ECTRIMS eLearning

The effect of pilates exercise on balance, postural instability, functional capacity and quality of life in multiple sclerosis patients
Author(s): ,
N. Yüceyar
Affiliations:
Department of Neurology, Ege University Medical School of Hospital, Izmir
,
M. Alkaya Baklan
Affiliations:
Department of Neurology, Ege University Medical School of Hospital, IZMIR, Turkey
O. Ekmekci
Affiliations:
Department of Neurology, Ege University Medical School of Hospital, IZMIR, Turkey
ECTRIMS Learn. Yuceyar N. 10/10/18; 229537; EP1700
Nur Yuceyar
Nur Yuceyar
Contributions
Abstract

Abstract: EP1700

Type: Poster Sessions

Abstract Category: Therapy - Symptomatic treatment

Background: Balance disorders and postural instability are among the most resistant problems of patients with MS(pwMS) which effect the daily living.
Aim: The aim of this study was to evaluate the effects of pilates exercise on balance, postural instability, functional capacity, quality of life and depression in patients with MS.
Methods: 16 of the 22 outpatient MS patients who fully completed the modified pilates exercise program were included. The mean age of the 16 patients (12 female) was 50,08 years (range 39-62), and the mean Expanded Disability Status Scale(EDSS) score was 3.6 (range 1-5.5). PwMS underwent 12-week (24 training session, two times a week) modified clinical pilates training designed to improve their ability to integrate multisensory inputs and challenge postural control. Breathing exercise, neutral spinal alignment, stretching and basic principles of pilates was informed in the first session. Exercises were performed with different positions (supine, prone, side lying, sitting and upright position) and with using different equipments (chair, pilates ball,latex band and light weights). Exercises and repetitions were progressed at each session according to individual´s abilities. They were all assessed with objective balance tests (Romberg Test, Tandem Romberg Test, Five Times Sit-to- Stand Test, Timed Up and Go Test), functional capacity (Six Minute Walking Test), quality of life (MSQol-54 ),the 12-item multiple sclerosis walking scale (MSWS-12) and depression (Beck Depression Inventory) scales. Measurements were repeated after exercise training.
Results:
At the end of the 12-week period, significant improvement was noted in all objective and subjective balance parameters (p< 0.05-p< 0.001) .Modified pilates exercise program had also significant positive effect on functional capacity and quality of life in our MS patients (p< 0.05)
Conclusion:
In this study, we showed that modified clinical pilates exercises that specifically addresses postural stability and central integration improve balance, functional capacity , quality of life of MS patients. Studies comparing this exercise approach to conventional physical therapy sessions are warranted.
Disclosure: Nothing to disclose

Abstract: EP1700

Type: Poster Sessions

Abstract Category: Therapy - Symptomatic treatment

Background: Balance disorders and postural instability are among the most resistant problems of patients with MS(pwMS) which effect the daily living.
Aim: The aim of this study was to evaluate the effects of pilates exercise on balance, postural instability, functional capacity, quality of life and depression in patients with MS.
Methods: 16 of the 22 outpatient MS patients who fully completed the modified pilates exercise program were included. The mean age of the 16 patients (12 female) was 50,08 years (range 39-62), and the mean Expanded Disability Status Scale(EDSS) score was 3.6 (range 1-5.5). PwMS underwent 12-week (24 training session, two times a week) modified clinical pilates training designed to improve their ability to integrate multisensory inputs and challenge postural control. Breathing exercise, neutral spinal alignment, stretching and basic principles of pilates was informed in the first session. Exercises were performed with different positions (supine, prone, side lying, sitting and upright position) and with using different equipments (chair, pilates ball,latex band and light weights). Exercises and repetitions were progressed at each session according to individual´s abilities. They were all assessed with objective balance tests (Romberg Test, Tandem Romberg Test, Five Times Sit-to- Stand Test, Timed Up and Go Test), functional capacity (Six Minute Walking Test), quality of life (MSQol-54 ),the 12-item multiple sclerosis walking scale (MSWS-12) and depression (Beck Depression Inventory) scales. Measurements were repeated after exercise training.
Results:
At the end of the 12-week period, significant improvement was noted in all objective and subjective balance parameters (p< 0.05-p< 0.001) .Modified pilates exercise program had also significant positive effect on functional capacity and quality of life in our MS patients (p< 0.05)
Conclusion:
In this study, we showed that modified clinical pilates exercises that specifically addresses postural stability and central integration improve balance, functional capacity , quality of life of MS patients. Studies comparing this exercise approach to conventional physical therapy sessions are warranted.
Disclosure: Nothing to disclose

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