مقایسۀ اثر تمرینات با تختۀ تعادل و پیلاتس و ترکیبی بر تعادل ایستا و پویای زنان سالمند

نوع مقاله : علمی - پژوهشی

نویسندگان

1 دانشکدۀ علوم ورزشی، دانشگاه آزاد اسامی واحد خوراسگان، اصفهان، ایران

2 دانشکدۀ علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران

چکیده

هدف: افزایش سن موجب کاهش تعادل ایستا و پویا می شود. هدف این تحقیق مقایسه اثر تمرینات با تخته تعادل و پیلاتس بر ترس از افتادن و کیفیت زندگی زنان سالمند بود.مواد و روش: از بین زنان سالمند واقع در شهر اصفهان، 36 نفر انتخاب و بطور تصادفی به سه گروه تمرینات پیلاتس (12 نفر)، تمرینات تخته تعادل (12 نفر) و تمرینات ترکیبی (12 نفر) تقسیم شدند. هر گروه تمرینات مخصوص به خود را به مدت هشت هفته انجام دادند. قبل و بعد از مداخله تعادل ایستا و پویا با استفاده از تست لک لک و آزمون برخاستن و رفتن اندازه­گیری شد. برای تجزیه و تحلیل داده ها از آنوا با اندازه های تکراری و در سطح معناداری 05/0 استفاده شد.یافته ها: گروه های تجربی تفاوت معنی‌داری را در قبل و بعد از مداخله در فاکتور تعادل ایستا و پویا نشان دادند (05/0>P). مقایسه داده‌های بین سه گروه در مورد فاکتور تعادل ایستا و پویا تفاوت معنی‌داری را در قبل و بعد از دوره تمرین نشان داد، به ‌طوری‌ که میزان بهبودی در گروه تجربی تمرینات ترکیبی بیشتر از دو گروه دیگر بود.نتیجه­ گیری: یافته ها بیانگر موثر بودن تمرینات در سه گروه تجربی بود، ولی میزان بهبودی در گروه تجربی تمرینات ترکیبی بیشتر از دو گروه دیگر بود، بنابراین می توان از این پروتکل به عنوان یک روش توانبخشی مکمل در جهت بهبود تعادل ایستا و پویا افراد سالمند استفاده نمود. 

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the effect of training with Balance board and Pilates and combined on the static and dynamic balance of elderly women

نویسندگان [English]

  • Masoumeh Mohammadi Arani 1
  • Nader Rahnama 2
1 Department of Sports Injuries and Corrective Exercises, Faculty of Sports Sciences, Azad University, Khorasgan Unit, Isfahan, Iran.
2 Department of Sports Injuries and Corrective Exercises, Faculty of Sports Sciences, University of Isfahan, Isfahan, Iran.
چکیده [English]

Purpose: Weakness in balance is one of the risk factors for falling, injuries or even death of elderly. Age increases the number of falls and decreases the quality of life. The main objective of this research was to compare the effects of exercises with Balance board and Pilates on static and dynamic balance of elderly women. Methods: From among elderly women located in Isfahan city, 36 persons (with average age of 71±2.4 years old, height of 1.61±0.56 m, weight  of 60±6.4 kg and body mass index of 24.49 kg/m2) were selected and randomly divided into three groups as follows: Pilates exercises (n=12), balance boards exercises (n=12) and combined exercises (n=12); so they performed Pilates exercise plan,  exercise plan related to the balance and simultaneous Pilates and balance board plan for eight weeks, respectively. Before and after the intervention, static and dynamic balance was measured using the stork static balance and Get up and go Test (TUG) Life. Data were analyzed through ANOVA with repeated measures and at the significance level of 0.05. Results: The experimental groups showed a significant difference before and after the intervention in the fear of static and dynamic balance factors (P < 0.05). The comparison of the data between the three groups regarding the static and dynamic balance showed a significant difference before and after the training period, so that the recovery rate in the experimental group of combined exercises was more than the other two groups. Conclusion: The findings indicated that the exercises were effective in the three experimental groups, but the improvement in the experimental group of combined exercises was more than the other two groups, so this protocol can be used as a complementary rehabilitation method to improve the static and dynamic balance of elderly people (P = 0.011).

کلیدواژه‌ها [English]

  • Elder
  • Quality of life
  • Static and dynamic balance
  • Pilate’s exercises
  • Balance board exercises
  1. Halvarsson A., Franzén E., Farén E., Olsson E., Oddsson L., and Ståhle A. Long-term effects of new progressive group balance training for elderly people with increased risk of falling– a randomized controlled trial. Clinical Rehabilitation. 2012;2(6): 92-125.
    2. Granacher U., Lacroix A., Muehlbauer T., Roettger K., and Gollhofer A. Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults. Gerontology. 2013;59(2): 105-113.
    3. Aradmehr M., Sagheeslami A., and Ilbeigi S. The effect of balance training and pilates on static and functional balance of elderly men. Kaums Journal . 2015;18(6): 571-577.
    4. Kasukawa Y., Miyakoshi N., Hongo M ,. Ishikawa Y., Noguchi H., Kamo K.,Sasaki H., Murata K., Shimada Y. Relationships between falls, spinal curvature, spinal mobility and back extensor strength in elderly people. Journal of Bone and Mineral Metabolism. 2010;28(1): 82-87.
    5. Callisaya M.L., Blizzard L., Schmidt M.D., McGinley J.L., and Srikanth V.K. Ageing and gait variability—a population-based study of older people. Age and Ageing. 2010;39(2): 191-197.
    6. Mokhtari M., Nezakatalhossaini M., and Esfarjani F. The effect of 12-week pilates exercises on depression and balance associated with falling in the elderly. Procedia - Social and Behavioral Sciences. 2013;70 (2013): 1714 – 1723.
    7. Queiroz B.C., Cagliari M.F., Amorim C.F., andSacco I.C. Muscle activation during four Pilates core stability exercises in quadruped position. Archives of physical medicine and rehabilitation. 2010;91(1): 86-92.
    8. Hall D., Nichols J., Aguilar L., and Larkam E.Effects of Pilates-based-training on static and dynamic balance in an elderly population. Medicine & Science in Sports & Exercise. 1999;31(5): S388.

