The effects of Clinical Pilates training on walking, balance, fall risk, respiratory, and cognitive functions in persons with multiple sclerosis: A randomized controlled trial

Abasıyanık, Zuhal; Ertekin, Özge; Kahraman, Turhan; Yiğit, Pınar; Özakbaş, Serkan

doi:10.1016/j.explore.2019.07.010

Cited by 41 publications

(62 citation statements)

References 34 publications

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“…Nevertheless, the improvement in postural sway with eyes-closed (m-CTSIB) and on foam surface (BESSTest) conditions is also an indicator of the development of the proprioceptive sense provided by PBCST in both groups. While studies support our evidence that postural sway improves after Pilates training, 14,30 only one study has demonstrated that Pilates did not improve postural stability. 15 Unlike our study, the median age of the sample was quite high, and some determinant information about the exercise was not known.…”

Section: Discussionsupporting

confidence: 55%

“…The sample size was determined as 19 people for each group using the curl-up test effect size (ES): 1.26, mean difference (MD): 8.88, and standard deviation (SD): 7.02) 14 in the G*Power program 17 with a 5% margin of error and 95% power. We planned to recruit 25 people for each group because of the possible dropouts.…”

Section: Methodsmentioning

confidence: 99%

“…Several studies have been found about the effects of Pilates or core stabilization training on core stability, balance, physical capacity, and fatigue in PwMS. 12,14–16 Still, no studies have investigated the effects of supervised versus home PBCST. In PBCST, various corrections are performed by the therapist using auditory and tactile stimuli related to breathing, TrA activation, body alignment, attention, and focus on movement.…”

Section: Introductionmentioning

confidence: 99%

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The effects of supervised versus home Pilates-based core stability training on lower extremity muscle strength and postural sway in people with multiple sclerosis

et al. 2021

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Background: Pilates-based core stability training (PBCST) is a controlled form of exercise that may improve the transmission of torque from the upper extremities and trunk to the lower extremities by enabling the core muscles to activate effectively. Objectives: The aim of this study was to investigate the effects of PBCST given as supervised or home-based on lower extremity strength and postural control in multiple sclerosis. Methods: Fifty individuals were enrolled and randomly allocated into two groups. Primary outcome measures were knee muscle strength and postural sway in different conditions. The supervised group received PBCST 2 days per week for 8 weeks at the clinic, and the other group performed PBCST at home. Exercises were progressed every 2 weeks in both groups. Results: Between groups, the supervised group was mostly superior to the home group ( p < 0.05). A significant improvement was noted in all parameters in both groups, except some sub-parameters of postural sway in home PBCST ( p < 0.05). Conclusions: Supervised PBCST was determined to be more effective than home PBCST in improving strength, postural control, core stability, physical capacity, and fatigue. Although supervised training is the primary choice, home training can be recommended to patients who have limitations attending supervised sessions.

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Section: Discussionsupporting

confidence: 55%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effects of supervised versus home Pilates-based core stability training on lower extremity muscle strength and postural sway in people with multiple sclerosis

et al. 2021

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“…Another 93 potential articles were removed after the title and abstract review. Forty-five full texts were reviewed, and twenty articles [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] were used in the analysis based on inclusion and exclusion criteria. Figure 1 shows the PRISMA selection process flow chart [24].…”

Section: Resultsmentioning

confidence: 99%

“…Significant improvement compared with physician care [30] or with 1-h massage [38] • No significant differences between Pilates and rebound therapy [45] or aquatic therapy [47] Gait • Significant improvement [28,31,32,34,[36][37][38]40,43,44] • Significant improvement compared with standard physiotherapy care [31] or with home relaxation exercises [32] • No significant improvement [42] • Significant improvement in standardized exercises group compared to Pilates group [43] Physical-functional conditions • No significant improvement in post-intervention Pilates group, but there was in aerobic exercise group [42] (no difference between groups)…”

mentioning

confidence: 99%

Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review

Fuentes

Silveira-Pereira²,

Ferradáns-Rodríguez³

et al. 2022

JCM

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The Pilates Method is a rehabilitation tool with verified benefits in pain management, physical function, and quality of life in many different physiotherapy areas. It could be beneficial for patients with multiple sclerosis (pwMS). The aim of the study was to summarize current evidence for the effectiveness of Pilates in pwMS. A comprehensive search of Cinahl, Scopus, Web of Science, PEDro, and PubMed (including PubMed Central and Medline) was conducted to examine randomized controlled trials (RCT) that included Pilates intervention in multiple sclerosis. The PEDro scale and the Cochrane risk-of-bias tool, RoB-2, were used to evaluate risk of bias for RCT. Twenty RCT (999 patients) were included. Ten were of good quality (PEDro), and seven had low risk of bias (RoB-2). Pilates improves balance, gait, physical-functional conditions (muscular strength, core stability, aerobic capacity, and body composition), and cognitive functions. Fatigue, quality of life, and psychological function did not show clear improvement. There was good adherence to Pilates intervention (average adherence ≥ 80%). Cumulative data suggest that Pilates can be a rehabilitation tool for pwMS. High adherence and few adverse effects were reported. Future research is needed to develop clinical protocols that could maximize therapeutic effects of Pilates for pwMS.

