Polimiyozit’li Bireyde Klinik Pilates Ve Aerobik Egzersizlerinin Etkisi: Olgu Sunumu

Yıl 2024, , 9 - 14, 17.12.2024

Elif Gur Kabul , Bilge Başakcı Çalık , Veli Çobankara

https://doi.org/10.5281/zenodo.14506855

Öz

Amaç: Polimiyozit (PM)’li bir bireyde klinik pilates ve aerobik egzersizlerinin etkisini incelemekti.
Yöntem: 57 yaşındaki PM’li kadın medikal tedavisine ek uygulanan fizyoterapi programı (klinik pilates ve aerobik egzersizler) ile tedavi edildi. Mobilite zamanlı kalk yürü testi ile, denge Tek ayak üzerinde durma testi ile aerobik kapasite Bruce Treadmil Testi ile, alt ekstremite performansı otur-kalk testi ve Alt Ekstremite Fonksiyonel Skalası ile, disabilite Sağlık Değerlendirme Anketi ile, biyopsikososyal durum Bilişsel Egzersiz Terapi Yaklaşımı Ölçeği ile ve yaşam kalitesi Kısa Form-36 ile tedavi öncesi ve tedavi sonrasında değerlendirildi. PM’li bireye; Bruce Treadmil Test protokolü ile belirlenen maksimal kalp hızının %55-80’inde 40 dakikalık aerobik egzersiz ve sonrasında 20 tane Klinik Pilates egzersizleri haftada 3 gün 12 hafta boyunca uygulandı.
Sonuçlar: Tedavi sonrasında tedavi öncesine göre, değerlendirme parametrelerinin hepsinde iyileşme görülse de yüzdelik olarak en fazla iyileşme sırasıyla; Kısa Form-36’nın “Duygusal problemlere bağlı rol sınırlamaları” komponentinde % 6666, “Fiziksel Fonksiyon” komponentinde % 400, Tek ayak üzerinde durma testi-sağ’da % 265.37, Kısa Form-36’nın “Fiziksel problemlere bağlı rol sınırlamaları” komponentinde % 200 ve Tek ayak üzerinde durma testi-sol’da % 124.95 idi.
Tartışma: Klinik pilates ve aerobik egzersizlerden sonra PM’li bireyin laboratuar bulgularında herhangi bir kötüleşme olmadan tüm parametrelerde özellikle yaşam kalitesinin fiziksel fonksiyon, fiziksel problemler ve emosyonel problemlere bağlı limitasyonlar komponentlerinde ve dengede iyileşme elde edildi.

Anahtar Kelimeler

Polimiyozit, egzersiz, yaşam kalitesi.

The Effect of Clinical Pilates and Aerobic Exercises on an Individual with Polymyositis: A Case Report

Öz

Purpose: The aim was to examine the effects of clinical pilates and aerobic exercises in an individual with polymyositis (PM).
Methods: A 57-year-old woman with PM was treated with a physiotherapy program (clinical pilates and aerobic exercises) in addition to her medical treatment. Mobility was evaluated with timed up and go test, balance with one-leg standing test, aerobic capacity with Bruce Treadmil Test, lower extremity performance with chair-stand test and Lower Extremity Functional Scale, disability with Health Assessment Questionnaire, biopsychosocial status with Biopsychosocial Questionnaire and quality of life with Short Form-36 before and after treatment. The individual with PM was given 40 minutes of aerobic exercise at 55-80% of the maximum heart rate determined by the Bruce Treadmil Test protocol, and then 20 Clinical Pilates exercises, 3 days a week for 12 weeks.
Results: Although there was improvement in all evaluation parameters after treatment compared to before treatment, the highest improvement in percentage terms was 6666% in the "Role limitations due to emotional problems" component, 400% in the "Physical Functioning" component of Short Form-36, 265.37% in one-leg standing test-right, 200% in the "Role limitations due to physical problems" component of Short Form-36, and 124.95% in one-leg Standing Test-left, respectively.
Conclusion: After clinical pilates and aerobic exercises, an improvement was achieved in all parameters, especially in the physical function, limitations due to physical problems and emotional problems components of the quality of life and balance, without any worsening in the laboratory findings of the individual with PM.

