Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, European University of Lefke, Lefke, Northern Cyprus, TR-10, Mersin, Turkey.
Neurology Department, Dr. Burhan Nalbantoğlu State Hospital, Nicosia, Northern Cyprus, TR-10, Mersin, Turkey.
Acta Neurol Belg. 2021 Feb;121(1):79-85. doi: 10.1007/s13760-020-01502-3. Epub 2020 Sep 30.
The aim of the present report is to show the effects of a clinical pilates-based physiotherapy training program on physical functioning, including balance ability, flexibility, muscle strength, and pain severity in a case with Stiff Person Syndrome (SPS). A 43-year-old female with a 3-year history of SPS participated in the study. Clinical pilates training exercises were performed two times per week during 8 weeks. Static balance was evaluated with One Leg Stance Test and Tandem Stance Test, dynamic balance with Functional Reach Test and lower extremity strength and endurance measured by 30-s Chair Stand Test. Berg Balance Scale was used to assess balance and fall risk, and Timed Up and Go Test was used to assess functional mobility. Pain evaluation was done by Pain Quality Assessment Scale. Flexibility was measured with tape measure, range of motion with goniometer and muscle strength with manual muscle test. Among the balance and functional mobility tests, progress has been observed in all tests, except for 30-s Chair Stand test. Improvements have been observed in patient's range of motion, flexibility, strength, pain and balance parameters. Clinical pilates-based physiotherapy program had positive effects on many physical and functional parameters of the patient and can be used as a safe exercise method in physiotherapy rehabilitation of SPS.
本报告的目的是展示基于临床普拉提的物理治疗训练计划对身体功能的影响，包括平衡能力、灵活性、肌肉力量和僵硬人综合征（SPS）患者的疼痛严重程度。一名 43 岁的女性，患有 SPS3 年，参加了这项研究。临床普拉提训练在 8 周内每周进行两次。静态平衡通过单腿站立测试和并足站立测试进行评估，动态平衡通过功能性伸展测试进行评估，下肢力量和耐力通过 30 秒坐立测试进行评估。伯格平衡量表用于评估平衡和跌倒风险，计时起立行走测试用于评估功能性移动能力。疼痛评估采用疼痛质量评估量表。灵活性通过软尺测量，关节活动度通过量角器测量，肌肉力量通过手动肌肉测试测量。在平衡和功能性移动测试中，除了 30 秒坐立测试外，所有测试都观察到了进展。患者的关节活动度、灵活性、力量、疼痛和平衡参数都有所改善。基于临床普拉提的物理治疗计划对患者的许多身体和功能参数都有积极影响，可以作为 SPS 物理治疗康复中的一种安全运动方法。
