دوره 15؛ شماره 4: (1396):495-500

مقایسه اثرات برنامه تمرینی ثبات مرکزی با و بدون استفاده از نوروفیدبک بر ترس از افتادن در بیماران مبتلا به پارکینسون

محمدصالح عبدی, رضا رجبی, یوسف مقدس تبریزی, شهناز شهربانیان

DOI: 10.22122/rbs.v15i4.1992

چکیده


زمینه و هدف: بیشتر مطالعات پیشین نشان داده‌اند که ترس از افتادن، یکی از عوامل تهدید کننده سلامت سالمندان به ویژه در افراد مبتلا به پارکینسون می‌باشد. بنابراین، پژوهش حاضر با هدف مقایسه اثرات برنامه تمرینی ثبات مرکزی با و بدون استفاده از نوروفیدبک بر ترس از افتادن در بیماران مبتلا به پارکینسون انجام شد.

مواد و روش‌ها: این تحقیق از نوع نیمه تجربی و جامعه آماری آن شامل 30 نفر از مردان مبتلا به پارکینسون مراجعه کننده به مراکز توان‌بخشی و بازتوانی شهر تهران در سال 1395 بود که به طور هدفمند انتخاب شدند و به صورت تصادفی در سه گروه ۱۰ نفره (دو گروه مداخله و 1 گروه شاهد) قرار گرفتند. ابزارهای مطالعه شامل مقياس كارامدي ترس از افتادن در سالمندان- فرم بین‌المللی (Fall Efficacy Scale-International یا FES-I) و دستگاه نورفیدبک بود. از آزمون‌های Shapiro-Wilk، Paired t، ANOVA و تعقیبی Least Significant Difference (LSD) جهت تجزیه و تحلیل داده‌ها استفاده گردید.

یافته‌ها: انجام 12 هفته تمرینات ثبات مرکزی و تمرینات ثبات مرکزی همراه با نوروفیدبک، تأثیر معنی‌داری بر ترس از افتادن بیماران مبتلا به پارکینسون داشت (001/0 > P). همچنین، تفاوت معنی‌داری بین نتایج دو گروه تمرینات ثبات مرکزی و تمرینات ثبات مرکزی همراه با نوروفیدبک بر ترس از افتادن مشاهده نشد (001/0 < P)، اما اختلاف معنی‌داری بین گروه شاهد با دو گروه تمرینات ثبات مرکزی و تمرینات ثبات مرکزی همراه با نوروفیدبک وجود داشت (001/0 > P).

نتيجه‌گيري: جهت کاهش ترس از افتادن در بیماران مبتلا به پارکینسون، می‌توان هم از تمرینات ثبات مرکزی و هم از تمرینات ثبات مرکزی همراه با نوروفیدبک استفاده نمود.


واژگان کلیدی


تمرین ورزشی، نوروفیدبک، ترس، افتادن

تمام متن:

PDF

مراجع


Dehghan A, Ghaem H, Borhani Haghighi A, Kashfi M, Zeyghami B. Comparison of quality of life in Parkinson's patients with and without fatigue. Hormozgan Med J 2011; 15(1): 49-55. [In Persian].

Bonnet AM, Jutras MF, Czernecki V, Corvol JC, Vidailhet M. Nonmotor symptoms in Parkinson's disease in 2012: Relevant clinical aspects. Parkinsons Dis 2012; 2012: 198316.

Shafiee Ardestani M, Fathi Moghaddam H, Hemmati AA, Nazari Z. Effect of cyclooxygenase-2 inhibition on rigidity of animal model of Parkinson's disease. Tehran Univ Med J 2008; 66(5): 299-304. [In Persian].

Braak H, Ghebremedhin E, Rub U, Bratzke H, Del Tredici K. Stages in the development of Parkinson's disease-related pathology. Cell Tissue Res 2004; 318(1): 121-34.

Allen NE, Canning CG, Sherrington C, Lord SR, Latt MD, Close JC, et al. The effects of an exercise program on fall risk factors in people with Parkinson's disease: A randomized controlled trial. Mov Disord 2010; 25(9): 1217-25.

Ghini MH, Roghani M, Meskar H. Neuroprotective effect of epigallocatechin gallate in an experimental model of Parkinson's disease induced by 6-hydroxydopamine. Daneshvar Medicine 2014; 22(113): 71-6. [In Persian].

Badvi M, Sarkaki Ar, Goodarzvand K. Effect of vitamin e on glutamate release in striatum and muscular stiffness in animal model of Parkinson’s disease. Jundishapur Sci Med J 2006; 5(3): 614-20. [In Persian].

Ahmadi M, Sharifi MS. Treatments of Parkinson’s disease, epilepsy and obsessive compulsive disorder with deep brain stimulation. Neuroscience Journal of Shefaye Khatam 2014; 2(1): 95-100. [In Persian].

Azarpaikan A, Torbati HT, Sohrabi M. Neurofeedback and physical balance in Parkinson's patients. Gait Posture 2014; 40(1): 177-81.

Rostami H, Ashayeri H, Taghizadeh G, Keihani MR. The effects of motor skill practice on bradykinesia and the influence of motor learning in Parkinson disease. Daneshvar Medicine 2009; 16(82): 1-6. [In Persian].

Pawlitzki E, Schlenstedt C, Schmidt N, Rotkirch I, Govert F, Hartwigsen G, et al. Spatial orientation and postural control in patients with Parkinson's disease. Gait Posture 2018; 60: 50-4.

