Giriş: Parkinson Hastalığı, istirahat tremoru, bradikinezi, rijidite ve postüral instabilitenin eşlik ettiği, ilerleyici ve nörodejeneratif bir hastalıktır. Bu çalışmanın amacı erken evre Parkinson ...hastalarında pilates ve elastik bantlama uygulamalarının el fonksiyonları, postüral kontrol ve gövde kontrolü üzerine etkisini incelemektir. Yöntem: Hastalar randomize olarak pilates, elastik bantlama ve bekleme listesi kontrol grubu olmak üzere 3 gruba ayrıldı. Hastalar 6 hafta boyunca haftada 2 kez 60 dakikalık pilates eğitimi verildi. Elastik Bantlama grubuna Pilates eğitimine ek olarak haftada 2 kez sırt bölgesine postüral düzeltme amacıyla elastik bant uygulandı. Hastalara eğitim öncesi ve sonrası Dokuz Delikli Peg Testi (9DPT) ile el fonksiyonu, Dengenin Kliniğe Uyarlanmış Duyusal Etkileşim Testi (DKUDET) ile postüral kontrol, Gövde Bozukluk Ölçeği (GBÖ) ile gövde kontrolü değerlendirmesi yapıldı. Bulgular: Otuz beş hastanın verileri analiz edildi (Pilates grubu:11, Elastik bantlama grubu:12, Bekleme listesi kontrol grubu:12). Üç grubun, 9DPT sonuçlarının tedavi öncesi (0. hafta) ve sonrası (6. hafta) değerleri arasında anlamlı fark tespit edilmedi (Wilcoxon Testi, p>0.05). Elastik bantlama grubunda GBÖ sonuçlarının 6. Hafta sonunda anlamlı olarak arttığı, Pilates grubunda gözler açık ve kapalı koşullardaki ortalama DKUDET değerlerinin 6 hafta sonra anlamlı olarak iyileştiği görüldü (Wilcoxon Testi, p<0.05). Sonuç: Sonuç olarak erken evre Parkinson hastalarında pilates ve elastik bantlama uygulamalarının gövde kontrolü ve postüral kontrolü arttırdığını ancak el fonksiyonunu geliştirmek için yeterli olmadığını düşünmekteyiz.
•Pilates training can induce favorable effects on postural balance.•Pilates effects on the postural balance is not related to length of intervention.•Pilates effects on the postural balance is not ...related to Pilates amount per week.•Pilates effects on the postural balance is not related to study quality.
The effects of exercising with the Pilates method on aspects such as balance for the general population have been reported by recent systematic reviews. However, whereas the effects of the Pilates method on improving general balance have been well studied, less is known about postural balance and the respective determinants of Pilates effects.
(1) provide more up-to-date evidence to determine the effects of Pilates on postural balance and (2) examine the effects of length of intervention, Pilates amount per week (times per week X session duration), and study quality (risk of bias) on postural balance in older adults.
A systematic electronic search in Medline and Scientific Electronic Library Online (SciELO) was completed in December 2018 identifying randomized controlled trials investigating the effect of a Pilates method on postural balance in healthy older adults. A subsequent meta-analysis was performed.
The meta-analysis involved 6 studies and 261 individuals (128 Pilates and 133 control groups). We observed an overall effect favoring the Pilates group SMD95% = 0.89 0.29–1.49. The subgroup mean effects were similar for “length of intervention” (low vs high) P = 0.557, “Pilates amount per week” (low vs high) P = 0.565, and “study quality” (low vs high) P = 0.869.
Accordingly, our findings suggest that a Pilates training program can be considered as an effective form of exercise to improve balance in older adults. Additionally, length of intervention, Pilates amount per week, and study quality were not related to the magnitude of effect on postural balance.
Reduction in flexibility and mobility are important factors that lead to impairments in quality of life, reduction of exercise tolerance, and a decreased pulmonary capacity with the progression of ...Ankylosing Spondylitis (AS).
The purpose of this study was to investigate the effects of Pilates exercises on mobility, quality of life, and respiratory muscle strength in patients with AS.
Forty patients with AS were randomly divided into two groups as Pilates group and the control group. The Pilates group performed Pilates exercises in supervised group sessions and the control group performed conventional exercises at home three days a week for eight weeks. The main outcome measure was respiratory muscle strength. Secondary outcome measures were forced vital capacity (FVC), forced expiratory volume in one second (FEV1) FEV1/FVC ratio, chest expansion, Bath indices (BASDAI, BASMI), Ankylosing Spondylitis Quality of Life Questionnaire (ASQoL) and six-minute walk test (6MWT). All participants were assessed by a blind assessor at baseline and the end of eight weeks.
