تاثير يك دوره تمرين دايره اي بر مولفه هاي عملكرد حركتي درشت كودكان فلج مغزي ديپلژي اسپاستيك

The effect of circuit exercise training on the components of gross motor function in children with spastic diplegia cerebral palsy

مقدمه فلج مغزي (CP) يك اختلال حركتي است كه حاصل آسيب هاي غير پيشرونده ي حركتي با منشا آسيب مغزي قبل، حين يا بلافاصله پس از تولد مي باشد. تمرينات ورزشي نقش بسزايي در بهبودي حركتي دارد اين مطالعه نيز به منظور بررسي اثر يك دوره تمرينات دايره اي بر عملكرد حركتي درشت كودكان فلج مغزي انجام شد. مواد و روش ها اين كارآزمايي باليني روي 34 كودك فلج مغزي انجام شد كه به دو گروه مساوي 17 نفره آزمون (تمرين دايره اي و يك جلسه در هفته كاردرماني) و كاردرماني (يك جلسه در هفته) تقسيم شدند. از ابزار GMFM-88 براي ارزيابي تغييرات عملكرد حركتي درشت قبل و بعد از 12 هفته تمرين، استفاده شد. تمرينات دايره اي كه 3 دور و هر دور متشكل از 6 ايستگاه 30 ثانيه اي و وقفه ي 30 ثانيه اي بين ايستگاه ها بود، هفته اي سه جلسه و به مدت 12 هفته انجام شد. يافته ها نتايج آزمون هاي آماري نشان داد كه همه اجزاي عملكرد حركتي درشت در گروه آزمون و نيز در گروه كاردرماني(به جز عملكرد طاقباز و غلطيدن) بهبود معني دار داشت (0/05

Introduction Cerebral palsy (CP) is a movement disorder that results from non-progressive motor injuries originating before, during, or immediately after birth. Exercise plays a significant role in motor improvement. This study was conducted to investigate the effect of circuit exercise training on the gross motor function of children with spastic diplegia cerebral palsy. Materials and Methods This clinical trial was performed on 34 cerebral palsy children, who were divided into two equal groups of 17 experimental (circuit training with one session per week of occupational therapy) and occupational therapy group. The GMFM-88 was used to evaluate gross motor function changes before and after 12 weeks of exercise. Circuit exercises training was performed three times a week for 12 weeks. These exercises were designed in three sets and each set consisted of 6 stations. The duration of activity and rest in each station was equal to 30 seconds. Results The results of statistical tests showed that all components of gross motor function, in both exercise and occupational therapy groups (except lying and rolling) significantly improved. However, in the intergroup comparison, a significant improvement was observed in gross motor function and its components in the circuit exercise training group compared to the occupational therapy group (p = 0.01). Conclusion The results of this study showed that circuit exercise trainings with occupational therapy can further improve the performance of gross motor movements in children with Spastic diplegia cerebral palsy compared to occupational therapy.