194
Effect of 8-Week Pilates Exercises on Kinematic Parameters of Balance and Gait in Deaf High School Students
Ramin Baluchi 1, Farideh Babakhani 1, Rahman Sheikhhoseini1, Mohsen Panahi Yeng Abad1,
Elham Shirzad2
1Assistant Professor, Department of Sports Injury and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran
2Assistant Professor, Department of Sports Injury and Corrective Exercises, School of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran
(Received October 8, 2016, Accepted August 14, 2017)
Abstract
Background and purpose: People who are deaf have poorer balance due to defects in vestibular system, which is one of the major systems of the human balance control.
Materials and methods: A pretest-posttest semi-experimental study was designed with pretest- posttest and control group. Thirty two deaf students were randomly divided into two groups. The experimental group did Pilates exercises for 8 weeks, 3 sessions per week. Balance tests, including the BESS test, TUG test, 10 meters walking test and step length measurement were done before and after the study. Data was analyzed using SPSS. Dependent t-test and covariance analysis (ANCOVA) were run at P<0.05.
Results: Covariance analysis showed significant differences between experimental and control groups at posttest in BESS, TUG, step length, and walking speed tests.
Conclusion: Pilates exercises improved the static and dynamic balance, walking speed and step length in deaf students.
Keywords: Pilates exercises, deafness, balance, kinematic parameters
