تاثیر هشت هفته تمرینات پیلاتس بر کیفیت زندگی و درد زنان مبتلا به مولتیپل اسکلروزیس
محورهای موضوعی : فیزیولوژی ورزش و علم تمرینریحانه علیزاده بهبهانی 1 , الهام افتخاری 2
1 - دانشجوی دکترای فیزیولوژی ورزشی، واحد نجفآباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.
2 - استادیار فیزیولوژی ورزش، مرکز تحقیقات طب ورزشی، واحد نجفآباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.
کلید واژه: درد, کیفیت زندگی, مولتیپل اسکلروزیس, تمرینات پیلاتس, فعالیت بدنی,
چکیده مقاله :
مولتیپل اسکلروزیس یک بیماری مزمن و تخریب کننده میلینها است که تمام ماده سفید سیستم عصبی مرکزی را فرا میگیرد و عملکرد حسی و حرکتی را تحت کنترل قرار می¬دهد. این بیماری مزمن نورولوژی، بیشترین تأثیرات منفی را روی روند سلامت و کیفیت زندگی افراد در جامعه میگذارد. عوارض بیماری مولتیپل اسکلروزیس، کیفیت زندگی از جنبه های مختلف فیزیکی، هیجانی، شناختی و اجتماعی را در بر میگیرد. یکی از تظاهرات بالینی ناخوشایند در بیماری مولتیپل اسکلروزیس، درد است که از علائم ناراحت کننده محسوب میشود و متاسفانه در حیطه پزشکی و پرستاری به آن اهمیت زیادی داده نشده است. هدف این پژوهش، تعیین تأثیر هشت هفته تمرین پیلاتس بر کیفیت زندگی و درد زنان مبتلا به مولتیپل اسکلروزیس است. این مطالعه بصورت نیمه تجربی و کاربردی روی 24 زن مبتلا به مولتیپل اسکلروزیس با محدوده سنی ۴۵-۵۵ سال و دارای حداقل سه سال سابقه بیماری صورت گرفت. آزمودنی ها، بهطور تصادفي به دو گروه مساوی پیلاتس (12 نفر) و کنترل (12 نفر) تقسیم شدند. کیفیت زندگی با استفاده از پرسشنامه استاندارد کیفیت زندگی جهانی و متغیر درد با پرسشنامه استاندارد مقياس ديداری درد اندازه گیری گردید. تحلیل آماری با استفاده از آزمون آماری تی مستقل در سطح معنیداری p<0/05 انجام پذیرفت. نتایج نشان داد که تمرینات پیلاتس باعث تغییرات کیفیت زندگی و متغیر درد می شود. لذا، تمرینات پیلاتس باعث بهبود کیفیت زندگی و درد در زنان مبتلا به مولتیپل اسکلروزیس میگردد و این بیماران بایستی این نوع تمرین را به عنوان یک درمان تکمیلی کنار دارودرمانی استفاده نمایند.
Multiple Sclerosis is a chronic disease that destroys myelin, which covers all the white matter of the central nervous system and controls sensory and motor functions. This chronic neurological disease has the most negative effects on the health and quality of life of people in the society. The complications of multiple sclerosis include the quality of life from different aspects of life such as physical, emotional, cognitive and social. One of the unpleasant clinical manifestations of multiple sclerosis is pain, which is considered one of the uncomfortable symptoms and has not been given much importance in the field of medicine and nursing. The purpose of this study is to determine the effect of eight weeks of pilates training on quality of life and pain in women with multiple sclerosis. This semi-experimental and applied study was conducted on 24 women with multiple sclerosis with an age range of 45-55 and with a history of at least three years. The subjects were randomly divided into two equal groups of Pilates and the control. Quality of life was measured using a standard global quality of life questionnaire and pain was measured using a standard visual pain scale questionnaire. Statistical analysis was performed using independent t-test at a significance level of p<0.05. The results showed that pilates exercises cause significant changes in the quality of life and pain in women with multiple sclerosis. Therefore, pilates exercises improve the quality of life and pain in women with multiple sclerosis, and these patients should use this type of exercise as a complementary treatment along with drug therapy.
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