تاثیر یک دوره تمرین دایره ای بر مولفه های عملکرد حرکتی درشت کودکان فلج مغزی دیپلژی اسپاستیک

نویسندگان
آرش نصیری 1
رامین شعبانی 1
محمدرضا فدایی چافی 1
الهام بیدآبادی 2
1 گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران
2 فوق تخصص مغز و اعصاب کودکان، مرکز تحقیقات بیماری های کودکان، دانشگاه علوم پزشکی گیلان، رشت، ایران
چکیده
مقدمه

فلج مغزی (CP) یک اختلال حرکتی است که حاصل آسیب‌های غیر پیشرونده‌ی حرکتی با منشا آسیب مغزی قبل، حین یا بلافاصله پس از تولد می‌باشد. تمرینات ورزشی نقش بسزایی در بهبودی حرکتی دارد. این مطالعه نیز به منظور بررسی اثر یک دوره تمرینات دایره‌ای بر عملکرد حرکتی درشت کودکان فلج مغزی انجام شد.

مواد و روش‌ها

این کارآزمایی بالینی روی 34 کودک فلج مغزی انجام شد که به دو گروه مساوی 17 نفره آزمون (تمرین دایره‌ای و یک جلسه در هفته کاردرمانی) و کاردرمانی (یک جلسه در هفته) تقسیم شدند. از ابزار GMFM-88 برای ارزیابی تغییرات عملکرد حرکتی درشت قبل و بعد از 12 هفته تمرین، استفاده شد. تمرینات دایره‌ای که 3 دور و هر دور متشکل از 6 ایستگاه 30 ثانیه‌ای و وقفه‌ی 30 ثانیه‌ای بین ایستگاه‌ها بود، هفته‌ای سه جلسه و به مدت 12 هفته انجام شد.

یافته‌ها

نتایج آزمون‌های آماری نشان داد که همه اجزای عملکرد حرکتی درشت در گروه آزمون و نیز در گروه کاردرمانی (به جز عملکرد طاقباز و غلطیدن) بهبود معنی‌دار داشت (05/0P <)، لیکن در مقایسه بین گروهی بهبود معنی‌داری در عملکرد حرکتی درشت و اجزای آن در گروه آزمون در مقایسه با گروه کاردرمانی مشاهده شد (01/0=p).

نتیجه‌گیری

نتایج این پژوهش نشان داد که تمرینات دایره‌ای به همراه کاردرمانی می تواند موجب بهبود بیشتر در عملکرد حرکتی درشت در کودکان فلج مغزی دیپلژی اسپاستیک در مقایسه با کاردرمانی شد.
کلیدواژه‌ها
فلج مغزی
اسپاستیک
دیپلژی
فعالیت حرکتی
تمرین دایره‌ای

عنوان مقاله English

The effect of circuit exercise training on the components of gross motor function in children with spastic diplegia cerebral palsy

نویسندگان English

Arash Nasiri 1
Ramin Shabani 1
Mohammd Reza Fadaei Chafy 1
Elham Bidabadi 2
1 Department of Physical Education and sport sciences, Faculty of Humanities, Rasht Branch, Islamic Azad University, Rasht, Iran
2 Child Neurologist, Associate Professor, Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
چکیده English

Introduction

Cerebral palsy (CP) is a movement disorder that results from non-progressive motor injuries originating before, during, or immediately after birth. Exercise plays a significant role in motor improvement. This study was conducted to investigate the effect of circuit exercise training on the gross motor function of children with spastic diplegia cerebral palsy.

Materials and Methods

This clinical trial was performed on 34 cerebral palsy children, who were divided into two equal groups of 17 experimental (circuit training with one session per week of occupational therapy) and occupational therapy group. The GMFM-88 was used to evaluate gross motor function changes before and after 12 weeks of exercise. Circuit exercises training was performed three times a week for 12 weeks. These exercises were designed in three sets and each set consisted of 6 stations. The duration of activity and rest in each station was equal to 30 seconds.

Results

The results of statistical tests showed that all components of gross motor function, in both exercise and occupational therapy groups (except lying and rolling) significantly improved. However, in the intergroup comparison, a significant improvement was observed in gross motor function and its components in the circuit exercise training group compared to the occupational therapy group (p = 0.01).

Conclusion

The results of this study showed that circuit exercise trainings with occupational therapy can further improve the performance of gross motor movements in children with Spastic diplegia cerebral palsy compared to occupational therapy.

کلیدواژه‌ها English

Cerebral palsy
Spastic
Diplegic
Motor Activity
Circuit training
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