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Multipl sklerozlu hastalarda kombine Pilates ve akuapliyometrik egzersizlerin postural kontrol ve fiziksel fonksiyonlara etkisi

Year 2020, Volume: 45 Issue: 1, 148 - 156, 31.03.2020
https://doi.org/10.17826/cumj.631595

Abstract

Amaç: Multipl sklerozlu hastalarda (MSH) postüral kontrol defisitleri yaygındır ve ikili görevle artmaktadır. Pilates ve akuapliyometrik egzersizler gibi spinal stabilizasyon yaklaşımlarının postüral kontrole olumlu etkileri olabilir. Biz bu çalışmada MSH'de kombine Pilates ve akuapliyometrik egzersizlerin ikili görev verilerek ve verilmeden postüral kontrole ve fiziksel fonksiyonlara etkisini belirlemeyi amaçladık.
Gereç ve Yöntem: On iki MSH haftada 2 gün uygulanan 8 haftalık kombine egzersiz programına alındı ve egzersiz eğitimi öncesi ve sonrasında değerlendirildi. Zamanlı kalk yürü testi fonksiyonel mobilite için uygulandı ve kognitif görevle ve görev verilmeden kararlılık sınırlarını (LoS) değerlendirmek için Biodex denge sistemi kullanıldı. Üst ekstremite fonksiyonlarını değerlendirmek için dokuz delikli test (NHPT) ve handgrip kullanılırken, alt ekstremite fonksiyonları için 5 tekrarlı otur kalk testi (STS) ve zamanlı 25 adım testi kullanıldı.
Bulgular: Sekiz haftalık kombine egzersiz programı postüral kontrolü, üst ve alt ekstremite fonksiyonlarını geliştirdi. Ayrıca, ikili görev verilerek ve verilmeden bakılan LoS skorları arasında anlamlı fark yoktu.
Sonuç: Sekiz haftalık kombine akuatik pliyometrikler ve Pilates egzersizleri MSH'de postüral konrolü, üst ve alt ekstremite fonksiyonlarını geliştirmede etkilidir.

