Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: a randomized controlled trial.
Identifieur interne : 000526 ( Main/Exploration ); précédent : 000525; suivant : 000527Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: a randomized controlled trial.
Auteurs : Alon Kalron [Israël] ; Uri Rosenblum [Israël] ; Lior Frid [Israël] ; Anat Achiron [Israël]Source :
- Clinical rehabilitation [ 1477-0873 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Israël (MeSH), Mâle (MeSH), Patients en consultation externe (MeSH), Sclérose en plaques récurrente-rémittente (complications), Sclérose en plaques récurrente-rémittente (rééducation et réadaptation), Techniques d'exercices physiques (méthodes), Techniques de physiothérapie (MeSH), Troubles neurologiques de la marche (rééducation et réadaptation), Troubles neurologiques de la marche (étiologie), Troubles sensitifs (rééducation et réadaptation), Troubles sensitifs (étiologie), Vitesse de marche (MeSH), Équilibre postural (MeSH), Études prospectives (MeSH).
- MESH :
- méthodes : Techniques d'exercices physiques.
- rééducation et réadaptation : Sclérose en plaques récurrente-rémittente, Troubles neurologiques de la marche, Troubles sensitifs.
- étiologie : Troubles neurologiques de la marche, Troubles sensitifs.
- complications : Adulte, Adulte d'âge moyen, Femelle, Humains, Israël, Mâle, Patients en consultation externe, Sclérose en plaques récurrente-rémittente, Techniques de physiothérapie, Vitesse de marche, Équilibre postural, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Exercise Movement Techniques (methods), Female (MeSH), Gait Disorders, Neurologic (etiology), Gait Disorders, Neurologic (rehabilitation), Humans (MeSH), Israel (MeSH), Male (MeSH), Middle Aged (MeSH), Multiple Sclerosis, Relapsing-Remitting (complications), Multiple Sclerosis, Relapsing-Remitting (rehabilitation), Outpatients (MeSH), Physical Therapy Modalities (MeSH), Postural Balance (MeSH), Prospective Studies (MeSH), Sensation Disorders (etiology), Sensation Disorders (rehabilitation), Walking Speed (MeSH).
- MESH :
- complications : Multiple Sclerosis, Relapsing-Remitting.
- etiology : Gait Disorders, Neurologic, Sensation Disorders.
- methods : Exercise Movement Techniques.
- rehabilitation : Gait Disorders, Neurologic, Multiple Sclerosis, Relapsing-Remitting, Sensation Disorders.
- Adult, Female, Humans, Israel, Male, Middle Aged, Outpatients, Physical Therapy Modalities, Postural Balance, Prospective Studies, Walking Speed.
Abstract
OBJECTIVE
Evaluate the effects of a Pilates exercise programme on walking and balance in people with multiple sclerosis and compare this exercise approach to conventional physical therapy sessions.
DESIGN
Randomized controlled trial.
SETTING
Multiple Sclerosis Center, Sheba Medical Center, Tel-Hashomer, Israel.
SUBJECTS
Forty-five people with multiple sclerosis, 29 females, mean age (SD) was 43.2 (11.6) years; mean Expanded Disability Status Scale (S.D) was 4.3 (1.3).
INTERVENTIONS
Participants received 12 weekly training sessions of either Pilates ( n=22) or standardized physical therapy ( n=23) in an outpatient basis.
MAIN MEASURES
Spatio-temporal parameters of walking and posturography parameters during static stance. Functional tests included the Time Up and Go Test, 2 and 6-minute walk test, Functional Reach Test, Berg Balance Scale and the Four Square Step Test. In addition, the following self-report forms included the Multiple Sclerosis Walking Scale and Modified Fatigue Impact Scale.
RESULTS
At the termination, both groups had significantly increased their walking speed ( P=0.021) and mean step length ( P=0.023). According to the 2-minute and 6-minute walking tests, both groups at the end of the intervention program had increased their walking speed. Mean (SD) increase in the Pilates and physical therapy groups were 39.1 (78.3) and 25.3 (67.2) meters, respectively. There was no effect of group X time in all instrumented and clinical balance and gait measures.
CONCLUSIONS
Pilates is a possible treatment option for people with multiple sclerosis in order to improve their walking and balance capabilities. However, this approach does not have any significant advantage over standardized physical therapy.
