تأثیر دستورالعمل توجه تکلیف دوگانه بر تعادل ایستا و پویای سالمندان شهر اهواز

نویسندگان
علی اصغر ارسطو 1
سعید البوغبیش 2
شهلا زاهدنژاد 3
مهرداد شریفی 3
سیما رزاقی 4
سجاد پارسایی 4
1 مرکز تحقیقات عوامل اجتماعی بر مؤثر سلامت و مرکز تحقیقات توانبخشی عضلانی-اسکلتی، دانشکده بهداشت، دانشگاه علوم پزشکی جندی شاپور اهواز
2 دانشگاه شهید بهشتی
3 دانشگاه جندی شاپور
4 دانشگاه شهید چمران
10.52547/jmj.16.2.8
چکیده
مقدمه: مداخلات تمرینی جهت بهبود تعادل سالمندان از اهمیت بالایی برخوردار است. هدف از انجام این تحقیق بررسی تأثیر دستورالعمل توجه تکلیف دوگانه بر تعادل ایستا و پویای سالمندان شهر اهواز ساکن سرای سالمندان است.
روش کار: این تحقیق از نوع تحقیقات نیمه تجربی و از لحاظ هدف کاربردی است. جامعه آماری این تحقیق شامل سالمندان 60 سال به بالای ساکن سرای سالمندان صالحین شهر اهواز بودند. 20 نفر از کسانی که معیارهای ورود به تحقیق را دارا بودند به روش نمونه­گیری در دسترس انتخاب شدند و پس از کسب رضایت­نامه به صورت داوطلبانه در تحقیق شرکت کردند. یک هفته بعد از مرحله پیش­آزمون مراحل تمرین شروع شد و طی سه جلسه متوالی ادامه یافت. در گروه توجه تکلیف دوگانه دستورالعمل بدین صورت بود که در حین اجرای تکلیف تعادل ایستا و پویا یک تکلیف ثانویه شناختی (شمارش معکوس اعداد) به آن‌ها داده شد. در گروه کنترل هیچ‌گونه دستورالعملی داده نشد. پس از پایان مرحله تمرینی، پس‌آزمون به عمل آمد. از آزمون تی در سطح معناداری 05/0>p < /span> جهت مقایسه گروه­ها استفاده شد.
یافته­ها: استفاده از تکلیف دوگانه باعث بهبود تعادل ایستا (05/0>p < /span>) شد ولی اثر تضعیفی بر روی تعادل پویای سالمندان داشت (05/0>p < /span>).
بحث و نتیجه­گیری: نتایج حاصل از اجرای این تحقیق مؤید این موضوع بود که یک دوره تمرینات دستورالعمل توجهی تکلیف دوگانه موجب بهبود تعادل ایستا در سالمندان می­شود ولی اثر تضعیفی بر روی تعادل پویای سالمندان دارد؛ بنابراین پیشنهاد می­شود که جهت بهبود تعادل ایستای سالمندان از روش تکلیف دوگانه استفاده شود.
کلیدواژه‌ها
توجه
تعادل قامتی
کارکرد اجرایی
سالمند
تعادل

عنوان مقاله English

The Effect of Dual Task Attention Instruction on the Static and Dynamic Balance of the Ahwaz Elderly

نویسندگان English

saeed alboghbish 2
shahla zahednejad 3
mehrdad sharifi 3
sima razaghi 4
Sjad prsaei 4
چکیده English