References

  • 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.
  • 11. Marandi SM, Nejad VS, Shanazari Z, Zolaktaf V. A comparison of 12 weeks of Pilates and aquatic training on the dynamic balance of women with multiple sclerosis. J Prev Med 2013; 4(1): 110-7.
  • 12. Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: a systematic review. Complement Ther Clin Pract 2012; 20(4): 253-62.
  • 13. Küçük F, Kara B, Poyraz EÇ, İdiman E. Improvements in cognition, quality of life, and physical performance with clinical Pilates in multiple sclerosis: a randomized controlled trial. J Phys Ther Sci 2016; 28(3): 761-8.
  • 14. Asadi A, Saez de Villarreal E, Arazi H. The effects of plyometric type neuromuscular training on postural control performance of male team basketball players. J Strength Cond Res 2015; 29(7): 1870-5.
  • 15. Atanasković A, Georgiev M, Mutavdzić V. The impact of plyometrics and aqua plyometrics on the lower extremities explosive strength in children aged 11-15. Res Kin 2015; 43(1): 111-4.
  • 16. Johnson BA, Salzberg C, MacWilliams BA, Shuckra AL, D'Astous JL. Plyometric training: effectiveness and optimal duration for children with unilateral cerebral palsy. Pediatric Phys Ther 2014; 26(2): 169-79.
  • 17. Barker AL, Talevski J, Morello RT, Brand CA, Rahmann AE, Urquhart DM. Effectiveness of aquatic exercise for musculoskeletal conditions: a meta-analysis. Arch Phys Med Rehabil 2014; 95(9): 1776-86.
  • 18. Kobak MS, Rebold MJ, DeSalvo R, Otterstetter R. A comparison of aquatic-vs. land-based plyometrics on various performance variables. Int J Exerc Sci 2015; 8(2): 134-44.
  • 19. Arazi H, Coetzee B, Asadi A. Comparative effect of land and aquatic based plyometric training on the jumping ability and agility of young basketball players. S Afr J Res Sport Ph 2012; 34(2): 1-14.
  • 20. Tomruk MS, Uz MZ, Kara B, İdiman E. Effects of Pilates exercises on sensory interaction, postural control and fatigue in patients with multiple sclerosis. Mult Scler Relat Disord 2016; 7: 70-3.
  • 21. Sherafat S, Salavati M, Takamjani IE, Akhbari B, Mohammadirad S, Mazaheri M et al. Intrasession and intersession reliability of postural control in participants with and without nonspecific low back pain using the Biodex Balance System. J Manipulative Physiol Ther 2013; 36(2): 111-8.
  • 22. Feys P, Lamers I, Francis G, Benedict R, Phillips G, LaRocca N et al. Multiple Sclerosis Outcome Assessments Consortium. The Nine-Hole Peg Test as a manual dexterity performance measure for multiple sclerosis. Mult Scler 2017; 23(5): 711-20.
  • 23. Severijns D, Lamers I, Kerkhofs L, Feys P. Hand grip fatigability in persons with multiple sclerosis according to hand dominance and disease progression. J Rehabil Med 2015; 47(2): 154-60.
  • 24. Sebastião E, Sandroff BM, Learmonth YC, Motl RW. Validity of the timed up and go test as a measure of functional mobility in persons with multiple sclerosis. Arch Phys Med Rehabil 2016; 97(7): 1072-7.
  • 25. Møller AB, Bibby BM, Skjerbæk AG, Jensen E, Sørensen H, Stenager E et al. Validity and variability of the 5-repetition sit-to-stand test in patients with multiple sclerosis. Disabil Rehabil 2012; 34(26): 2251-8.
  • 26. Motl RW, Cohen JA, Benedict R, Phillips G, LaRocca N, Hudson LD et al. Multiple Sclerosis Outcome Assessments Consortium. Validity of the timed 25-foot walk as an ambulatory performance outcome measure for multiple sclerosis. Mult Scler 2017; 23(5): 704-10.
  • 27. Ganesan M, Kanekar N, Aruin AS. Direction-specific impairments of limits of stability in individuals with multiple sclerosis. Ann Phys Rehabil Med 2015; 58(3): 145-50.
  • 28. Comber L, Galvin R, Coote S. Gait deficits in people with multiple sclerosis: A systematic review and meta-analysis. Gait Posture 2017; 51: 25-35.
  • 29. Carling A, Forsberg A, Gunnarsson M, Nilsagård Y. CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study. Mult Scler 2017; 23(10): 1394-404.
  • 30. Azimzadeh E, Hosseini MA, Nourozi K, Davidson PM. Effect of Tai Chi Chuan on balance in women with multiple sclerosis. Complement Ther Clin 2015; 21(1): 57-60.
  • 31. Frevel D, Mäurer M. Internet-based home training is capable to improve balance in multiple sclerosis: a randomized controlled trial. Eur J Phys Rehabil Med 2015; 51(1): 23-30.
  • 32. Ortiz-Gutiérrez R, Cano-de-la-Cuerda R, Galán-del-Río F, Alguacil-Diego IM, Palacios-Ceña D, Miangolarra-Page JC. A telerehabilitation program improves postural control in multiple sclerosis patients: a Spanish preliminary study. Int J Environ Res Public Health 2013; 10(11): 5697-710.
  • 33. Gunn H, Markevics S, Haas B, Marsden J, Freeman J. Systematic review: the effectiveness of interventions to reduce falls and improve balance in adults with multiple sclerosis. Arch Phys Med Rehabil 2015; 96(10): 1898-912.
  • 34. Bulguroglu I, Güçlü-Gündüz A, Yazıcı G, Özkul C, Irkeç C, Nazlıel B et al. The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study. NeuroRehabilitation 2017; 41(2): 413-22.
  • 35. Kalron A, Rosenblum U, Frid L, Achiron A. Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: A randomized controlled trial. Clin Rehabil 2017; 31(3): 319-28.
  • 36. Prosperini L, Kouleridou A, Petsas N, Leonardi L, Tona F, Pantano P et al. The relationship between infratentorial lesions, balance deficit and accidental falls in multiple sclerosis. J Neurol Sci 2011; 304(1-2): 55-60.
  • 37. Sayer AA, Kirkwood TB. Grip strength and mortality: a biomarker of ageing? Lancet 2015; 386(9990): 226-7.
  • 38. Lamers I, Maris A, Severijns D, Dielkens W, Geurts S, Van Wijmeersch B et al. Upper limb rehabilitation in people with multiple sclerosis: a systematic review. Neurorehabil Neural Repair 2016; 30(8): 773-93.
  • 39. Remelius JG, Jones SL, House JD, Busa MA, Averill JL, Sugumaran K et al. Gait impairments in persons with multiple sclerosis across preferred and fixed walking speeds. Am J Phys Med Rehabil 2012; 93(9): 1637-42.
  • 40. Bansi J, Bloch W, Gamper U, Kesselring J. Training in MS: influence of two different endurance training protocols (aquatic versus overland) on cytokine and neurotrophin concentrations during three week randomized controlled trial. Mult Scler 2013; 19(5): 613-21.

