Document Type : Original Article

Authors

1 Master of Exercise Physiology, Department of Exercise Physiology, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran

2 Professor of Exercise Physiology, Department of Exercise Physiology, Faculty of Sport Sciences, Bu-Ali Sina University, Hamedan, Iran

3 Professor of Neurology, Department of Neurosurgery, Isfahan University of Medical Sciences, Isfahan, Iran.

4 PhD student in sport physiology, Department of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamedan – Iran.

Abstract

Background: Scientific evidences indicated that occurance of the imbalance during walking and gait disfunction profile could be related to a multiple sclerosis conditions . Otherwise , exercise activities as a non- pharmacological agent could be effectiveness for MS persons . Aim of this study, is Pilates and TRX programs intermediate on the dynamic balance , functional capacities in females with a multiple sclerosis conditions
Methods: in this study 30 females with a MS conditions ( mean age : 57/7 ±41/37years ,disease history : 77/3 ± 31/11 ys and disability grade : EDSS 84/0± 81/1 ) were randomly divided into three groups of 10 people. control group, TRX and Pilates groups activated for a 8 weeks periods with a 3 days interval weekly . Dynamic balance, functional capacities variables were measured by a standard styles. Statistical analysis of data performed with a ANCOVA – ONE Way . A p value of 0.05 was set.
Results: TRX and Pilates programs were induces a significantly differentces in Berg balance ,walking timing period ,TUG test , and 6 min speed walking (6MWDT ) in the two training groups and more prominently in the TRX group comparison with a control group ( p<0.05). But 2MWDT parameter in 3 groups weren,t outstanding statistically
Conclusion: Findindg indicated that TRX and Pilates programs intermediates were caused an improvement in functional capacities and balance indexes in females with a MS conditions. However, it seems that TRX pattern role on the selected independents variables was obviousely than a Pilates pattern

