Journal of Advances in Para-Sport Science
A peer-reviewed, open-access academic journal dedicated to the advancement of sports sciences for individuals with diverse abilities

The Effect of Yoga Exercises on Fatigue, Balance, Muscle Strength and Neurological Disorders in Women with Multiple Sclerosis

Authors

Alibagher Nazarian 1
Azar Aghyari 2
Shahin Asgari 3

1 Assisstant Professor in Sports Injuries and Corrective exercises, University of Payame-Noor, Tehran, Iran

2 Associated Professor in Sports Injuries and Corrective exercises, University of Payame-Noor, Tehran, Iran

3 Master of Sciences in Sports Injuries and Corrective exercises, University of Payame-Noor, Tehran, Iran

Abstract
The aim of this study was to investigate the effect of yoga exercises on fatigue, balance, muscle strength and neurological disorders in women with multiple sclerosis.
This was a semi-experimental study, for this purpose, pre and post-test study design (experimental group and control group) were used. 42 women with MS in Khomein city participated in this study and divided into two control (age: 33.3±6.2, height: 164.6±4.4, weight: 71.1± 7.3 and BMI: 26.4±2.9) and experimental group (age: 38.3±4.5, height: 160.8±7, weight: 68.5±14/6 and BMI: 26.4±4.8). The exercises were based on cognitive therapy based on mindfulness and yoga exercises, which was an 8-week program (3 sessions of 60 minutes per week). A quesinnaire, Berg balance test, Standing stork test, Tug, chair test and neurological disorders test were used to collect data. Kolmogorov Smirnov, dependent and independent t test, and Cohen's D test were used in the SPSSV25 software environment to analys data. Level of significant was 0.05.
The findings of this study showed that yoga exercises leads to reduce fatigue level(P≤0.05), improve static and dynamic balance (P≤0.05), increase lower body muscle strength (P≤0.05) and leads to decrese neurological disorders (P≤0.05) in women with MSm(P≤0.05).
In conclusion it can sugusted to trainers and MS patients' authorities to utilize this method in to minimiz balance problems, improve strength, endurance and also nurological disorders of affected individuals. Thi sapproach can be considered as a new method in their rehabilitation exercise program

Keywords

yoga
fatigue
balance
MS
Women
References
1. Shooshtari Arash G, Molavi Vardanjani H, Mohammad Hadi I, Azadi M. Self-reported Use of Complementary and Integrated Medicine by Patients with Multiple Sclerosis in Iran. Complementary Medicine Journal. 2021; 11 (3):280-291. https://doi.org/10.32598/cmja.11.3.1089.1.

2. Kobelt G, Thompson A, Berg J, Gannedahl M, Eriksson J. MSCOI Study Group; European Multiple Sclerosis Platform. New insights into the burden and costs of multiple sclerosis in Europe. Multiple Sclerosis. 2017; 23(8):1123-36. [DOI: 10.1177/1352458517694432].

3. Ayache, SS. Chalah, MA. Cognitive behavioral therapies and multiple sclerosis fatigue: A review of literature. J Clin Neurosci. 2018; 52:1-4. DOI: 10.1016/j.jocn.2018.03.024.

4. Avandi S.M, Zahedi M. The effects of eight weeks’ yoga training on serum levels of IL-17 in women with multiple sclerosis. Journal of Sport and Exercise Physiology. 2019; 12(2): 81-92. Doi: 10.52547/JOEPPA.12.2.81.

5. Asadinia, S; Mosarrezaii Aghdam, A; Saadatmand, S; Sepehrian Azar, F; Torabzadeh N. Examining the effectiveness of cognitive – behavior therapy on improving depression and decreasing anxiety symptoms of multiple sclerosis patients (MS). URMIA Med J. 2015; 1023-1032: 25(11). URL: http://umj.umsu.ac.ir/article-1-2610-en.html.

6. Hejazizadeh N, Pazokian M, Abdi M. Fatigue in Patients with Multiple Sclerosis in Tehran in 1398. Iran Journal of Nursing. 2020; 33(126):1-15. DOI:10.29252/ijn.33.126.1.S.