Introduction: improvement ofthe elderly balance by Exercise interventions have great importance. The purpose of this study was investigate effect of dual task attention instruction on static and dynamic balance ofthe elderly in Ahvaz residency.
This study is quasi-experimental and purposeful research. The statistical population of this study was 60 years old adult people living in Salehin residency of Ahvaz. Twenty persons who had the criteria for entering the research were selected by available sampling method and participated voluntarily after obtaining consent. A week after the pre-test, the training sessions started and lasted for three consecutive sessions. Inthe dual task attention group, the instruction was that during the execution ofthe static and dynamic balance task a secondary cognitive assignment (Countdown numbers) were performed. In the control group no cognitive dual task were given. After the end of the training sessions, post-test was performed. To Comparison between groups Ancova with p <0.05 significant level was used.
Results: The results showed that there was a significant difference between the experimental and control groups in the static balance and dynamic balance. Using dual tasks improved static balance but had a weaken effect on the dynamic balance of elderly people.
Conclusion: The results of this study confirmed that a period of dual task attention instruction improves the static balance in the elderly but has a weaken effect on the dynamic balance of the elderly; therefore, it suggested dull task method to improve static balance in Elderly.
 

کلیدواژه‌ها English

Attention
Postural balance
executive function
Elderly
balance
1- Tabari F, Khaghanizade M, Dehghan-Nayeri N, Najafi-Mehri S. Explain the concept of autonomy in the maintain dignity elderly: a qualitative study. IJNR. 2016; 11 (3):17-27 (Persian). 2- Greene M, Joshi S, Robles O. State of world population 2012. By choice not by chance. Family planning human rights and development. 2012. 3- Lovell M. Caring for the elderly: changing perceptions and attitudes. Journal of vascular nursing. 2006; 24(1):22-6. 4- De Souza Vale RG, de Oliveira RD, Pernambuco CS, da Silva Novaes J, de Andrade AD. Effects of muscle strength and aerobic training on basal serum levels of IGF-1 and cortisol in elderly women. Archives of gerontology and geriatrics. 2009; 49(3):343-7. 5- Stevens JA, Olson S. Reducing falls and resulting hip fractures among older women. Morbidity and Mortality Weekly Review 2000; 49(2):1–12. 6- Chiviacowsky S, Wulf G, Wally R. An external focus of attention enhances balance learning in older adults. Gait & posture. 2010; 32(4):572-5. 7- Rezaei evrigh M, Mohamadi F, Azimian J, motalebi S A. The Effect of a Simple Balance Training Program on Fall Prevention in the Elderly Women Hospitalized in Razi Psychiatric Hospital, Tehran. IJRN. 2017; 3 (4):43-49 (Persian). 8- Esmaili M, Zarghami M, Ghotbi A. Differences related to the distance effects of external focus of attention on static balance of the patients with multiple sclerosis. Motor behavior. 2014; 6(17): 205-218. (Persian). 9- Nitz JC, Josephson DL. Enhancing functional balance and mobility among older people living in long-term care facilities. Geriatr Nurs. 2011; 32(2):106-13. 10- Inoue, M., Suhara, T., Sudo, Y., Okubo, Y., Yasuno, F., Kishimoto,T., Yoshikawa, K., Tanada, S. (2001). &quot;Age – related reduction of extrastriatal dopamine D2 receptor measured by PET &quot;. Life Sci. 69. PP: 1079-1084. 11- Wulf G. Attentional focus and motor learning: A review of 10 years of research. E-journal Bewegung und Training. 2007; 1(2-3):1-11. 12- Azadian E, Taheri H R, Saberi Kakhki A, Farahpour N. Effects of Dual-Tasks on Spatial-Temporal Parameters of Gait in Older Adults with Impaired Balance. Salmand. 2016; 11 (1):100-109. (Persian). 13- Shiravi Z, Hadian M R, talebian S, Olyaie G. Effect of cognitive task (dual task) on postural control in patients with chronic ankle sprain. mrj. 2008; 2 (2):48-56. (Persian). 