Thirty-six AS patients (n = 19 in the Pilates group, n = 17 in the control group) completed the study. Respiratory muscle strength, FEV1/FVC, chest expansion, BASDAI, BASMI, ASQoL, and 6MWT significantly improved at the 8
week (p < .05) in the Pilates group, while inspiratory muscle strength, FEV1/FVC, chest expansion, and 6MWT showed significant improvements in the control group at 8
week compared to baseline (p < .05). No significant between-group differences were observed when the change over time values were compared (Δ).
Both Pilates and home exercises seem to be effective for improving respiratory parameters and functional status in patients with AS. Pilates exercises without using any equipment and additional exercises is found to be useful for improving respiratory functions and disease-related symptoms.
Examine the effectiveness of specific modes of exercise training in non-specific chronic low back pain (NSCLBP).
Network meta-analysis (NMA).
MEDLINE, CINAHL, SPORTDiscus, EMBASE, CENTRAL.
Exercise ...training randomised controlled/clinical trials in adults with NSCLBP.
Among 9543 records, 89 studies (patients=5578) were eligible for qualitative synthesis and 70 (pain), 63 (physical function), 16 (mental health) and 4 (trunk muscle strength) for NMA. The NMA consistency model revealed that the following exercise training modalities had the highest probability (surface under the cumulative ranking (SUCRA)) of being best when compared with true control: Pilates for pain (SUCRA=100%; pooled standardised mean difference (95% CI): -1.86 (-2.54 to -1.19)), resistance (SUCRA=80%; -1.14 (-1.71 to -0.56)) and stabilisation/motor control (SUCRA=80%; -1.13 (-1.53 to -0.74)) for physical function and resistance (SUCRA=80%; -1.26 (-2.10 to -0.41)) and aerobic (SUCRA=80%; -1.18 (-2.20 to -0.15)) for mental health. True control was most likely (SUCRA≤10%) to be the worst treatment for all outcomes, followed by therapist hands-off control for pain (SUCRA=10%; 0.09 (-0.71 to 0.89)) and physical function (SUCRA=20%; -0.31 (-0.94 to 0.32)) and therapist hands-on control for mental health (SUCRA=20%; -0.31 (-1.31 to 0.70)). Stretching and McKenzie exercise effect sizes did not differ to true control for pain or function (p>0.095; SUCRA<40%). NMA was not possible for trunk muscle endurance or analgesic medication. The quality of the synthesised evidence was low according to Grading of Recommendations Assessment, Development and Evaluation criteria.
There is low quality evidence that Pilates, stabilisation/motor control, resistance training and aerobic exercise training are the most effective treatments, pending outcome of interest, for adults with NSCLBP. Exercise training may also be more effective than therapist hands-on treatment. Heterogeneity among studies and the fact that there are few studies with low risk of bias are both limitations.
This study aimed to investigate the effect of Pilates-based exercise training applied with hybrid telerehabilitation on Cobb angle, respiratory function, respiratory muscle strength, and functional ...capacity in patients with adolescent idiopathic scoliosis (AIS). This is an evaluator-blinded, randomized, controlled trial. For the study, 32 patients were randomly allocated into two groups: a hybrid telerehabilitation group (training group), provided with modified Pilates-based exercises with synchronous sessions; and a home-based group (control group), doing the same exercises in their home. The Pilates-based exercise program consists of stretching and strengthening exercises combined with postural corrections and breathing exercises modified according to the curve type and localization of the patients, done every day of the week for 12 weeks. Analyses were made based on the comparison between the angle of trunk rotation, Cobb angle, spirometry, maximal inspiratory (MIP) and expiratory pressures (MEP), and incremental shuttle walk tests done at the beginning and end of the study. The training group showed statistically significant improvements in Cobb angle, PEF%, MIP, and MEP values compared with the control group (
p
< 0.05).
Conclusion
: Pilates-based exercises applied with the hybrid telerehabilitation method can improve Cobb angle and respiratory muscle strength in patients with AIS. The hybrid telerehabilitation method can be used as an alternative to home-based programs, especially in locations and times where there may be limited access to supervised training. Also, the nature of the disease that requires long-term follow-up is another factor where hybrid telerehabilitation may be an advantage.
Trial registration
: ClinicalTrials.gov ID: NCT05761236.
What is Known:
• Exercise training is one of the main approaches to treating scoliosis.
What is New:
• Application of exercises via telerehabilitation method may contribute more to the improvement of scoliosis-related parameters than home-based programs.
• Telerehabilitation may be a preferable alternative exercise method in scoliosis, considering the advantages of accessibility and long-term follow-up.
Many college students register each semester for courses, leading to productive careers and fulfilled lives. During this time, the students have to manage many stressors stemming from academic, ...personal, and, sometimes, work lives. Students, who lack appropriate stress management skills, may find it difficult to balance these responsibilities.