J Mazandaran Univ Med Sci 2018; 27(156): 194 - 198 (Persian).
ﺠﻣ ــ ﻠ ـــ ﻧاد ﻪـ ـ ــﺸ ﻋ هﺎﮕـ ــ ﻠ ــ ﭘ مﻮـ ــ ﺷﺰ ــ ﻣ ﻲــــﻜ ــ ﻧزﺎ ــ نارﺪـ
هرود هرﺎﻤﺷ ﻢﺘﻔﻫ و ﺖﺴﻴﺑ 156
يد لﺎﺳ 1396 ) 198 - 194 (
ﺛﺄﺗ ﻴ ﺮ ﺮﻤﺗ ﻪﺘﻔﻫ ﺖﺸﻫ ﻳ
تﺎﻨ ﭘ ﻴ ﺲﺗﻼ ﺎﻫﺮﺘﻣارﺎﭘ و لدﺎﻌﺗ ﺮﺑ
ي
ﻛ ﻴ ﺗﺎﻤﻨ ﻴ ﻜ ﻲ ﻮﻨﺷﺎﻧ نازﻮﻣآ ﺶﻧاد ﻦﺘﻓر هار ا
ي ﻪﻄﺳﻮﺘﻣ ﻊﻄﻘﻣ
ﻣار ﻴ ﻦ ﭼﻮﻠﺑ
1ﻲ
ﺮﻓ ﻳ هﺪ ﻧﺎﺧﺎﺑﺎﺑ
1ﻲ
ﺷ نﺎﻤﺣر ﻴ ﺦ ﺴﺣ ﻴ ﻨ
1ﻲ
ﻦﺴﺤﻣ ﻲﻫﺎﻨﭘ ﻳ ﮓﻨ
1دﺎﺑآ
ﺷ مﺎﻬﻟا ﻴ
2دازﺮ
هﺪﻴﻜﭼ
ﻪﻘﺑﺎﺳ :فﺪﻫ و اﻮﻨﺷﺎﻧ ﻳ نﺎ ﺳ رد ﺺﻘﻧ ﺖﻠﻋ ﻪﺑ ﻴ
ﻢﺘﺴ ﻠﻫد ﻴ ﺰ ي
، ا دﻮﺧ ﻪﻛ ﻳ ﻦ ﺳ ﻴ ﻢﺘﺴ ﻳ ﻜ ﻲ ﻠﺻا زا ﻲ ﺮﺗ ﻳ ﻦ ﺶــﺨﺑ ﺎــﻫ ي لﺮــﺘﻨﻛ
ﻣ نﺎﺴﻧا رد لدﺎﻌﺗ ﻲ
ﻌﺿ لدﺎﻌﺗ ،ﺪﺷﺎﺑ ﻴ
ﻒ ﺮﺗ ي ﺎﺳ ﻪﺑ ﺖﺒﺴﻧ ﻳ
ﺮ .ﺪﻧراد ﻢﻟﺎﺳ داﺮﻓا
شور و داﻮﻣ :ﺎﻫ
اﻳ ﻦ ﻘﺤﺗ ﻴ ﻖ ﻧ عﻮﻧ زا ﻴ ﻪﻤ ﻲﺑﺮﺠﺗ ﻪﺑ ترﻮﺻ ﻴﭘ ﺶ نﻮﻣزآ .دﻮﺑ لﺮﺘﻨﻛ هوﺮﮔ ﺎﺑ نﻮﻣزآ ﺲﭘ 32
ﺶﻧاد ﺮﻔﻧ زﻮﻣآ
اﻮﻨﺷﺎﻧ بﺎﺨﺘﻧا و ﻪﺑ رﻮﻃ ﻲﻓدﺎﺼﺗ ﺴﻘﺗ هوﺮﮔ ود ﻪﺑ ﻴ
ﻢ ﺑﺮﺠﺗ هوﺮﮔ .ﺪﺷ ﻲ
ﺮﻤﺗ ﻳ تﺎﻨ تﺪﻣ ﻪﺑ ار 8
مﺎــﺠﻧا ﻪﺴﻠﺟ ﻪﺳ ﻪﺘﻔﻫ ﺮﻫ و ﻪﺘﻔﻫ
د ﻧ و هرود عوﺮﺷ زا ﻞﺒﻗ .ﺪﻧدا ﻴ
ﺰ ﺎﭘ زا ﺪﻌﺑ ﻳ نﺎ ﻫ زا هرود ﺮ ﺖﺴﺗ ،هوﺮﮔ ود ﺎﻫ
ي ﻟدﺎﻌﺗ ﻲ ) ﺲﺑ
(BESS
ﻟدﺎــﻌﺗ ﺖــﺴﺗ و1
ﻲ راﺪــﻧﺎﻣز
) ﻦﺘﻓر و ﻦﺘﺳﺎﺧﺮﺑ
(TUG
ﺖﺴﺗ ،2
10 ــﺳرﺮﺑ درﻮــﻣ مﺎﮔ لﻮﻃ و ﻦﺘﻓر هار ﺮﺘﻣ ﻲ
ﺎــﺘﻧ و ﺖــﻓﺮﮔ راﺮــﻗ ﻳ
ﺞ راﺰــﻓا مﺮــﻧ زا هدﺎﻔﺘــﺳا ﺎــﺑ
ﺗ نﻮﻣزآ ،SPSS ﻲ ﻠﺤﺗ و ﻪﺘﺴﺑاو ﻴ
ﻞ راوﻮﻛ ﻳ ﺲﻧﺎ
، ﻠﺤﺗ ﻴ ﻞ P<0/05) ﺪﺷ .(
ﻪﺘﻓﺎﻳ :ﺎﻫ ﺎﺘﻧ ﻳ ﺞ ﻠﺤﺗ نﻮﻣزآ ﻴ ﻞ راوﻮﻛ ﻳ
،ﺲﻧﺎ رادﺎﻨﻌﻣ فﻼﺘﺧا ي
ﺖﺴﺗ نﻮﻣزآ ﺲﭘ رد ار TUG يﺎﻫ
BESS ، هار ﺖﻋﺮﺳ ، ﻦﺘﻓر
و
لﻮﻃ مﺎﮔ رد ﺮﻫ ود هوﺮﮔ ﻪﻠﺧاﺪﻣ و لﺮﺘﻨﻛ نﺎﺸﻧ داد .
:جﺎﺘﻨﺘﺳا ﺮﻤﺗ ﻳ تﺎﻨ ﭘﻴ ﺲﺗﻼ ﻣﻴ ناﺰ ا لدﺎﻌﺗ ﻳ ﺎﺘﺴ ﻮﭘ و ﻳ
،ﺎ هار ﺖﻋﺮﺳ ﻦﺘﻓر و لﻮﻃ مﺎﮔ ﺶﻧاد ﻮﻣآ ناز اﻮﻨﺷﺎﻧ ار دﻮﺒﻬﺑ ﻲﻣ .ﺪﻫد
:يﺪﻴﻠﻛ يﺎﻫ هژاو ﺮﻤﺗ
ﻳ تﺎﻨ ﭘﻴ
،ﺲﺗﻼ ﺎﻫﺮﺘﻣارﺎﭘ ،لدﺎﻌﺗ ،اﻮﻨﺷﺎﻧ ي
ﻛ ﻴ ﺗﺎﻤﻨ ﻴ ﻜ ﻲ
ﻪﻣﺪﻘﻣ
اﻮﻨﺷ ﻲﻳ ﻠﻛ ﺲﺣ ﻴ ﺪ ي سﺎــﺳا طﺎــﺒﺗرا و ،طﺎﺒﺗرا ﺪﺷر
