تأثیر 16 هفته فعالیت بدنی منظم بر شاخص فعالیت روزانه زندگی (ADL) در جانبازان شیمیائی

نوع مقاله : علمی - پژوهشی

نویسنده

چکیده

مقدمه: طی 8 سال جنگ عراق علیه ایران بیش از 50 هزار نفر به‌عنوان جانبازان شیمیائی به صدمات چشمی، پوستی و ریوی مبتلا شده‌اند. هدف از انجام این مطالعه، بررسی تأثیر برنامه‌های ورزشی منظم بر روی فعالیت‌های روزانه زندگی (ADL) جانبازان شیمیایی بود.مواد و روش‌ها: 100 نفر از جانبازان شیمیایی ریوی استان تهران به‌صورت تصادفی انتخاب و به دو گروه همسان 50 نفری تقسیم شدند. شاخص‌های ADL هر دو گروه پیش از مداخله اندازه‌گیری شد. سپس گروه تمرین به مدت 16 هفته، هفته‌ای سه جلسه و هر جلسه 60-30 دقیقه تمرین کردند. پس از 16 هفته هر دو گروه تحت ارزیابی مجدد قرار گرفتند. به‌منظور مقایسه میانگین در دو گروه تمرین و کنترل از آزمون U Manwitny با سطح معنی‎داری 05/0P< استفاده شد.یافته‌ها: نتایج به‌دست‌آمده پس از 16 هفته فعالیت‌های بدنی منظم در گروه مورد، تفاوت معنی‎داری را در کنترل مدفوع (001/0=P)، کنترل ادرار (045/0=P) و استفاده از پله (000/0=P) نشان داد.نتیجه‌گیری: یافته‌های این پژوهش نشان داد که انجام فعالیت‌های بدنی منظم می‌تواند به بهبود سطح عملکرد جانبازان در انجام فعالیت‌های روزانه کمک کند.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of regular physical training program on activity of daily living (ADL) in chemical victims

چکیده [English]

Aims: Over the eight-year war against Iran, more than 50 thousand as chemical victims had been affected to eye, skin and Pulmonary probelms. The aim of this study was to determine the effect of regular physical training program on activity of daily living (ADL) in chemical victis.
Methods: two groups of chemical victims contains 50 training and 50 controls were studied. The regular physical training program contains 16 weeks, 3 session per week 30 – 60 recretional, noncompetitive exercises. health conditions of the studied population was measured by ADL test. U Manwitny was used to compare means (p˂0.05).
Results: There were significant correlations between regular physical training program and bowel control (p=0.001), bladder control(p=0.045) and the ability of stairs climbing(p=0.000).
Conclusion:The study revealed that physical training program in chemical victims accompanied with better activity of daily living.

کلیدواژه‌ها [English]