This study examined stress, coping mechanisms, and gender differences in undergraduate students towards the end of the semester.
University students (n = 448) enrolled in three different undergraduate exercise science courses were assessed. Two instruments, the Perceived Stress Scale and Brief Cope, were administered during the twelfth week of the semester, four weeks prior to final exams. T-tests were used to detect gender differences for the stress levels and coping strategies.
Overall, females indicated higher levels of stress than their male counterparts. Gender differences were evident in both coping dimensions and individual coping strategies used. Females were found to utilize the emotion-focused coping dimension and endorsed the use of four coping strategies more often than males. These included self-distraction, emotional support, instrumental support, and venting.
This research adds to the existing literature by illuminating the level of perceived stress and different coping strategies used by undergraduate female and male students. In turn, students may need educational interventions to develop effective and healthy coping strategies to last a lifetime. Faculty and other university officials may want to highlight and understand these various factors to protect the students' wellbeing in their classes.
•Pilates resulted in a statistically large reduction in depressive symptoms.•Pilates resulted in a statistically large reduction in anxiety symptoms.•Pilates resulted in a statistically large ...reduction in feelings of fatigue.•Pilates resulted in a statistically large increase in feelings of energy.
This meta-analysis estimated the population effect size for Pilates effects on mental health outcomes.
Articles published prior to August 2017 were located with searches of Pubmed, Medline, Cinahl, SportDiscus, Science Direct, PsychINFO, Web of Science, and Cochrane Controlled Trial Register using combinations of: Pilates, Pilates method, mental health, anxiety, and depression.
Eight English-language publications that included allocation to a Pilates intervention or non-active control and a measure of anxiety and/or depressive symptoms at baseline and after the Pilates intervention were selected.
Participant and intervention characteristics, anxiety and depressive symptoms and other mental health outcomes, including feelings of energy and fatigue and quality of life, were extracted. Hedges’ d effect sizes were computed, study quality was assessed, and random effects models estimated sampling error and population variance.
Pilates resulted in significant, large, heterogeneous reductions in depressive (Δ = 1.27, 95%CI: 0.44, 2.09; z = 3.02, p ≤ 0.003; N = 6, n = 261) and anxiety symptoms (Δ = 1.29, 95%CI: 0.24, 2.33; z = 2.40, p ≤ 0.02; N = 5, n = 231) and feelings of fatigue (Δ = 0.93, 95%CI: 0.21, 1.66; z = 2.52, p ≤ 0.012; N = 3, n = 161), and increases in feelings of energy (Δ = 1.49, 95%CI: 0.67, 2.30; z = 3.57, p < 0.001; N = 2, n = 116).
Though this review included a small number of controlled trials with small sample sizes and non-active control conditions of variable quality, the available evidence reviewed here supports that Pilates improves mental health outcomes. Rigorously designed randomized controlled trials, including those that compare Pilates to other empirically-supported therapies, are needed to better understand Pilates’ clinical effectiveness and plausible mechanisms of effects.
Humbertus Joseph Pilates (1880-1967) created a series of exercises based on the progressive movements that the body is able to perform, which involve isotonic contractions and mainly isometric, in ...what he called powerhouse (or center of force). Objectives: This study aims at analyzing the aspects related to the central importance of stabilizing in the Pilates method. Materials and methods: The research covered books, magazines journals, sites, and the descriptors used for the search were Pilates and core. Results: The central stabilization helps the individual to gain strength, neuromuscular control, power and muscular endurance, which facilitates a balanced muscle function.
This study was performed to assess and compare the effects of Pilates exercise on flexibility and lumbo-pelvic movement control between the Pilates training and control groups.
A randomized ...single-blinded controlled design was utilized in the study. Forty healthy male and female volunteers (mean age 31.65±6.21 years) were randomly divided into Pilates-based training (20 subjects) and the control groups (20 subjects). The Pilates group attended 45-minute training sessions, 2 times per week, for a period of 8 weeks. Flexibility and lumbo-pelvic stability tests were determined as outcome measures using a standard "sit and reach test" and "pressure biofeedback" respectively at 0, 4 and 8 weeks of the study.
The results showed that the Pilates training group improved flexibility significantly (P<0.001) during time intervals. This effect was also significantly greater than the control group for both 4 weeks and 8 weeks of the training period (P<0.001). There were 65% and 85% of the subjects from Pilates group passing the lumbo-pelvic stability test at 4 and 8 weeks of training periods respectively. No subjects from the control group passed the test at any stages.
Pilates can be used as an adjunctive exercise program to improve flexibility, enhance control-mobility of trunk and pelvic segments. It may also prevent and attenuate the predisposition to axial musculoskeletal injury.
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