ﺎﭘ و ﺔﻳ ﻳ ﮔدﺎ ﻴ ﺮ ي ﻛدﻮﻛ .ﺖﺳا ﻲ
راﺮــﻗﺮﺑ طﺎــﺒﺗرا ﺪــﻧاﻮﺘﻧ ﻪﻛ
ﻤﻧ ،ﺪﻨﻛ ﻲ ﺪﻧاﻮﺗ ﻳ دﺎ ﮕﺑ ﻴ دﺮ ا ﻪﺑ و ﻳ ﻦ ﺗﺮﺗ ﻴ ﺐ ﺼﺨﺷ ﺪﺷر ﻲ
و
ﻋﺎﻤﺘﺟا ﻲ ﺳآ رﺎﭼد وا ﻴ
ﺐ ﺪﺟ ي ﺪــﺷ ﺪﻫاﻮﺧ )
1 اﻮﻨــﺷﺎﻧ .(
ﻲﻳ
ﺎﺷ ﻳ ﻊ ﺮﺗ ﻳ ﻦ ﺴﺣ ﺺﻘﻧ ﻲ - ﺒــﺼﻋ ﻲ ﺮــﻫ زا و ﺖــﺳا نﺎــﺴﻧا رد
،كدﻮﻛ راﺰﻫ ﻳ
ﻚ اﻮﻨﺷ ﻢﻛ ﺎﺑ كدﻮﻛ ﻲﻳ
ﺪﺷ ﻳ ﺪ ﻤﻋ ﺎﺗ ﻴ ﻖ
ﻧد ﻪﺑ ﻴﺎ ﻣ ﻲ آ ﻳ ﺪ ) 2 .( ﻳ ﻜ ﻲ ﺳﺎﺳا تﻼﻜﺸﻣ زا ﻲ
،اﻮﻨــﺷﺎﻧ داﺮــﻓا ﻟﺄﺴﻣ
ﺔ ﺖﺳا لدﺎﻌﺗ )
3 هار رد .( ﻦﺘﻓر ﺪﻨﻧﺎﻤﻫ ﻳﺎــﺳ ﺮ تﺎــﻛﺮﺣ
ﻣﺮﻧ ،نﺪﺑ ﻲ ﮕﻨﻫﺎﻤﻫ و ﻲ تﺎﻛﺮﺣ ﻧﻴ ﺪــﻨﻣزﺎ و بﻮــﺧ لدﺎــﻌﺗ
دﺮــﻜﻠﻤﻋ ﺤــﺻ ﻴ ﺢ نﺎــﮔرا يﺎــﻫ ــﺴﻜﻠﻓر دﺮــﻜﻠﻤﻋ ،نﺪــﺑ ﻲ
ﺬﭘ فﺎﻄﻌﻧا ،بﻮﺧ ﻳ
ﺮ ي ﺒﻃ ﻴ ﻌ ﻲ ﺎﭘ و ﻞﺻﺎﻔﻣ ﻳ
راﺪ ي ﺐــﺳﺎﻨﻣ
ﺖﺳا نﺪﺑ ) 4 ﭘ .( ﻴ ﺲﺗﻼ ﻨﻌﻣ ﻪﺑ ﻲ اﻳ دﺎﺠ ﮕﻨﻫﺎﻤﻫ ﻲ ــﺑ ﻞﻣﺎﻛ ﻴ ﻦ
ﺖﺳا حور و ﻦﻫذ ،ﻢﺴﺟ )
5 ﺮﻤﺗ ﺮﺛا رد لدﺎﻌﺗ دﻮﺒﻬﺑ.(
ﻳ تﺎﻨ
ﭘﻴ ﺲﺗﻼ ﻣ ﻲ ﺪﻧاﻮﺗ ﻧﻼــﻀﻋ ترﺪــﻗ دﻮﺒﻬﺑ ﺮﺛا رد ﻲ
ﻞــﻣاﻮﻋ و
1. Balance error scoring system 2. Timed Get up & Go
:لﻮﺌﺴﻣ ﻒﻟﻮﻣ ﻲﻨﻴﺴﺣ ﺦﻴﺷ نﺎﻤﺣر
- ناﺮﻬﺗ
، ﺎﻬﺘﻧا ي ﺑﺮﻏ ﻲ ﻬﺷ نﺎﺑﻮﺗا ﻴ ﺪ ﺖﻤﻫ ، هﺪﻜﻫد ﭙﻤﻟا ﻴ ﻚ
، ﻣﻴ ناﺪ هﺪﻜﻫد
، ﺰﻛﺮﻣ نﺎﻤﺘﺧﺎﺳ
،ي ﻪﻣﻼﻋ هﺎﮕﺸﻧاد ﺋﺎﺒﻃﺎﺒﻃ ﻲ [email protected] Email:
1 . ،رﺎﻳدﺎﺘﺳا هوﺮﮔ ﺳآ ﻴ ﺐ ﺳﺎﻨﺷ ﻲ ﺷزرو ﻲ ﺣﻼﺻا تﺎﻛﺮﺣ و ﻲ
، ﺑﺮﺗ هﺪﻜﺸﻧاد ﻴ ﺖ ﻧﺪﺑ ﻲ ﺷزرو مﻮﻠﻋ و ﻲ
، ﺋﺎﺒﻃﺎﺒﻃ ﻪﻣﻼﻋ هﺎﮕﺸﻧاد ﻲ
، ا ،ناﺮﻬﺗ ﻳ ناﺮ
2
، دﺎﺘﺳا ﻳ رﺎ ، هوﺮﮔ ﺳآ ﻴ ﺐ ﺳﺎﻨﺷ ﻲ ﺷزرو ﻲ ﺣﻼﺻا تﺎﻛﺮﺣ و ﻲ
، ﺑﺮﺗ هﺪﻜﺸﻧاد ﻴ ﺖ ﻧﺪﺑ ﻲ ﺷزرو مﻮﻠﻋ و ﻲ
، ا ،ناﺮﻬﺗ ،ناﺮﻬﺗ هﺎﮕﺸﻧاد ﻳ
ناﺮ
ﺛﺄﺗ ﻴ ﺮ ﺮﻤﺗ ﻪﺘﻔﻫ ﺖﺸﻫ ﻳ
تﺎﻨ ﭘ ﻴ ﺲﺗﻼ
196 نارﺪﻧزﺎﻣ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﻠﺠﻣ
هرﺎﻤﺷ ،ﻢﺘﻔﻫ و ﺖﺴﻴﺑ هرود
156 د ، ي 1396
ﻧاور ﻲ ﻪﺑ نﺎﮔﺪــﻨﻨﻛ ﺖﻛﺮــﺷ آ ﺖــﺳد
ــﻳ ﺪ ) 6 ﻪــﺟﻮﺗ ﺎــﺑ .(
ﻪــﺑ
،اﻮﻨﺷﺎﻧ داﺮﻓا رد لدﺎﻌﺗ ﺺﻘﻧ ﻘﺤﺗ
ﻴ تﺎﻘ ﻛﺪﻧا ﻲ هﺪــﺷ مﺎﺠﻧا
ﺮﻤﺗ ﺪﻨﻫد نﺎﺸﻧ ﻪﻛ ﺖﺳا ﻳ
تﺎــﻨ ــﺷزرو ﻲ ــﻣ ﻲ ﺚــﻋﺎﺑ ﺪــﻧاﻮﺗ
