AIM To investigate whether the Pilates method, compared with static stretching and elastic band exercises, alters trunk flexibility, body balance, spinal column posture and lower limb strength in a group of subjects with relapsing-remitting multiple sclerosis. METHODS The elastic group (EG) included 7 subjects (52±10 years, 56±5 kg, height 160±6 cm, 2±3 EDSS Expanded Disability Status Scale). The Pilates group (PG) consisted of 7 subjects (45±6 years, 63±15 kg, height 164±6 cm, 2±2 EDSS). The static stretching group (SSG) included 8 subjects (50±18 years, 64±13 kg, 167±10 cm in height, EDSS 4±2). The groups were evaluated after a month of learning the exercise techniques to eliminate the learning effect (T0), after a further two months (T1), and finally after another 2 months training (T2), for an evaluation of the effects caused by four months training. RESULTS In EG between T0 vs. T1: 1) Dev. St. AP with open eyes (post hoc, p<0.05, -35%); 2) area with open eyes (post hoc, p<0, 05 -51%); 3) Dev. St. AP with closed eyes (post hoc, p<0.05, -26%); 4) area with closed eyes (post hoc, p <0.01, -52%). A significant change was observed in SSG and PG between T0 vs T2 in the Sit and reach test (SSG, post hoc, p<0.05, +15% PG, post hoc, p<0,05, +15%). A significant change was detected in SSG between T0 vs T2 in the inclination of the torso in the upright position measured by the Spinal Mouse ® (post hoc, p<0.05, -55%). In PG and EG a significant variation was also detected between T0 vs T2 in the Sit to stand test (PG, post hoc, p<0,01, +31%; GE, post hoc, p<0,05, +39%). Discussion / Conclusion EG increased the strength of the lower limbs and body balance; PG improved the strength and flexibility of the lower limbs; SSG (30 second) improved the lower back and hamstring flexibility.
ELASTIC BANDS AND STRENGTH PERFORMANCE IN MULTIPLE SCLEROSIS PATIENTS: A LONGITUDINAL STUDY
GOLLIN, MASSIMILIANO;ABATE DAGA, FEDERICO
2014-01-01
Abstract
AIM To investigate whether the Pilates method, compared with static stretching and elastic band exercises, alters trunk flexibility, body balance, spinal column posture and lower limb strength in a group of subjects with relapsing-remitting multiple sclerosis. METHODS The elastic group (EG) included 7 subjects (52±10 years, 56±5 kg, height 160±6 cm, 2±3 EDSS Expanded Disability Status Scale). The Pilates group (PG) consisted of 7 subjects (45±6 years, 63±15 kg, height 164±6 cm, 2±2 EDSS). The static stretching group (SSG) included 8 subjects (50±18 years, 64±13 kg, 167±10 cm in height, EDSS 4±2). The groups were evaluated after a month of learning the exercise techniques to eliminate the learning effect (T0), after a further two months (T1), and finally after another 2 months training (T2), for an evaluation of the effects caused by four months training. RESULTS In EG between T0 vs. T1: 1) Dev. St. AP with open eyes (post hoc, p<0.05, -35%); 2) area with open eyes (post hoc, p<0, 05 -51%); 3) Dev. St. AP with closed eyes (post hoc, p<0.05, -26%); 4) area with closed eyes (post hoc, p <0.01, -52%). A significant change was observed in SSG and PG between T0 vs T2 in the Sit and reach test (SSG, post hoc, p<0.05, +15% PG, post hoc, p<0,05, +15%). A significant change was detected in SSG between T0 vs T2 in the inclination of the torso in the upright position measured by the Spinal Mouse ® (post hoc, p<0.05, -55%). In PG and EG a significant variation was also detected between T0 vs T2 in the Sit to stand test (PG, post hoc, p<0,01, +31%; GE, post hoc, p<0,05, +39%). Discussion / Conclusion EG increased the strength of the lower limbs and body balance; PG improved the strength and flexibility of the lower limbs; SSG (30 second) improved the lower back and hamstring flexibility.
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