تأثیر تمرینات یوگا و معلق بر تعادل ایستا و پویای کودکان دارای اختلال هماهنگی رشدی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه رفتار حرکتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

2 استادیار، گروه رفتار حرکتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

3 استادیار، گروه تربیت بدنی و علوم ورزشی، واحد یادگار امام، دانشگاه آزاد اسلامی، ری، ایران.

10.22123/chj.2023.387487.1996

چکیده

مقدمه: یکی از مشخصه‌های کودکان مبتلا‌ به اختلال هماهنگی رشدی، اختلال در کنترل قامت است. زیرا آن‌ها به اختلالات ‌تعادلی و عملکرد‌ حرکتی در مقایسه با همسالان خود آهسته‌تر پاسخ می‌دهند. هدف از تحقیق‌ حاضر، تعیین تأثیر تمرینات یوگا و معلق بر تعادل ایستا و پویای کودکان دارای اختلال هماهنگی رشدی بود.
مواد و روش‌ها: این مطالعه از نوع نیمه‌تجربی با گروه کنترل است که در پاییز 1401 شهر تهران انجام شد. در این پژوهش 45 ‌کودک مبتلا به اختلال هماهنگی رشدی به صورت تصادفی به سه گروه تمرینات معلق، تمرینات یوگا و گروه کنترل تقسیم شدند (هر گروه 15 نفر). گروه تمرینات معلق و گروه تمرینات یوگا، به مدت 6 هفته و هر هفته 3 جلسه 45 دقیقه­ای به تمرین پرداختند، اما گروه کنترل هیچگونه فعالیتی نداشتند. به منظور ارزیابی تعادل پویا و ایستا  به ترتیب از آزمون شارپند رومبرگ و آزمون نشستن و برخاستن در مرحله پیش­آزمون و پس­آزمون استفاده شد. داده‌ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه‌ و‌ تحلیل شد.
یافته‌‌ها: نتایج نشان داد، تعادل‌ایستا و پویا در گروه تمرینات‌ معلق (001/0p<) و همچنین تعادل ‌ایستا (001/0p<) و تعادل‌پویا (01/0p<) در گروه تمرینات ‌یوگا تفاوت معنی‌داری با گروه کنترل داشتند.
نتیجه‌‌گیری: نتایج نشان می‌دهد که احتمالاً تمرینات مداخله‌ای یوگا و معلق برای بهبود تعادل ایستا و پویای کودکان دارای اختلال هماهنگی رشدی مؤثر باشند و می‌توان از این تمرینات در کنار سایر درمان‌های رایج در بهبود شاخص‌های مذکور استفاده نمود.
 

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Yoga and Suspended Exercises on Static and Dynamic Balance of Children with Developmental Coordination Disorder

نویسندگان [English]

  • S Jaafari 1
  • M Balali 2
  • Z Entezari khorasani 2
  • B Maleki 3
1 1- PhD Student, Dept. of Motor Behavior, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2 2- Assistant Prof., Dept. of Motor Behavior, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
3 Assistant Prof., Dept. of Physical Education and Sports Sciences, Yadgar Imam Branch, Islamic Azad University, Ray, Iran.
چکیده [English]

Introduction: One of the characteristics of children with developmental coordination disorder is height control disorder. Because they respond to balance and motor function disorders more slowly compared to their peers. Therefore, this research aimed to determine the effect of yoga and suspended exercises on the static and dynamic balance of children with developmental coordination disorder.
Materials and Methods: This was a quasi-experimental study with a control group conducted in the spring 2023 in Tehran. In this study, 45 children with developmental coordination disorder were randomly divided into three groups of suspension exercises, yoga exercises, and control group (15 people in each group). The suspension training group and the yoga training group practiced for 6 weeks and 3sessions of 45 minutes each week, but the control group did not do any activities. In order to evaluate dynamic and static balance, the Sharpened Romberg test and the sit-up test were used in the pre-test and post-test stages, respectively. The data were analyzed using multivariate covariance analysis.
Results: The results showed that static and dynamic balance in the suspended exercise group (p<0.001) and static balance (p<0.001) and dynamic balance (p<0.01) in the yoga exercise group were significantly different from the control group.
Conclusion: The results show that yoga and suspension intervention exercises are likely to be effective for improving the static and dynamic balance of children with developmental coordination disorder, and these exercises can be used along with other common treatments to improve the mentioned indicators.

