مقایسه تمرین پیلاتس در خانه و محیط باز بر میزان ویتامین دی، شدت خستگی و کیفیت زندگی زنان مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه حکیم سبزواری، سبزوار، ایران

2 مرکز تحقیقات تجربی و بالینی (ECRC)، دانشکده پزشکی کاریته، برلین، آلمان

3 اد، نورولوژیست و مدیر علمی مرکز تحقیقات تجربی و بالینی (ECRC)، دانشکده پزشکی کاریته، برلین، آلمان

چکیده

مقدمه و هدف: بیماری مولتیپل اسکلروزیس (MS) یک بیماری خودایمنی است که ضعف عضلانی و خستگی در این بیماران، باعث کاهش کیفیت زندگی می‌شود. لذا هدف مطالعه حاضر مقایسه تمرین پیلاتس در خانه و فضای باز بر میزان خستگی و کیفیت زندگی بیماران مولتیپل اسکلروزیس می‌باشد.
مواد و روش ها: از میان زنان مبتلا به MS تعداد 44 نفر به صورت تصادفی انتخاب و به سه گروه تمرین در خانه، تمرین در محیط باز و گروه کنترل تقسیم شدند. گروه‌های تمرینی 8 هفته تمرین پیلاتس را بین ساعت 8 تا 10 صبح به صورت انفرادی (از طریق DVD) در خانه و زیر نور آفتاب انجام دادند. شدت خستگی، کیفیت‌زندگی و سطح ویتامین‌دی بیماران پیش و پس از تمرینات  اندازه‌گیری شد و داده‌ها با استفاده از روش آماری کوواریانس تحلیل شدند.
نتایج: یافته‌های پژوهش نشان داد که پس از هشت هفته تمرین، بین شاخص‌های خستگی، کیفیت‎‎زندگی و ویتامین‌دی سرم زنان مبتلا به MS در هر سه گروه‌ تفاوت معنی‌داری وجود داشت (05/0P≤). نتایج آزمون تعقیبی پس آزمون نشان داد بین دو گروه تمرینی در هر سه شاخص تفاوت معناداری وجود داشت (05/0P≤). همچنین هشت هفته تمرین در محیط باز نسبت به تمرین در خانه باعث افزایش بیشتر در میزان ویتامین دی سرم (43/78%) و کیفیت زندگی (26/50%) و کاهش بیشتر در شدت خستگی بیماران (76/41%) شد (05/0P≤ ).
نتیجه‌گیری: تمرین پیلاتس در محیط باز به علت هزینه کم، در دسترس بودن و اثرات چشمگیر آن بر کیفیت زندگی و ویتامین دی و خستگی در افراد مبتلا به MS توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of home-based and outdoor pilates training on vitamin D, intensity of fatigue and quality of life in women with multiple sclerosis

نویسندگان [English]

  • Faranak Balaghi Inaloo 1
  • Roya Askari 1
  • Amir Hossein Haghighi 1
  • Kaveh Kashani 2
  • paul Friedemann 3
1 Department of Sports Physiology, Hakim Sabzevari University, Sabzevar, Iran
2 Charité–Universitätsmedizin Berlin, Germany
3 Professor, Neurologist and Scientific Director of the Experimental and Clinical Research Center (ECRC), Charité – Universitätsmedizin Berlin, Germany
چکیده [English]

Background and Objective: Multiple Sclerosis (MS) is an autoimmune disease in which muscle weakness and fatigue reduce the quality of life. Therefore, the aim of this study was to investigate the effect of two types of Pilates exercises at home and outdoors on fatigue and quality of life in MS patients.
Materials and Methods: Among the women, 44 women with MS were randomly selected and divided into three groups: home-based training, out-door training and control group. The exercise groups performed Pilates exercises for 8 weeks individually (via DVD) at home and under the sun exposure between 8 and 10 am, but the control group did not do any exercise during this time. Fatigue severity, quality of life and vitamin D levels of patients were measured before and after exercise and data were analyzed using covariance statistical method.
Results: The results showed that after eight weeks of training, there was a significant difference between the indicators of fatigue, quality of life and vitamin D serum in women with MS in all three groups (P≤0.05). The results of post-test post hoc test showed that there was a significant difference between the two training groups in all three indices (P≤0.05). Also, eight weeks of outdoor training compared to home training caused a greater increase in serum vitamin D (78.43%). And quality of life (50.26%) and further reduction in the severity of patients' fatigue (41.76%) (P≤0.05).
Conclusion: Pilates training is recommended for people with MS due to its low cost, availability, and significant effects on quality of life and vitamin D and fatigue.

کلیدواژه‌ها [English]

  • Home-based pilates training
  • Training environment
  • Fatigue
  • Quality of life
  • Multiple sclerosis

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