ا لدﺎــﻌﺗ دﻮــﺒﻬﺑ ــﻳ
ﻦ ﺎــﺘﻧ ﻪــﻠﻤﺟ زا .دﻮــﺷ داﺮــﻓا ﻳ
ﺞ ﻪــﻌﻟﺎﻄﻣ
Rajendran ﻪــﻛ داد نﺎﺸﻧ نارﺎﻜﻤﻫ و
6 ﺮﻤﺗ ﻪــﺘﻔﻫ ﻳ تﺎــﻨ
ﺒﺼﻋ ﻲ - ﻧﻼﻀﻋ ﻲ و ﻳ هﮋ ﺳ ﻴ ﻢﺘﺴ ﺘﺳو ﻴ رﻻﻮﺒ ــﻣ ﻲ ﺚــﻋﺎﺑ ﺪــﻧاﻮﺗ
ﻬﺟﻮــﺗ ﻞــﺑﺎﻗ دﻮﺒﻬﺑ ﻲ
ترﺎــﻬﻣ ،لدﺎــﻌﺗ رد ﺎــﻫ
ي ــﺘﻛﺮﺣ ﻲ و
ﻛ ﻴ ﻔ ﻴ ﺖ ﮔﺪﻧز ﻲ ﻧﺎﻛدﻮﻛ ﻲ اﻮﻨــﺷ ﺺﻘﻧ زا ﻪﻛ دﻮﺷ ﻲﻳ
ﺞــﻧر
ﻣ ﻲ ﺪﻧﺮﺑ ) 7 .(
ﻠﻋ ﻲ ا ﻢﻏر ﻳ ﻦ ﻣ تﺎﻌﻟﺎﻄﻣ ﻪﻛ هداد نﺎﺸﻧ ﻒﻠﺘﺨ
ا ﻪــﻛ ﺪﻧا ــﻳ ﻦ
ﺮﻤﺗ ﻳ تﺎﻨ ﻣ ﻲ ﺒﺼﻋ دﺮﻜﻠﻤﻋ دﻮﺒﻬﺑ ﺚﻋﺎﺑ ﺪﻨﻧاﻮﺗ ﻲ
ﻧﻼــﻀﻋ ﻲ
ﻟو ،ﺪﻧﻮﺷ ﻲ ﺸﻫوﮋﭘ ﻲ ﻳ ﺖﻓﺎ ﺳرﺮﺑ ﻪﺑ ﻪﻛ ﺪﺸﻧ ﻲ
ﺛﺎﺗ ﻴ ﺮ ﺮــﺑ نآ
اﻮﻨﺷﺎﻧ لدﺎﻌﺗ ﻳ
نﺎ ﺳرﺮﺑ اﺬﻟ .ﺪﺷﺎﺑ ﻪﺘﺧادﺮﭘ ﻲ
ﺸﺨﺑ ﺮﺛا ﻲ ا ــﻳ ﻦ
ﺮﻤﺗ ﻳ تﺎﻨ اراد ﺖــﺳا ﻦﻜﻤﻣ ﻪﻛ اﻮﻨﺷﺎﻧ نازﻮﻣآ ﺶﻧاد رد ي
ﻘﻤﻋ ﺲﺣ ﻲ ﻌﺿ لدﺎﻌﺗ و ﻴ
ﻒ روﺮــﺿ ،ﺪﻨﺷﺎﺑ ﺮﺗ ي
ﺮــﻈﻧ ﻪــﺑ
ﻣ ﻲ ا فﺪﻫ .ﺪﺳر ﻳ
ﻦ ﺶﻫوﮋﭘ اﻳ ﻦ ﺛﺄﺗ ﻪﻛ ﺖﺳا ﻴ
ﺮ ﺮﻤﺗ ﻳ تﺎــﻨ
ﭘﻴ ﺲﺗﻼ ﺎــﻫﺮﺘﻣارﺎﭘ و لدﺎــﻌﺗ ﺮﺑ ار ي
ﻛ ﻴ ﺗﺎــﻤﻨ ﻴ ﻜ ﻲ ﻦﺘــﻓر هار
ﺎﻤﻧ ﻪﻌﻟﺎﻄﻣ اﻮﻨﺷﺎﻧ نازﻮﻣآ ﺶﻧاد ﻳ
ﺪ .
ﺎﻫ شور و داﻮﻣ
ا رد ﻳ ﻦ ﻘﺤﺗ ﻴ ﻖ ﻧﻴ ﻪﻤ ﻲﺑﺮﺠﺗ ــﭘ ترﻮــﺻ ﻪــﺑ ﻴ
ﺶ نﻮــﻣزآ
ﺲــﭘ ،لﺮــﺘﻨﻛ هوﺮــﮔ و نﻮــﻣزآ 32
ﺶــﻧاد زا ﺮــﻔﻧ نازﻮــﻣآ
ياﻮﻨﺷﺎﻧ ﻦــﺳ ﺎــﺑ ناﺮــﻬﺗ ﺮﻬﺷ ﺮﺴﭘ 65
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±1 12 / 14 لﺎــﺳ ــﺑ ﻪ
ترﻮــﺻ ﻪــﻧﺎﺒﻠﻃواد ﺲــﭘ
زا ﺐــﺴﻛ ﺖــﻘﻓاﻮﻣ ﻪــﻧﺎﻫﺎﮔآ زا
ﺶـــﻧاد زﻮـــﻣآ و ﻳﺪـــﻟاو ﻦ نآ .ﺪﻧﺪـــﺷ ﻪـــﻌﻟﺎﻄﻣ دراو ،ﺎـــﻫ
ﻧدﻮﻣزآ ﻲ ﺎﻫ ﻓدﺎﺼﺗ شور ﻪﺑ ﻲ
و لﺮــﺘﻨﻛ هوﺮــﮔ ود ﻪﺑ هدﺎﺳ
ﺑﺮﺠﺗ ﻲ ﺴﻘﺗ ﻴ ﻢ ﺪﻧﺪﺷ .
ﺖﺴﺗ ﺎﻫ ي ﻟوا ﻴ ﻪ ﻧدﻮﻣزآ مﺎﻤﺗ زا ﻲ
هوﺮﮔ .ﺪﺷ ﻪﺘﻓﺮﮔ ﺎﻫ
ﺑﺮﺠﺗ ﻲ
، ﺮﻤﺗ ﻳ تﺎﻨ ﭘﻴ ﺲﺗﻼ اﺮﺑ ار ي رد و ﻪــﺘﻔﻫ رد زور ﻪــﺳ
ﻃ ﻲ 8 نﻮــﻣزآ نﺎــﻤﻫ ًادﺪــﺠﻣ نآ زا ﺪﻌﺑ .ﺪﻧداد مﺎﺠﻧا ﻪﺘﻔﻫ
ا .ﺪﺷ ﻪﺘﻓﺮﮔ ﻳ
ﻦ نﻮﻣزآ دﺮﻜﻠﻤﻋ نﻮﻣزآ ﻞﻣﺎﺷ ﺎﻫ ي
ﻟدﺎﻌﺗ ﻲ (BESS)ﺲــﺑ
دﺮــﻜﻠﻤﻋ نﻮــﻣزآ ، ي
ﻦﺘــﻓر هار ﺮــﺘﻣ ﻪــﺳ
(TUG) ر هار ﺖﻋﺮﺳ ، ﻦﺘﻓ
دﻮﺑ مﺎﮔ لﻮﻃ و .