Anahtar Kelimeler

Polymyositis, exercise, quality of life.

Kaynakça

• 1. Wiesinger GF, Quittan M, Nuhr M, et al. Aerobic capacity in adult dermatomyositis/polymyositis patients and healthy controls. Arch Phys Med Rehabil 2000;81:1Y5.
• 2. Plotz PH, Dalakas M, Leff RL, Love LA, Miller FW, Cronin ME. Current concepts in the idiopathic inflammatory myopathies: polymyositis, dermatomyositis, and related disorders. Ann Intern Med 1989;111:143–57.
• 3. Henriksson KG, Sandstedt P. Polymyositis: treatment and prognosis. A study of 107 patients. Acta Neurol Scand 1982;65: 280–300.
• 4. Wiesinger GF, Quittan M, Aringer M, et al. Improvement of physical fitness and muscle strength in polymyositis/dermatomyositis patients by a training programme. Br J Rheumatol 1998;37:196–200.
• 5. Alexanderson H, Stenstrom CH, Jenner G, Lundberg I. The safety of a resistive home exercise program in patients with recent onset active polymyositis or dermatomyositis. Scand J Rheumatol 2000;29:295–301.
• 6. Herman T, Giladi N, Hausdorff JM. Properties of the “Timed Up and Go” test: More than meets the eye. Gerontology 2011;57(3):203-10.
• 7. Vellas BJ, Wayne SJ, Romero L, Baumgartner RN, Rubenstein LZ, Garry PJ. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc 1997; 45(6):735-8.
• 8. Bruce RA, Blackmon JR, Jones JW, Strait G. Exercising testing in adult normal subjects and cardiac patients. Pediatrics 1963;32:742–756.
• 9. Jones CJ, Rikli RE, Beam WC. A 30-s Chair-Stand Test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 1999;70:113-119.
• 10. Citaker S, Kafa N, Kanik ZH, et al. Translation, cross-cultural adaptation and validation of the Turkish version of the Lower Extremity Functional Scale on patients with knee injuries. Arch Orthop Trauma Surg 2016;136 (3):389-395.
• 11. Fries JF, Spitz PW, Young DY. The dimensions of health outcomes: the health assessment questionnaire, disability and pain scales. J Rheumatol 1982;9(5):789-93.
• 12. Unal E, Arın G, Karaca NB, Kiraz S, Akdoğan A, Kalyoncu U, et al. Development of a quality of life measurement for rheumatic patients: item pool construction. JETR 2017;4: 67-75.
• 13. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (Sf-36): I. conceptual framework and item selection. Med Care 1992;30(6):473-83.
• 14. Babić-Naglić D. Exercises in patients with myositis--active treatment intervention? Reumatizam 2012;59(2):73-6.
• 15. Alexanderson H, Munters LA, Dastmalchi M, Loell I, Heimbürger M, Opava CH, et al. Resistive home exercise in patients with recent-onset polymyositis and dermatomyositis – a randomized controlled single-blinded study with a 2-year follow up. J Rheumatol 2014;41:1124–1132
• 16. Munters LA, Dastmalchi M, Katz A, Esbjörnsson M, Loell I, Hanna B, et al. Improved exercise performance and increased aerobic capacity after endurance training of patients with stable polymyositis and dermatomyositis. Arthritis Res Ther 2013;15:R83
• 17. Dalise S, Bertolucci F, Simonella C, Rossi B, Chisari C. Intensive aerobic training improves motor performances and oxidative metabolism efficiency in chronic polymyositis: a case report. Neuromuscul Disord 2012;22(3):S221-5
• 18. Latey P. The Pilates method: history and philosophy. J Bodyw Mov Ther 2001;5(4):275–282
• 19. de Aguiar AS, do Amaral JN, Carvalho CA, de Araújo WN, Sales MSC, Portilho JA, et al. Effects of pilates method in fibromyalgia patients: an integrative review. Int J Dev Res 2020;10(6):37378-37381.
• 20. Rodríguez-López ES, Garnacho-Garnacho VE, Guodemar-Pérez J, García-Fernández P, Ruiz-López M. One Year of Pilates Training for Ankylosing Spondylitis: A Pilot Study. J Altern Complement Med 2019;25(10):1054-1061.