Multipl sklerozlu hastalarda kombine Pilates ve akuapliyometrik egzersizlerin postural kontrol ve fiziksel fonksiyonlara etkisi

Abstract

Purpose: Postural control deficits in people with multiple sclerosis (MS) are common and aggravate in dual tasking. Spinal stabilization approaches like Pilates and aquaplyometric exercises may have a positive effect on postural control. We aimed to determine the effects of combined Pilates and aquaplyometric exercises on postural control with and without dual task and physical functions in people with MS with this study.Materials and Methods: Twelve people with MS were recruited to 8-week combined exercise programme applied twice in a week and evaluated before and after the exercise training. Timed up and go test was performed for functional mobility and Biodex Balance System was used to evaluate the limits of stability (LoS) with and without a cognitive task. Upper limb functions were evaluated with nine-hole peg test (NHPT) and grip strength where 5-Repetition Sit-To-Stand (STS) and timed 25-Foot walk test were used for lower limb functions.Results: Eight-week combined exercise programme improved postural control, upper limb functions and lower limb functions. Additionally, there was no significant difference between LoS tests scores with and without dual task. Conclusion: Eight-week combined aquatic plyometrics and Pilates exercises were effective in improvement of postural control, upper and lower limb functions in people with MS.