垫上普拉提和器械普拉提对多发性硬化症患者的影响：一项随机对照研究。

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

作者信息

Bulguroglu I, Guclu-Gunduz A, Yazici G, Ozkul C, Irkec C, Nazliel B, Batur-Caglayan H Z

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.

Department of Neurology, Faculty of Medicine, Gazi University, Ankara, Turkey.

出版信息

NeuroRehabilitation. 2017;41(2):413-422. doi: 10.3233/NRE-162121.

DOI:10.3233/NRE-162121

PMID:28946576

Abstract

BACKGROUND

Pilates is an exercise method which increases strength and endurance of core muscles and improves flexibility, dynamic postural control and balance.

OBJECTIVE

To analyze and compare the effects of Mat and Reformer Pilates methods in Patients with Multiple Sclerosis (MS).

METHODS

Thirty-eight patients with MS were included in the study. Participants were randomly divided into 3 groups as Mat Pilates, Reformer Pilates and control groups. The subjects in the Pilates groups did Mat or Reformer Pilates for 8 weeks, 2 days a week. The control group did breathing and relaxation exercises at home. Balance, functional mobility, core stability, fatigue severity and quality of life were evaluated.

RESULTS

Balance, functional mobility, core stability, fatigue severity and quality of life improved after Pilates in Mat and Reformer Pilates groups (p < 0.05). On the other hand, we could not find any changing in the control group (p > 0.05). When the gain obtained in the Pilates groups is compared, it has been observed that progress has been more in trunk flexor muscle strength in the Reformer Pilates group (p < 0.05) and that the gain has been similar in the other parameters (p > 0.05).

CONCLUSIONS

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

摘要

背景

普拉提是一种增强核心肌肉力量和耐力、提高柔韧性、动态姿势控制能力及平衡能力的运动方法。

目的

分析和比较垫上普拉提及器械普拉提对多发性硬化症（MS）患者的影响。

方法

38例MS患者纳入本研究。参与者被随机分为3组，即垫上普拉提组、器械普拉提组和对照组。普拉提组的受试者每周进行2天、为期8周的垫上或器械普拉提练习。对照组在家进行呼吸和放松练习。对平衡能力、功能活动能力、核心稳定性、疲劳严重程度及生活质量进行评估。

结果

垫上普拉提组和器械普拉提组在进行普拉提练习后，平衡能力、功能活动能力、核心稳定性、疲劳严重程度及生活质量均有所改善（p<0.05）。另一方面，我们未发现对照组有任何变化（p>0.05）。比较普拉提组所取得的进步，发现器械普拉提组在躯干屈肌力量方面进步更大（p<0.05），而在其他参数方面进步相似（p>0.05）。