Investigation of the Effects of Pilates Training in Parkinson Patients

Recep Tayyip Erdogan University Training and Research Hospital

Status: Completed

Conditions: Balance; Quality of Life; Parkinson Disease; Pilates; Core Stability

Treatments: Other: Pilates Training; Other: Control group

Study type: Interventional

Funder types: Other

Identifiers

NCT04928833

2019/10

Details and patient eligibility

About

This study was planned to examine the effects of Pilates training in Parkinson's Patients. The study included 34 Parkinson's patients between Hoehn & Yahr Stage 1-2.5. Pilates training was applied to the Pilates group for 8 weeks, 3 days per week. To the control group; Breathing exercises, active range of motion exercises and relaxation exercises were given as a home program 3 days per week for 8 weeks. It was concluded that Pilates training performed to Parkinson's patients 3 times a week for 8 weeks was effective on "core" stability, thickness of "core" muscles, functional exercise capacity, motor functions, freezing, fatigue and QOL.

Full description

This study was planned to examine the effects of Pilates training, which is a "core" stability based exercise method that improves body alignment, postural control and balance, on "core" stability, the thickness of the "core" muscles, functional exercise capacity, motor functions, freezing, fatigue and daily life activities (ADLs) in Parkinson's Patients. The study included 34 Parkinson's patients between Hoehn & Yahr Stage 1-2.5. The patients were randomly divided into two groups as as Pilates (n: 17) and control (n: 17). Pilates training was applied to the Pilates group for 8 weeks, 3 days per week. To the control group; Breathing exercises, active range of motion exercises and relaxation exercises were given as a home program 3 days per week for 8 weeks. The "core" power with the "sit-ups" and the modified "push-ups" tests, the "core" endurans with lateral bridge, trunk flexor endurance and "prone bridge" tests, the thickness of the "core" muscles by ultrasonography, functional strength of the lower limbs with 5 Times Sit Up Test (5TSST), balance with the Berg Balance Scale (BBS), functional mobility; with the Timed Up and Go Test (TUG), functional exercise capacity and walking with the 6-Minute Walk Test (6-MWT), motor impairment with the United Parkinson's Disease Rating Scale (UPDRS)-III, freezing with Freezing of Gait Questionnaire (FOGQ), fatigue with Parkinson's Fatigue Scale (PFS-16), ADLs with UPDRS-II, quality of life (QOL) with Parkinson's Disease Questionnaire-39 (PDQ-39) were evaluated before and after treatment.

Enrollment: 34 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• After providing information about the research, agreeing to participate in the research
• Being 40 years or older
• Being diagnosed with '' Idiopathic Parkinson's Disease '' by a specialist
• To be between 1-2.5 values according to Hoehn and Yahr (H&Y) Scale

Exclusion criteria

• Standardized Mini Mental Test score is less than 24
• Presence of cardiovascular, pulmonary, orthopedic or other medical conditions that limit participation in Pilates training

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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34 participants in 12 patient groups

Pilates Group

Experimental group

Description:

Pilates training was carried out as group exercises for about 1 hour, 3 days a week for 8 weeks.

Treatment:

Other: Pilates Training

Control Group

Active Comparator group

Description:

Breathing exercises, active range of motion exercises and relaxation exercises were given to the control group as a home program. They were asked to do the exercises 3 days a week for 8 weeks.

Treatment:

Other: Control group

Evaluation of 'Core' Stability

No Intervention group

Description:

"Core" stability was evaluated with two important dimensions, "core" strength and endurance tests.

Ultrasound Examination of M. Transversus Abdominus and M. Multifidus

No Intervention group

Description:

M. transversus abdominus (TrA) and m. multifidus (MF) muscles were visualized by ultrasonography and the evaluations were performed by an experienced radiologist who was blind to the case groups.

Evaluation of Lower Extremity Functional Strength

No Intervention group

Description:

Lower extremity functional strength was evaluated with the 5-Times Sit-and-Stand Test.

Evaluation of Balance

No Intervention group

Description:

Balance was evaluated using the Berg Balance Scale (BBS).

Evaluation of Functional Mobility

No Intervention group

Description:

Functional mobility was evaluated using the Timed Up and Go Test (TUG).

Evaluation of Functional Exercise Capacity

No Intervention group

Description:

Functional exercise capacity was evaluated using the 6 Minute Walking Test (6-MWT).

Activities of Daily Living and Evaluation of Motor Impairment

No Intervention group

Description:

Activities of daily living and motor impairment were evaluated with activities of daily living (II) and motor impairment (III) sub-dimensions of the Unified Parkinson's Disease Rating Scale (UPDRS).

Evaluation of Freezing

No Intervention group

Description:

The Freezing of Gait Questionnaire (FOGQ) was used to identify and evaluate the subjective perception of Parkinson's patients regarding the severity and effect of freezing on gait performance.

Evaluation of Fatigue

No Intervention group

Description:

Fatigue, one of the non-motor findings associated with Parkinson's, was evaluated with the Parkinson's Fatigue Scale-16 (PFS-16).

Evaluation of Quality of Life

No Intervention group

Description:

Quality of Life was evaluated with Parkinson's Disease Questionnaire-39 (PDQ-39).