AIM To investigate whether the Pilates method modifies the parameters of flexibility of the trunk, body balance and posture of the column, compared with static stretching exercises in MS subjects. METHODS Eighteen multiple sclerosis subjects (MS) divided in two groups were studied. The first group (GP) included 8 subjects (44±15 years, 66±18 kg weight, 163±8 cm height, EDSS 2±2 Expanded Disability Status Scale) who followed the Pilates method. The control group (GSS) included 10 subjects (45±9 years, 62±13 kg weight, 163±6 cm height, EDSS 4±2) who did static stretching exercises of a duration of 30 seconds .The groups were evaluated after one month of training (T0) to avoid the learning effect of the exercises, one month later T0 (T1) to observe the effect of one month of training and, three months later T0 (T2), to observe the effect of the long time conditioning that the Pilates and SS methods have created. The tests used were: 1) Stabilometric platform, to estimate body balance. 2) Sit and reach test, to evaluate trunk flexibility. 3) SpinalMouse®, for morphological evaluation of the spinal column and joint mobility in the sagittal plane using three different positions of the trunk: erect, maximal flexion and extension. 4) Hand grip (HG), to measure forearm strength. RESULTS The results showed in GP and GSS a significant variation between T0 vs T2 in the seat and reach test (GSS, Anova p<0,001; Post hoc, p<0,01,+20%; GP, Anova p<0,001¸Post hoc, p<0,01, +16%). Significant variation was observed in Inc flexion (GSS, +9%; Anova p<0,001, Post hoc, p<0,001) and trunk extension (GP, Anova p<0,001, -13%; Post hoc p<0.05) measured with the Spinal Mouse. No significant variation was found in HG and body balance. DISCUSSION/CONCLUSION The Pilates method increased the extension of the vertebral column and pelvis mobility. The SS improved forward column flexion. Training had a conservative effect on strength and body balance. The results indicate that a mix of these types of exercises can be used for MS subjects.
Pilates method and multiple sclerosis disease: a pilot study
GOLLIN, MASSIMILIANO;
2012-01-01
Abstract
AIM To investigate whether the Pilates method modifies the parameters of flexibility of the trunk, body balance and posture of the column, compared with static stretching exercises in MS subjects. METHODS Eighteen multiple sclerosis subjects (MS) divided in two groups were studied. The first group (GP) included 8 subjects (44±15 years, 66±18 kg weight, 163±8 cm height, EDSS 2±2 Expanded Disability Status Scale) who followed the Pilates method. The control group (GSS) included 10 subjects (45±9 years, 62±13 kg weight, 163±6 cm height, EDSS 4±2) who did static stretching exercises of a duration of 30 seconds .The groups were evaluated after one month of training (T0) to avoid the learning effect of the exercises, one month later T0 (T1) to observe the effect of one month of training and, three months later T0 (T2), to observe the effect of the long time conditioning that the Pilates and SS methods have created. The tests used were: 1) Stabilometric platform, to estimate body balance. 2) Sit and reach test, to evaluate trunk flexibility. 3) SpinalMouse®, for morphological evaluation of the spinal column and joint mobility in the sagittal plane using three different positions of the trunk: erect, maximal flexion and extension. 4) Hand grip (HG), to measure forearm strength. RESULTS The results showed in GP and GSS a significant variation between T0 vs T2 in the seat and reach test (GSS, Anova p<0,001; Post hoc, p<0,01,+20%; GP, Anova p<0,001¸Post hoc, p<0,01, +16%). Significant variation was observed in Inc flexion (GSS, +9%; Anova p<0,001, Post hoc, p<0,001) and trunk extension (GP, Anova p<0,001, -13%; Post hoc p<0.05) measured with the Spinal Mouse. No significant variation was found in HG and body balance. DISCUSSION/CONCLUSION The Pilates method increased the extension of the vertebral column and pelvis mobility. The SS improved forward column flexion. Training had a conservative effect on strength and body balance. The results indicate that a mix of these types of exercises can be used for MS subjects.
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