تاثير تمرينات ورزشي بر توانايي انجام فعاليت هاي روزمره زندگي در زنان مبتلا به مولتيپل اسكلروز مراجعه كننده به انجمن موليتپل اسكلروز ايران در سال 1381-1380

Effect of Exercise Training on Daily Life Ability in Women with Multiple Sclerosis Referred to Iranian Multiple Sclerosis Society (2001-2002)

Background: Multiple sclerosis (MS) is a demyelinating disease of the central nervous system that leads to impaired motor system, increased symptomatic fatigue and affected daily life activities. Although exercise is advised to patients with multiple sclerosis, but its effect on daily life activities has not been established yet. This research has been conducted to evaluate the effect of exercise training on daily life activities in women with multiple sclerosis referred to Iranian multiple sclerosis society. Materials and Methods: In this clinical trial of one group study, 28 patients were selected with nonprobability convenience sampling according to specific criteria. A questionnaire was then given to collect demographic and other data related to multiple sclerosis, daily life activities and, fatigue severity. Exercise was done for 8 weeks in 4 steps: warming up, running, Sweden aerobic exercise and cooling down. After 8 weeks of exercise the questionnaire (parts of activities of daily life and fatigue) was collected again. Results: The subjects were women between 20-45 years, with an average age of 29.57 years. 57.1% of women were married, 64.4% had college degrees, most (75%) were homemakers and 46.4% had a duration of illness between 5-8 years. 39.3% had a relaps once in the last year and none (%50) of them had been hospitalized in the last year. The first symptom of the disease in patients was visual disorder and 64.3% had fatigue as the most important debilitating problem of the diease. 57.1% had expanded disability status scale between 0-3. Findings showed that exercise training had a positive effect on basic daily life activities (P<0.0001). Fatigue was significantly reduced in pateints (P=0.008) and only age and marital status had significant relationship with basic and useful daily life activities. Conclusion: It can be concluded that exercise resulted in improvment of daily life activities. These findings suggest that women with multiple sclerosis benefit from participation in regular aerobic exercise training.