Karaman Aysenur, Yuksel Inci, Kinikli Gizem Irem, Caglar Omur
a Department of Physiotherapy and Rehabilitation , Hacettepe University, Faculty of Health Sciences , Samanpazari , Ankara , Turkey.
b Department of Orthopedics and Traumatology , Hacettepe University, Faculty of Medicine , Samanpazari , Ankara , Turkey.
Physiother Theory Pract. 2017 Apr;33(4):289-295. doi: 10.1080/09593985.2017.1289578. Epub 2017 Mar 1.
The aim of this prospective, randomized, controlled study was to investigate the effects of the addition of Pilates-based exercises to standard exercise programs performed after total knee arthroplasty on quality of life and balance.
Forty-six volunteers were divided into two groups. The control group (n = 17) was assigned a standard exercise program after discharge; the study group (n = 17) was assigned Pilates-based exercises along with the standard exercise program. We carried out clinical evaluations of all patients on the day of discharge and after the completion of the 6-week exercise program. We also recorded sociodemographic data, Berg Balance test scores, and Short Form-36 (SF-36) health-related quality of life measurements.
When we compared the differences between pre- and post-treatment balance scores of the groups, we found a significant change in favor of the Pilates-based exercise group (13.64 ± 1.45; p < 0.01). The changes in the pre- and post-treatment SF-36 scores of the Pilates-based exercises group were found to be significant in terms of physical function (p = 0.001), physical role restriction (p = 0.01), and physical component score (p = 0.001).
Pilates-based exercises performed along with standard exercise programs were more effective for improving balance and quality of life than standard exercise programs alone.
这项前瞻性、随机、对照研究的目的是调查在全膝关节置换术后进行的标准锻炼计划中加入普拉提运动对生活质量和平衡能力的影响。
46名志愿者被分为两组。对照组（n = 17）出院后被安排进行标准锻炼计划；研究组（n = 17）除标准锻炼计划外还被安排进行普拉提运动。我们在出院当天和6周锻炼计划完成后对所有患者进行了临床评估。我们还记录了社会人口统计学数据、伯格平衡测试得分以及简短健康调查问卷（SF - 36）中与健康相关的生活质量测量结果。
当我们比较两组治疗前后平衡得分的差异时，发现有利于普拉提运动组的显著变化（13.64 ± 1.45；p < 0.01）。普拉提运动组治疗前后SF - 36得分在身体功能（p = 0.001）、身体角色限制（p = 0.01）和身体成分得分（p = 0.001）方面的变化具有显著性。
与单独的标准锻炼计划相比，在标准锻炼计划中加入普拉提运动在改善平衡能力和生活质量方面更有效。