7. Rahmatpour P, Karimi L, Rahimibashar F, Vahedian-Azimi A, Goharani R. Effect of Progressive Muscle Relaxation on the outcomes of Multiple Sclerosis disease: A systematic review and meta-analysis. 3 JNE. 2019; 8 (1):61-76. DOI: 10.21859/jne-08108.

8. Hasanpour A, mashhadi A, Teymori S, Hossein Hosseini H. The Effectiveness of the Acceptance of Multiple Sclerosis after Diagnosis and Stress Control Management in Reducing the Symptoms and Relapse Prevention. Journal of Mashhad Medical Council. 2017; 21(1): 10-14. Doi: 10.22038/JMMC.2017.9153.

9. Comabella M, Khoury SJ. Immunopathogenesis of multiple sclerosis. Clinical immunology. 2012; 142 (1):2-8. Doi: 10.22038/JMMC.2017.9153.

10. Taghizadeh F NA, Nourshahi M, Serajian A. The effect of periodic aerobic exercise on quality of life and scale of physical disability in ms patients. Journal of Applied Sports Physiology. 2013; 9(17):95-106.

11. Guner, S., & Inanici, F. Yoga therapy and ambulatory multiple sclerosis assessment of gait analysis parameters, fatigue and balance. Journal of bodywork and movement therapies. 2015; 19(1), 72-81. DOI: 10.1016/j.jbmt.2014.04.004.

12. Talebi V, Fallah-Mohammadi Z, Seadat P, Hoseni-Nejad S E. Comparing power and activity of lower body muscles in two types of multiple sclerosis patients and healthy individuals. Feyz Med Sci J. 2020; 24 (1):90-98. URL: http://feyz.kaums.ac.ir/article-3977-1-fa.html.

13. Gribble PA, Hertel J. Effect of lower-extremity muscle fatigue on postural
control. Archives of physical Medicine and Rehabilitation. 2004; 85(4):589-92. https://doi.org/10.1016/j.apmr.2003.06.031.

14. Yaggie JA, McGregor SJ. Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch phys Med Rehabi. 2002; 83: 224-228. DOI: 10.1053/apmr.2002.28032.

15. Rugelj D. The effect of functional balance training in frail nursing home residents. Archives of Gerontology and Geriatrics. 2010; 50 (2):192-197. DOI: 10.1016/j.archger.2009.03.009.

16. Dalgas U, Stenager E, Lund C, Rasmussen C, Petersen T, Sørensen H, et al. Neural drive increases following resistance training in patients with multiple sclerosis. Journal of Neurology. 2013; 260 (7):1822–32. DOI: 10.1007/s00415-013-6884-4.

17. Ghazagh M, Zadhasan Z. The Effect of Group Mindfulness-Based Stress Reduction Program on the Quality Of Life and Fatigue in Patients with Multiple Sclerosis. Avicenna J Nurs Midwifery Care. 2019; 27(1):35- 44. ‎Doi: 10.30699/ajnmc.27.1.35.

18. Rezaeian Langroodi R, Ghiasian M, Roozbehani M, Shamsaei F. Comparison of the Effectiveness of Yoga and Psychotherapy group Therapy Based on Acceptance and Commitment on Fatigue and Quality of Life of Multiple Sclerosis Patients. Avicenna J Nurs Midwifery Care. 2020; 28 (4): 62-72. Doi: 10.30699/ajnmc.28.4.62.

19. Dalgas, U., Stenager, E., Lund, C., Rasmussen, C., Petersen, T., Sørensen, H., & Overgaard, K. Neural drive increases following resistance training in patients with multiple sclerosis. Journal of neurology. 2013; 260(7), 1822-1832. Doi: 10.1007/s00415-013-6884-4. DOI: 10.1007/s00415-013-6884-4.

