The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study

Background: Fatigue is a common, debilitating symptom of multiple sclerosis (MS) without a current standardised treatment. Objective: The aim of this systematic review with network meta-analyses was to estimate the relative effectiveness of both fatigue-targeted and non-targeted exercise, behavioural and combined (behavioural and exercise) interventions. Methods: Nine electronic databases up to August 2018 were searched, and 113 trials ( n = 6909) were included: 34 were fatigue-targeted and 79 non-fatigue-targeted trials. Intervention characteristics were extracted using the Template for Intervention Description and Replication guidelines. Certainty of evidence was assessed using GRADE. Results: Pairwise meta-analyses showed that exercise interventions demonstrated moderate to large effects across subtypes regardless of treatment target, with the largest effect for balance exercise (SMD = 0.84). Cognitive behavioural therapies (CBTs) showed moderate to large effects (SMD = 0.60), with fatigue-targeted treatments showing larger effects than those targeting distress. Network meta-analysis showed that balance exercise performed significantly better compared to other exercise and behavioural intervention subtypes, except CBT. CBT was estimated to be superior to energy conservation and other behavioural interventions. Combined exercise also had a moderate to large effect. Conclusion: Treatment recommendations for balance and combined exercise are tentative as the certainty of the evidence was moderate. The certainty of the evidence for CBT was high.

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“…Note: Studies that were included in the review but not mentioned in the main text are the following . 76 …”

Section: Discussionmentioning

confidence: 99%

Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis

et al. 2021

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“…In a study of Bulguroğlu et al, they compared the effects of Mat and Reformer Pilates methods in people with MS found improvements in balance, functional mobility, core stability, fatigue severity and quality of life after Pilates in Mat and Reformer Pilates training. As a result, they declared patients with MS had similar benefits in Reformer Pilates and Mat Pilates methods 34 . In our previous study we examined the effect of modified clinical Pilates exercises on sensory interaction and balance, postural control and fatigue in people with MS, findings showed that significant improvements occurred in sensory interaction of balance (eyes open, foam surface) and total, physical and cognitive scores of fatigue after 10-week modified clinical Pilates training 20 .…”

Section: Discussionmentioning

confidence: 99%

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

Gürpinar

Tomruk

Kara

et al. 2020

Cukurova Medical Journal

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Öz 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. 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.

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“…The evidence investigating pilates training in people with multiple sclerosis is conflicting with the largest of these studies, a multi-centre randomised control trial with 94 participants showing no significant improvements in 10-metre walk test scores after 12 weeks of pilates exercises compared with 12 weeks of relaxation [14]. However, two smaller randomised control trials demonstrated significant improvements in balance, mobility and strength [15,16]. A systematic review examining the effects of pilates in people with Parkinson's Disease presented some preliminary evidence that the exercise form may have positive impacts on fitness, balance and particularly lower-body function in this patient cohort [17].…”

Section: Neuropilatesmentioning

confidence: 99%

Neuropilates to Improve Motor Function in Stroke: Past, present, and Future

Cronin

Roberts²,

Monaghan

2020

OPROJ

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In a systematic review in 2011 of 16 randomised controlled trials including 727 participants overall, investigating the effects of pilates exercise in healthy individuals, strong evidence was found for improving flexibility and dynamic balance, while moderate evidence was found for improving muscular endurance [6]. It is worth noting, however, that control groups were inactive in 11 of these 16 randomised controlled trials and so placebo and hawthorne effects may have been relevant in the findings. The authors found contradictory results for strength, with pilates exercises improving hip, lower back and abdominal strength in 3 of the studies when compared with no exercise, but with no additional abdominal strength benefits found in one study when compared with a postural education group [7]. Differences in strength measurement, duration of intervention and level of supervision and instruction may account for these contradictory results between studies. In healthy children, a systematic review has shown that pilates appears to improve flexibility, strength and postural control [8] and in elderly populations, pilates has also been shown to have benefits with one systematic review of 10 studies demonstrating improvements in muscle strength, walking, activities of daily living, quality of life and dynamic balance [9]. Clinical pilatesIn clinical populations, the effects of pilates on low back pain has been examined in detail. A cochrane review of 10 trials, including 510 participants, showed low to moderate quality evidence that pilates reduces pain and disability in participants with non-specific low back pain when compared to minimal intervention. The authors, however, could not provide any

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The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study

Abstract: As a result, patients with MS have seen similar benefits in Reformer Pilates and Mat Pilates methods.

Cited by 52 publications

References 14 publications

Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis

Which exercise and behavioural interventions show most promise for treating fatigue in multiple sclerosis? A network meta-analysis

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

Neuropilates to Improve Motor Function in Stroke: Past, present, and Future

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