ﺗﺎﺛﯿﺮ وﯾﺒﺮﯾﺸﻦ ﮐﻞ ﺑﺪن ﺑﺮ ﺗﻌﺎدل اﯾﺴﺘﺎ و ﭘﻮﯾﺎي ﮐﻮدﮐﺎن ﻣﺒﺘﻼ ﺑﻪ اوﺗﯿﺴﻢ آﺳﭙﺮﮔﺮ

Effects of Whole-Body Vibration on Static and Dynamic Balance in Children with Asperger's Autism

ﮐﻮدﮐﺎن اوﺗﯿﺴﻢ داراي ﻣﺸﮑﻼﺗﯽ ﭼﻮن ﻧﻘﺺ در ﺗﻌﺎﻣﻼت اﺟﺘﻤﺎﻋﯽ و ﻣﻬﺎرت ﻫﺎي ارﺗﺒﺎﻃﯽ، ﭘﺮدازش ﺣﺴﯽ و ﻧﯿﺰ اﺧﺘﻼل در ﻋﻤﻠﮑﺮدي ﺣﺮﮐﺘﯽ و ﺗﻌﺎدﻟﯽ ﻫﺴﺘﻨﺪ. ﺗﻌﺎدل ﯾﮑﯽ از ﺗﻮاﻧﺎﯾﯽ ﻫﺎي ﭘﺎﯾﻪ زﻧﺪﮔﯽ روزﻣﺮه اﺳﺖ. ﻫﺪف از ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺮرﺳﯽ ﺗﺎﺛﯿﺮ وﯾﺒﺮﯾﺸﻦ ﮐﻞ ﺑﺪن ﺑﺮ ﺗﻌﺎدل اﯾﺴﺘﺎ و ﭘﻮﯾﺎي ﮐﻮدﮐﺎن ﻣﺒﺘﻼ ﺑﻪ اوﺗﯿﺴﻢ آﺳﭙﺮﮔﺮ اﺳﺖ. ﺟﺎﻣﻌﻪ ﺗﺤﻘﯿﻖ اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ، ﮐﻮدﮐﺎن ﺳﻨﯿﻦ ﺑﯿﻦ 8 ﺗﺎ 10 ﺳﺎل ﻣﺒﺘﻼ ﺑﻪ اﺗﯿﺴﻢ آﺳﭙﺮﮔﺮ ﺷﻬﺮﺳﺘﺎن رﺷﺖ ﺑﻮدﻧﺪ. 20 ﮐﻮدك در ﺗﺤﻘﯿﻖ ﺣﺎﺿﺮ ﺷﺮﮐﺖ ﮐﺮدﻧﺪ ﮐﻪ ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﯽ ﺑﻪ دو ﮔﺮوه ﮐﻨﺘﺮل و آزﻣﺎﯾﺶ ﺗﻘﺴﯿﻢ ﺷﺪﻧﺪ. آزﻣﻮدﻧﯽ ﻫﺎ ﺑﻪ ﻣﺪت 24 ﻫﻔﺘﻪ و ﻫﻔﺘﻪ اي 3 ﺟﻠﺴﻪ در ﺑﺮﻧﺎﻣﻪ ﺗﻤﺮﯾﻨﯽ وﯾﺒﺮﯾﺸﻦ ﮐﻞ ﺑﺪن ﺷﺮﮐﺖ ﮐﺮدﻧﺪ. ﭘﯿﺶ و ﭘﺲ از ﺑﺮﻧﺎﻣﻪ ﺗﻤﺮﯾﻨﯽ، آزﻣﻮن ﻟﮏ ﻟﮏ ﺑﺮاي اﻧﺪازه ﮔﯿﺮي ﺗﻌﺎدل اﯾﺴﺘﺎ و آزﻣﻮن راه رﻓﺘﻦ ﭘﺎﺷﻨﻪ ﭘﻨﺠﻪ ﺑﺮاي اﻧﺪازه ﮔﯿﺮي ﺗﻌﺎدل ﭘﻮﯾﺎ ﺑﻪ ﮐﺎر ﺑﺮده ﺷﺪ. ﻧﺘﺎﯾﺞ آزﻣﻮن ﺗﯽ ﻣﺴﺘﻘﻞ ﻧﺸﺎن داد، ﮔﺮوه ﺗﺠﺮﺑﯽ اﻓﺰاﯾﺶ ﻣﻌﻨﺎداري در ﺗﻌﺎدل اﯾﺴﺘﺎ و ﺗﻌﺎدل ﭘﻮﯾﺎ در ﻣﻘﺎﯾﺴﻪ ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل داﺷﺘﻪ اﺳﺖ )p<0/05(. ﺗﻐﯿﯿﺮات درون ﮔﺮوﻫﯽ ﻧﺸﺎن ﻣﯽ دﻫﺪ اﺧﺘﻼف ﻣﻌﻨﺎدار ﺑﯿﻦ ﺗﻌﺎدل اﯾﺴﺘﺎ و ﺗﻌﺎدل ﭘﻮﯾﺎ در ﭘﯿﺶ و ﭘﺲ آزﻣﻮن ﮔﺮوه ﺗﺠﺮﺑﯽ وﺟﻮد دارد )p<0/05(، اﻣﺎ در ﮔﺮوه ﮐﻨﺘﺮل اﺧﺘﻼف ﻣﻌﻨﺎداري ﻣﺸﺎﻫﺪه ﻧﺸﺪ)p>0/05(. ﺑﺮ اﺳﺎس ﻧﺘﺎﯾﺞ ﺑﻪ ﻧﻈﺮ ﻣﯽ رﺳﺪ ﮐﻪ ﺗﻤﺮﯾﻦ وﯾﺒﺮﯾﺸﻦ ﮐﻞ ﺑﺪن ﺑﺮ ﺗﻌﺎدل اﯾﺴﺘﺎ و ﭘﻮﯾﺎ ﺗﺎﺛﯿﺮ داﺷﺘﻪ و ﮐﻮدﮐﺎن ﻣﺒﺘﻼ ﺑﻪ اوﺗﯿﺴﻢ ﻣﯽ ﺗﻮاﻧﻨﺪ از اﯾﻦ روش ﺑﺮاي ﺑﻬﺒﻮد ﺗﻌﺎدل ﺧﻮد ﺑﻬﺮه ﻣﻨﺪ ﺷﻮﻧﺪ.

Children with autism have difficulties such as impaired social interaction and communication skills, sensory processing, and impaired motor function and balance, which balance is one of the basic abilities of daily life. This study aimed to study the effect of whole-body vibration on static and dynamic balance in children with Asperger's autism. The population of this quasi-experimental study was 20 juniors aged 8 to 10 years with Asperger's autism in Rasht city, who were randomly divided into control and experimental groups. These children took part in the whole-body vibration training program 3 sessions per week for 6 months. There were two balance tests to investigate balance disorders of the subjects before and after the training program. The flamingo test was used to measure static balance, and likewise, the heel-toe walking test was used to measure dynamic balance. The results of the independent t-test showed that the experimental group had a significant increase in static and dynamic balance compared to the control group (p<0.05). Intragroup changes showed that there was a significant difference between static and dynamic balances in the pre-test and posttest of the experimental group (p <0.05), but no significant difference was observed in the control group (p> 0.05). In conclusion, whole-body vibration training seems to affect static and dynamic balances, and children with autism can use this technique to improve their balance beneficially.