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Interventions to improve outdoor mobility among people living with disabilities: A systematic review

Ringsten,

Ivanic,

Iwarsson

et al. 2024

Campbell Systematic Reviews

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BackgroundAround 15% of the global population live with some form of disabilities and experience worse health outcomes, less participation in the community and are part of fewer activities outside the home. Outdoor mobility interventions aim to improve the ability to move, travel and orient outside the home and could influence the number of activities outside the home, participation and quality of life. However, outdoor mobility interventions may also lead to harm like falls or injuries or have unforeseen effects which could lead to mortality or hospitalization.ObjectivesTo assess the efficacy of interventions aiming to improve outdoor mobility for adults living with disabilities and to explore if the efficacy varies between different conditions and different intervention components.Search MethodsStandard, extensive Campbell search methods were used, including a total of 12 databases searched during January 2023, including trial registries.Selection CriteriaOnly randomized controlled trials were included, focusing on people living with disabilities, comparing interventions to improve outdoor mobility to control interventions as well as comparing different types of interventions to improve outdoor mobility.Data Collection and AnalysisStandard methodological procedures expected by Campbell were used. The following important outcomes were 1. Activity outside the home; 2. Engagement in everyday life activities; 3. Participation; 4. Health‐related Quality of Life; 5. Major harms; 6. Minor harms. The impact of the interventions was evaluated in the shorter (≤6 months) and longer term (≥7 months) after starting the intervention. Results are presented using risk ratios (RR), risk difference (RD), and standardized mean differences (SMD), with the associated confidence intervals (CI). The risk of bias 2‐tool and the GRADE‐framework were used to assess the certainty of the evidence.Main ResultsThe screening comprised of 12.894 studies and included 22 studies involving 2.675 people living with disabilities and identified 12 ongoing studies. All reported outcomes except one (reported in one study, some concerns of bias) had overall high risk of bias. Thirteen studies were conducted in participants with disabilities due to stroke, five studies with older adults living with disabilities, two studies with wheelchair users, one study in participants with disabilities after a hip fracture, and one study in participants with cognitive impairments.Skill training interventions versus control interventions (16 studies)The evidence is very uncertain about the benefits and harms of skill training interventions versus control interventions not aimed to improve outdoor mobility among all people living with disabilities both in the shorter term (≤6 months) and longer term (≥7 months) for Activity outside the home; Participation; Health‐related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. Skill training interventions may improve engagement in everyday life activities among people with disabilities in the shorter term (RR: 1.46; 95% CI: 1.16 to 1.84; I2 = 7%; RD: 0.15; 95% CI: −0.02 to 0.32; I2 = 71%; 692 participants; three studies; low certainty evidence), but the evidence is very uncertain in the longer term, based on very low certainty evidence. Subgroup analysis of skill training interventions among people living with disabilities due to cognitive impairments suggests that such interventions may improve activity outside the home in the shorter term (SMD: 0.44; 95% CI: 0.07 to 0.81; I2 = NA; 118 participants; one study; low certainty evidence). Subgroup analysis of skill training interventions among people living with cognitive impairments suggests that such interventions may improve health‐related quality of life in the shorter term (SMD: 0.49; 95% CI: 0.12 to 0.88; I2 = NA; 118 participants; one study; low certainty evidence).Physical training interventions versus control interventions (five studies)The evidence is very uncertain about the benefits and harms of physical training interventions versus control interventions not aimed to improve outdoor mobility in the shorter term (≤6 months) and longer term (≥7 months) for: Engagement in everyday life activities; Participation; Health‐related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. Physical training interventions may improve activity outside the home in the shorter (SMD: 0.35; 95% CI: 0.08 to 0.61; I2 = NA; 228 participants; one study; low certainty evidence) and longer term (≥7 months) (SMD: 0.27; 95% CI: 0.00 to 0.54; I2 = NA; 216 participants; one study; low certainty evidence).Comparison of different outdoor mobility interventions (one study)The evidence is very uncertain about the benefits and harms of outdoor mobility interventions of different lengths in the shorter term (≤6 months) and longer term (≥7 months) for Activity outside the home; Engagement in everyday life activities; Participation; Health‐related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. No studies explored the efficacy of other types of interventions.Authors’ ConclusionsTwenty‐two studies of interventions to improve outdoor mobility for people living with disabilities were identified, but the evidence still remains uncertain about most benefits and harms of these interventions, both in the short‐ and long term. This is primarily related to risk of bias, small underpowered studies and limited reporting of important outcomes for people living with disabilities. For people with disabilities, skill training interventions may improve engagement in everyday life in the short term, and improve activity outside the home and health‐related quality of life for people with cognitive impairments in the short term. Still, this is based on low certainty evidence from few studies and should be interpreted with caution. One study with low certainty evidence suggests that physical training interventions may improve activity outside the home in the short term. In addition, the effect sizes across all outcomes were considered small or trivial, and could be of limited relevance to people living with disabilities. The evidence is currently uncertain if there are interventions that can improve outdoor mobility for people with disabilities, and can improve other important outcomes, while avoiding harms. To guide decisions about the use of interventions to improve outdoor mobility, future studies should use more rigorous design and report important outcomes for people with disabilities to reduce the current uncertainty.

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The effects of Clinical Pilates training on walking, balance, fall risk, respiratory, and cognitive functions in persons with multiple sclerosis: A randomized controlled trial

Cited by 41 publications

References 34 publications

The effects of supervised versus home Pilates-based core stability training on lower extremity muscle strength and postural sway in people with multiple sclerosis

The effects of supervised versus home Pilates-based core stability training on lower extremity muscle strength and postural sway in people with multiple sclerosis

Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review

Interventions to improve outdoor mobility among people living with disabilities: A systematic review

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