Aerobic exercise and clinical Pilates exercises revealed moderate changes in levels of cognitive, physical performance, balance, depression, fatigue in MS patients.
[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.
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