9. Khajavi D., Farrokhi A., Jaberi A.K., and Kazemnejad A. The effect of participation training on functional movement related with fall in men without regular activity, Growth and learning movement sport. 2012;12, 49-65.
10. Bird M.L., Hill K.D., and Fell J.W. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Archives of physical medicine and rehabilitation. 2012;93(1): 43-49.
11. Jerry.R.Thams.Nelson,JL. Research Method in Physical Education. 2010;1(2):143-181.
12. Boguszewski D., Adamczyk J., and Ochal A. The Role of Pilates and Aquafitness Exercises in Sustaining the Health and Fitness of Elderly Women. Sport Science Review. 2012; 21(3): 38-127.
13. Nodehi Moghadam A., Ahbari B., and Baharlouie H. Due to hip and ankle stretching exercises to improve balance in the elderly. 2011;7 (24): 41-48..
14. Parkkari J., Kannus P., Palvanen M., Natri A., Vainio J., Aho H., Vuori I., Jarvinen M. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patents. Calcif Tissue In. 1999;65: 183-187.
15. Kiel D.P., O’Sullivan P., Teno J. andMor V. Health care utilization and functional status in the aged following a fall. Medical Care. 1991;29: 221-228.
16. Granacher U., Lacroix A.، Muehlbauer T.، Ro ettger
K.، and Gollhofer A. Effects of core insta
bility strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults. Gerontology. 2013;59(2): 105-113.
17. Hasari F.، Norasteh A.، Danashmandi S.، and
Mahdavi S. The effect of 8 weeks of core stability training on balance deaf students. Sports Medicine. 2013;15: 56-61.
18. Zazulak B.T., Hewett T.E., Reeves N.P., Goldberg B., and Cholewicki J. The effects of core proprioception on knee injury a prospective biomechanical-epidemiological study. The American journal of sports medicine. 2007;35(3): 368-373.
19. Bernardo L.M. The effectiveness of Pilates training in healthy adults: An appraisal of the research literature. Journal of Bodywork and Movement Therapies. 2007;11(2): 106-110.
20. Pilates S. Stott pilates comprehensive matwork manual. Canada, Merrithew Cooperation; 2001;pp. 289.
21. Boguszewski D., Adamczyk J., and Ochal A. The Role of Pilates and Aquafitness Exercises in Sustaining the Health and Fitness of Elderly Women. Sport Science Review. 2012;21(3): 127-138.
22. Van der Heijden M., Van Dooren F., Pop V., and Pouwer F. Effects of exercise training on quality of life, symptoms of depression, symptoms of anxiety and emotional wellbeing in type 2 diabetes mellitus: a systematic review. Diabetologia. 2013;56(6): 1210-1225.
23. Felsenthal G., Lehman J.A ., andStein B.D. Principles of geriatric rehabilitation in: physical medicine and rehabilitation. Philadelphia: WB Saunders company; 2000; pp. 25.
24. Emery K., De Serres S.J., McMillan A., and Cote J.N. The The effects of a Pilates training program on armtrunk posture and movement. Clinical Biomechanics. 2010;25(2): 124-130.
25. Prentice W.E. Rehabilitation Techniques in sports medicines, 3th ed., WCB/Mcgrow, Boston, 1999;pp: 170-187.
26. Rosendahl E., Gustafson Y., Nordin E., Lundin-Olsson L., and Nyberg L. A randomized controlled trial of fall prevention by a high-intensity functional exercise program for older people living in residential care facilities. Aging Clinical and Experimental Research. 2008;20(1): 67-75.
27. Mokhtari M.B., Bahram M.E., Pour M.G., and Akkashe G. The effects of Pilates training on some psychological and social factors related to falls in older women. 2011;17 (5): 462- 453.
28. Irez G.B., Ozdemir R.A., Evin R., Irez S.G., and Korkusuz F. Integrating Pilates exercise into an exercise program for 65+ year-old women to reduce falls. Journal of Sports Science and Medicine. 2011;10: 105-111.

29. Bird M.L., Hill K.D., and Fell J.W. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Archives of physical medicine and rehabilitation. 2012;93(1): 43-49.
30. Newell D., Shead V., and Sloane L. Changes in gait and balance parameters in elderly subjects attending an 8-week supervised Pilates programme. Journal of bodywork and movement therapies. 2012;16(4): 549-554.
31. Shinkai S., Watanabe S., Kumagai S., Fujiwara Y., Amano H., Yoshida H., Ishizaki T.,Yukawa H.,Suzuki T.,Shibata H. Walking speed as a good predictor for the onset of functional dependence in a Japanese rural community population. Age Ageing. 2000;29(5): 441-446.