ﻪﻣﺎﻧﺮﺑ ﺮﻤﺗ ﻳ ﻦ ﭘﻴ ﺲﺗﻼ ﻪــﺴﻠﺟ ﺮﻫ ــﻳ
ﻚ لﻮــﻃ ﺖﻋﺎــﺳ
ﻣ ﻲ ﺸﻛ ﻴ ﺪ ﻞﻣﺎﺷ سﻼﻛ . 21
ﻗد ﻴ ﻪﻘ و ندﺮﻛ مﺮﮔ 10
ﻗد ﻴ ﻪــﻘ
و ندﺮﻛ دﺮﺳ 40
ﻗد ﻴ ﻪﻘ ﺮــﻤﺗ ﻳ ﻦ ﻠــﺻا ﻲ رﺪــﺗ ﻪــﺑ) ﻳ ﺞ زا 20
ﻗد ﻴ ﻪﻘ اﺰﻓا ﻳ ﺶ ﻳ ﺖﻓﺎ ﺮﻤﺗ راﺮﻜﺗ داﺪﻌﺗ .دﻮﺑ ( ﻳ
تﺎــﻨ ــﭘ ﻴ ﺲﺗﻼ
ا ﻪﺑ ﻳ ﻦ ﺗﺮﺗ ﻴ ﺐ لوا ﻪﺘﻔﻫ :دﻮﺑ 5
مود ﻪﺘﻔﻫ ،راﺮﻜﺗ 6
،راﺮــﻜﺗ
ﻪﺘﻔﻫ ي مﻮﺳ 7 ﺮﻜﺗ
،را ﻢﺠﻨــﭘ ﻪــﺘﻔﻫ 8
و راﺮــﻜﺗ 10 راﺮــﻜﺗ
ﺑﻴ ﻦ ﻪﺘﻔﻫ ﺎﻫ ي 6 ﺎﺗ .8
اﺮﺑ ي ﻠﺤﺗ ﻴ ﻞ رﺎﻣآ ي ﺎﺘﻧ ﻳ ﺞ ﺶﻫوﮋﭘ مﺮــﻧ زا هدﺎﻔﺘــﺳا ﺎﺑ
راﺰــﻓا SPSS ver.21 شور و
يﺎــﻫ رﺎــﻣآ ي ــﺻﻮﺗ ﻴ ﻔ ﻲ
نﻮﻣزآ .ﺪﺷ هدﺎﻔﺘﺳا يرﺎﻣآ
ﭘﺎﺷ ﻴ وﺮ - و ﻳ ﻚﻠ Shapiro– )
Wilk test اﺮﺑ (
ي ﺳرﺮﺑ ﻲ هداد ندﻮﺑ لﺎﻣﺮﻧ ﻠﺤﺗ و ﺎــﻫ
ــﻴ ﻞ
راوﻮﻛ ــﻳ ﺲﻧﺎ اﺮــﺑ ي ــﺳرﺮﺑ ﻲ توﺎــﻔﺗ يﺎــﻫ ــﺑ ﻴ ﻦ هوﺮــﮔ ود
ــﺗ نﻮــﻣزآ .ﺪــﺷ هدﺎﻔﺘﺳا ﻲ
ﺮــﺑ ﻪﺘــﺴﺑاو ا
ي ﺎﻘﻣ ﻳ ﻪــﺴ ﻣ ــﻴ ﮕﻧﺎ ﻴ ﻦ
هداد ﺎــﻫ ي ــﭘ ﻴ ﺶ .ﺖــﻓر رﺎــﻛ ﻪــﺑ نﻮــﻣزآ ﺲــﭘ و نﻮــﻣزآ
P<0.05 ﻨﻌﻣ
ﻲ راد ي .ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد
ﺚﺤﺑ و ﺎﻫ ﻪﺘﻓﺎﻳ
و ﻳ ﮔﮋ ﻲ ﻧدﻮﻣزآ يﺎﻫ ﻲ
ﻘﺤﺗ يﺎﻫ ﻴ ﻖ و ﺪــﻗ ،ﻦــﺳ ﻞﻣﺎﺷ
هرﺎﻤﺷ لوﺪﺟ رد نزو 1
ﺖﺳا هﺪﺷ هدروآ .