Keywords

Main Subjects

  1. Motl RW, Sandroff BM, Kwakkel G, Dalgas U, Feinstein A, Heesen C, Feys P, Thompson AJ. Exercise in patients with multiple sclerosis. The Lancet Neurology. 2017;16(10):848-56.
  2. Kalb R, Brown TR, Coote S, Costello K, Dalgas U, Garmon E, Giesser B, Halper J, Karpatkin H, Keller J, Ng AV. Exercise and lifestyle physical activity recommendations for people with multiple sclerosis throughout the disease course. Multiple Sclerosis Journal. 2020;26(12):1459-69.
  3. Dalgas U, Stenager E, Lund C, Rasmussen C, Thor Petersen T, Henrik H, et al. Neural drive increases following resistance training in patients with multiple sclerosis. J Neurol 2013; 260: 1822-32.
  4. Gaedtke, A. and T. Morat, TRX suspension training: A new functional training approach for older adults–development, training control and feasibility. International journal of exercise science, 2015. 8(3): 22.
  5. You YL, Su TK, Liaw LJ, Wu WL, Chu IH, Guo LY. The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clients with low back pain. J Phys Ther Sci 2015; 27: 2591-6.
  6. Moghadasi A, Ghasemi G, Sadeghi-Demneh E, Etemadifar M. Effect of TRX Suspension Training on Functional Balance in Patients with Multiple Sclerosis. Scientific journal of Ilam University of medical sciences. 2019; 27(2):51-63.
  7. Masuodi Nezhad, Monireh, Shivani, Hossein and Hossini, Fatemeh. Effects of Selected Combined Training on Balance and Functional Capacityin Women with Multiple Sclerosis, World Applied Sciences Journal (2012); 16 (7):10191026
  8. Chen Z, Ye X, Shen Z, Chen G, Chen W, He T, Xu X. Effect of pilates on sleep quality: A systematic review and meta-analysis of randomized controlled trials. Frontiers in neurology. 2020; 11:158.
  9. Sánchez-Lastra MA, Martínez-Aldao D, Molina AJ, Ayán C. Pilates for people with multiple sclerosis: A systematic review and meta-analysis. Multiple sclerosis and related disorders. 2019; 28:199-212.
  10. Shanazari, Z., Marandi, S. M., & Minasian, V.. Effect of 12-week Pilates and aquatic training on fatigue in women with multiple sclerosis. Journal of Mazandaran University of Medical Sciences, 2013; 23(98), 257-264.
  11. McArdle WD, Katch FI, Katch VL. Essentials of exercise physiology. 2000; PP 654-660.
  12. Cattaneo D, Regola A, Meotti M. Validity of six balance disorders scales in persons with multiple sclerosis. Disability and rehabilitation. 2006;28(12):789-95.
  13. Rossier P, Wade DT. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Arch Phys Med Rehabil 2001; 82: 9-13.
  14. Larson RD, Larson DJ, Baumgartner TB, White LJ. Repeatability of the timed 25-foot walk test for individuals with multiple sclerosis. Clin Rehabil 2013; 27: 719-723.
  15. Ekstrom H, Dahlin-Ivanoff S, Elmstahl S. Effects of walking speed and results of timed get-up-and-go tests on quality of life and social participation in elderly individuals with a historyof osteoporosis-related fractures. J Aging Health 2011; 23: 1379-139.
  16. Chuang ML, Lin IF, Wasserman K. The body weight–walking distance product as related to lung function, anaerobic threshold and peakV̇O2in COPD patients. Respiratory medicine. 2001;95(7):618-26.
  17. Dudgeon WD, Herron JM, Aartun JA, Thomas DD, Kelley EP, Scheett TP. Physiologic and metabolic effects of a suspension training workout. International Journal of Sports Science. 2015;5(2):65-72.
  18. Wang YP, Gorenstein C. Psychometric properties of the Beck Depression Inventory-II: a comprehensive review. Brazilian Journal of Psychiatry. 2013;35(4):416-31.
  19. Guclu-Gunduz, A., Citaker, S., Irkec, C., Nazliel, B., & Batur-Caglayan, H. Z. The effects of pilates on balance, mobility and strength in patients with multiple sclerosis. NeuroRehabilitation, 2014; 34(2): 337-342.
  20. Sherrington C, Fairhall N, Wallbank G, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb S. Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review. British journal of sports medicine. 2020;54(15):885-91.
  21. Dodd KJ, Taylor NF, Shields N, Prasad D, McDonald E, Gillon A. Progressive resistance training did not improve walking but can improve muscle performance quality of life and fatigue in adults with multiple sclerosis a randomized controlled trial. Mult Scleros 2011; 17: 1362-74.
  22. Kjølhede T, Vissing K, Langeskov-Christensen D, Stenager E, Petersen T, Dalgas U. Relationship between muscle strength parameters and functional capacity in persons with mild to moderate degree multiple sclerosis. Multiple sclerosis and related disorders. 2015; 4(2):151-8.
  23. Marques KA, Trindade CB, Almeida MC, Bento-Torres NV. Pilates for rehabilitation in patients with multiple sclerosis: A systematic review of effects on cognition, health-related physical fitness, general symptoms and quality of life. Journal of Bodywork and Movement Therapies. 2020;24(2):26-36.
  24. Sandroff BM, Sosnoff JJ, Motl RW. Physical fitness, walking performance, and gait in multiple sclerosis. Journal of the neurological sciences. 2013: 328(1):70-6.
  25. Sabapathy NM, Minahan CL, Turner GT, Broadley SA. Comparing endurance Sadek MT, Effect of TRX suspension training as a prevention program to avoid the shoulder pain for swimmers Science, Move Health 2016; 16: 222-7.
  26. Dalgas U, Stenager E, Lund C, Rasmussen C, Thor Petersen T, Henrik H, et al. Neural drive increases following resistance training in patients with multiple sclerosis. J Neurol 2013; 260: 1822-32.
  27. Sadek MT. Effect of TRX suspension training as a prevention program to avoid the shoulder pain for swimmers Science, Move Health 2016; 16: 222-7.
  28. Hamza A. The effects of core strength training with and without suspension on lipid peroxidation and lunge speed for young fencers. Sci Move Health 2013; 13:129-36.
  29. Kalron A, Rosenblum U, Frid L, Achiron A. Pilates exercise training vs. physical therapy for improving walking and balance in people with multiple sclerosis: A randomized controlled trial. Clinical Rehabilitation. 2016:25(11):1-10.
  30. Guner S, Inanici F. Yoga therapy and ambulatory multiple sclerosis Assessment of gait analysis parameters, fatigue and balance. J Bodyw Mov Ther. 2015; 19(1):72-81.