Crouse JJ, Phillips JR, Jahanshahi M, Moustafa AA. Postural instability and falls in Parkinson's disease. Rev Neurosci 2016; 27(5): 549-55.

Samson KM, Sandrey MA, Hetrick A. A core stabilization training program for tennis athletes. Human Kinetics 2007; 12(3): 41-6.

Aggarwal A, Zutshi K, Munjal J, Sharma VP. Comparing stabilization training with balance training in recreationally active individuals. Occup Ther Int 2010; 17(5): 244-53.

Sato K, Mokha M. Does core strength training influence running kinetics, lower-extremity stability, and 5000-M performance in runners? J Strength Cond Res 2009; 23(1): 133-40.

Wing K. Effect of neurofeedback on motor recovery of a patient with brain injury: A case study and its implications for stroke rehabilitation. Top Stroke Rehabil 2001; 8(3): 45-53.

Lubar JF. Neurofeedback for the management of attention-deficit/hyperactivity disorders. In: Schwartz MS, Editor. Biofeedback: A practitioner's guide. New York, NY: Guilford Press; 1995.

Kouijzer MEJ, de Moor JM, Gerrits BJL, Buitelaar JK, van Schie HT. Long-term effects of neurofeedback treatment in autism. Res Autism Spectr Disord 2009; 3(2): 496-501.

Vernon D, Egner T, Cooper N, Compton T, Neilands C, Sheri A, et al. The effect of training distinct neurofeedback protocols on aspects of cognitive performance. Int J Psychophysiol 2003; 47(1): 75-85.

Swingle PG. Biofeedback for the brain: how neurotherapy effectively treats depression, ADHD, autism, and more. New Brunswick, NJ: Rutgers University Press; 2008.

Azarpaikan A, Taheri Torbati HR, Sohrabi M. Effect of neurofeedback training on postural stability and fall risk in patients with Parkinson’s disease. J Isfahan Med Sch 2014; 31(270): 2352-61. [In Persian].

Azarpaikan A, Taheri TH. Effect of somatosensory and neurofeedback training on balance in older healthy adults: A preliminary investigation. Aging Clin Exp Res 2017.

Hammond DC. Neurofeedback to improve physical balance, incontinence, and swallowing. J Neurother 2005; 9(1): 27-36.

Shindo K, Kawashima K, Ushiba J, Ota N, Ito M, Ota T, et al. Effects of neurofeedback training with an electroencephalogram-based brain-computer interface for hand paralysis in patients with chronic stroke: A preliminary case series study. J Rehabil Med 2011; 43(10): 951-7.

Fox EE, Hough AD, Creanor S, Gear M, Freeman JA. Effects of pilates-based core stability training in ambulant people with multiple sclerosis: Multicenter, assessor-blinded, randomized controlled trial. Phys Ther 2016; 96(8): 1170-8.

Freeman J, Fox E, Gear M, Hough A. Pilates based core stability training in ambulant individuals with multiple sclerosis: Protocol for a multi-centre randomised controlled trial. BMC Neurology 2012; 12: 19.

Giladi N, Shabtai H, Simon ES, Biran S, Tal J, Korczyn AD. Construction of freezing of gait questionnaire for patients with Parkinsonism. Parkinsonism Relat Disord 2000; 6(3): 165-70.

Rossi-Izquierdo M, Ernst A, Soto-Varela A, Santos-Perez S, Faraldo-Garcia A, Sesar-Ignacio A, et al. Vibrotactile neurofeedback balance training in patients with Parkinson's disease: Reducing the number of falls. Gait Posture 2013; 37(2): 195-200.

Basta D, Rossi-Izquierdo M, Soto-Varela A, Greters ME, Bittar RS, Steinhagen-Thiessen E, et al. Efficacy of a vibrotactile neurofeedback training in stance and gait conditions for the treatment of balance deficits: A double-blind, placebo-controlled multicenter study. Otol Neurotol 2011; 32(9): 1492-9.

Thompson M, Thompson L. Biofeedback for movement disorders (Dystonia with Parkinson's Disease): Theory and Preliminary Results. J Neurother 2002; 6(4).

Subramanian L, Hindle JV, Johnston S, Roberts MV, Husain M, Goebel R, et al. Real-time functional magnetic resonance imaging neurofeedback for treatment of Parkinson's disease. J Neurosci 2011; 31(45): 16309-17.

Erickson-Davis CR, Anderson JS, Wielinski CL, Richter SA, Parashos SA. Evaluation of neurofeedback training in the treatment of parkinson's disease: A pilot study. J Neurother 2012; 16(1): 4-11.

Petrofsky JS, Cuneo M, Dial R, Pawley AK, Hill J. Core Strengthening and Balance in the Geriatric Population. J Appl Res 2005; 5(3): 423-33.

Cromwell P. Kinetic chain rehabilitation: A theoretical framework. Rehabil Res Pract 2012; 2012: 853037.

Choi JH, Moon JS, Song R. Effects of sun-style tai chi exercise on physical fitness and fall prevention in fall-prone older adults. J Adv Nurs 2005; 51(2): 150-7.

Judge JO, Lindsey C, Underwood M, Winsemius D. Balance improvements in older women: Effects of exercise training. Phys Ther 1993; 73(4): 254-62.

Tuchman M. A closer look at Balance in Parkinson's disease for those with and without Deep Brain Stimulation: The patient's perspective [Online]. [cited 2010]; Available from: URL: www.dbs4pd.org/media/file/Balance12_05_09.pdf




Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.