14- Rábago CA, Wilken JM. Application of a mild traumatic brain injury rehabilitation program in a virtual realty environment: a case study. Journal of Neurologic Physical Therapy. 2011; 35(4):185-93. 15- Zanganeh A, Sheikh M, Farookhi A, Noori R. The Effect of Dual Task, Single Task, and Combined Task on Older Adults’ Gait, with or without the Experience of Falling. Motor behavior. 2016; 8(25): 31-62. 16- Oh-Park M, Holtzer R, Mahoney J, Wang C, Raghavan P, Verghese J. Motor dual-task effect on gait and task of upper limbs in older adults under specific task prioritization: pilot study. Aging clinical and experimental research. 2013; 25(1):99-106. 17- Beauchet O, Dubost V, Gonthier R, Kressig RW. Dual-Task-Related Gait Changes in. Gerontology. 2005; 51(1):48-52. 18- Gobbo S, Bergamin M, Sieverdes JC, Ermolao A, Zaccaria M. Effects of exercise on dual-task ability and balance in older adults: a systematic review. Archives of gerontology and geriatrics. 2014; 58(2):177-87. 19- Dorfman M, Herman T, Brozgol M, Shema S, Weiss A, Hausdorff JM, Mirelman A. Dual-task training on a treadmill to improve gait and cognitive function in elderly idiopathic fallers. Journal of Neurologic Physical Therapy. 2014; 38(4):246-53. 20- Shin SS, A DH. The effect of motor dual-task balance training on balance and gait of elderly women. Journal of physical therapy science. 2014; 26(3):359-61. 21- Babayigit IG. Pilates exercise positively affects balance, reaction time, muscle strength, number of falls and psychological parameters in 65 + years old women” [dissertation].Ankara.Turky: University of Ankara; 2009. 22- Foroughan M, Jafari Z, Shirinbayani P, Qaem Maqam Farahani Z. Normalization of the brief physical examination of the cognitive status in older in Tehran. Advances in Cognitive Science. 2007; 10(2):29‐37. (Persian) 23- Suzuki T, Kim H, Yoshida H, Ishizaki T. Randomized controlled trial of exercise intervention for the prevention of falls in community-dwelling elderly Japanese women. Journal of bone and mineral metabolism. 2004; 22(6):602-11. 24- Kerzman H, Chetrit A, Brin L, Toren O. Characteristics of falls in hospitalized patients. Journal of advanced nursing. 2004; 47(2):223-9. 25- Silsupadol P, Shumway-Cook A, Lugade V, van Donkelaar P, Chou LS, Mayr U, Woollacott MH. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Archives of physical medicine and rehabilitation. 2009; 90(3):381-7. 26- Wongcharoen S, Sungkarat S, Munkhetvit P, Lugade V, Silsupadol P. Home-based interventions improve trained, but not novel, dual-task balance performance in older adults: A randomized controlled trial. Gait & posture. 2017; 52:147-52. 27- Iranmanesh H, ArabAmeri E, FarrokhiA, Iranmanesh H. The effect of Single Task and Dual Task Balance Training on the Balance of Older Adults. Journal of development and motor learning. 2014; 6(2):195-215. (Persian). 28- Silsupadol P, Siu KC, Shumway-Cook A, Woollacott MH. Training of balance under single-and dual-task conditions in older adults with balance impairment. Physical therapy. 2006; 86(2):269-81. 29- Iranmanesh H, Arab Ameri E, Sheykh M, Iranmanesh H. The Effect of 2 Types of Dual-Task Training on the Balance of Older Adults: Allocated Attention Ability. Salmand. 2016; 11 (1):30-43. (Persian). 30- Viswanathan A, Sudarsky L. Balance and gait problems in the elderly. Handbook of clinical neurology. 2012; 103:623-34. 31- Pellecchia GL. Dual-task training reduces impact of cognitive task on postural sway. Journal of motor behavior. 2005; 37(3):239-46. 32- Schmidt RA, Lee TD. Motor control and learning: A behavioral emphasis. Champaign, IL: Human kinetics; 2005. 33- Alboghbeish S, Shetab Boushehri N, Daneshfar A, Abedanzadeh R. Assessment of reaction time in congruent and incongruent dual task strop effect in the elderly. Qom Univ Med Sci J. 2017; 11(7):66-74. (Persian).