Effects of Modified Pilates Training on Hemodynamic Responses in Children with Cerebral Palsy: A Single-Blinded Randomised Controlled Study

Year 2024, Volume: 6 Issue: 3, 426 - 434

Hatice Adıgüzel , Bülent Elbasan

https://doi.org/10.37990/medr.1529430

Abstract

Aim: This study aimed to ascertain the impact of Modified Pilates Exercises (MPE) and neurodevelopmental therapy (NDT) on hemodynamic response in children with Cerebral Palsy (CP).
Material and Method: We randomly assigned 18 CP children between expanded and revised gross motor function categorization system (GMFCS-E&R) I–III to study (MPE) and control (NDT) groups. Tests for core stability, the 6-minute walk test (6MWT), and the pressure biofeedback unit test (PBU) were conducted. Prior to and following the 6MWT and physiotherapy sessions, hemodynamic responses, including heart rate (HR), respiration rate (RR), and blood pressure (BP), were assessed before (BPT) and after physiotherapy (APT).
Results: There was a significant difference observed in the MPE group's BP (sistolic) of 6MWT (post) (p=0.006), the modified side bridge (MSBT) test (p<0.05), the sit-ups test (p=0.011), the pressure biofeedback unit test (p=0.024), and the abdominal fatigue test (AFT) (p=0.014) APT. The Modified Biering Sorensen Trunk Extensor Test (MBSTET) (p<0.001), MSBT (p=0.034), AFT (p=0.002), PBU (p=0.015), SUT (p<0.001), Modified Push Ups Test (MPUT) (p=0.018), BP (sistolic) of 6MWT (post) (p=0.007) following the walk, and RR (p=0.005) before and after 6MWT (p=0.006) in the MPE group were all significantly different APT, according to the initial measurements of the percentage changes.
Conclusion: When compared to NDT, MPEs have a favorable impact on core stability muscles, transversus abdominus (TrAb) activity, and hemodynamic and respiratory responses in children with CP.

Keywords

Cerebral palsy, core, hemodynamics, modified pilates, transversus abdominus

Ethical Statement

This study was approved by the Gazi University Ethics Commission (2022/09-The research number:2022-634), and performed acoording to the principles of the Declaration of Helsinki. The clinical trial number is NCT05221307.

Supporting Institution

This research did not receive any funding.

Thanks

We thank the children who participated in this study.

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