تأثیر تمرینات بازتوانی شناختی و حرکتی با تحریک شنیداری بر کارکرد اجرایی و خودکارآمدی درد زنان مبتلا به ام‌اس

Cognitive impairments are among the primary factors limiting activity and participation in individuals with multiple sclerosis (MS). Rehabilitation interventions are considered an effective approach to alleviating MS-related symptoms. The present study aimed to examine the effects of cognitive rehabilitation training and rhythmic auditory stimulation on cold executive functions and pain self-efficacy in women with MS.The study sample comprised 30 women with MS, selected through purposive sampling based on predefined inclusion criteria. Participants completed the Expanded Disability Status Scale (EDSS) and the Mini-Mental State Examination (MMSE) before being randomly assigned to two intervention groups: cognitive rehabilitation training and rhythmic auditory stimulation rehabilitation. Both groups underwent an 8-week intervention, with three 60-minute sessions per week. Pre-test and post-test assessments included the Pain Self-Efficacy Questionnaire, the N-Back working memory task, and the Go/No-Go task. The results of repeated measures analysis of variance showed that after removing the pre-test effect, in the post-test, the two groups made significant progress in the variables of working memory, presentation error, and omission error. Cognitive rehabilitation exercises have a significantly greater effect on improving cold executive functions and pain self-efficacy in women with MS. It is suggested that these exercises be used in the rehabilitation of people with MS.