Effects of combined Pilates and aquaplyometric exercises on postural control and physical functions in patients with multiple sclerosis
Abstract
Purpose: Postural control deficits in people with multiple sclerosis (MS) are common and aggravate in dual tasking. Spinal stabilization approaches like Pilates and aquaplyometric exercises may have a positive effect on postural control. We aimed to determine the effects of combined Pilates and aquaplyometric exercises on postural control with and without dual task and physical functions in people with MS with this study.
Materials and Methods: Twelve people with MS were recruited to 8-week combined exercise programme applied twice in a week and evaluated before and after the exercise training. Timed up and go test was performed for functional mobility and Biodex Balance System was used to evaluate the limits of stability (LoS) with and without a cognitive task. Upper limb functions were evaluated with nine-hole peg test (NHPT) and grip strength where 5-Repetition Sit-To-Stand (STS) and timed 25-Foot walk test were used for lower limb functions.
Results: Eight-week combined exercise programme improved postural control, upper limb functions and lower limb functions. Additionally, there was no significant difference between LoS tests scores with and without dual task.
Conclusion: Eight-week combined aquatic plyometrics and Pilates exercises were effective in improvement of postural control, upper and lower limb functions in people with MS.
Keywords
Kaynakça
- 1. Lanzetta D, Cattaneo D, Pellegatta D, Cardini R. Trunk control in unstablesitting posture during functional activities in healthy subjects and patients with multiple sclerosis. Arch Phys Med Rehabil 2004; 85(2): 279-83.
- 2. Nelson SR, Di Fabio RP, Anderson JH. Vestibular and sensory interaction deficits assessed by dynamic platform posturography in patients with multiple sclerosis. Ann Otol Rhinol Laryngol 1995; 104(1): 62-8.
- 3. Wajda DA, Sosnoff JJ. Cognitive-motor interference in multiple sclerosis: a systematic review of evidence, correlates, and consequences. Biomed Res Int 2015: 1-8.
- 4. Leone C, Patti F, Feys P. Measuring the cost of cognitive-motor dual tasking during walking in multiple sclerosis. Mult Scler 2015; 21(2): 123-31.
- 5. Hamilton F, Rochester L, Paul L, Rafferty D, O'leary C, Evans J. Walking and talking: an investigation of cognitive—motor dual tasking in multiple sclerosis. Mult Scler 2009; 15(10): 1215-27.
- 6. Dalgas U, Stenager E, Ingemann-Hansen T. Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance-and combined training. Mult Scler 2008; 14(1): 35-53.
- 7. Sá MJ. Exercise therapy and multiple sclerosis: a systematic review. Neurology 2014; 261(9): 1651-61.
- 8. Paltamaa J, Sjögren T, Peurala SH, Heinonen A. Effects of physiotherapy interventions on balance in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials. J Rehabil Med 2012; 44(10): 811-23.
- 9. 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(3): 361-7.
- 10. 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(4): 715-23.