ﺖﻬﺟ ﺎﻘﻣ ﻳ ﻪﺴ ﺎﺘﻧ ﻳ ﺞ نﻮﻣزآ زا هوﺮــﮔ ود ردBESS
ﻠﺤﺗ نﻮﻣزآ ﻴ
ﻞ راوﻮﻛ ــﻳ ﺲﻧﺎ ﻮــﺤﻧ ﻪــﺑ ،ﺪــﺷ هدﺎﻔﺘــﺳا ي
ﻪــﻛ
ﭘ تاﺮﻤﻧ ﻴ ﺶ آ ﻐﺘﻣ ناﻮــﻨﻋ ﻪﺑ نﻮﻣز ــﻴ
ﺮ ﻪــﻠﺧاﺪﻣ ﺮــﻈﻧ رد ﺮــﮔ
ﺎﺘﻧ .ﺪﺷ ﻪﺘﻓﺮﮔ ﻳ
ﺞ اﻳ ﻦ اﺮــﺷ ﻪﻤﻫ رد ﻪﻛ داد نﺎﺸﻧ نﻮﻣزآ ﻳ
ﻂ
ﺑ ،نﻮﻣزآ ﻴ ﻦ ﺎﺘﻧ ﻳ ﺞ ﺑﺮﺠﺗ هوﺮﮔ ﻲ
فﻼﺘــﺧا لﺮــﺘﻨﻛ هوﺮﮔ و
ﻨﻌﻣ ﻲ راد ي ﺟ) دراد دﻮﺟو لوﺪ
هرﺎﻤﺷ 2 و 3 .(
هرﺎﻤﺷ لوﺪﺟ 1
ﻣﻮﻤﻋ تﺎﺼﺨﺸﻣ:
ﻲ ﻧدﻮﻣزآ ﻲ ﺎﻫ
هوﺮﮔ داﺪﻌﺗ ﻦﺳ ) لﺎﺳ ( ﺪﻗ ) ﺮﺘﻣ نزو (kg) ( BMI(kg/m2)
لﺮﺘﻨﻛ 17 675 /
±1 05 / 14 034 /
±0 72 / 1 419 /
±5 64 / 58 393 /
±1 10 / 18
ﻲﺑﺮﺠﺗ 15 656 /
±1 2 / 14 046 /
±0 71 / 1 747 /
±6 66 / 58 528 /
±1 84 / 19
هرﺎﻤﺷ لوﺪﺟ 2
ﺎﺘﻧ:
ﻳ ﺞ راوﻮﻛ نﻮﻣزآ ﻳ
ﺲﻧﺎ ﺗ نﻮﻣزآ و ﻲ اﺮﺑ ي ﺖﺴﺗ ﺎﻫ ي ﻟدﺎﻌﺗ ﻲ BESS) ﺲﺑ ﭘ رد ( ﻴ ﺶ نﻮﻣزآ ﺲﭘ و نﻮــﻣزآ هوﺮــﮔ لﺮــﺘﻨﻛ ) 17
ﺑﺮﺠﺗ و (ﺮﻔﻧ ﻲ ) 15 ) ،(ﺮﻔﻧ 05 / P0 (≥
ﺮﻴﻐﺘﻣ ﺖﺑﻮﻧ
لﺮﺘﻨﻛ ﻲﺑﺮﺠﺗ Fراﺪﻘﻣ يراد ﻲﻨﻌﻣ ﺢﻄﺳ ﺮﺛا هزاﺪﻧا
ﻚﺗ ﺎﭘ يور ﺢﻄﺳ
ﺖﺨﺳ
نﻮﻣزآ ﺶﻴﭘ 06
/
±2 5 33 /
±1 06 / 6 15 / 156 001 / 0 64 /
0 2/73±0/45 5/8±1/29 نﻮﻣزآ ﺲﭘ
ﻲﺗ نﻮﻣزآ 784
/ 0 004 / 0
،ﻮﻠﺟ ﺐﻘﻋ يور ﺢﻄﺳ ﺖﺨﺳ نﻮﻣزآ ﺶﻴﭘ 97
/
±1 24 / 3 98 /
±0 60 / 3 66 / 27 001 / 0 48 / 0
0/80±0/41 3/52±2/23 نﻮﻣزآ ﺲﭘ
ﻲﺗ نﻮﻣزآ 928
/ 0 012 / 0
ﻚﺗ ﺎﭘ يور ﺢﻄﺳ مﺮﻧ نﻮﻣزآ ﺶﻴﭘ 65
/
±1 7 20 /
±1 20 / 7 98 / 55 001 / 0 65 / 0
3/80±0/67 6/17±1/07 نﻮﻣزآ ﺲﭘ ﻲﺗ نﻮﻣزآ 876
/ 0 001 / 0
،ﻮﻠﺟ ﺐﻘﻋ يور ﺢﻄﺳ مﺮﻧ نﻮﻣزآ ﺶﻴﭘ 99
/
±1 7 / 4 05 /
±1 40 / 4 72 / 43 001 / 0 60 / 0
1/26±0/70 3/52±1/12 نﻮﻣزآ ﺲﭘ ﻲﺗ نﻮﻣزآ 451
/ 0 002 / 0
هرﺎﻤﺷ لوﺪﺟ 3
ﺎﺘﻧ:
ﻳ ﺞ راوﻮﻛ نﻮﻣزآ ﻳ
ﺲﻧﺎ ﺗ نﻮﻣزآ و ﻲ اﺮﺑ ي ﺖﺴﺗ ﺎﻫ TUGي هار ﺖﻋﺮﺳ ، ﻦﺘﻓر
و لﻮﻃ مﺎﮔ رد ﻴﭘ ﺶ نﻮﻣزآ ﺲﭘ و هوﺮﮔ نﻮﻣزآ
) لﺮﺘﻨﻛ 17 ﺑﺮﺠﺗ و (ﺮﻔﻧ ﻲ ) 15 ) ،(ﺮﻔﻧ 05 / P0 (≥
ﺮﻴﻐﺘﻣ ﺖﺑﻮﻧ
لﺮﺘﻨﻛ ﻲﺑﺮﺠﺗ
Fراﺪﻘﻣ ﻲﻨﻌﻣ ﺢﻄﺳ
Pيراد ﺮﺛا هزاﺪﻧا
ﺎﻳﻮﭘ لدﺎﻌﺗ (TUG) نﻮﻣزآ ﺶﻴﭘ
80 /
±0 82 / 7 60 /
±0 10 / 8 /52 236 /001 0 89 / 0
5/91±0/52 7/76±0/80 نﻮﻣزآ ﺲﭘ
ﻲﺗ نﻮﻣزآ 981
