fa تأثیر تمرینات خانگی همراه با اضافه بار عملکردی بر استقلال عملکردی، تعادل، راه رفتن و تغییرات الکترومیوگرافی در بیماران سکته مغزی حاد فیزیولوژی ورزش Sport Physiology پژوهشي Research <span style="font-size:10pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times="">&nbsp;<b><span lang="FA" style="font-family:Yagut"><span style="color:black">زمینه و هدف:</span></span></b> <span lang="AR-SA" style="font-family:Yagut"><span style="color:black">سکته مغزی به دنبال مختل شدن خون&shy;رسانی به ناحیه‌ای در مغز سبب آسیب در سیستم‌های حسی و حرکتی و ناتوانی&shy;های حرکتی و شناختی می‌شود. هدف از این مطالعه تعیین و بررسی </span></span><span lang="AR-SA" style="font-family:Yagut"><span style="color:black">تأثیر تمرینات در منزل با اضافه بار عملکردی بر بیماران سکته مغزی حاد بود.</span></span><span lang="FA" style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">روش بررسی:</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="background:white"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">در این مطالعه نیمه‌تجربی که در سال 1403 به صورت پیش&shy;آزمون و پس&shy;آزمون با گروه‌های تجربی و کنترل انجام شد</span></span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">، جامعه آماری شامل بیماران سکته مغزی مراجعه&shy;کننده به کلینیک بیمارستان شهدای عشایر خرم آباد بود. نمونه آماری شامل 24 نفر بیمار سکته&shy;مغزی حاد بود که به صورت تصادفی در دو گروه(مداخله و کنترل) تقسیم شدند. در دو مرحله پیش&shy;آزمون و پس&shy;آزمون(پس از 12هفته تمرین)، آزمون تعادل برگ، اندازه&shy;گیری استقلال عملکردی، آزمون راه رفتن دالی و بررسی الکترومیوگرافی عضله <a name="_Hlk165503055">تیبیالیس قدامی </a>و چهارسر رانی در هر2 گروه اجرا شد. داده&shy;های جمع&shy;آوری شده با استفاده از آزمون&shy;های آماری تی مستقل </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">و </span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">کولموگروف ـ اسمیرنف</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold">&nbsp;</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">یافته&shy;ها:</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal"> در بررسی تعادل با سطح معنی&shy;داری(0001/0 =</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black"><span style="font-weight:normal">p</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">)،</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">در آزمون راه&shy;رفتن با سطح معنی&shy;داری(0001&shy;/0=</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black"><span style="font-weight:normal">p</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">) و در آزمون استقلال عملکردی با سطح معنی&shy;داری(0001/0=</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black"><span style="font-weight:normal">p</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">) در گروه مداخله</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal"> وضعیت بهتر بود.</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal"> بررسی الکترومیوگرافی عصب عضله چهارسر رانی با سطح معنی&shy;داری(01/0=</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black"><span style="font-weight:normal">p</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">) و عصب عضله تیبیالیس قدامی با سطح معنی&shy;داری(01/0=</span></span></span></span><span dir="LTR" style="font-size:8.0pt"><span arial="" style="font-family:"><span style="color:black"><span style="font-weight:normal">p</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">) مشخص کرد آمپلیتود عضله گروه کنترل وضعیت بهتری داشت.</span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">نتیجه&shy;گیری:</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">نتایج این مطالعه نشان داد علاوه بر تمرینات کلینیکی تمرینات مبتنی بر منزل با استفاده از یک وزنه یا ویت&shy;کاف موجب بهبود عملکرد مستقل، راه&shy;رفتن و وضعیت تعادلی بیماران سکته&shy;مغزی حاد می‌شود که این موضوع با تغییرات مثبت در </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">الکترومیوگرافی عضلات درگیر همراه بود</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal">.</span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Background & aim:</span></span></span> <span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="font-weight:normal">stroke causes damage to the sensory and motor systems and motor and cognitive disabilities due to impaired blood supply to an area in the brain. The aim of the present study was to investigate the effect of exercises at home with functional overload on acute stroke patients.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span> <pre style="text-align:justify"> <span style="font-size:10pt"><span courier="" new="" style="font-family:"><b><span arial="" style="font-family:">Methods:</span></b> <span arial="" style="font-family:">In the present semi-experimental study conducted in 2024, as a pre-test and post-test with intervention and control groups, the statistical population included stroke patients referred to the clinic of Shohdai Eshair Hospital in Khorramabad. The statistical sample included 24 acute stroke patients who were randomly divided into two groups (intervention and control). In two stages of pre-test and post-test (after 12 weeks of training), leaf balance test, measurement of functional independence, dolly walking test and electromyography examination of anterior tibialis muscle and quadriceps femoris were performed in both groups.The collected data were analyzed using independent t and Kolmogorov-Smirnov statistical tests.</span></span></span></pre> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="color:black">Results:</span></span></span> <span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="font-weight:normal">The balance examination with a significant level (p = 0.0001), in the walking test with a significant level (p = 0.0001) and in the functional independence test with a significant level (0.0001) p=0/) in the experimental group, the situation was better. Electromyography examination of quadriceps muscle nerve with a significant level (p=0.01) and anterior tibialis muscle nerve with a significant level (p=0.01) revealed that the muscle amplitude of the control group was better.</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:10.0pt"><span arial="" style="font-family:">Conclusion</span></span><span style="font-size:10.0pt"><span arial="" style="font-family:">: </span></span><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="font-weight:normal">The results of the present study indicated that in addition to clinical exercises, home-based exercises using a weight or weight cuff improve independent performance, walking, and balance in acute stroke patients, which was associated with positive changes in muscle electromyography</span></span></span><span style="font-size:10.0pt"><span arial="" style="font-family:">. </span></span><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span arial="" style="font-family:"><span style="font-weight:normal"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold"><span style="font-size:6.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span style="font-weight:bold">&nbsp;</span></span></span></span> تمرین مبتنی بر منزل, استقلال عملکردی, تعادل, راه رفتن, الکترومیوگرافی, سکته مغزی Home-based Exercise, Functional Independence, Balance, Gait, Electromyography, Stroke. 542 555 http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-1790-8&slc_lang=fa&sid=1 F Nasiri فاطمه نصیری nasiri@gmail.com 100319475328460030457 0009-0005-7103-2864 No Department of Physical Education and Sports Sciences, Faculty of Humanity sciences, Lorestan University, Khorramabad, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه لرستان، خرم آباد، ایران M Fathi محمد فتحی fathi.m@lu.ac.ir 100319475328460030458 100319475328460030458 Yes Department of Physical Education and Sports Sciences, Faculty of Humanity sciences, Lorestan University, Khorramabad, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه لرستان، خرم آباد، ایران R Rezaei راضیه رضایی rezaei.r@lu.ac.ir 100319475328460030459 100319475328460030459 No Department of Physical Education and Sports Sciences, Faculty of Humanity sciences, Lorestan University, Khorramabad, Iran گروه تربیت بدنی و علوم ورزشی، دانشکده علوم انسانی، دانشگاه لرستان، خرم آباد، ایران M Kadkhodai مونا کدخدایی mona@gmail.com 100319475328460030460 100319475328460030460 No Assistant Professor of Physical Medicine and Rehabilitation, Department of Surgery, Lorestan University of Medical Sciences, Khorramabad, Iran. گروه طب فیزیکی و توانبخشی، دانشگاه علوم پزشکی لرستان، خرم آباد، ایران