Improvements in cognition, quality of life, and physical performance with clinical Pilates in multiple sclerosis: a randomized controlled trial

Fadime Küçük, Bilge Kara, Esra Çoşkuner Poyraz, Egemen İdiman, Fadime Küçük, Bilge Kara, Esra Çoşkuner Poyraz, Egemen İdiman

Abstract

[Purpose] The aim of this study was to determine the effects of clinical Pilates in multiple sclerosis patients. [Subjects and Methods] Twenty multiple sclerosis patients were enrolled in this study. The participants were divided into two groups as the clinical Pilates and control groups. Cognition (Multiple Sclerosis Functional Composite), balance (Berg Balance Scale), physical performance (timed performance tests, Timed up and go test), tiredness (Modified Fatigue Impact scale), depression (Beck Depression Inventory), and quality of life (Multiple Sclerosis International Quality of Life Questionnaire) were measured before and after treatment in all participants. [Results] There were statistically significant differences in balance, timed performance, tiredness and Multiple Sclerosis Functional Composite tests between before and after treatment in the clinical Pilates group. We also found significant differences in timed performance tests, the Timed up and go test and the Multiple Sclerosis Functional Composite between before and after treatment in the control group. According to the difference analyses, there were significant differences in Multiple Sclerosis Functional Composite and Multiple Sclerosis International Quality of Life Questionnaire scores between the two groups in favor of the clinical Pilates group. There were statistically significant clinical differences in favor of the clinical Pilates group in comparison of measurements between the groups. Clinical Pilates improved cognitive functions and quality of life compared with traditional exercise. [Conclusion] In Multiple Sclerosis treatment, clinical Pilates should be used as a holistic approach by physical therapists.

Keywords: Clinical Pilates; Cognition; Multiple sclerosis.

Figures

Fig. 1.
Fig. 1.
Flowchart of the study

References

    1. Güner S, Hagharı S, Inanıcı F, et al. : Knee muscle strength in multiple sclerosis: relationship with gait characteristics. J Phys Ther Sci, 2015, 27: 809–813.
    1. Cruz-Ferreira A, Fernandes J, Laranjo L, et al. : A systematic review of the effects of pilates method of exercise in healthy people. Arch Phys Med Rehabil, 2011, 92: 2071–2081.
    1. Akuthota V, Ferreiro A, Moore T, et al. : Core stability exercise principles. Curr Sports Med Rep, 2008, 7: 39–44.
    1. Torabipour A, Ahmadi Asl Z, Majdinasab N, et al. : A study on the direct and indirect costs of multiple sclerosis based on EDSS score in Khuzestan, Iran. Int J Prev Med, 2014, 1: 1132–1139.
    1. Meyer-Moock S, Feng YS, Maeurer M, et al. : Systematic literature review and validity evaluation of the Expanded Disability Status Scale (EDSS) and the Multiple Sclerosis Functional Composite (MSFC) in patients with multiple sclerosis. BMC Neurol, 2014, 14: 58.
    1. Coote S, Garrett M, Hogan N, et al. : Getting the balance right: a randomised controlled trial of physiotherapy and Exercise Interventions for ambulatory people with multiple sclerosis. BMC Neurol, 2009, 9: 34.
    1. Nilsagård YE, von Koch LK, Nilsson M, et al. : Balance exercise program reduced falls in people with multiple sclerosis: a single-group, pretest-posttest trial. Arch Phys Med Rehabil, 2014, 95: 2428–2434.
    1. Harding VR, Williams AC, Richardson PH, et al. : The development of a battery of measures for assessing physical functioning of chronic pain patients. Pain, 1994, 58: 367–375.
    1. NilsagÅrd Y, Carling A, Forsberg A: Activities-specific balance confidence in people with multiple sclerosis. Mult Scler Int, 2012; 2012.
    1. Verheyden G, Nuyens G, Nieuwboer A, et al. : Reliability and validity of trunk assessment for people with multiple sclerosis. Phys Ther, 2006, 86: 66–76.
    1. Vore ME, Elgelid S, Bolger S, et al. : Impact of a 10-week individualized exercise program on physical function and fatigue of people with multiple sclerosis: a pilot study. Int J MS Care, 2011, 13: 121–126.
    1. Baumstarck K, Butzkueven H, Fernández O, et al. : Responsiveness of the Multiple Sclerosis International Quality of Life questionnaire to disability change: a longitudinal study. Health Qual Life Outcomes, 2013, 11: 127.
    1. Dorado C, Calbet JA, Lopez-Gordillo A, et al. : Marked effects of Pilates on the abdominal muscles: a longitudinal magnetic resonance imaging study. Med Sci Sports Exerc, 2012, 44: 1589–1594.
    1. Kim BI, Jung JH, Shim J, et al. : An analysis of muscle activities of healthy women during pilates exercises in a prone position. J Phys Ther Sci, 2014, 26: 77–79.
    1. Di Lorenzo CE: Pilates: what is it? Should it be used in rehabilitation? Sports Health, 2011, 3: 352–361.
    1. Pata RW, Lord K, Lamb J: The effect of Pilates based exercise on mobility, postural stability, and balance in order to decrease fall risk in older adults. J Bodyw Mov Ther, 2014, 18: 361–367.
    1. Barker AL, Bird ML, Talevski J: Effect of pilates exercise for improving balance in older adults: a systematic review with meta-analysis. Arch Phys Med Rehabil, 2015, 96: 715–723.
    1. Sun J, Kanagawa K, Sasaki J, et al. : Tai chi improves cognitive and physical function in the elderly: a randomized controlled trial. J Phys Ther Sci, 2015, 27: 1467–1471.
    1. Song CS: Relationships between physical and cognitive functioning and activities of daily living in children with cerebral palsy. J Phys Ther Sci, 2013, 25: 619–622.
    1. Laitman BM, John GR: Understanding how exercise promotes cognitive integrity in the aging brain. PLoS Biol, 2015, 13:e1002300.
    1. Takeda A: Neuropsychological tests in multiple sclerosis. Jpn J Clin Med, 2014, 72: 1989–1994.
    1. Freeman J, Fox E, Gear M, et al. : Pilates based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial. BMC Neurol, 2012, 12: 19.
    1. Marandi SM, Nejad VS, Shanazari Z, et al. : A comparison of 12 weeks of pilates and aquatic training on the dynamic balance of women with mulitple sclerosis. Int J Prev Med, 2013, 4: S110–S117.
    1. Latimer-Cheung AE, Pilutti LA, Hicks AL, et al. : Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development. Arch Phys Med Rehabil, 2013, 94: 1800–1828.e3.
    1. Tarakci E, Yeldan I, Huseyinsinoglu BE, et al. : Group exercise training for balance, functional status, spasticity, fatigue and quality of life in multiple sclerosis: a randomized controlled trial. Clin Rehabil, 2013, 27: 813–822.

Source: PubMed

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