Volume 22, Issue 1 (Winter 2016)
Intern Med Today 2016, 22(1): 43-50 |
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1- Department of Exercise Physiology, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran , : ebi_attar2000@yahoo.com
2- Department of Exercise Physiology, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
3- General Department, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
2- Department of Exercise Physiology, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
3- General Department, Faculty of Physical Education & Sports Science, Hakim Sabzevary University, Sabzevar, Iran
Abstract: (6520 Views)
Aims: Multiple sclerosis (MS) is a chronic disease of central nervous system that affects motor pathways and increase fatigue and decrease quality of life. The purpose of this research was to analyze the effect of combined (resistance and proprioceptive neuromuscular facilitation) training for 8 weeks on fatigue and quality of life in multiple sclerosis patients.
Materials & Methods: This semi-experimental study was done in 2013. Samples were 37 women and men patients with multiple sclerosis which were divided to experimental (n=19) and control (n=18) groups. The experimental group participated in combined training program for 8 weeks. Fatigue and quality of life were evaluated before and after training protocol. Data were analyzed using independent and dependent T tests and MANOVA test with LSD post hoc.
Findings: 8 weeks of combined training decreased the fatigue and increased the quality of life and its subscales (physical health composite, mental health composite) significantly (p=0.001).
Conclusion: Combined training causes decreasing of fatigue and increasing of quality of life in multiple sclerosis patients
Keywords: Multiple Sclerosis, Quality of Life, Fatigue
1- Shafipour V, Jafari H, Shafipour L. The relationship between stress intensity and life quality in hemodialysis patients hospitalized in Sari Iran. Q J Sabzevar Univ Med Sci. 2009;16(3):155-60. [Persian] 2-Tayyebi A, Babahaji M, Sadeghi Sherme M, Ebadi A, Eynollahi B. Study of the effect of Hatha Yoga exercises on dialysis adequacy. Iran J Crit Care Nurs. 2012;4(4):183-90. [Persian] 3-Vahed Parast H, Ravanipour M. Assessing the adequacy of dialysis in patients undergoing hemodialysis in hemodialysis center in Boshehr City. Sci J Hamadan Nurs Midwifery Fac. 2008;16(2):50-4. [Persian] 4- Chang TI, Li S, Chen SC, Peralta CA, Shlipak MG, Fried LF, et al. Risk factors for ESRD in individuals with preserved estimated GFR with and without albuminuria: results from the Kidney Early Evaluation Program (KEEP). Am J Kidney Dis. 2013;61(4 Suppl 2):S4-11. 5- Mottahedian Tabrizi E, Najafi Mehri S, Samiey S, Einollahi B, BabaeiGh, Mohammadi E. Effect of programmed nursing cares in prevention of hemodialysis Complications. Iran J Crit Care Nurs. 2009;2(2):55-9. [Persian] 6- Tayyebi A, Shasti S, Tadrisi D, Eynollahi B, Sadeghi Sherme M. The relationship between blood pressure and dialysis adequacy in dialysis patients. Iran J Crit Care Nurs. 2012;5(1):49-52. [Persian] 7- Riahi Z, Esfarjani F, Marandi M, Bayat A, Kalani N. The effects of regular exercise program on dialysis efficacy, muscle atrophy and physical performance in hemodialysis patients. J Sharekord Univ Med Sci. 2012;14(5):63-73. [Persian] 8- Chauveau P, Nguyen H, Combe C, Chêne G, Azar R, Cano N, et al. Dialyzer membrane permeability and survival in hemodialysis patients. Am J Kidney Dis. 2005;45(3):565-71. 9- Shahdadi H, Badakhsh M, Msynayy N, Heydari M, Rahnema M. The effect ofincreasing blood flow rateon complications and dialysis adequacy in hemodialysis patients with low KT/V. Iran J Nurs Res. 2010;5(17):62-7. [Persian] 10- Henrich WL. Principles and practice of dialysis. 4th edition. Philadelphia: Lippincott Williams & Wilkins; 2009. 11- Hojjat M. Hemodialysis adequacy in patients with chronic renal failure. Iran J Crit Care Nurs. 2009;2(2):61-6. [Persian] 12- Abedi Samakoosh M, Aghaie N, Gholami F, Shirzad M, Yosefi E, Teymoorzadeh Baboli T. Assesment dialysis adequacy in hemodialysis patients of Qaemshar Razi Hospital. J Mazandaran Univ Med Sci. 2013;23(107):20-7. [Persian] 13- Chojak K, Smolenski O, Milkowski A, Pitrowski W. The effects of 6-month physical training conducted during hemodialysis in ESRD patients. Med Rehabil. 