Parkinson hastalarında Pilates egzersizlerinin core kas kalınlığı, fiziksel performans ve yorgunluk üzerine etkisi: Randomize kontrollü bir çalışma

Öz

Amaç: Parkinson hastalığı (PH) olan hastalarda Pilates egzersizlerinin core kas kalınlığı, fiziksel performans, yorgunluk, günlük yaşam aktivitesi (GYA) ve yaşam kalitesi (YK) üzerindeki etkilerinin incelenmesi amaçlandı. Yöntem: Bu çalışma, Pilates veya kontrol grubuna rastgele atanan 34 hasta (her biri n=17) ile gerçekleştirildi. Pilates grubuna 8 hafta boyunca haftada 3 gün Pilates eğitimi verilirken, kontrol grubuna ev programı olarak solunum egzersizleri, aktif eklem hareket açıklığı egzersizleri ve gevşeme egzersizleri verildi. Core kas kalınlığı ultrasonografi ile, core stabilitesi, core kuvvet ve dayanıklılık testleri ile değerlendirildi. Alt ekstremite fonksiyonel kuvveti 5 Kez Otur-Kalk Testi ile, denge Berg Denge Skalası ile, fonksiyonel mobilite Zamanlı Kalk ve Yürü Testi ile, fonksiyonel egzersiz kapasitesi ise 6 Dakika Yürüme Testi ile değerlendirildi. Yorgunluk, Parkinson Yorgunluk Ölçeği-16 ile değerlendirildi. Bulgular: Pilates grubunda transversus abdominus ve multifidus kas kalınlıkları (sağ taraf multifidus kası hariç), fiziksel performans parametreleri, yorgunluk, GYA ve YK’de gelişme görüldü (p<0,05). Kontrol grubunda ise sadece GYA'da iyileşme görüldü (p<0,05). Sonuç: Sonuçlar, PH’li bireylerde Pilates sonrası core kas kalınlığının yanı sıra fiziksel performans, yorgunluk, GYA ve YK'de iyileşme olduğunu göstermektedir. Sonuç olarak, core bölge antrenmanı olan Pilates, core bölge kaslarını eğitmek ve fonksiyonel sonuçları, yorgunluğu ve günlük aktiviteleri iyileştirmek için kullanılabilir.

Anahtar Kelimeler

• Parkinson hastalığı
• Pilates egzersizleri
• Abdominal kaslar
• Fiziksel performans
• Core stabilite

Effect of Pilates exercises on core muscle thickness, physical performance, and fatigue in patients with Parkinson’s disease: A randomized controlled trial

Öz

Purpose: It was aimed to examine the effects of Pilates exercises on core muscle thickness, physical performance, fatigue, activities of daily living (ADL), and quality of life (QoL) in patients with Parkinson’s disease (PwPD). Methods: This study was conducted with 34 patients randomly assigned to the Pilates or Control group (n=17 each). The Pilates group received Pilates training 3 days a week for 8 weeks, while the control group received breathing exercises, active range of motion exercises, and relaxation exercises as a home program. Core muscle thickness was evaluated by ultrasonography and core stability was evaluated by core strength and endurance tests. Lower extremity functional strength was evaluated with the 5 Times Sit-Up Test, balance with the Berg Balance Scale, functional mobility with the Timed Up and Go Test, and functional exercise capacity with the 6-Minute Walk Test. Fatigue was evaluated with the Parkinson's Fatigue Scale-16,. Results: Transversus abdominus and multifidus muscle thicknesses (except for right side multifidus muscle), physical performance parameters, fatigue, ADL, and QoL improved in the Pilates group (p<0.05). In the control group, improvement was observed only in ADL (p<0.05). Conclusion: Results show core muscle thickness as well as improved physical performance, fatigue, ADL, and QoL after Pilates in PwPD. As a result, core-based training, Pilates, may be used to train core muscles and improve functional results, fatigue, and daily activities.

Anahtar Kelimeler

• Parkinson
• Pilates exercises
• Abdominal muscles
• Physical performance
• Core stability

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