fa بررسی ارتباط عملکرد حسی- حرکتی اندام تحتانی مبتلا با استقلال در فعالیتهای روزمره زندگی بیماران همی پلژی عمومى General پژوهشي اصیل Original Research <p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:kashida;text-kashida:0%;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b zar;"><span style="font-size:12.0pt;">مقدمه</span></span></strong>: <span style="font-family:b zar;"><span style="font-size:12.0pt;">هدف از این مطالعه یافتن ارتباط بین اجزای مختلف </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">عملکرد </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حسی- </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکتی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> اندام تحتانی مبتلا با استقلال در فعالیت های پایه و ابزاری روزمری زندگی افراد سکته ی مغزی است .</span></span></p> <p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:kashida;text-kashida:0%;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b zar;"><span style="font-size:12.0pt;">روش بررسی:</span></span></strong> <span style="font-family:b zar;"><span style="font-size:12.0pt;">ما&nbsp; یک مطالعه مقطعی روی ۴۰ بیمار همی پلژی(۲۱ مرد و ۱۹ زن) ۳۰ تا ۷۰ ساله&nbsp; انجام دادیم که بطور غیر تصادفی از کلینیک های توانبخشی شهر تهران انتخاب شدند. عملکردحسی- </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکتی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> اندام تحتانی مبتلا با آزمون فوگل مایر و استقلال در فعایت های </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">پایه و ابزاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">روزمره زندگی با استفاده از آزمون های بارتل و لاوتون بررسی گردید</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> و </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">میزان همبستگی توسط ضریب اسپیرمن مورد تجزیه و تحلیل قرار گرفت.</span></span></p> <p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:kashida;text-kashida:0%;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b zar;"><span style="font-size:12.0pt;">نتایج</span></span></strong>: <span style="font-family:b zar;"><span style="font-size:12.0pt;">بین عملکرد حرکتی اندام تحتانی </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">مبتلا </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">با استقلال در فعالیت های پایه (482/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">r=</span></span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و۰۰2/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p=</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">) و </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">ابزاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(494/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">r=</span></span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و001/۰</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p=</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">) </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">روزمره زندگی همبستگی معنی دار بود. بین سرعت و هماهنگی&nbsp; اندام تحتانی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> مبتلا</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> با استقلال در فعالیت های پایه </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(601/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">r=</span></span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و001/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p<</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">) و</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">&nbsp; ابزاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(557/0</span></span><span dir="LTR"><span style="font-family:arial,sans-serif;"><span style="font-size:12.0pt;">r</span></span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">=</span></span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و001/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p<</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">) </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">روزمره زندگی همبستگی معنی دار بود. درد مفاصل&nbsp; اندام تحتانی </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">مبتلا </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">تنها&nbsp; با استقلال در فعالیت های پایه </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(410/۰</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">r=</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> و009/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p=</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">)</span></span> &nbsp;<span style="font-family:b zar;"><span style="font-size:12.0pt;">همبستگی معنی دار داشت. اما بین حس و</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکت غیر فعال مفاصل اندام تحتانی مبتلا با استقلال در فعالیت های پایه و ابزاری همبستگی وجود نداشت.</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> بین </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">عملکرد حسی- </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکتی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> اندام تحتانی </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">مبتلا </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">با استقلال در فعالیت های پایه (477/0</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">r=</span></span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و002/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p=</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">)&nbsp; و&nbsp; </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">ابزاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(495/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">r=</span></span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و001/0 </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">p<</span></span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">) </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">روزمره زندگی همبستگی معنی دار بود.