Ahmadi Azra, Arastoo Ali Asghar, Nikbakht Masoud, Zahednejad Shahla, Rajabpour Mojtaba
School of Physical Education and Sports Science, Ahvaz Shahid Chamran University, Ahvaz, IR Iran.
Physiotherapy Group, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
Iran Red Crescent Med J. 2013 Jun;15(6):449-54. doi: 10.5812/ircmj.3597. Epub 2013 Jun 5.
Multiple Sclerosis (MS) is a disease of the central nervous system that results in many symptoms including mobility limitation and fatigue.
Thirty-one MS patients, all female with mean of age of 36.75 years and Expanded Disability Status Scale scores (EDSS) of 1.0 to 4.0 were recruited. Subjects were randomly assigned to one of the three groups: treadmill training, yoga or control groups. Treadmill training and yoga practice consisted of 8 weeks (24 sessions, thrice weekly). The control group followed their own routine treatment program. Balance, speed and endurance of walking, fatigue, depression and anxiety were measured by Berg Balance scores, time for 10m walk and distance for a two minute walk, Fatigue Severity Scale (FFS), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), respectively.
Comparison of results have shown that pre- and post-interventions produced significant improvements in the balance score, walking endurance, FFS score, BDI score and BAI score in the treadmill training group and yoga group. However, 10m walk time decreased in the treadmill training group but did not show any clear change in the yoga group. Moreover, the analysis showed significant differences between the treadmill training group and yoga group for BAI score.
These results suggest that treadmill training and yoga practice improved ambulatory function, fatigue and mood status in the individuals with mild to moderate MS.
多发性硬化症(MS)是一种中枢神经系统疾病,会导致包括行动受限和疲劳在内的多种症状。
招募了31名MS患者,均为女性,平均年龄36.75岁,扩展残疾状态量表评分(EDSS)为1.0至4.0。受试者被随机分配到三组中的一组:跑步机训练组、瑜伽组或对照组。跑步机训练和瑜伽练习为期8周(共24节课程,每周三次)。对照组遵循其自身的常规治疗方案。分别通过伯格平衡量表评分、10米步行时间和两分钟步行距离、疲劳严重程度量表(FFS)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)来测量平衡能力、步行速度和耐力、疲劳、抑郁和焦虑情况。
结果比较显示,干预前后,跑步机训练组和瑜伽组的平衡评分、步行耐力、FFS评分、BDI评分和BAI评分均有显著改善。然而,跑步机训练组的10米步行时间缩短,而瑜伽组未出现明显变化。此外,分析表明跑步机训练组和瑜伽组在BAI评分上存在显著差异。
这些结果表明,跑步机训练和瑜伽练习可改善轻度至中度MS患者的行走功能、疲劳和情绪状态。