20. Khademosharie M, Tadibi V, Behpor N, Hamedinia MR. Effect of 12-week Endurance-resistance Training on Motor and Muscular Function, Degree of Disability, Fatigue, and Quality of Life in Multiple Sclerosis Patients. Iranian Journal of Epidemiology. 2018; 14 (1): 95-104. URL: http://irje.tums.ac.ir/article-1-5968-en.html.

21. Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of neurology. 1989; 46(10), 1121-1123. DOI: 10.1001/archneur.1989.00520460115022).

22. Irandoust K, Taheri M. The Impact of Yoga and Pilates Exercises on Older Adults. Salmand: Iranian Journal of Ageing. 2016; 11 (1):152-161. Doi: 10.21859/sija-1101152.

23. Ilbeigi S, Haghighi M, Nikseresht A, Mahjur M. The Effect of a Yoga Exercise Program on Muscle Fatigue and Balance Indices in Patients with Multiple Sclerosis. Sport Medicine Studies. 2021; 12 (28): 165-82. Doi: 10.22089/SMJ.2021.10266.1478.

24. Bastiaens H, Alders G, Feys P, Notelaers S, Coninx K, Kerkhofs L, Goedhart A. Facilitating robot-assisted training in Multiple sclerosis patients with arm paresis: a procedure to individually determine gravity compensation. Paper presented at the Rehabilitation Robotics (ICORR), 2011 IEEE International Conference on Rehabilitation Robotics. DOI: 10.1109/ICORR.2011.5975507.

25. Young HJ, Mehta TS, Herman C, Wang F, Rimmer JH. The effects of M2M and adapted yoga on physical and psychosocial outcomes in people with multiple sclerosis. Archives of physical medicine and rehabilitation. 2019; 1: 100(3):391- 400. DOI: 10.1016/j.apmr. 06.032

26. Abasıyanık, Z. Yigit, P. Ozdoğar, A.T. Ertekin, O. Ozakbas, S. A comparative study of the effects of yoga and clinical Pilates training on walking, cognition, respiratory functions, and quality of life in persons with multiple sclerosis: A quasi-experimental study. Explore, 2021, 17(5), 424–429. DOI: 10.1016/j.explore.2020.07.013.

27. Critchley DJ, Pierson Z, Battersby G. Effect of Pilates mat exercises and conventional exercise programmes on transversus abdominis and obliquus internus abdominis activity: pilot randomised trial. Manual therapy. 2011; 16(2):183-9. DOI: 10.1016/j.math.2010.10.007.

28. Sarbaz Yashar, Naderi Beni Kamran, Hosseininezhad Azar, Eftekharsadat Bina, Jahanjoo Aminabad Fatemeh. The effect of yoga practice on muscular strength improvement in patients with multiple sclerosis. International Journal of Therapy and Rehabilitation. 2020; 27(9): 1-10. https://doi.org/10.12968/ijtr.2019.0097.

29. DeBolt, L. S., & McCubbin, J. A. The effects of home-based resistance exercise on balance, power, and mobility in adults with multiple sclerosis. Archives of Physical Medicine and Rehabilitation. 2004; 85(2), 290-297. https://doi.org/10.1016/j.apmr.2003.06.003/.

30. Oken BS, Kishiyama S, Zajdel D.M Mass. Randomized controlled trial of yoga and exercise in multiple sclerosis. Neurology. 2004; 8; 62(11):2058-64. DOI: 10.1212/01.wnl.0000129534.88602.5c
Journal of Advances in Para-Sport Science
Volume 5, Issue 1 - Serial Number 12
Volume 5, Issue 2 will be published soon.......... Under Review: Digital and AI-Driven Transformation in Para-Sport Organizations: A Narrative... The Role of Shoulder Strength and Range of Motion in Predicting Shoulder ... Effects of 12 Weeks of Yoga versus Resistance Training on Premenstrual... Policy Approaches to Women with Disabilities in Sport across Asia: Between... Challenges of Measuring Intelligence in Athletes with Intellectual Impairments...
February 2025
Pages 123-132