Eftekhari Elham, Mostahfezian Mina, Etemadifar Masoud, Zafari Ardeshir
Department of Physical Education and Sport Sciences, Najafabad Branch, Islamic Azad University, Isfahan, Iran.
Asian J Sports Med. 2012 Dec;3(4):279-84. doi: 10.5812/asjsm.34552.
The purpose of this study was to evaluate the effect of an eight-week progressive resistance training and vibration program on strength and ambulatory function in multiple sclerosis (MS) patients.
Twenty-Four female MS patients with the following demographics: age 27-45 years, and expanded disability status scale (EDSS) 2-4, participated in this study. The subjects were randomly allocated to one of two groups. The exercise group (n = 12) trained according to a progressive program, mainly consisting of resistance training and vibration, three times a week for eight weeks and compared with subjects in the control group (n = 12) that received no intervention. Subjects completed one set of 5-12 reps at%50-70 maximal voluntary contraction (MVC). After 5-10 minutes rest, six postures on plate vibration were done. Isotonic MVC of knee extensors, abduction of the scapula and downward rotation of the scapular girdle muscle groups were predicted by using the Brzycki formula. Right leg balance (RLB), left leg balance (LLB), and walking speed (10-Meter Walk Test) were assessed before and after the training program. Descriptive statistics and Co-variance were used for analyzing data.
After eight weeks of training the exercise group showed significant increase in MVC of Knee extensors (32.3%), Abduction of the scapula (24.7%) and Downward Rotation Scapular (39.1%) muscle groups, RLB (33.5%), LLB (9.5%), and decrease in 10-Meter Walk Test (10MWT) (9.3%), (P<0.05).
The results of this study indicated this type of training can cause improvements in muscle strength and functional capacity in patients with multiple sclerosis.
本研究旨在评估为期八周的渐进性抗阻训练和振动训练计划对多发性硬化症(MS)患者力量和步行功能的影响。
24名女性MS患者参与了本研究,其人口统计学特征如下:年龄27 - 45岁,扩展残疾状态量表(EDSS)评分为2 - 4。受试者被随机分为两组。运动组(n = 12)按照渐进性训练计划进行训练,主要包括抗阻训练和振动训练,每周三次,共八周,并与未接受干预的对照组(n = 12)受试者进行比较。受试者在50 - 70%最大自主收缩(MVC)下完成一组5 - 12次重复动作。休息5 - 10分钟后,进行六种姿势的平板振动。使用Brzycki公式预测膝伸肌的等张MVC、肩胛骨外展和肩胛带肌群的向下旋转。在训练计划前后评估右腿平衡(RLB)、左腿平衡(LLB)和步行速度(10米步行测试)。采用描述性统计和协方差分析数据。
经过八周训练,运动组膝伸肌MVC(32.3%)、肩胛骨外展(24.7%)和肩胛向下旋转(39.1%)肌群、RLB(33.5%)、LLB(9.5%)显著增加,10米步行测试(10MWT)下降(9.3%),(P<0.05)。
本研究结果表明,这种类型的训练可改善多发性硬化症患者的肌肉力量和功能能力。