/ 0 023 / 0
ﺖﻋﺮﺳ هار ﻦﺘﻓر نﻮﻣزآ ﺶﻴﭘ 31
/
±0 86 / 10 17 /
±0 02 / 11 /83 9 /004 0 /25 0
9/44±0/44 9/70±0/50 نﻮﻣزآ ﺲﭘ
نﻮﻣزآ ﻲﺗ 428 / 0 036 / 0
مﺎﮔ لﻮﻃ نﻮﻣزآ ﺶﻴﭘ
56 /
±3 76 / 101 68 /
±6 4 / 94 /1 71 /001 0 /71 0
99/6±5/81 101/70±3/47 نﻮﻣزآ ﺲﭘ ﻲﺗ نﻮﻣزآ 00
/ 1 001 / 0
ﺎﺘﻧ ﻳ ﺞ ﺮﻤﺗ ﻪﻛ داد نﺎﺸﻧ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﻳ
تﺎﻨ ــﭘ ﻴ ﺲﺗﻼ
ﻣ ﻲ ﻮﭘ لدﺎﻌﺗ ﺪﻧاﻮﺗ ﻳ
،ﺎ ا لدﺎﻌﺗ ﻳ
،ﺎﺘﺴ هار ﺖﻋﺮــﺳ و مﺎﮔ لﻮﻃ
نﺎــﻛدﻮﻛ .ﺪــﺸﺨﺑ دﻮــﺒﻬﺑ اﻮﻨﺷﺎﻧ نازﻮﻣآ ﺶﻧاد رد ار ﻦﺘﻓر اﻮﻨــﺷﺎﻧ ﺖــﻠﻋ زا ﺮــﻈﻧ فﺮــﺻ اﻮﻨﺷﺎﻧ ﻲﻳ
، ــﻠﻛ رﻮــﻃ ﻪــﺑ ﻲ
زا
هداد ﺎــﻫ ي ﺑﻴ ﺎــﻨ ﻲﻳ ــﺴﺣ و ﻲ ﭘﻴ ﺮــﻜ ي اﺮــﺑ ي ﺮﭽــﺳﻮﭘ ﻆــﻔﺣ
ﻣ هدﺎﻔﺘﺳا ﻲ ﺪﻨﻨﻛ ﺷﺎﻛ و ﺖ ــﻳ ﻚ ﺮــﺛا ،نوﺰــﻠﺣ ﻪــﻓﺮﻃ ي
رد
ﮋﺗاﺮﺘــﺳا ي ﻫﺪﻧﺎﻣزﺎــﺳ ﻲ ــﺴﺣ ﻲ دراﺪــﻧ نﺎــﻧآ )
8 . ( ﺮــﻈﻧ ﻪــﺑ
ﻣ ﻲ اﻮﻨﺷ ﺶﻫﺎﻛ ﻪﺑ ﻼﺘﺒﻣ داﺮﻓا ﻪﻛ ﺪﺳر ﻲﻳ
ﺴﺣ ﻲ ﺒﺼﻋ ﻲ ﻪــﺑ
ﻓﺎــﻛﺎﻧ ﺖﻠﻋ ﻲ
ــﺴﺣ تﺎــﻋﻼﻃا ندﻮــﺑ ﻲ
ﻂــﺳﻮﺗ هﺪــﺷ ﻪــﺋارا
ﺳ ﻴ ﻢﺘﺴ ﻠﻫد ﻴ ﺰ ي
، اراد ي ﺗﻼﻜﺸﻣ ﻲ ﮕﻨﻫﺎــﻤﻫ و لدﺎــﻌﺗ رد ﻲ
ﺣ نآ ﻦﺘــﻓر هار دﺮــﻜﻠﻤﻋ و ﺪﻨﺘــﺴﻫ تﺎــﻛﺮ ﻌــﺿ ﺎــﻫ
ﻴ ﻒ ﺮــﺗ
ﺳا ﺖ ) 9 .(
ﺎﺘﻧ ﻳ ﺞ اﻳ ﻦ ﻣ نﺎﺸﻧ ﺶﻫوﮋﭘ ﻲ
ﺪﻫد زا ﺲــﭘ ﻪــﻛ 8
ﻪــﺘﻔﻫ
ﺮﻤﺗ ﻳ تﺎﻨ ﭘﻴ ﺗﻼ
،ﺲ ﻨﻌﻣ دﻮﺒﻬﺑ ﻲ راد ي ﺎﺘﻧ رد ﻳ ﺞ ﺖــﺴﺗ يﺎــﻫ
ا لدﺎﻌﺗ ﻳ ﺎﺘﺴ ﻮﭘ و ﻳﺎ ﻪــﻌﻟﺎﻄﻣ ﻪــﭼﺮﮔا .ﺪﺷ هﺪﻫﺎﺸﻣ ا
ي ﻳ ﺖــﻓﺎ ﺳرﺮﺑ ﻪﺑ ﻪﻛ ﺪﺸﻧ
ﻲ ﺮﻤﺗ ﺮﺛا ﻳ تﺎﻨ ﭘﻴ ــﺗﻼ ﻴ ﺲ اﻮﻨــﺷﺎﻧ داﺮــﻓا ﺮــﺑ
ﻟو ،ﺪﺷﺎﺑ ﻪﺘﺧادﺮﭘ ﻲ
ﻳ ﻪﺘﻓﺎ يﺎﻫ اﻳ ﻦ ﺎــﺘﻧ ﺎﺑ ﺶﻫوﮋﭘ ﻳ
ﺞ ــﺧﺮﺑ ﻲ
ﻟﺎﻄﻣ زا تﺎﻌ ا زا ﻳ ﻦ ﻢــﻫ ﺖــﻬﺟ نﺎــﺸﻧ ﻪــﻛ ﺖــﺳا هدﻮــﺑ ﻮــﺳ
ﻣ ﻲ ﺮﻤﺗ ﺪﻫد ﻳ تﺎﻨ ﭘﻴ ﺗﻼ ﻴ ﺲ ﻣ ﻲ لدﺎــﻌﺗ دﻮــﺒﻬﺑ ﺚــﻋﺎﺑ ﺪــﻧاﻮﺗ
دﻮﺷ ) 10 ﺮﻤﺗ ﺮﺛا رد لدﺎﻌﺗ دﻮﺒﻬﺑ.(
ﻳ تﺎﻨ ــﭘ ﻴ ﺲﺗﻼ ــﻣ ﻲ ﺪــﻧاﻮﺗ
ﻧﻼــﻀﻋ ترﺪــﻗ دﻮﺒﻬﺑ ﺮﺛا رد ﻲ
ــﻧاور ﻞــﻣاﻮﻋ و ﻲ
ﺖﻛﺮــﺷ
ﻪﺑ نﺎﮔﺪﻨﻨﻛ آ ﺖﺳد
ﻳ
،ﺪ ﻧﻼــﻀﻋ ترﺪــﻗ ﺶﻫﺎﻛ ﻪﻛ اﺮﭼ ﻲ
ﻧﺎﺘﺤﺗ ماﺪﻧا ﻲ ﮔراﺮﻗ ﻪــﺑ ﺮــﺠﻨﻣ ــﻴ
ﺮ ي ﻞــﺑﺎﻘﻣ رد ﻞــﻘﺛ ﺰــﻛﺮﻣ
ﻣ ﺎﭘ ﭻﻣ ﻞﺼﻔﻣ ﻲ
ددﺮﮔ رد لﻼﺧا ﺚﻋﺎﺑ دﻮﺧ ﻪﻛ و لدﺎــﻌﺗ
ﻣ ندﺎﺘﻓا ﻲ دﻮﺷ .
