LDL-C</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> میتوان نتیجه گرفت که تمرینات مقاومتی بر روی شاخصهای فیزیولوژیک بیماران مبتلا به سکته مغزی ایسکمیک تأثیر معنیداری ندارد (0/642 = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">P</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> ، 0/02 </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">-</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""> = </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:94%">Difference in means</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">).</span></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="line-height:94%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">استنتاج</span></span></span></span><span lang="AR-SA" style="line-height:94%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span> <span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">تمرینات ورزشی مقاومتی، عملکرد بیماران مبتلا به سکته مغزی ایسکمیک را بهبود می بخشد که این بهبود هم در بالا تنه و هم در پایین تنه رخ می</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""></span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">دهد، اما تمرینات مقاومتی منجر به بهبود شاخص</span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar=""></span></span><span lang="FA" style="line-height:94%"><span b="" style="font-family:" zar="">های فیزیولوژیک در بیماران سکته مغزی ایسکمیک نشد.<span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:94%"><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:8.0pt"><span style="line-height:94%"><span b="" style="font-family:" zar=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span>
<span style="font-size:12pt"><span style="line-height:135%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b><span lang="EN" style="font-size:10.0pt"><span style="line-height:135%"> This meta-analysis review aimed</span></span><span style="font-size:10.0pt"><span style="line-height:135%"> to investigate the effect of resistance training on functional performance and physiological factors in patients with ischemic stroke.</span></span><span style="font-size:10.0pt"><span style="line-height:135%"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">The search was conducted in PubMed, Web of Science, and Scopus using related keywords. All articles were reviewed, but 22 studies that met the inclusion criteria were included after screening.</span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:150%"><span style="tab-stops:121.45pt"><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 style="font-size:10.0pt"><span style="line-height:150%">Based on findings, resistance training had a significant effect on the Six-minute Walk Test (difference in means= -32.04, P= 0.028), the Berg Balance Scale (difference in means= -2.37,<br>
P= 0.018), handgrip strength test (Difference in means= -2.05, P= 0.001), and Gait Speed (difference in means= -0.089, P= 0.101) in patients with ischemic stroke. However, resistance training did not significantly affect the Up and Go Test (difference in means= -2.27, P= 0.192) in these patients. On the other hand, according to several physiological indicators in different subgroups, including body mass index, TC, HDL-C, and LDL-C, resistance training did not have a significant effect (difference in means= 0.02, P= 0.642) in patients with ischemic stroke.</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Conclusion: </span></span></span></b><span style="font-size:10.0pt"><span style="line-height:135%">Resistance training improves the performance of patients with ischemic stroke. This improvement occurs in both the upper and lower body, but resistance training did not improve physiological parameters in ischemic stroke patients.</span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="line-height:135%"></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="tab-stops:121.45pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="line-height:135%"></span></span></i></b></span></span></span></span><br>
<span dir="RTL"></span>
تمرینات ورزشی, عملکرد اجرایی, تمرین مقاومتی, شاخصهای فیزیولوژیک, سکته مغزی ایسکمیک
exercise training, functional performance, resistance training, physiological factors, ischemic stroke
164
178
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-15183-1&slc_lang=fa&sid=1
Morteza
Tayebi
مرتضی
طیبی
tayebism@gmail.com
1003194753284600144193
1003194753284600144193
No
Associate Professor, Department of Exercise Physiology, Faculty of Sport Sciences, Allameh Tabataba'i University, Tehran, Iran
دانشیار، گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه علامه طباطبائی، تهران، ایران
Diako
Heidary
دیاکو
حیدری
diako.heydari@gmail.com
1003194753284600144194
1003194753284600144194
Yes
MSc in Exercise Physiology, Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran
کارشناسی ارشد فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه علامه طباطبائی، تهران، ایران
Aref
Mehdipour
عارف
مهدی پور
mehdipour13574@gmail.com
1003194753284600144195
1003194753284600144195
No
MSc in Exercise Physiology, Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran
کارشناسی ارشد فیزیولوژی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه علامه طباطبائی، تهران، ایران