کلیدواژه‌ها [English]

  • Developmental coordination disorder
  • Static balance
  • Dynamic balance
  • Yoga
  1. Fong SS, Chung JW, Chow LP, Ma AW, Tsang WW. Differential effect of Taekwondo training on knee muscle strength and reactive and static balance control in children with developmental coordination disorder: A randomized controlled trial. Research In Developmental Disabilities 2013;34(5): 1446-55.
  2. Harris SR, Mickelson EC, Zwicker JG. Diagnosis and management of developmental coordination disorder. CMAJ 2015;187(9): 659-65.
  3. Smits-Engelsman B, Verbecque E. Pediatric care for children with developmental coordination disorder, can we do better? Biomedical journal 2022;45(2): 250-64.
  4. Cairney J, Veldhuizen S. Is developmental coordination disorder a fundamental cause of inactivity and poor health‐related fitness in children? DMCN 2013;55(S4): 55-8.
  5. Miyahara M, Hillier SL, Pridham L, Nakagawa S. Task‐oriented interventions for children with developmental co‐ordination disorder. CDSR 2017;(7)
  6. Fong SS, Ng SS, Chung LM, Ki W, Chow LP, Macfarlane DJ. Direction-specific impairment of stability limits and falls in children with developmental coordination disorder: implications for rehabilitation. Gait & posture 2016;43: 60-4.
  7. Cheng YT, Chung LM, Chung JW, Schooling CM, Gao Y, Bae Y-H, et al. Atypical adaptive postural responses in children with developmental coordination disorder: Implications for rehabilitation. Gait & Posture 2022;98: 141-5.
  8. Biotteau M, Danna J, Baudou É, Puyjarinet F, Velay J-L, Albaret J-M, et al. Developmental coordination disorder and dysgraphia: signs and symptoms, diagnosis, and rehabilitation. Neuropsychiatr Dis Treat 2019;15: 1873-85.
  9. Verbecque E, Johnson C, Rameckers E, Thijs A, van der Veer I, Meyns P, et al. Balance control in individuals with developmental coordination disorder: a systematic review and meta-analysis. Gait & Posture 2021;83: 268-79.
  10. Dana A, Hamzeh Sabzi A, Christodoulides E. The effect of virtual reality exercises on dynamic balance of children with developmental coordination disorder. JHI 2019;3(03): 123-8.
  11. Rezaei S, Arabameri E, Sohrabi Sohrabi M. Examination of the impact of an eight-week exclusive exercise on the balance of children with developmental coordination disorders. SJRM 2016;5(4): 57-64. [Persian]
  12. Matsuda S, Demura S, Uchiyama M. Centre of pressure sway characteristics during static one-legged stance of athletes from different sports. Journal of sports sciences 2008;26(7): 775-9.
  13. Bressel E, Yonker JC, Kras J, Heath EM. Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. JAT 2007;42(1):42-46.
  14. Moradi H, Movahedi A. Effect of Environment Enrichment (SPARK Perceptual-Motor Exercises) on the Improvement of Neurocognitive Functions in Children with Developmental Coordination Disorder. Shefaye Khatam 2019;7(3): 23-31. [Persian]
  15. Lino F, Chieffo DPR. Developmental Coordination Disorder and most prevalent comorbidities: A narrative review. Children 2022;9(7): 1095.
  16. Bayatpour M, Shojaei M, Kashi A. Perceived Motor Competence in 9-10 old Years Boys with Developmental Coordination Disorder: Comparison the Effect of Selected Physical, Metal and Compound Training. MEJDS 2019;9: 80. [Persian]
  17. Zanardini FH, Zeigelboim BS, Jurkiewicz AL, Marques JM, Martins-Bassetto J. Reabilitação vestibular em idosos com tontura. Pró-Fono Scientific Update Magazine 2007;19(2): 177-84.