</span></span></p> <p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:kashida;text-kashida:0%;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b zar;"><span style="font-size:12.0pt;">نتیجه گیری</span></span></strong>: <span style="font-family:b zar;"><span style="font-size:12.0pt;">بر اساس یافته های مطالعه ی حاضر </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">عملکرد </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حسی- </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکتی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> اندام تحتانی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> مبتلا با استقلال بیماران سکته مغزی در فعالیت های </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">پایه و ابزاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">روزمره زندگی ارتباط دارد لذا پیشنهاد می شود در تمرینات توانبخشی این بیماران </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">اجزای مختلف عملکرد </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حسی-</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکتی </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">اندام تحتانی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> مورد توجه قرار گیرد.</span></span></p> <p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:kashida;text-kashida:0%;line-height:normal;direction:rtl;unicode-bidi:embed;"><strong><span style="font-family:b zar;"><span style="font-size:12.0pt;">واژگان کلیدی: </span></span></strong><span style="font-family:b zar;"><span style="font-size:12.0pt;">عملکردحسی- </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">حرکتی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">، اندام تحتانی، فعالیت های پایه روزمره زندگی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">،</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> فعالیت های ابزاری روزمره زندگی،</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> همی پلژی</span></span></p> <p dir="RTL" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:right;line-height:150%;direction:rtl;unicode-bidi:embed;"><span style="font-family:b zar;"><span style="font-size:12.0pt;">وصول مقاله:2/8/95 اصلاحیه نهایی:25/10/95 پذیرش:3/11/95</span></span></p> <pre> <strong>Background and Aim</strong>: The aim of the present study was to find out the relationship between the various components of sensorimotor function of hemiplegic lower limb and independency in daily living activities in stroke patients. </pre> <h3><strong>Materials and Method</strong>: This was a cross-sectional study which included 40 hemiplegic patients. The patients were between 30 and 70 years of age and&nbsp; selected on a non random basis from rehabilitation clinics in Tehran. We used Fugel-Meyer assessment in order to assess sensorimotor function of hemiplegic lower limbs. Evaluation of independency in basic and instrumental activity of daily living was performed by using&nbsp; Barthel Index and&nbsp; <a href="https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwjh24HRlbTRAhUJSRoKHfroCcwQFggeMAA&url=https%3A%2F%2Fwww.unitedhealthcareonline.com%2Fccmcontent%2FProviderII%2FUHC%2Fen-US%2FAssets%2FProviderStaticFiles%2FProviderStaticFilesPdf%2FClinician%2520Resources%2FGeriatric%2520Resources%2FAdvanced%2520Illness%2520and%2520Planning%2FLawton_Activities_Daily_living_Scale.pdf&usg=AFQjCNF1OmLHa0I-sP2macqihLdX7Rs7eg&sig2=UL6xuU7J6j9ViJW1Nrsx_g&bvm=bv.142059868,d.d2s">Lawton Instrumental Activities of Daily Living Scale</a>. The correlation was analyzed by Spearman coefficient.</h3> <p><strong>Results</strong>: There was a significant relationship between hemiplegic lower limb motor function and independency in BADL (P=0.002, r =0.482) and IADL (P=0.001, r =0.494). There was also a significant correlation between hemiplegic lower limb corrdination and speed and independency in BADL (P<0.001, r =0.601) and IADL (P<0.001, r =0.557). Hemiplegic lower limb joint pain had significant correlation only with independency in BADL (P=0.009, r =0.410).</p> <p>Hemiplegic lower limb sensation and passive joint motion had no significant correlation with independency in BADL and IADL. There was a significant correlation between hemiplegic lower limb sensorimotor function and independency in BADL (P=0.002, r =0.477) and IADL (P<0.001, r =0.495).</p> <p><strong>Conclusion</strong>: The results of our study showed a relationship between hemiplegic lower limb sensorimotor function and independency in daily living activities in the stroke patients. Therefore, different components of the lower extremity sensorimotor function should be considered in the rehabilitation programs for the hemiplegic patients.</p> <p align="right" dir="RTL"><strong><span dir="LTR">Keywords</span></strong><span dir="LTR">: Sensorimotor function, Lower limb ,BADL, IADL, Hemiplegic.</span></p> <p align="right" dir="RTL"></p> <p></p> <p><strong>Received: </strong>Oct 24, 2016<strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Accepted: </strong>Jan 23, 2017</p> عملکردحسی- حرکتی, اندام تحتانی, فعالیت های پایه روزمره زندگی, فعالیت های ابزاری روزمره زندگی, همی پلژی Sensorimotor function, Lower limb ,BADL, IADL, Hemiplegic. 64 70 http://sjku.muk.ac.ir/browse.php?a_code=A-10-25-141&slc_lang=fa&sid=1 Sadi Nikanfar سعدی نیکان فر 5400319475328460015644 5400319475328460015644 No Minoo Kalantari مینو کلانتری mn_kalantari@yahoo.com 5400319475328460015645 5400319475328460015645 Yes Zahra Shafiee زهرا شفیعی 5400319475328460015646 5400319475328460015646 No Alireza Akbarzadeh-baghban علیرضا اکبرزاده باغبان 5400319475328460015647 5400319475328460015647 No