Pilates for rehabilitation in patients with multiple sclerosis: A systematic review of effects on cognition, health-related physical fitness, general symptoms and quality of life (original) (raw)
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Journal of Physical Therapy Science, 2016
The aim of this study was to determine the effects of clinical Pilates in multiple sclerosis patients. [Subjects and Methods] Twenty multiple sclerosis patients were enrolled in this study. The participants were divided into two groups as the clinical Pilates and control groups. Cognition (Multiple Sclerosis Functional Composite), balance (Berg Balance Scale), physical performance (timed performance tests, Timed up and go test), tiredness (Modified Fatigue Impact scale), depression (Beck Depression Inventory), and quality of life (Multiple Sclerosis International Quality of Life Questionnaire) were measured before and after treatment in all participants. [Results] There were statistically significant differences in balance, timed performance, tiredness and Multiple Sclerosis Functional Composite tests between before and after treatment in the clinical Pilates group. We also found significant differences in timed performance tests, the Timed up and go test and the Multiple Sclerosis Functional Composite between before and after treatment in the control group. According to the difference analyses, there were significant differences in Multiple Sclerosis Functional Composite and Multiple Sclerosis International Quality of Life Questionnaire scores between the two groups in favor of the clinical Pilates group. There were statistically significant clinical differences in favor of the clinical Pilates group in comparison of measurements between the groups. Clinical Pilates improved cognitive functions and quality of life compared with traditional exercise. [Conclusion] In Multiple Sclerosis treatment, clinical Pilates should be used as a holistic approach by physical therapists.
Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review
Journal of Clinical Medicine, 2022
The Pilates Method is a rehabilitation tool with verified benefits in pain management, physical function, and quality of life in many different physiotherapy areas. It could be beneficial for patients with multiple sclerosis (pwMS). The aim of the study was to summarize current evidence for the effectiveness of Pilates in pwMS. A comprehensive search of Cinahl, Scopus, Web of Science, PEDro, and PubMed (including PubMed Central and Medline) was conducted to examine randomized controlled trials (RCT) that included Pilates intervention in multiple sclerosis. The PEDro scale and the Cochrane risk-of-bias tool, RoB-2, were used to evaluate risk of bias for RCT. Twenty RCT (999 patients) were included. Ten were of good quality (PEDro), and seven had low risk of bias (RoB-2). Pilates improves balance, gait, physical-functional conditions (muscular strength, core stability, aerobic capacity, and body composition), and cognitive functions. Fatigue, quality of life, and psychological functio...
International Journal of Clinical Trials, 2024
Existing literature supports various forms of exercise as appropriate for treating people with multiple sclerosis (MS) with mild or more severe symptoms. In recent years, Pilates is a form of therapeutic exercise used more and more often in rehabilitating people with MS. The purpose of this systematic review is to explore the effectiveness of the clinical Pilates method in adult people with MS. Research was performed in 4 scientific databases (PubMed/MEDLINE, ScienceDirect, PEDro and Scopus) using the following keywords: multiple sclerosis, MS, Pilates and Clinical Pilates. Inclusion criteria were studies randomized controlled, written in English, published in 2012-2022, with adult people with MS and where the intervention should have been only the Pilates method and the results had to be relevant to physiotherapy. The methodological quality of the studies included was assessed by PEDro Scale. From a total of 329 initial records, only 12 studies were included. Results show that Pilates can improve balance, gait, functionality, physical and cognitive capacity, quality of life and body composition in adult people with MS and with mild to moderate disability. Fatigue, anxiety and depression levels did not show clear improvement after the application of the Pilates exercises in comparison with other therapeutic exercises. Pilates is a safe method of exercise for adult people with MS and can improve many symptoms. It is necessary more research to be conducted so that the effectiveness of the Pilates exercises be explored further on different parameters in patients with MS, like fatigue.
Journal of Bodywork and Movement Therapies, 2021
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Physiotherapy and pilates in the functionality and quality of life of people with multiple sclerosis
Fisioterapia Brasil
Background: Multiple Sclerosis is a chronic progressive disease that affects the Central Nervous System, causing destruction of myelin, and like many autoimmune diseases, it should be caused by a combination of environmental and genetic factors. Objective: To evaluate the influence of conventional physical therapy and the Pilates method in patients with Relapsing Remitting MS (RRMS) on their daily activities and quality of life. Methods: We retrospectively analyzed 25 medical records of patients submitted to Pilates (group A with 12 patients) and physical therapy (group B with 13 patients) with only one technique for each group from 2018 to 2019. Some scales were used: the Berg Balance Scale, Modified Fatigue Impact Scale (MFIS), MRC Medical Research Council Scale (MRC), and Quality of Life in Multiple Sclerosis Scale (MSQOL-54). Results: With the significance level adopted for p < 0.05, by the Wilcoxon test, we obtained MFIS: conventional p = 0.030 and Pilates p = 0.005, BERG: c...
