Küçük Fadime, Kara Bilge, Poyraz Esra Çoşkuner, İdiman Egemen
Department of Physical Therapy and Rehabilitation, School of Health Sciences, İzmir University, Turkey.
Department of Physical Therapy and Rehabilitation, School of Health Sciences, Dokuz Eylül University, Turkey.
J Phys Ther Sci. 2016 Mar;28(3):761-8. doi: 10.1589/jpts.28.761. Epub 2016 Mar 31.
[Purpose] 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.
[目的] 本研究旨在确定临床普拉提对多发性硬化症患者的影响。[对象与方法] 20例多发性硬化症患者纳入本研究。参与者被分为临床普拉提组和对照组。在所有参与者治疗前后测量认知功能（多发性硬化功能复合量表）、平衡能力（伯格平衡量表）、身体机能（定时性能测试、起立行走测试）、疲劳程度（改良疲劳影响量表）、抑郁程度（贝克抑郁量表）和生活质量（多发性硬化国际生活质量问卷）。[结果] 临床普拉提组治疗前后在平衡能力、定时性能、疲劳程度和多发性硬化功能复合测试方面存在统计学显著差异。我们还发现对照组治疗前后在定时性能测试、起立行走测试和多发性硬化功能复合方面存在显著差异。根据差异分析，两组之间在多发性硬化功能复合量表和多发性硬化国际生活质量问卷得分上存在显著差异，临床普拉提组更具优势。两组测量结果比较显示，临床普拉提组具有统计学显著的临床优势。与传统运动相比，临床普拉提改善了认知功能和生活质量。[结论] 在多发性硬化症治疗中，物理治疗师应将临床普拉提作为一种整体方法来使用。
