Journal of Gerontology

fa تاثیر تمرینات ثبات‌ مرکزی بر تعادل ایستا و پویای مردان سالمند سالم The Effect of Core Stability Exercises on Static and Dynamic Balance in Healthy Older Men توانبخشی سالمندی geriatric rehabilitation پژوهشي اصیل Original research مقدمه: اختلال در حفظ تعادل و کنترل قامت از پیامدهای سالمندی است، که با تغییر در الگوهای ایستادن و راه رفتن، باعث کاهش آمادگی عملکردی در سالمندان شده و به کاهش حس تعادل، از دستدادن هماهنگی و ضعف قدرت عضلات در این افراد میانجامد. در نتیجه مشکلات عدیدهای نظیر افتادنهای مکرر در زمان ایستادن و یا راه رفتن را در این دسته افراد به همراه دارد. از این رو طراحی تمرینات ورزشی به منظور بهبود آمادگی عملکردی و پیشگیری از کاهش تعادل از اهمیت ویژهای برخوردار است. لذا هدف از انجام این پژوهش بررسی و تحلیل تاثیر تمرینات ثبات مرکزی بر تعادل ایستا و پویای مردان سالمند تعیین گردید. روش کار: این تحقیق یک تحقیق مقطعی- مقایسهای، نیمه تجربی با طرح پیش آزمون و پس آزمون با گروه کنترل بوده که در آن 30 سالمند سالم 60 تا 70 سال به طور هدفمند در دسترس، انتخاب و بطور تصادفی در دو گروه: تمرینات ثبات مرکزی و گروه کنترل، به تعداد مساوی قرار گرفتند. گروه تجربی 6 هفته و هر هفته 3 جلسه تمرین 45 دقیقهای انجام داده، و در این مدت گروه کنترل به زندگی روزمره خود پرداختند. آزمون شوندگان با استفاده از 2 تست تعادل رومبرگ و شارپندرومبرگ برای تعادل ایستا و 2 تست تعادل FRT و TUG برای تعادل پویا، در قبل و بعد از 6 هفته تمرین اختصاصی برای گروه تجربی، مورد ارزیابی قرارگرفتند. برای تجزیه و تحلیل دادهها از آمار توصیفی، آزمون T جفت نمونهای (t زوجی) و آزمون آنکووا یکراهه، در سطح معناداری آلفای (05/0P≤) با استفاده از نرم افزار SPSS نسخهی 26 استفاده گردید. یافته ها: نتایج نشان داد که انجام 6 هفته تمرینات ثبات مرکزی، بر نمرات پس آزمون نسبت به نمرات پیش آزمون گروه تجربی در هر 4 تست تاثیر معناداری دارد (001/0=P)، همچنین یافته ها نشان داد که تمرینات ثبات مرکزی بر بهبود تعادل ایستا (001/0=P) و تعادل پویا (001/0=P)، در نمرات پس آزمون گروه تجربی نسبت به گروه کنترل اثر معناداری دارد. نتیجه گیری: می توان نتیجه گرفت که جهت بهبود تعادل و کاهش خطر افتادن در سالمندان میتوان از تمرینات ثبات مرکزی استفاده کرد، با توجه به سهولت انجام این تمرینات به مربیان ورزشی و افرادی که با سالمندان کار میکنند توصیه میشودکه جهت بهبود تعادل ایستا و پویای سالمندان از تمرینات ثبات مرکزی استفاده نمایند.  کلیدواژه ها: ثبات مرکزی، تعادل ایستا، تعادل پویا، سالمند. <h2 style="margin-left:11px; text-align:justify; margin-top:3px"> Introduction: Disturbance in maintaining balance and controlling posture is one of the consequences of aging, which, with changes in standing and walking patterns, causes a decrease in functional readiness in the elderly, which leads to a decrease in the sense of balance, loss of coordination, and muscle weakness in these people. As a result, it causes many problems such as frequent falls while standing or walking in this group of people. Therefore, it is very important to design sports exercises in order to improve functional readiness and prevent loss of balance. Therefore, the purpose of this study was to investigate and analyze the effect of core stability exercises on the static and dynamic balance of older men. Methods: This study is a cross-sectional, comparative, quasi-experimental research with a pre-test and post-test design with a control group. Thirty healthy elderly men between 60 and 70 years old were selected through purposive, convenience sampling method. They were randomly divided into two groups: core stability exercises and control group in equal numbers. The experimental group received a 45-mintue training program three sessions per week for 6 weeks, while the control group went about their daily lives. The participants were evaluated using Romberg and Sharpendromberg balance tests for static balance and FRT and TUG balance tests for dynamic balance before and after 6-week training program. To analyze the data, descriptive statistics, paired T-test and One-way ANOVA test were used at the alpha significance level (P ≤0.05) using SPSS software (version 26). Results: The results showed that by performing 6 weeks of core stability exercises, the mean post-test scores were significantly different from the pre-test scores of the experimental group