ﺗﺄﺛﯿﺮ 8 ﻫﻔﺘﻪ ﺗﻤﺮﯾﻨﺎت ﯾﻮﮔﺎ ﺑﺮ ﺷﺎﺧﺺﻫﺎي ﺳﺮدرد ﻣﯿﮕﺮﻧﯽ، ﻧﯿﺘﺮﯾﮏ اﮐﺴﺎﯾﺪ و ﺳﺮوﺗﻮﻧﯿﻦ ﺳﺮﻣﯽ در زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﻣﯿﮕﺮن

Effect of 8-Weeks Yoga Exercises on Migraine Headache Induces, Serum Levels of Serotonin and Nitric Oxide in Women with Migraine

ﺳـﺎﺑﻘﻪ و ﻫﺪف : ﻣﯿﮕﺮن ﺑﻪﻋﻨﻮان ﯾﮑﯽ از ﺷـﺎ ﯾﻊﺗﺮﯾﻦ اﻧﻮاع ﺳﺮدرد ﺑﺎ ﺷﯿﻮع ﺑﺎﻻ ﺗﺄﺛﯿﺮات ﻗﺎﺑﻞﺗﻮﺟﻬﯽ ﺑﺮ ﺷﺮاﯾﻂ زﻧﺪﮔﯽ اﻓﺮاد ﻣﯽﮔﺬارد. اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﺑﺮرﺳـﯽ ﺗﺄﺛﯿﺮ 8 ﻫﻔﺘﻪ ﺗﻤﺮﯾﻨﺎت ﯾﻮﮔﺎ ﺑﺮ ﺷـﺎﺧﺺ ﻫﺎي ﺳـﺮدرد ﻣﯿﮕﺮﻧﯽ، ﻧﯿﺘﺮﯾﮏ اﮐﺴﺎﯾﺪ و ﺳﺮوﺗﻮﻧﯿﻦ ﺳﺮﻣﯽ در زﻧﺎن ﻣﺒﺘﻼ ﺑﻪ ﻣﯿﮕﺮن اﻧﺠﺎم ﺷـﺪ. ﻣﻮاد و روﺷﻬﺎ: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ 30 ﺑﯿﻤﺎر زن ﻣﺒﺘﻼ ﺑﻪ ﻣﯿﮕﺮن )ﺳﻦ: 36±3/2 ﺳﺎل( ﺑﻪﺻﻮرت ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه ﺗﺠﺮﺑﯽ )15=n( و ﮐﻨﺘﺮل )15=n( ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﺑﯿﻤﺎران در ﮔﺮوه ﺗﺠﺮﺑﯽ ﺑﻪ ﻣﺪت )3 روز در ﻫﻔﺘﻪ/ﻫﺮ ﺟﻠﺴــﻪ 60 دﻗﯿﻘﻪ( ﺑﻪ ﻣﺪت 8 ﻫﻔﺘﻪ ﺗﻤﺮﯾﻨﺎت ﯾﻮﮔﺎ )آﺳـﺎﻧﺎﻫﺎ، ﭘﺮاﯾﺎﻣﺎﻧﺎ، ﺷﺎواﺳﺎﻧﺎ و ﮐﺸﺸﯽ( را زﯾﺮ ﻧﻈﺮ ﻣﺮﺑﯽ اﻧﺠﺎم دادﻧﺪ. اﻧﺪازهﮔﯿﺮي ﺷﺎﺧﺺﻫﺎ ﺷﺎﻣﻞ ﻓﺮاواﻧﯽ ﺳﺮدرد، ﻣﺪت و ﺷـﺪت ﻣ ﯿﮕﺮن )ﺗﻮﺳﻂ ﭘﺮﺳﺸﻨﺎﻣﻪ روزﻧﮕﺎر ﺳﺮدرد( و ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ )ﺗﻮﺳﻂ ﭘﺮﺳﺸﻨﺎﻣﻪ 6- )HIT(( در ﻗﺒﻞ از ﺷﺮوع دورهي ﺗﻤﺮﯾﻨﯽ و ﭘﺲ از اﺗﻤﺎم دورهي ﺗﻤﺮﯾﻨﯽ و ﺷــﺎﺧﺺﻫﺎي ﺧﻮﻧﯽ ﻗﺒﻞ از ﺷــﺮوع ﭘﺮوﺗﮑﻞ و ﭼﻬﺎر روز ﭘﺲ از اﺗﻤﺎم ﭘﺮوﺗﮑﻞ ﺗﻤﺮﯾﻨﯽ ﺻــﻮرت ﮔﺮﻓﺖ. ﺑﻪﻣﻨﻈﻮر ارزﯾـﺎﺑﯽ ﺗﻐﯿﯿﺮات درونﮔﺮوﻫﯽ از آزﻣﻮن ﺗﯽ واﺑﺴـــﺘﻪ و ﺑﺮاي ارزﯾﺎﺑﯽ ﺗﻐﯿﯿﺮات ﺑﯿﻦﮔﺮوهﻫﺎ از آزﻣﻮن ﺗﺤﻠﯿﻞ ﮐﻮارﯾﺎﻧﺲ اﺳـــﺘﻔﺎده ﺷـــﺪ. ﮐﻠﯿﻪ آزﻣﻮنﻫﺎ در ﺳـﻄﺢ ﻣﻌﻨ ﺎداري )0/05

Background and Purpose: Migraine as a one of the most common types of high frequency headaches has a significant impact on people's living conditions. The purpose of this study was to investigate the effect of 8-weeks of yoga exercises on migraine headache induces serum levels of serotonin and nitric oxide in women with migraine. Methodology: In this quasi-experimental study, 30 female (age: 36±3.2 years) with migraine were randomly divided into experimental (n=15) and control groups (n=15). The experimental group performed yoga training for 8 weeks (5 days/60 min session). Indicators included frequency of headache, duration of migraine, pain intensity (by questionnaire) and quality of life (HIT-6) were measured at pretest and posttest and blood samples were taken 48 hours before and 4 days after the last secession of exercise program in fasting state. The ANCOVA test used to examine changes in between groups. Results: Yoga exercise significantly reduced headache severity (P=0.002), number of headaches (P=0.006), headache duration (P=0.041) and increased quality of life (P=0.001) and nitric oxide levels in the experimental group compared to the control group significantly, but there was no significant change in serotonin levels (P≥0.05). Conclusion: Eight weeks Vinyasa yoga exercises as a complementary method of life style appear to have a positive effect on improving migraine symptoms and enhancing quality of life in people with migraine.