The effects of pilates on balance, mobility and strength in patients with multiple sclerosis
BACKGROUND: Although there are evidences as to Pilates developing dynamic balance, muscle strength and flexibility in healthy people, evidences related to its effects on Multiple Sclerosis patients are insufficient. OBJECTIVES: The aims of this study were to investigate the effects of Pilates on balance, mobility, and strength in ambulatory patients with Multiple Sclerosis. METHODS: Twenty six patients were divided into two groups as experimental (n = 18) and control (n = 8) groups for an 8-week treatment program. The experimental group underwent Pilates and the control group did abdominal breathing and active extremity exercises at home. Balance and mobility were measured with Berg Balance Scale and Timed up and go test, upper and lower muscle strength with hand-held dynamometer. Confidence in balance skills while performing daily activities was evaluated with Activities Specific Balance Confidence Scale. RESULTS: Improvements were observed in balance, mobility, and upper and lower extremity muscle strength in the Pilates group (p < 0.05). No significant differences in any outcome measures were observed in the control group (p > 0.05). CONCLUSION: Due to its structure which is made up of balance and strengthening exercises, Pilates training may develop balance, mobility and muscle strength of MS patients. For this reason, we think that, Pilates exercises which are appropriate for the disability level of the patient may be suggested.
Impact of Pilates Exercise in Multiple Sclerosis
International Journal of MS Care, 2018
CME/CNE Information Activity Available Online: To access the article, post-test, and evaluation online, go to http://www.cmscscholar.org Target Audience: The target audience for this activity is physicians, physician assistants, nursing professionals, and other health-care providers involved in the management of patients with multiple sclerosis (MS). Learning Objectives: Accreditation Statement: In support of improving patient care, this activity has been planned and implemented by the Consortium of Multiple Sclerosis Centers (CMSC) and Delaware Media Group. CMSC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Physician Credit The CMSC designates this journal-based activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensura...
Journal of Back and Musculoskeletal Rehabilitation, 2017
BACKROUND: The aim of our study is to examine effects of aerobic and Pilates exercises on disability, cognition, physical performance, balance, depression and fatigue in relapsing-remitting Multiple Sclerosis (MS) patients as compared to healthy controls. METHODS: The subjects were divided as aerobic exercise (n = 26), Pilates (n = 9), and the healthy control group (n = 21). We used MSFC, physical performance, Berg balance scale, Beck depression scale, fatique impact scale. All evaluations were performed before and after exercise training. RESULTS: There are statistically meaningful differences between Nine hole testing, PASAT 3, physical performance and fatique impact scale before and after aerobic exercise. Also we found significant difference for physical performance in the Pilates group. There are no significant differences in measures of fatique impact scale and depression between aerobic exercise group and the healthy controls after exercise. We found significant differences between Pilates and control group's after measurements except depression. There were significant differences between the Pilates and aerobic group for cognitive tests in favor of the Pilates group. CONCLUSION: Aerobic exercise and clinical Pilates exercises revealed moderate changes in levels of cognitive, physical performance, balance, depression, fatigue in MS patients.
Physical therapy, 2016
Pilates exercise is often undertaken by people with Multiple Sclerosis (MS) with balance and mobility difficulties. Primary aim was to compare12 weeks Pilates with Relaxation upon balance and mobility. Secondary aims were to compare (i) Standardised Exercises (SE) with Relaxation and (ii) Pilates with SE. Multi-centre, assessor-blinded, randomised controlled trial. Participants with Expanded Disability Status Scale (EDSS) 4.0-6.5 were randomly allocated to 12 weeks of Pilates, SE or Relaxation. Assessments were undertaken at baseline, weeks 12 and 16 (Primary outcome; 10 metre timed walk (10mtw)). 100 participants (mean age 54 years, 74% female) were randomised. Six relapsed (withdrawn), leaving 94 for intention to treat analysis. There was no significant difference between Pilates and Relaxation (p>0.05) in mean 10mtw. At 12 weeks there was a mean reduction of 4.2 seconds for SE compared with Relaxation (95% confidence interval (Relax minus SE): 0.0 to 8.4) and 3.7 seconds compa...