fa تأثیر هشت هفته تمرینات کاوتورن کوکسی بر تعادل ایستا و پویای کودکان با سندروم داون: یک مطالعه نیمه‌ تجربی تربيت بدني تربيت بدني پژوهشي Research <span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">زمینه و هدف: </span></span></span></b></a><span lang="AR-DZ" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">کو</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">دکان با سندروم داون ضعف تعادل و ثبات وضعیتی را از خود نشان می&shy;دهند. هدف از این مطالعه تعیین اثر هشت هفته </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">تمرینات کاوتورن کوکسی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">بر تعادل ایستا و پویای کودکان با سندروم داون بود.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">مواد و روش&shy;ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"> مطالعه حاضر از نوع نیمه&shy;تجربی است. نمونه آماری شامل 30 پسر 8-10 ساله دارای سندروم داون با ضریب هوشی 50 تا 70 از شهرستان شهریار در سال 1400 بودند که به روش نمونه‌گیری در دسترس انتخاب شدند و سپس به‌طور تصادفی به دو گروه همسان 15 نفری تجربی و کنترل تقسیم شدند. جهت ارزیابی تعادل ایستا از آزمون </span></span></span>Sharpened Romberg<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"> و تعادل پویا از آزمون</span></span></span>Berg Balance <span style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">&nbsp;استفاده شد. تمرینات کاوتورن</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">کوکسی در گروه تجربی، به مدت 8 هفته (3 جلسه 45 دقیقه‌ای در هفته) انجام شد</span></span></span> <span lang="AR-DZ" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">و گروه کنترل هیچ مداخله&shy;ای دریافت نکردند. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">تعادل ایستا و پویا پیش و پس از مداخله تمرینی ارزیابی و در دو گروه مقایسه شد. جهت تجزیه&shy; و تحلیل داده&shy;ها از آزمون </span></span></span>t<span style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"> مستقل و تحلیل کواریانس چندمتغیره استفاده شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">یافته&shy;ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"> یافته&shy;ها نشان داد که هشت هفته تمرینات </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">کاوتورن</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">کوکسی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">تأثیر معناداری بر بهبود تعادل ایستا (روی سطح نرم و سطح سخت) و پویا در کودکان سندروم داون داشته است (05/0></span></span></span>p<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">)</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"> مقدار اندازه اثر برای تعادل ایستا (روی سطح فوم و سطح سخت)، به ترتیب 81/0 و 52/0 و برای تعادل پویا 55/0 بود (001/0=</span></span></span>p<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">).</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">نتیجه&shy;گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"> نتایج مطالعه حاضر بهبود تعادل را پس از 8 هفته مداخله تمرینی کاورتون کوکسی نشان داد. لذا تمرینات کاوتورن کوکسی به&shy;عنوان برنامه&shy;ای مؤثر برای بهبود تعادل ایستا و پویا و ثبات وضعیتی کودکان با سندرم داون پیشنهاد می&shy;شود.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">واژه‌‌های کلیدی: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">سندروم داون، تمرینات کاوتورن</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;">کوکسی، تعادل، کودک</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:&quot;B Nazanin&quot;"></span></span></span></span></span></span></span></span><br> &nbsp; <span style="line-height:150%"><span style="font-size:12.0pt"><span style="line-height:150%">Background and Objectives:</span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal"> Children with down syndrome show the weakness of balance and postural control. The Purpose of this study was the investigation the effects of eight weeks <span style="background:white">Cawthorne Cooksey </span>training on static and dynamic balance in children with Down syndrome.</span></span></span></span><br> <span style="line-height:150%"><span style="font-size:12.0pt"><span style="line-height:150%">Materials and Methods:</span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal"> In this quasi-experimental study, the statistical sample consisted of 30 boys with Down syndrome, ages 8 to 10 years and an Intelligence quotient between 50 to 70 from Shahryar city in 2021, who selected based on convenience sampling method and then divided into two similar groups of 15 people in experimental and control group</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="font-weight:normal">.</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal">For measuring static</span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal">balance, the Sharpand Romberg test was used and for measuring dynamic balance, the Berg balance test was used. The Cawthorne Cooksey exercise implemented in experimental group, for 8 weeks (3 sessions of 45 minutes per week). The control group did not receive any intervention</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span b="" nazanin="" style="font-family:"><span style="font-weight:normal">.</span></span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal">Static and Dynamic Balance was assessed before and after the training program and compared between groups. To analyze data, independent t test and multivariate analysis of covariance were used.</span></span></span></span><br> <span style="line-height:150%"><span style="font-size:12.0pt"><span style="line-height:150%">Results:</span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal"> The results of this study showed</span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal">the eight weeks of Cawthorne Cooksey training had significant effects on improvement of the static Balance (on foam and firm surface) and dynamic balance in children with Down syndrome</span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal">(P<0.05).</span></span></span> <span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-weight:normal">The effect size value for static balance on soft and firm surface was 0.81 and 0.52 and for dynamic balance was 0.55 (P=0.001).</span></span></span></span><br> <b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The results of our study showed the improvement of static and dynamic balance after 8 week Cawthorne Cooksey training. Therefore, the <span style="background:white">Cawthorne Cooksey </span>training is suggested as an effective exercise to improve the static and dynamic balance and postural stability in children with Down syndrome</span></span> سندروم داون, تمرینات کاوتورن کوکسی, تعادل, کودک Down syndrome, Cawthorne Cooksey training, Balance, Child 19 34 http://journal.rums.ac.ir/browse.php?a_code=A-10-6024-1&slc_lang=fa&sid=1 Mohammadreza Seyedi محمدرضا سیدی seyedi@ut.ac.ir 6900319475328460053591 6900319475328460053591 No Sport Sciences Research Institute پژوهشگاه علوم ورزشیاه گیلان Nazanin Shirangi نازنین شیرنگی 6900319475328460053592 6900319475328460053592 No University of Guilan دانشگاه آزاد اسلامی واحد کرج Sarvin Salar سروین سالار sarvin_salar@yahoo.com 6900319475328460053593 6900319475328460053593 Yes Islamic azad university Karaj branch دانشگاه گیلان Jaleh Bagherli ژاله باقرلی 6900319475328460053594 6900319475328460053594 No Islamic azad university Karaj branch دانشگاه آزاد اسلامی واحد کرج