Güngör Feray, Tarakci Ela, Özdemir-Acar Zeynep, Soysal Aysun
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, İstanbul, Turkey.
Neurology Department, Bakırköy Mazhar Osman Mental Health and Neurological Diseases Education and Research Hospital, İstanbul, Turkey.
Mult Scler. 2022 Feb;28(2):269-279. doi: 10.1177/13524585211012202. Epub 2021 Apr 28.
Pilates-based core stability training (PBCST) is a controlled form of exercise that may improve the transmission of torque from the upper extremities and trunk to the lower extremities by enabling the core muscles to activate effectively.
The aim of this study was to investigate the effects of PBCST given as supervised or home-based on lower extremity strength and postural control in multiple sclerosis.
Fifty individuals were enrolled and randomly allocated into two groups. Primary outcome measures were knee muscle strength and postural sway in different conditions. The supervised group received PBCST 2 days per week for 8 weeks at the clinic, and the other group performed PBCST at home. Exercises were progressed every 2 weeks in both groups.
Between groups, the supervised group was mostly superior to the home group ( < 0.05). A significant improvement was noted in all parameters in both groups, except some sub-parameters of postural sway in home PBCST ( < 0.05).
Supervised PBCST was determined to be more effective than home PBCST in improving strength, postural control, core stability, physical capacity, and fatigue. Although supervised training is the primary choice, home training can be recommended to patients who have limitations attending supervised sessions.
基于普拉提的核心稳定性训练（PBCST）是一种有控制的运动形式，通过使核心肌肉有效激活，可能会改善从上肢和躯干到下肢的扭矩传递。
本研究旨在调查在多发性硬化症中，监督式或居家式的PBCST对下肢力量和姿势控制的影响。
招募了50名个体并随机分为两组。主要结局指标是不同条件下的膝关节肌肉力量和姿势摆动。监督组在诊所每周接受2天的PBCST，共8周，另一组在家中进行PBCST。两组均每2周增加训练强度。
组间比较，监督组大多优于居家组（<0.05）。两组所有参数均有显著改善，但居家PBCST的姿势摆动某些子参数除外（<0.05）。
在改善力量、姿势控制、核心稳定性、身体能力和疲劳方面，监督式PBCST被确定比居家PBCST更有效。尽管监督式训练是首选，但对于参加监督课程有困难的患者，可推荐居家训练。