  • Chemical victims
  • physical training program
  • Activity of daily living
Attaran, D., Khajedaloui, M., Jafarzadeh, R., & Mazloomi, M. (2006). Health-related quality of life in patients with chemical warfare-induced chronic obstructive pulmonary disease. Arch Iran Med, 9(4), 359-363.
Bahgeri, H., Abdolvahab, M., Raji, P., Jalili, M., Faghih Zadeh, S., & Soltani, Z. (2010). The effects of progressive resistive exercises on Activities of Daily living of elderly persons. Modern Rehabilitation, 4(1), 56-59.
Cheng, Y., Macera, C., Addy, C., Sy, F., Wieland, D., & Blair, S. N. (2003). Effects of physical activity on exercise tests and respiratory function. British journal of sports medicine, 37(6), 521-528.
Farid, R., Azad, F. J., Atri, A. E., Rahimi, M. B., Khaledan, A., Talaei-Khoei, M., . . . Ghasemi, R. (2005). Effect of aerobic exercise training on pulmonary function and tolerance of activity in asthmatic patients. Iranian Journal of Allergy, Asthma and Immunology, 4(3), 133-138.
Ghabili, K., Agutter, P. S., Ghanei, M., Ansarin, K., & Shoja, M. M. (2010). Mustard gas toxicity: the acute and chronic pathological effects. Journal of Applied Toxicology, 30(7), 627-643.
Ghanei, M., & Harandi, A. A. (2007). Long term consequences from exposure to sulfur mustard: a review. Inhalation toxicology, 19(5), 451-456.
Gillison, F. B., Skevington, S. M., Sato, A., Standage, M., & Evangelidou, S. (2009). The effects of exercise interventions on quality of life in clinical and healthy populations; a meta-analysis. Social Science & Medicine, 68(9), 1700-1710.
Harrison's principles of internal medicine. (2008). 179-194.
Hefazi, M., Attaran, D., Mahmoudi, M., & Balali-Mood, M. (2005). Late respiratory complications of mustard gas poisoning in Iranian veterans. Inhalation toxicology, 17(11), 587-592.
Jones, P. W. (2007). Activity limitation and quality of life in COPD. COPD: Journal of Chronic Obstructive Pulmonary Disease, 4(3), 273-278.
Khateri, S., Ghanei, M., Keshavarz, S., Soroush, M., & Haines, D. (2003). Incidence of lung, eye, and skin lesions as late complications in 34,000 Iranians with wartime exposure to mustard agent. Journal of occupational and environmental medicine, 45(11), 1136-1143.
Mahoney, F. I. (1965). Functional evaluation: the Barthel index. Maryland state medical journal, 14, 61-65.
Montes de Oca, M., Torres, S., Gonzalez, Y., Romero, E., Hernandez, N., & Talamo, C. (2005). Changes in exercise tolerance, health related quality of life, and peripheral muscle characteristics of chronic obstructive pulmonary disease patients after 6 weeks' training. Archivos de Bronconeumologia ((English Edition)), 41(8), 413-418.
Nakamura, Y., Tanaka, K., Shigematsu, R., Nakagaichi, M., Inoue, M., & Homma, T. (2008). Effects of aerobic training and recreational activities in patients with chronic obstructive pulmonary disease. International Journal of Rehabilitation Research, 31(4), 275-283.
Nici, L., Donner, C., Wouters, E., Zuwallack, R., Ambrosino, N., Bourbeau, J., . . . Fahy, B. (2006). American thoracic society/European respiratory society statement on pulmonary rehabilitation. American journal of respiratory and critical care medicine, 173(12), 1390-1413.
Norton, C., & Kamm, M. A. (2001). Anal sphincter biofeedback and pelvic floor exercises for faecal incontinence in adults--a systematic review. Aliment Pharmacol Ther, 15(8), 1147-1154.
Pitta, F., Brunetto, A., Padovani, C., & Godoy, I. (2004). Effects of isolated cycle ergometer training on patients with moderate-to-severe chronic obstructive pulmonary disease. Respiration, 71(5), 477-483.
Reardon, J. Z., Lareau, S. C., & ZuWallack, R. (2006). Functional status and quality of life in chronic obstructive pulmonary disease. The American journal of medicine, 119(10), 32-37.
Roberts, M. C., Millikan, R. C., Galanko, J. A., Martin, C., & Sandler, R. S. (2003). Constipation, laxative use, and colon cancer in a North Carolina population. The American journal of gastroenterology, 98(4), 857-864.
Rodriguez Gonzalez‐Moro, J., de Lucas Ramos, P., Izquierdo Alonso, J., Lopez‐Muñiz Ballesteros, B., Anton Diaz, E., Ribera, X., & Martin, A. (2009). Impact of COPD severity on physical disability and daily living activities: EDIP‐EPOC I and EDIP‐EPOC II studies. International journal of clinical practice, 63(5), 742-750.
Sohrabpour, H. (1984). Clinical manifestations of chemical agents on Iranian combatants during Iran-Iraq conflict. Archives Belges, 291-297.
Valli, G., Martolini, D., & Palange, P. (2008). The evaluation of exercise tolerance in patients with chronic respiratory and cardiac diseases: Measurements and role in rehabilitation. 23(3), 150-159.
Warburton, D. E., Nicol, C. W., & Bredin, S. S. (2006). Health benefits of physical activity: the evidence. Canadian medical association journal, 174(6), 801-809.
Zargar, M., Araghizadeh, H., Soroush, M. R., & Khaji, A. (2007). Iranian casualties during the eight years of Iraq-Iran conflict. Revista de saude publica, 41(6), 1065-1066.