The Effect of Resistance and Cognitive-Motor Training on Motor Function and Fatigue in Women with Multiple Sclerosis

In multiple sclerosis, common problems such as early fatigue, poor performance, balance and postural control reduce the chance of success in daily activities. Therefore, the present study intends to compare and evaluate the effects of two methods of resistance and cognitive-motor training on motor function and fatigue in women with multiple sclerosis. Thirty-three women with multiple sclerosis with disability index ۰ to ۴ were divided into three groups of resistance training, cognitive-motor, and control (۱۱ people in per group). The exercises consisted of ۱۶-sessions that lasted ۴۵ to ۶۰ minutes each session. Fatigue severity scale was used to measure fatigue, and ۲۵-foot (۸ m) walking test kinematically was used to measure motor function. One-way analysis of variance, paired t-test and multivariate analysis of covariance were applied to analyze the data. The results showed that in the resistance training group, the research intervention caused significant changes in the improvement of fatigue (Sig. = ۰.۰۰۵, Effect size = ۰.۷۹), but no significant improvement was observed in walking performance. In addition, in the cognitive motor training group, significant changes were observed in both variables of walking performance and fatigue index. Therefore, it seems that cognitive-motor training has a greater effect on walking performance and fatigue in women with multiple sclerosis.

کلیدواژه ها:

Cognitive-Motor Training ، Multiple Sclerosis ، Postural Control ، Walking ، Fatigue