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.

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

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.

Kaynakça

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