in all 4 tests (P=0.001). Moreover, the findings revealed that the core stability exercises have a significant effect on static balance (P=0.001) and dynamic balance (P=0.001), in the post-test scores of the experimental group compared to the control group. Conclusion: It can be concluded that in order to improve balance and reduce the risk of falling in the elderly, core stability exercises can be used. Due to the ease of doing these exercises, it is recommended for sports coaches and people who work with the elderly to use core stability exercises to improve the static and dynamic balance of the elderly Keywords: Core stability, Static balance, Dynamic balance, Aged Abstract Introduction: Disturbance in maintaining balance and controlling posture is one of the consequences of aging, which, with changes in standing and walking patterns, causes a decrease in functional readiness in the elderly, which leads to a decrease in the sense of balance, loss of coordination, and muscle weakness in these people. As a result, it causes many problems such as frequent falls while standing or walking in this group of people. Therefore, it is very important to design sports exercises in order to improve functional readiness and prevent loss of balance. Therefore, the purpose of this study was to investigate and analyze the effect of core stability exercises on the static and dynamic balance of older men. Methods: This study is a cross-sectional, comparative, quasi-experimental research with a pre-test and post-test design with a control group. Thirty healthy elderly men between 60 and 70 years old were selected through purposive, convenience sampling method. They were randomly divided into two groups: core stability exercises and control group in equal numbers. The experimental group received a 45-mintue training program three sessions per week for 6 weeks, while the control group went about their daily lives. The participants were evaluated using Romberg and Sharpendromberg balance tests for static balance and FRT and TUG balance tests for dynamic balance before and after 6-week training program. To analyze the data, descriptive statistics, paired T-test and One-way ANOVA test were used at the alpha significance level (P ≤0.05) using SPSS software (version 26). Results: The results showed that by performing 6 weeks of core stability exercises, the mean post-test scores were significantly different from the pre-test scores of the experimental group in all 4 tests (P=0.001). Moreover, the findings revealed that the core stability exercises have a significant effect on static balance (P=0.001) and dynamic balance (P=0.001), in the post-test scores of the experimental group compared to the control group. Conclusion: It can be concluded that in order to improve balance and reduce the risk of falling in the elderly, core stability exercises can be used. Due to the ease of doing these exercises, it is recommended for sports coaches and people who work with the elderly to use core stability exercises to improve the static and dynamic balance of the elderly  </h2> ثبات مرکزی, تعادل ایستا, تعادل پویا, سالمند. Core stability, Static balance, Dynamic balance, Aged 61 74 http://joge.ir/browse.php?a_code=A-10-718-1&slc_lang=fa&sid=1 Hashem Piry هاشم پیری hpiry63@gmail.co 10031947532846006390 10031947532846006390 No Department of Sports Injuries and Corrective Exercises, Faculty of physical Education and Sport Sciences, Allameh Tabataba'i, Tehran, Iran. دانشکده تربیت بدنی دانشگاه علامه طباطبایی تهران Nader Naserpour نادر ناصرپور na.naser1384@gmail.com 10031947532846006391 10031947532846006391 Yes Department of Sports Injuries and Corrective Exercises, Faculty of physical Education and Sport Sciences, Allameh Tabataba'i, Tehran, Iran. دانشکده تربیت بدنی دانشگاه علامه طباطبایی تهران Rahman Sheikhhosseini رحمان شیخ حسینی Rahman.pt82@gmail.c 10031947532846006392 10031947532846006392 No Department of Sports Injuries and Corrective Exercises, Faculty of physical Education and Sport Sciences, Allameh Tabataba'i, Tehran, Iran. دانشکده تربیت بدنی دانشگاه علامه طباطبایی تهران