Effects of combined Pilates and aquaplyometric exercises on postural control and physical functions in patients with multiple sclerosis

Year 2020, Volume: 45 Issue: 1, 148 - 156, 31.03.2020
https://doi.org/10.17826/cumj.631595

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.

References

  • 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.
  • 11. Marandi SM, Nejad VS, Shanazari Z, Zolaktaf V. A comparison of 12 weeks of Pilates and aquatic training on the dynamic balance of women with multiple sclerosis. J Prev Med 2013; 4(1): 110-7.
  • 12. Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: a systematic review. Complement Ther Clin Pract 2012; 20(4): 253-62.
  • 13. Küçük F, Kara B, Poyraz EÇ, İdiman E. Improvements in cognition, quality of life, and physical performance with clinical Pilates in multiple sclerosis: a randomized controlled trial. J Phys Ther Sci 2016; 28(3): 761-8.
  • 14. Asadi A, Saez de Villarreal E, Arazi H. The effects of plyometric type neuromuscular training on postural control performance of male team basketball players. J Strength Cond Res 2015; 29(7): 1870-5.
  • 15. Atanasković A, Georgiev M, Mutavdzić V. The impact of plyometrics and aqua plyometrics on the lower extremities explosive strength in children aged 11-15. Res Kin 2015; 43(1): 111-4.
  • 16. Johnson BA, Salzberg C, MacWilliams BA, Shuckra AL, D'Astous JL. Plyometric training: effectiveness and optimal duration for children with unilateral cerebral palsy. Pediatric Phys Ther 2014; 26(2): 169-79.
  • 17. Barker AL, Talevski J, Morello RT, Brand CA, Rahmann AE, Urquhart DM. Effectiveness of aquatic exercise for musculoskeletal conditions: a meta-analysis. Arch Phys Med Rehabil 2014; 95(9): 1776-86.
  • 18. Kobak MS, Rebold MJ, DeSalvo R, Otterstetter R. A comparison of aquatic-vs. land-based plyometrics on various performance variables. Int J Exerc Sci 2015; 8(2): 134-44.
  • 19. Arazi H, Coetzee B, Asadi A. Comparative effect of land and aquatic based plyometric training on the jumping ability and agility of young basketball players. S Afr J Res Sport Ph 2012; 34(2): 1-14.
  • 20. Tomruk MS, Uz MZ, Kara B, İdiman E. Effects of Pilates exercises on sensory interaction, postural control and fatigue in patients with multiple sclerosis. Mult Scler Relat Disord 2016; 7: 70-3.
  • 21. Sherafat S, Salavati M, Takamjani IE, Akhbari B, Mohammadirad S, Mazaheri M et al. Intrasession and intersession reliability of postural control in participants with and without nonspecific low back pain using the Biodex Balance System. J Manipulative Physiol Ther 2013; 36(2): 111-8.
  • 22. Feys P, Lamers I, Francis G, Benedict R, Phillips G, LaRocca N et al. Multiple Sclerosis Outcome Assessments Consortium. The Nine-Hole Peg Test as a manual dexterity performance measure for multiple sclerosis. Mult Scler 2017; 23(5): 711-20.
  • 23. Severijns D, Lamers I, Kerkhofs L, Feys P. Hand grip fatigability in persons with multiple sclerosis according to hand dominance and disease progression. J Rehabil Med 2015; 47(2): 154-60.
  • 24. Sebastião E, Sandroff BM, Learmonth YC, Motl RW. Validity of the timed up and go test as a measure of functional mobility in persons with multiple sclerosis. Arch Phys Med Rehabil 2016; 97(7): 1072-7.
  • 25. Møller AB, Bibby BM, Skjerbæk AG, Jensen E, Sørensen H, Stenager E et al. Validity and variability of the 5-repetition sit-to-stand test in patients with multiple sclerosis. Disabil Rehabil 2012; 34(26): 2251-8.
