مقایسه‌ی ‌اثر تمرین در آب و خشکی بر تعادل و کیفیت زندگی مبتلایان به پارکینسون

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 استادیار، مرکز تحقیقات اختلالات اسکلتی و عضلانی، دانشکده‌ی علوم توان‌بخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استادیار، گروه فیزیولوژی ورزشی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران

3 استاد، مرکز تحقیقات علوم اعصاب و گروه مغز و اعصاب، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 کارشناس ارشد، گروه فیزیولوژی ورزشی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران

چکیده

مقدمه: بی‌ثباتی وضعیتی، یکی از پیامدهای مهم بیماری پارکینسون است که موجب کاهش تحرک و کیفیت زندگی مبتلایان به این عارضه می‌شود. انجام تمرین و فعالیت بدنی، جزیی از برنامه‌ی درمانی برای کاهش عوارض پارکینسون محسوب می‌شود. در سال‌های اخیر، انجام تمرین در آب برای افراد دارای سطح تحرک پایین توصیه می‌شود. هدف این مطالعه، مقایسه‌ی تأثیر یک برنامه‌ی تمرین درمانی در دو محیط آب و خشکی بود.روش‌ها: 20 مرد مبتلا به پارکینسون ایدیوپاتیک بر اساس شدت بیماری و طبق تشخیص پزشک متخصص، در دو گروه 10 نفری تمرین در آب و تمرین در خشکی تقسیم شدند. هر دو گروه به مدت 8 هفته و هر هفته 3 جلسه، برنامه‌ی تمرین درمانی را زیر نظر یک مربی انجام دادند. ثبات قامتی و کیفیت زندگی شرکت کنندگان به ترتیب توسط صفحه‌ی نیرو و پرسش‌نامه در دو مرحله‌ی قبل و بعد از مداخله سنجیده شد. با استفاده از نرم‌افزار SPSS و آزمون‌های آماری Repeated-measures ANCOVA، Shapiro-Wilk و t مستقل داده‌های ثبت شده تجزیه و تحلیل و مقایسه گردید.یافته‌ها: هر دو دسته از متغیرهای ثبات وضعیت بدن و کیفیت زندگی افراد، در پس آزمون بهبود معنی‌داری نسبت به پیش آزمون نشان دادند. همچنین، میانگین بهبود متغیرها در گروه تمرین در آب به صورت معنی‌داری بیش از گروه خشکی بود.نتیجه‌گیری: تمرین درمانی در محیط آب، روش مفیدتری نسبت به خشکی، جهت افزایش تعادل و کیفیت زندگی مبتلایان به پارکینسون است.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluating the Effect of Water- versus Land-Based Exercise Therapy in the Balance and Quality of Life of Patients with Parkinson’s Disease

نویسندگان [English]

  • Ebrahim Sadeghi 1
  • Gholam-Reza Sharifi 2
  • Ahmad Chitsaz 3
  • Reza Shahmohamadi 4
1 Assistant Professor, Musculoskeletal Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Exercise Physiology, School of Physical Education and Sport Sciences, Khorasgan Branch, Islamic Azad University, Isfahan, Iran
3 Professor, Isfahan Neuroscience Research Center AND Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Exercise Physiology, School of Physical Education and Sport Sciences, Khorasgan Branch, Islamic Azad University, Isfahan, Iran
چکیده [English]

Background: Postural instability is a major complication of Parkinson’s disease (PD) leads to the reduced mobility and poor quality of life in patients. Physical activity and exercise is a part of treatment plan to reduce the symptoms of the disease. Water-based exercise is recommended for patients with a lower level of mobility. This study aimed to compare the effects of water- and land-based exercises on patients with Parkinson’s disease.Methods: 20 patients who were diagnosed to have idiopathic Parkinson’s disease by a neurologist were equally divided into two 10-people groups based on their severity of complications. Both groups completed an 8-weeks (3 sessions per week) exercise program. Postural stability and quality of life (QoL) parameters were recorded using a force-plate and questionnaire in pre- and post-test sessions. Recorded outcomes were analyzed and compared using analysis of covariance statistical test.Findings: Postural stability and quality of life parameters improved at the post-test session compared to pre-test in both groups. The improvement of these outcomes was significantly greater in the water-based group.Conclusion: Water-based exercises can be more beneficial to improve the balance ability and quality of life in patients with Parkinson’s disease.

کلیدواژه‌ها [English]

  • Parkinson’s disease
  • Exercise Therapy
  • Postural stability
  • Quality of Life

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مجله دانشکده پزشکی اصفهان
دوره 33، شماره 348 - شماره پیاپی 348
مهر و آبان 1394
صفحه 1391-1402

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سابقه مقاله

  • تاریخ دریافت: 23 دی 1393
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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