اثر تحریک فراجمجمه ای مغز و تمرینات ثبات مرکزی بر خستگی بیماران مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکترای رفتار حرکتی و کارشناس ارشد کاردرمانی جسمانی، استادیار واحد تهران شرق، دانشگاه آزاد اسلامی، تهران، ایران.

2 استادیار فیزیولوژی ورزشی، گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، واحد تهران غرب، دانشگاه آزاد اسلامی. تهران، ایران

3 کارشناسی ارشد آسیب شناسی و حرکات اصلاحی، واحد تهران شرق، دانشگاه آزاد اسلامی، تهران، ایران.

4 کارشناس ارشد آسیب شناسی ورزشی و حرکات اصلاحی، واحد تهران شرق، دانشگاه آزاد اسلامی، تهران، ایران.

10.22038/mjms.2025.85695.4908

چکیده

مقدمه: خستگی نشانه‌ای شایع اما نه‌چندان شناخته‌ شده در بیماران مبتلا به ام اس است هدف پژوهش حاضر مقایسه‌ی اثر تحریک فراجمجمه ای مغز و تمرینات ثبات مرکزی بر خستگی بیماران مبتلا به مولتیپل اسکلروزیس بود.
روش کار: پژوهش حاضر تجربی و از نوع پیش آزمون- پس آزمون بود. جامعه آماری آن کلیه بیماران مبتلا به مولتیپل اسکلروزیس مراجعه کننده به بیمارستان توانبخشی رفیده شهر تهران در زمستان 98 بودند که از بین آن ها تعداد 30 نفر بیمار27 الی 70 ساله از هر دو جنس زن و مرد با نمونه گیری در دسترس و هدفمند انتخاب شدند و به صورت تصادفی در دو گروه 15 نفری تجربی و کنترل قرار داده شدند. پس از اندازه گیری میزان خستگی به وسیله‌ی پرسشنامه خستگی چند بعدی، تمرینات ثبات مرکزی 8 هفته (هفته ای 3 جلسه) که هر جلسه حدود 30 تا 40 دقیقه طول کشید و تحریک الکتریکی فراجمجمه ای مخچه، هفته ای 2 جلسه (جلسات اول و سوم هرهفته)، به صورت آنلاین هر جلسه به مدت 20 دقیقه همراه با تمرینات ثبات مرکزی ارائه شد. پس از اتمام مداخله، متغیرهای پژوهش مجدداً اندازه گیری شدند.
نتایج: نتایج تحقیق، حاکی از این است که تحریک الکتریکی مخچه خستگی عمومی (001/0=P)، خستگی جسمی (001/0>P)، کاهش فعالیت (001/0>P)، و ادراک خستگی (001/0>P) بیماران ام اس را کاهش داده است. با این وجود بر کاهش انگیزه (097/0=P) و خستگی ذهنی (080/0=P) این بیماران تاثیری ندارد.
نتیجه گیری: بنابراین تحریک الکتریکی مخچه با جریان مستقیم الکتریکی بر خستگی بیماران ام اس اثرات سودمندی دارد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of Transcranial Direct Current Stimulation (tDCS) plus core stability training on the Fatigue of patients with multiple sclerosis

نویسندگان [English]

  • seyed kazem mousavi sadati 1
  • Reza Behdari 2
  • Soudabeh Raeisi 3
  • Ghazal Marvastinia 4
1 1. PhD of motor behavior and Master of physical occupational therapy, Assistant professor of East Tehran branch, Islamic Azad university, Tehran, Iran.
2 Assistant professor of exercise physiology, Department of physical Education and sport, West Tehran Branch,Islamic Azad University, Tehran Iran.
3 MSc of Sports injuries and Corrective exercise, East Tehran branch, Islamic Azad university, Tehran, Iran
4 MSc of Sports injuries and Corrective exercise, East Tehran branch, Islamic Azad university, Tehran, Iran.
چکیده [English]

Introduction: Fatigue were reported by physicians as the symptom of Multiple Sclerosis disease. The present study aims at Comparison of the effect of Transcranial Direct Current Stimulation (tDCS) plus core stability training on fatigue of patients with multiple sclerosis.
Materials and methods: This is a pre-test – post-test experiment study. The statistical population included all patients suffering from multiple sclerosis that came to Rofaydeh Rehabilitation Hospital in Tehran, Iran. 30 male and female patients aged 27 to 70 were selected through available and purposive sampling and randomly divided into two experimental and control groups (each group 15 persons). After measuring the amount of fatigue with Multidimensional Fatigue Inventory questionnaire. The participants’ training included core stability training for 8 weeks (30-min to 40-min, 3 sessions per week) with 20 min online cerebellar transcranial direct current stimulation, 2 sessions per week (sessions first and third). Afterward, the research variables were measured again.
Results: The results of this research revealed that the cerebellar current stimulation decreased general fatigue (P=0/001), physical fatigue (P<0/001), activity reduction (P<0/001) and (MFI) (P<0/001) in MS patients. However, it had no effect on these patients’ motivation reduction (P=0/097) and mental fatigue (P=0/080).
Conclusion: Therefore, the cerebellar transcranial direct current stimulation has a beneficial effect on fatigue in MS patients.

کلیدواژه‌ها [English]

  • tDCS
  • Core stability training
  • Multiple Sclerosis
  • Fatigue

مراجع

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 68، شماره 6
بهمن-اسفند1404
بهمن و اسفند 1404
صفحه 1654-1663

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