2006;10(2):25-41. 14-Stack AG, Molony DA, Rives T, Tyson J, Murthy BV. Association of physical activity with mortality in the US dialysis population. Am J Kidney Dis. 2005;45(4):690-701. 15- Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87(5):680-7. 16- Cheema BS, Smith BC, Singh MA. A rationale for intradialytic exercise training as standard clinical practice in ESRD. Am J Kidney Dis. 2005;45(5):912-6. 17- Kong CH, Tattersall JE, Greenwood RN, Farrington K.. The effect of exercise during hemodialysis on solute removal. Nephrol Dial Transplant. 1999;14(12):2927-31. 18- Sun Y, Chen B, Jia Q, Wang J. The effect of exercise during hemodialysis on adequacy of dialysis. Zhonghua Nei Ke Za Zhi. 2002;41(2):79-81. [Chinese] 19- Zaluska A, Zaluska WT, Bednarek-Skublewska A, Ksiazek A. Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end stage renal disease (ESRD). Ann Univ Mariae Curie Sklodowska Med. 2002;57(2):342-6. 20- Fallahi MJ, Shahidi Sh, Farajzadegan Z. The effect of intradialytic exercise on dialysis efficacy, serum phosphate, hemoglobin and blood pressure control and comparison between two exercise programs in hemodialysis patients. J Isfahan Med Sch. 2008;26(89):152-61. [Persian] 21- Tanaka S, Sugiura T, Yamashita S, Dohi Y, Kimura G, Ohte N. Differential response of central blood pressure to isometric and isotonic exercises. Sci Rep. 2014;4:5439. 22- Parsons TL, Toffelmire EB, King-Van Vlack CE. The effect of an exercise program during Hemodialysis on dialysis efficacy, blood pressure, and quality of life in end-stage renal disease patients. Clin Nephrol. 2004;61(4):261-74. 23- Lakshemi NS. Therapeutic exercise. Daneshmandi H, Shamsi Majelan A, Mobarak Abadi L, translators. Tehran: Nasima; 2005. pp. 44-5. 24- Yaghobi M, Mohammadi I, Ahmadi F. Effect of Isotonic and Isometric Exercise Box on muscular Cramping pain During Hemodialysis. J Kurdistan Univ Med Sci. 2007;12(2):53-60. [Persian] 25- Jindal KK, Manuel A, Goldstein MB. Percent reduction in blood urea concentration during hemodialysis (PRU): A simple and accurate method to estimate Kt/V urea. ASAIO Trans. 1987;33(3):286-8. 26- Borzou R, Ghalyaf M, Amini R, Zandiyan M, Torkaman B. Effect of increased blood flow on the amount of dialysis adequacy in hemodialysis patients. J Shahrkord Univ Med Sci. 2005;8(2):60-6. [Persian] 27- Mogharab M, Madarshahian F, Rezai N, Mohammadi A. Dialysis adequacy in choronic hemodialysis patients in educational center Vali-Asr in Birjand. J Brijand Univ Med Sci. 2010;17(3):206-14. [Persian] 28- Raiesifar A, Torabpour M, Mohsenizad P, Sha’bani H, Tayyebi A, Masoumi M. Dialysis adequacy in patients of Abadan hemodialysis center. J Crit Care Nurs. 2009;2(3):87-90. [Persian] 29- Nadi E, Bashirian S, Khosravi M. Survey dialysis adequacy in Ekbatan hemodialysis part Sci. J Hamedan Univ Med Sci. 2003;10(3):27-33. [Persian]
1- Shafipour V, Jafari H, Shafipour L. The relationship between stress intensity and life quality in hemodialysis patients hospitalized in Sari Iran. Q J Sabzevar Univ Med Sci. 2009;16(3):155-60. [Persian] 2-Tayyebi A, Babahaji M, Sadeghi Sherme M, Ebadi A, Eynollahi B. Study of the effect of Hatha Yoga exercises on dialysis adequacy. Iran J Crit Care Nurs. 2012;4(4):183-90. [Persian] 3-Vahed Parast H, Ravanipour M. Assessing the adequacy of dialysis in patients undergoing hemodialysis in hemodialysis center in Boshehr City. Sci J Hamadan Nurs Midwifery Fac. 2008;16(2):50-4. [Persian] 4- Chang TI, Li S, Chen SC, Peralta CA, Shlipak MG, Fried LF, et al. Risk factors for ESRD in individuals with preserved estimated GFR with and without albuminuria: results from the Kidney Early Evaluation Program (KEEP). Am J Kidney Dis. 2013;61(4 Suppl 2):S4-11. 5- Mottahedian Tabrizi E, Najafi Mehri S, Samiey S, Einollahi B, BabaeiGh, Mohammadi E. Effect of programmed nursing cares in prevention of hemodialysis Complications. Iran J Crit Care Nurs. 2009;2(2):55-9. [Persian] 6- Tayyebi A, Shasti S, Tadrisi D, Eynollahi B, Sadeghi Sherme M. The relationship between blood pressure and dialysis adequacy in dialysis patients. Iran J Crit Care Nurs. 2012;5(1):49-52. [Persian] 7- Riahi Z, Esfarjani F, Marandi M, Bayat A, Kalani N. The effects of regular exercise program on dialysis efficacy, muscle atrophy and physical performance in hemodialysis patients. J Sharekord Univ Med Sci. 2012;14(5):63-73. [Persian] 8- Chauveau P, Nguyen H, Combe C, Chêne G, Azar R, Cano N, et al. Dialyzer membrane permeability and survival in hemodialysis patients. Am J Kidney Dis. 2005;45(3):565-71. 