ﺎﺘﻧ ﻳ ﺞ اﻳ ﻦ ﺮﻤﺗ ﻪــﻛ داد نﺎــﺸﻧ ﺶﻫوﮋﭘ ﻳ
تﺎــﻨ ــﭘ ﻴ ﺲﺗﻼ
ﻣ ﻲ ﺎﻫﺮﺘﻣارﺎﭘ ﺮﺑ ﺪﻧاﻮﺗ ي
ﻧ ﻦﺘﻓر هار ﻴ ﺰ ﻪﭼﺮﮔا .ﺪﺷﺎﺑ راﺬﮔﺮﺛا
ﻬﺑﺎﺸﻣ ﻪﻌﻟﺎﻄﻣ ﻲ
ا رد ﻳ ﻦ ﻣز ﻴ ﻪﻨ ﻳ ﺖﻓﺎ ﻟو ،ﺪﺸﻧ ﻲ نآ زا ﺋﺎــﺟ ﻲ
هار ﺖﻋﺮﺳ ﻪﻛ ﻦﺘﻓر
ﻪﺑ هزاﺪﻧا لﻮﻃ مﺎــﮔ و ــﻳر ﻢﺘ هار ﻦﺘــﻓر
ﻪﺘــﺴﺑاو
،ﺖــﺳا ﻳاﺰــﻓا ﺶ لﻮــﻃ هزاﺪــﻧا ر و مﺎــﮔ
ــﻳ ﻢﺘ ﺪــﻨﺗ
ﺛﺄﺗ ﻴ ﺮ ﺮﻤﺗ ﻪﺘﻔﻫ ﺖﺸﻫ ﻳ
تﺎﻨ ﭘ ﻴ ﺲﺗﻼ
198 نارﺪﻧزﺎﻣ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﻠﺠﻣ
هرﺎﻤﺷ ،ﻢﺘﻔﻫ و ﺖﺴﻴﺑ هرود
156 د ، ي 1396
هار ــﻣ ود ﺮــﻫ ،ﻦﺘﻓر ﻲ
ﺪــﻧاﻮﺗ اﺰــﻓا ﻪــﺑ ﻳ ﺶ هار ﺖﻋﺮــﺳ ﻦﺘــﻓر
ﻴﺑ ﺪﻣﺎﺠﻧﺎ ﺎﺘﻧ . ﻳ ﺞ اﻳ ﻦ اﺰﻓا ﻪﻌﻟﺎﻄﻣ ﻳ
ﺶ ﻪــﺑ و مﺎﮔ لﻮﻃ رادﺎﻨﻌﻣ
اﺰــﻓا نآ ﻊــﺒﺗ ﻳ
ﺶ هار ﺖﻋﺮــﺳ ﻦﺘــﻓر
ﻲﻧدﻮــﻣزآ ﺎــﻫ هرود رد
ﺮﻤﺗ ﻳﻨ ﻲ ﻣ .داد نﺎﺸﻧ ار ﻲ
ناﻮﺗ ﺮﻤﺗ ﻪﻛ ﺖﻔﮔ ﻳ
تﺎﻨ ــﭘ ﻴ ﺲﺗﻼ
ﻧﻼﻀﻋ ترﺪﻗ ﻪﻌﺳﻮﺗ ﺚﻋﺎﺑ ﻲ
ا زا و هﺪﺷ ﻳ ﻦ ﺮﻃ ــﻳ ﻖ ﺖــﻋﺎﺑ ارﺎﭘ و لدﺎﻌﺗ دﻮﺒﻬﺑ
ﺎﻫﺮﺘﻣ ي ﻛ ﻴ ﺗﺎﻤﻨ ﻴ ﻜ ﻲ هار ﻦﺘــﻓر ﻳاﻮﻨــﺷﺎﻧ نﺎ
ﺖﺳا هﺪﺷ ) 11 .(
ﻲﻣ نﺎﻳﺎﭘ رد ﻪﻛ ﺖﻓﺮﮔ ﻪﺠﻴﺘﻧ ناﻮﺗ
ﺮﻤﺗ ﻳ تﺎﻨ ــﭘ ﻴ ﺲﺗﻼ
ﺎــﻫﺮﺘﻣارﺎﭘ و لدﺎــﻌﺗ دﻮﺒﻬﺑ ﻪﺑ ﺮﺠﻨﻣ ي
ﻛ ﻴ ﺗﺎــﻤﻨ ﻴ ﻜ ﻲ هار ﻦﺘــﻓر
ﻳاﻮﻨﺷﺎﻧ نﺎ ﻣ ﻲ دﻮﺷ .
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