فهرست مطالب monireh asadi ghaleni

Older adults with diabetic peripheral neuropathies (DPN) are at higher risk of motor control, slower reaction time, and increased postural sways. There is increasing evidence that exercise-based interventions have a positive impact on the health of older people. This study aims to assess the effectiveness of a selected multisensory training (SMST) program in improving the balance of older women with DPN.

In this study, 30 older women (Mean±SD age=62.35±1.87 years) were randomly assigned into the SMST and control groups. All participants underwent dynamic and static balance tests before and after the training. The SMST program included the balance training with eyes open and closed on different surfaces to stimulate visual, proprioception, and vestibular system. The intervention was conducted for 12 weeks, two times per week.

There was a significant difference in the dynamic balance between the SMST and control groups (t(28)=-6.74, P=0.000, ƞ2=0.61). The results of analysis of variance showed that the SMST program improved the static balance in the X direction (F(1,28)=14.16, P=0.001, ƞ2=0.33) and in the Y direction (F(1,28)=5.38, P=0.028, ƞ2=0.16) in older women with DPN.

The SMST can improve the dynamic and static balances of older women with DPN. Older women with DPN are at increased risk of falling. This program can be used to enhance their balance and postural control.

Although the main problem for children with hearing impairment is linguistic and communication shortcomings, in various studies, the balance impairment is discussed in comparison with normal people. The aim of this study was to investigate the effect of a course of selected training program on the balance of children with hearing impairment.
Subjects & overall 20 hearing impaired boys from the age of 8 to 14 years old entered the study and were randomly divided into intervention and control groups after a static and dynamic balance test as a pre-test. The intervention group participated in a selected training program, which included10 to 12 training sessions. During this period, the control group performed their daily activities. In both pretest and posttest stages, Stork Stand Static Test was used to evaluate static balance and to assess dynamic balance and balance performance of individuals, Bruininks – Oseretsky test of motor proficiency was used, and the results were compared in two groups. To test the natural distribution of data, Shapiro Wilco test was used and independent t-test and t-correlation with Spss Version 21.0 software were used to test the research hypothesis.
The mean age of patients in the control group was 10.9 ± 1.66 years and in the intervention group was 10.2 ± 1.55 years. The test scores in the post test were significantly higher than in the pretest in the control group (9.03 ± 11.03) and in the intervention group (26.66 ± 29), respectively (P = 0.137). The score of the Bruininks – Oseretsky test of motor proficiency was decreased 8.65 ± 11.20 units in control group and was increased 94.23 ± 99.13 units in intervention group (P = 0.034).
This study showed that a course of selective training program can enhance the dynamic and static balance performance in deaf children. Therefore, it is suggested that these training programs be included in the rehabilitation program for these children.

Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system with signs and symptoms such as fatigue and balance that are disable. The purpose of this study was to assess the effect of training which instructions focus of attention on postural sway of multiple sclerosis patients. The present quasi-experimental study used a pretest-posttest design. The subjects with the age of 27-42, expanded disability status scale 1-4 and were purposefully and voluntarily selected and randomly allocated to the experimental and control groups. Training program for groups was carried out in 3 weeks, five sessions per week, and each session lasted about one hour. Berg Balance Scale was used to measure balance. The data was analyzed by using analysis of independent and dependent sample t-test at a significance level of p≤0.05. The results showed that significant improvements observed in balance (p≤0/05). Also significant differences observed between post hoc scores in the experimental and control groups (p≥0/05). According to research findings, the exercise walking program on textured surface resulted in considerable improvements in balance in multiple sclerosis. Also, the respective specialists can use these exercies as a complementary treatment along with the drug therapy for patiens with multiple sclerosis.