تأثیر تمرین تکلیف دوگانه با شرایط ثابت و متغیر بر تعادل ایستا و پویای سالمندان پس از سکته مغزی
کلمات کلیدی:
تمرین، تکلیف دوگانه، تعادل، سکته مغزی، سالمندچکیده
سکتهمغزی شایعترین و ناتوانکنندهترین بیماریهای نورولوژیک در افراد بالغ است که باعث اُفت تعادل و وابستگی کارکردی میشود. بنابراین، هدف این پژوهش مطالعه تأثیر شیوه تمرین تکلیف دوگانه با شرایط ثابت و متغیر بر تعادل بزرگسالان پس از سکته مغزی بود. پژوهش حاضر از نوع نیمهتجربی با طرح پیشآزمون و پسآزمون بود. جامعه آماری این پژوهش افراد بزرگسال دارای سابقه سکتهمغزی مراجعهکننده به مراکز درمانی شهرستان شوش دانیال بودند. از بین افراد داوطلب 30 نفر به عنوان نمونه انتخاب و به طور تصادفی به سه گروه کنترل، گروه تکلیف دوگانه در شرایط ثابت و گروه تکلیف دوگانه با اولویت متغیر تقسیم شد. یک هفته قبل از شروع مطالعه، اهداف، اهمیت و مراحل پژوهش برای آزمودنی تشریح شد و فرم رضایتنامه آگاهانه توسط شرکتکنندگان تکمیل شد. پیشآزمون تعادل برگ و بلند شدن و رفتن زماندار انجام شد و آزمودنیها به صورت تصادفی به 3 گروه 10 نفری، یعنی دو گروه آزمایشی (تمرین تکلیف دوگانه در شرایط ثابت و تمرین تکلیف دوگانه در شرایط متغیر) و گروه کنترل تقسیم شدند. گروههای آزمایشی تمرینات را به مدت 4 هفته متوالی، هر هفته 3 جلسه 45 دقیقهای، انجام دادند. تجزیه و تحلیل دادهها با تحلیل کوواریانس و آزمون تعقیبی بونفرونی نشان داد تعادل ایستا و پویای بزرگسالان پس از سکته مغزی، متعاقب تمرین تکلیف دوگانه با شرایط ثابت و متغیر به طور معنی داری بهبود یافت (p≤0.05). بر اساس یافتههای این پژوهش، شیوه تمرینی تکلیف دوگانه با شرایط ثابت و متغیر میتواند برای افزایش تعادل ایستا و پویای بزرگسالان دارای سابقه سکته مغزی مورد استفاده قرار گیرد.
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