9- Shahdadi H, Badakhsh M, Msynayy N, Heydari M, Rahnema M. The effect ofincreasing blood flow rateon complications and dialysis adequacy in hemodialysis patients with low KT/V. Iran J Nurs Res. 2010;5(17):62-7. [Persian] 10- Henrich WL. Principles and practice of dialysis. 4th edition. Philadelphia: Lippincott Williams & Wilkins; 2009. 11- Hojjat M. Hemodialysis adequacy in patients with chronic renal failure. Iran J Crit Care Nurs. 2009;2(2):61-6. [Persian] 12- Abedi Samakoosh M, Aghaie N, Gholami F, Shirzad M, Yosefi E, Teymoorzadeh Baboli T. Assesment dialysis adequacy in hemodialysis patients of Qaemshar Razi Hospital. J Mazandaran Univ Med Sci. 2013;23(107):20-7. [Persian] 13- Chojak K, Smolenski O, Milkowski A, Pitrowski W. The effects of 6-month physical training conducted during hemodialysis in ESRD patients. Med Rehabil. 2006;10(2):25-41. 14-Stack AG, Molony DA, Rives T, Tyson J, Murthy BV. Association of physical activity with mortality in the US dialysis population. Am J Kidney Dis. 2005;45(4):690-701. 15- Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87(5):680-7. 16- Cheema BS, Smith BC, Singh MA. A rationale for intradialytic exercise training as standard clinical practice in ESRD. Am J Kidney Dis. 2005;45(5):912-6. 17- Kong CH, Tattersall JE, Greenwood RN, Farrington K.. The effect of exercise during hemodialysis on solute removal. Nephrol Dial Transplant. 1999;14(12):2927-31. 18- Sun Y, Chen B, Jia Q, Wang J. The effect of exercise during hemodialysis on adequacy of dialysis. Zhonghua Nei Ke Za Zhi. 2002;41(2):79-81. [Chinese] 19- Zaluska A, Zaluska WT, Bednarek-Skublewska A, Ksiazek A. Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end stage renal disease (ESRD). Ann Univ Mariae Curie Sklodowska Med. 2002;57(2):342-6. 20- Fallahi MJ, Shahidi Sh, Farajzadegan Z. The effect of intradialytic exercise on dialysis efficacy, serum phosphate, hemoglobin and blood pressure control and comparison between two exercise programs in hemodialysis patients. J Isfahan Med Sch. 2008;26(89):152-61. [Persian] 21- Tanaka S, Sugiura T, Yamashita S, Dohi Y, Kimura G, Ohte N. Differential response of central blood pressure to isometric and isotonic exercises. Sci Rep. 2014;4:5439. 22- Parsons TL, Toffelmire EB, King-Van Vlack CE. The effect of an exercise program during Hemodialysis on dialysis efficacy, blood pressure, and quality of life in end-stage renal disease patients. Clin Nephrol. 2004;61(4):261-74. 23- Lakshemi NS. Therapeutic exercise. Daneshmandi H, Shamsi Majelan A, Mobarak Abadi L, translators. Tehran: Nasima; 2005. pp. 44-5. 24- Yaghobi M, Mohammadi I, Ahmadi F. Effect of Isotonic and Isometric Exercise Box on muscular Cramping pain During Hemodialysis. J Kurdistan Univ Med Sci. 2007;12(2):53-60. [Persian] 25- Jindal KK, Manuel A, Goldstein MB. Percent reduction in blood urea concentration during hemodialysis (PRU): A simple and accurate method to estimate Kt/V urea. ASAIO Trans. 1987;33(3):286-8. 26- Borzou R, Ghalyaf M, Amini R, Zandiyan M, Torkaman B. Effect of increased blood flow on the amount of dialysis adequacy in hemodialysis patients. J Shahrkord Univ Med Sci. 2005;8(2):60-6. [Persian] 27- Mogharab M, Madarshahian F, Rezai N, Mohammadi A. Dialysis adequacy in choronic hemodialysis patients in educational center Vali-Asr in Birjand. J Brijand Univ Med Sci. 2010;17(3):206-14. [Persian] 28- Raiesifar A, Torabpour M, Mohsenizad P, Sha’bani H, Tayyebi A, Masoumi M. Dialysis adequacy in patients of Abadan hemodialysis center. J Crit Care Nurs. 2009;2(3):87-90. [Persian] 29- Nadi E, Bashirian S, Khosravi M. Survey dialysis adequacy in Ekbatan hemodialysis part Sci. J Hamedan Univ Med Sci. 2003;10(3):27-33. [Persian]
Type of Study: Applicable |
Subject:
Physiology
Received: 2015/01/14 | Accepted: 2015/03/17 | Published: 2015/03/17
Received: 2015/01/14 | Accepted: 2015/03/17 | Published: 2015/03/17
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