Eldemir Kader, Eldemir Sefa, Ozkul Cagla, Irkec Ceyla, Guclu-Gunduz Arzu
Sivas Cumhuriyet University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sivas, Türkiye.
Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Türkiye.
Mult Scler Relat Disord. 2025 May;97:106393. doi: 10.1016/j.msard.2025.106393. Epub 2025 Mar 17.
Cognitive impairments in people with multiple sclerosis (PwMS) are common and aggravate dual-task (DT) performance. This study aimed to investigate the effectiveness of online Pilates training on cognitive functions and the DT performance of balance, walking, and functional mobility in PwMS.
In this randomized controlled trial, forty-six PwMS were recruited and randomly allocated into two groups. The Online Pilates group (OPG) received Pilates training via videoconferences three days per week during six weeks at home. The control group (CG) was a waitlist with no Pilates treatment. Cognitive Functions were assessed with Montreal Cognitive Asssessment (MoCA), The Trail Making Test (TMT), and The Stroop Test (ST). DT performance was assessed with mental tracking and verbal fluency during postural stability (PS), walking, and functional mobility.
At the end of six weeks, the interaction effects (time × group) revealed significant differences for MoCA (p = 0.024), TMT-B (p = 0.012), ST (p ≤ 0.012), PS-with mental tracking (p = 0.004), PS-with verbal fluency (p = 0.003), cadence-with mental tracking (p = 0.048), and functional mobility-with mental tracking (p = 0.043) in favor of the OPG. Additionally, MoCA, TMT, ST, and DT performance during balance and functional mobility significantly improved in after six-week online Pilates training, but did not in CG.
Pilates training via videoconference was effective in the improvement of cognitive functions and DT performance in PwMS. Online Pilates may be considered for improving cognitive impairments and DT performances in PwMS with barriers to accessing clinics.
ClinicalTrials.gov: NCT06462339.
多发性硬化症患者（PwMS）的认知障碍很常见，会加重双重任务（DT）表现。本研究旨在调查在线普拉提训练对PwMS认知功能以及平衡、行走和功能移动性的DT表现的有效性。
在这项随机对照试验中，招募了46名PwMS，并随机分为两组。在线普拉提组（OPG）在家中通过视频会议每周进行三天的普拉提训练，持续六周。对照组（CG）是一个等待名单，不接受普拉提治疗。使用蒙特利尔认知评估量表（MoCA）、连线测验（TMT）和斯特鲁普测验（ST）评估认知功能。在姿势稳定性（PS）、行走和功能移动性期间，通过心理追踪和言语流畅性评估DT表现。
六周结束时，交互作用（时间×组）显示，在MoCA（p = 0.024）、TMT-B（p = 0.012）、ST（p≤0.012）、PS-心理追踪（p = 0.004）、PS-言语流畅性（p = 0.003）、步频-心理追踪（p = 0.048）和功能移动性-心理追踪（p = 0.043）方面存在显著差异，有利于OPG。此外，六周的在线普拉提训练后，MoCA、TMT、ST以及平衡和功能移动性期间的DT表现显著改善，但CG组没有。
通过视频会议进行的普拉提训练对改善PwMS的认知功能和DT表现有效。对于难以前往诊所的PwMS，可考虑采用在线普拉提来改善认知障碍和DT表现。
ClinicalTrials.gov：NCT06462339。