DOI: 10.1177/0269215516637202
PubMed: 26951348
Affiliations:
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wicri:level="1"><nlm:affiliation>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer</wicri:regionArea><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation></author><author><name sortKey="Frid, Lior" sort="Frid, Lior" uniqKey="Frid L" first="Lior" last="Frid">Lior Frid</name><affiliation wicri:level="1"><nlm:affiliation>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer</wicri:regionArea><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation></author><author><name sortKey="Achiron, Anat" sort="Achiron, Anat" uniqKey="Achiron A" first="Anat" last="Achiron">Anat Achiron</name><affiliation wicri:level="1"><nlm:affiliation>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer</wicri:regionArea><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>3 Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>3 Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv</wicri:regionArea><wicri:noRegion>Tel-Aviv</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical rehabilitation</title><idno type="eISSN">1477-0873</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Exercise Movement Techniques (methods)</term><term>Female (MeSH)</term><term>Gait Disorders, Neurologic (etiology)</term><term>Gait Disorders, Neurologic (rehabilitation)</term><term>Humans (MeSH)</term><term>Israel (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Multiple Sclerosis, Relapsing-Remitting (complications)</term><term>Multiple Sclerosis, Relapsing-Remitting (rehabilitation)</term><term>Outpatients (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Postural Balance (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Sensation Disorders (etiology)</term><term>Sensation Disorders (rehabilitation)</term><term>Walking Speed (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Israël (MeSH)</term><term>Mâle (MeSH)</term><term>Patients en consultation externe (MeSH)</term><term>Sclérose en plaques récurrente-rémittente (complications)</term><term>Sclérose en plaques récurrente-rémittente (rééducation et réadaptation)</term><term>Techniques d'exercices physiques (méthodes)</term><term>Techniques de physiothérapie (MeSH)</term><term>Troubles neurologiques de la marche (rééducation et réadaptation)</term><term>Troubles neurologiques de la marche (étiologie)</term><term>Troubles sensitifs (rééducation et réadaptation)</term><term>Troubles sensitifs (étiologie)</term><term>Vitesse de marche (MeSH)</term><term>Équilibre postural (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Multiple Sclerosis, Relapsing-Remitting</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Movement Techniques</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Techniques d'exercices physiques</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Multiple Sclerosis, Relapsing-Remitting</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Sclérose en plaques récurrente-rémittente</term><term>Troubles neurologiques de la marche</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles neurologiques de la marche</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Israel</term><term>Male</term><term>Middle Aged</term><term>Outpatients</term><term>Physical Therapy Modalities</term><term>Postural Balance</term><term>Prospective Studies</term><term>Walking Speed</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Israël</term><term>Mâle</term><term>Patients en consultation externe</term><term>Sclérose en plaques récurrente-rémittente</term><term>Techniques de physiothérapie</term><term>Vitesse de marche</term><term>Équilibre postural</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Evaluate the effects of a Pilates exercise programme on walking and balance in people with multiple sclerosis and compare this exercise approach to conventional physical therapy sessions.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Randomized controlled trial.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Multiple Sclerosis Center, Sheba Medical Center, Tel-Hashomer, Israel.</p></div><div type="abstract" xml:lang="en"><p><b>SUBJECTS</b></p><p>Forty-five people with multiple sclerosis, 29 females, mean age (SD) was 43.2 (11.6) years; mean Expanded Disability Status Scale (S.D) was 4.3 (1.3).</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>Participants received 12 weekly training sessions of either Pilates ( n=22) or standardized physical therapy ( n=23) in an outpatient basis.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN MEASURES</b></p><p>Spatio-temporal parameters of walking and posturography parameters during static stance. Functional tests included the Time Up and Go Test, 2 and 6-minute walk test, Functional Reach Test, Berg Balance Scale and the Four Square Step Test. In addition, the following self-report forms included the Multiple Sclerosis Walking Scale and Modified Fatigue Impact Scale.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>At the termination, both groups had significantly increased their walking speed ( P=0.021) and mean step length ( P=0.023). According to the 2-minute and 6-minute walking tests, both groups at the end of the intervention program had increased their walking speed. Mean (SD) increase in the Pilates and physical therapy groups were 39.1 (78.3) and 25.3 (67.2) meters, respectively. There was no effect of group X time in all instrumented and clinical balance and gait measures.