  • 26. Motl RW, Cohen JA, Benedict R, Phillips G, LaRocca N, Hudson LD et al. Multiple Sclerosis Outcome Assessments Consortium. Validity of the timed 25-foot walk as an ambulatory performance outcome measure for multiple sclerosis. Mult Scler 2017; 23(5): 704-10.
  • 27. Ganesan M, Kanekar N, Aruin AS. Direction-specific impairments of limits of stability in individuals with multiple sclerosis. Ann Phys Rehabil Med 2015; 58(3): 145-50.
  • 28. Comber L, Galvin R, Coote S. Gait deficits in people with multiple sclerosis: A systematic review and meta-analysis. Gait Posture 2017; 51: 25-35.
  • 29. Carling A, Forsberg A, Gunnarsson M, Nilsagård Y. CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study. Mult Scler 2017; 23(10): 1394-404.
  • 30. Azimzadeh E, Hosseini MA, Nourozi K, Davidson PM. Effect of Tai Chi Chuan on balance in women with multiple sclerosis. Complement Ther Clin 2015; 21(1): 57-60.
  • 31. Frevel D, Mäurer M. Internet-based home training is capable to improve balance in multiple sclerosis: a randomized controlled trial. Eur J Phys Rehabil Med 2015; 51(1): 23-30.
  • 32. Ortiz-Gutiérrez R, Cano-de-la-Cuerda R, Galán-del-Río F, Alguacil-Diego IM, Palacios-Ceña D, Miangolarra-Page JC. A telerehabilitation program improves postural control in multiple sclerosis patients: a Spanish preliminary study. Int J Environ Res Public Health 2013; 10(11): 5697-710.
  • 33. Gunn H, Markevics S, Haas B, Marsden J, Freeman J. Systematic review: the effectiveness of interventions to reduce falls and improve balance in adults with multiple sclerosis. Arch Phys Med Rehabil 2015; 96(10): 1898-912.
  • 34. Bulguroglu I, Güçlü-Gündüz A, Yazıcı G, Özkul C, Irkeç C, Nazlıel B et al. The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study. NeuroRehabilitation 2017; 41(2): 413-22.
  • 35. Kalron A, Rosenblum U, Frid L, Achiron A. Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: A randomized controlled trial. Clin Rehabil 2017; 31(3): 319-28.
  • 36. Prosperini L, Kouleridou A, Petsas N, Leonardi L, Tona F, Pantano P et al. The relationship between infratentorial lesions, balance deficit and accidental falls in multiple sclerosis. J Neurol Sci 2011; 304(1-2): 55-60.
  • 37. Sayer AA, Kirkwood TB. Grip strength and mortality: a biomarker of ageing? Lancet 2015; 386(9990): 226-7.
  • 38. Lamers I, Maris A, Severijns D, Dielkens W, Geurts S, Van Wijmeersch B et al. Upper limb rehabilitation in people with multiple sclerosis: a systematic review. Neurorehabil Neural Repair 2016; 30(8): 773-93.
  • 39. Remelius JG, Jones SL, House JD, Busa MA, Averill JL, Sugumaran K et al. Gait impairments in persons with multiple sclerosis across preferred and fixed walking speeds. Am J Phys Med Rehabil 2012; 93(9): 1637-42.
  • 40. Bansi J, Bloch W, Gamper U, Kesselring J. Training in MS: influence of two different endurance training protocols (aquatic versus overland) on cytokine and neurotrophin concentrations during three week randomized controlled trial. Mult Scler 2013; 19(5): 613-21.
There are 40 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Research
Authors

Barış Gürpınar This is me 0000-0003-3886-4819

Melda Soysal Tomruk 0000-0003-2773-5536

Bilge Kara This is me 0000-0003-4503-5074

Egemen İdiman This is me 0000-0003-1359-8251

Publication Date March 31, 2020
Acceptance Date November 27, 2019
Published in Issue Year 2020 Volume: 45 Issue: 1

Cite

MLA Gürpınar, Barış et al. “Effects of Combined Pilates and Aquaplyometric Exercises on Postural Control and Physical Functions in Patients With Multiple Sclerosis”. Cukurova Medical Journal, vol. 45, no. 1, 2020, pp. 148-56, doi:10.17826/cumj.631595.