  18. Contreras B. Bodyweight strength training anatomy.1nd ed. Human kinetics 2013.
  19. Nagarajan K. Living your yoga. IJOY 2016;9(2): 178-179.
  20. Soberg HL, Andelic N, Langhammer B, Tamber A-L, Bruusgaard KA, Kleffelgaard I. Effect of vestibular rehabilitation on change in health-related quality of life in patients with dizziness and balance problems after traumatic brain injury: A randomized controlled trial. JRM 2021;53(4):2781.
  21. Bruininks RH. Bruininks-Oseretsky test of motor proficiency: Examiner's manual: AGS 1978;1(2): 34-68.
  22. Wilson BN, Crawford SG, Green D, Roberts G, Aylott A, Kaplan BJ. Psychometric properties of the revised developmental coordination disorder questionnaire. POTP 2009;29(2): 182-202.
  23. Gras LZ, Ganley KJ, Bosch PR, Mayer JE, Pohl PS. Convergent validity of the Sharpened Romberg. Phys. Physical & Occupational Therapy in Geriatrics 2017;35(2): 99-108.
  24. Macias JD, Massingale S, Gerkin RD. Efficacy of vestibular rehabilitation therapy in reducing falls. Otolaryngol. Otolaryngology–Head and Neck Surgery 2005;133(3): 323-5.
  25. Hebert JR, Corboy JR, Manago MM, Schenkman M. Effects of vestibular rehabilitation on multiple sclerosis–related fatigue and upright postural control: a randomized controlled trial. PTJ 2011;91(8): 1166-83.
  26. Bernard-Demanze L, Montava M, Mattei A, Lavieille J, Lacour M. Effects of Vestibular Rehabilitation Therapy on Postural Control and Quality of Life in Patients after a Surgical Microvascular Decompression of the Cochleo-Vestibular Nerve. Otolaryngol 2017;74):318
  27. Jafarzadeh S, Pourbakht A, Bahrami E, Jalaie S, Bayat A. Effect of early vestibular rehabilitation on vertigo and unsteadiness in patients with acute and sub-acute head trauma. IJORL 2018;30(97): 85. [Persian]
  28. Nien Y-H, Chang J-S, Tang W-T. The Comparison Of Kinematics Characteristics Of Two Roundhouse Kicking Techniques In Elite Taekwondo Athletes: 2537: Board# 84: June 2 8: 00 AM-9: 30 AM. MSSE 2007;39(5): S478.
  29. Hummel N, Hüfner K, Stephan T, Linn J, Kremmyda O, Brandt T, et al. Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy. PloS one 2014;9(4): e95666.
  30. Norton DJ, McBain RK, Öngür D, Chen Y. Perceptual training strongly improves visual motion perception in schizophrenia. Brain and Cognition 2011;77(2): 248-56.
  31. Szczerbik E, Kalinowska M, Święcicka A, Graff K, Syczewska M. The impact of two weeks of traditional therapy supplemented with virtual reality on balance control in neurologically-impaired children and adolescents. Journal of Bodywork and Movement Therapies 2021;28: 513-20.
  32. Shahrbanian S, Hashemi A. The effects of core stabilization training on balance and reaction time in children with developmental coordination disorder. RSMMB 2018;8(16): 83-91. [Persian]
  33. Rasoolyar Z, Jalilvand M. Effectiveness of yoga exercises on static and dynamic balance in children with attention deficit/hyperactivity disorder. JRM 2020;9(4): 278-88. [Persian]
  34. Abdollahi S, Salehian MH. Comparing the effectiveness of Braitonic and Yoga exercises in perceptual and motor skills of Multiple sclerosis children. IJP 2022;10(7): 16309-18. [Persian]
  35. De Milander M, Coetzee FF, Venter A. Perceptual-motor intervention for developmental coordination disorder in grade 1 children. South African Journal for Research in Sport, Physical Education and Recreation 2015;37(2): 15-32.