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Pilates is a possible treatment option for people with multiple sclerosis in order to improve their walking and balance capabilities. However, this approach does not have any significant advantage over standardized physical therapy.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26951348</PMID><DateCompleted><Year>2017</Year><Month>10</Month><Day>18</Day></DateCompleted><DateRevised><Year>2017</Year><Month>10</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1477-0873</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Clinical rehabilitation</Title><ISOAbbreviation>Clin Rehabil</ISOAbbreviation></Journal><ArticleTitle>Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: a randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>319-328</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0269215516637202</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Evaluate the effects of a Pilates exercise programme on walking and balance in people with multiple sclerosis and compare this exercise approach to conventional physical therapy sessions.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Randomized controlled trial.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Multiple Sclerosis Center, Sheba Medical Center, Tel-Hashomer, Israel.</AbstractText><AbstractText Label="SUBJECTS" NlmCategory="METHODS">Forty-five people with multiple sclerosis, 29 females, mean age (SD) was 43.2 (11.6) years; mean Expanded Disability Status Scale (S.D) was 4.3 (1.3).</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Participants received 12 weekly training sessions of either Pilates ( n=22) or standardized physical therapy ( n=23) in an outpatient basis.</AbstractText><AbstractText Label="MAIN MEASURES" NlmCategory="METHODS">Spatio-temporal parameters of walking and posturography parameters during static stance. Functional tests included the Time Up and Go Test, 2 and 6-minute walk test, Functional Reach Test, Berg Balance Scale and the Four Square Step Test. In addition, the following self-report forms included the Multiple Sclerosis Walking Scale and Modified Fatigue Impact Scale.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">At the termination, both groups had significantly increased their walking speed ( P=0.021) and mean step length ( P=0.023). According to the 2-minute and 6-minute walking tests, both groups at the end of the intervention program had increased their walking speed. Mean (SD) increase in the Pilates and physical therapy groups were 39.1 (78.3) and 25.3 (67.2) meters, respectively. There was no effect of group X time in all instrumented and clinical balance and gait measures.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Pilates is a possible treatment option for people with multiple sclerosis in order to improve their walking and balance capabilities. However, this approach does not have any significant advantage over standardized physical therapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kalron</LastName><ForeName>Alon</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>1 Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosenblum</LastName><ForeName>Uri</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frid</LastName><ForeName>Lior</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Achiron</LastName><ForeName>Anat</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>2 Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>3 Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>07</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Rehabil</MedlineTA><NlmUniqueID>8802181</NlmUniqueID><ISSNLinking>0269-2155</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026241" MajorTopicYN="N">Exercise Movement Techniques</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020233" MajorTopicYN="N">Gait Disorders, Neurologic</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007557" MajorTopicYN="N">Israel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020529" MajorTopicYN="N">Multiple Sclerosis, Relapsing-Remitting</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010045" MajorTopicYN="N">Outpatients</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000072797" MajorTopicYN="Y">Walking Speed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Multiple sclerosis</Keyword><Keyword MajorTopicYN="N">Pilates exercises</Keyword><Keyword MajorTopicYN="N">balance</Keyword><Keyword MajorTopicYN="N">gait</Keyword><Keyword MajorTopicYN="N">physical therapy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26951348</ArticleId><ArticleId IdType="pii">0269215516637202</ArticleId><ArticleId IdType="doi">10.1177/0269215516637202</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Kalron, Alon" sort="Kalron, Alon" uniqKey="Kalron A" first="Alon" last="Kalron">Alon Kalron</name></noRegion><name sortKey="Achiron, Anat" sort="Achiron, Anat" uniqKey="Achiron A" first="Anat" last="Achiron">Anat Achiron</name><name sortKey="Achiron, Anat" sort="Achiron, Anat" uniqKey="Achiron A" first="Anat" last="Achiron">Anat Achiron</name><name sortKey="Frid, Lior" sort="Frid, Lior" uniqKey="Frid L" first="Lior" last="Frid">Lior Frid</name><name sortKey="Rosenblum, Uri" sort="Rosenblum, Uri" uniqKey="Rosenblum U" first="Uri" last="Rosenblum">Uri Rosenblum</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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