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. 2023 Aug;53(4):990-1000.
doi: 10.55730/1300-0144.5663. Epub 2023 Aug 18.

The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson's disease: a single-blind controlled clinical study

Evrim Göz  1 , Seher Özyürek  2 , Burçin Aktar  3 , Berril Dönmez Çolakoğlu  4 , Birgül Balci  5
Affiliations

The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson's disease: a single-blind controlled clinical study

Evrim Göz et al. Turk J Med Sci. 2023 Aug.

Abstract

Background: This study aims at examining the effects of Pilates training on the transversus abdominis (TrA) and internal obliques (IO) muscle thickness and core endurance in different positions in patients with Parkinson's Disease.

Methods: Patients were divided into 2 groups as Pilates training (n = 13) and control (n = 10) groups. Pilates training was performed twice a week for 6 weeks. The participants' muscle thickness and core endurance were measured at the beginning of the study (pretraining), and the effectiveness of Pilates training was then assessed in the 6th week (posttraining) and in the 12th-week follow-up. The thickness of the TrA and IO muscles was measured with a two-dimensional ultrasonography device. Core endurance was assessed with prone bridge and sit-ups tests.

Results: The assessments of the Pilates training group after the 6-week showed a statistically significant increase in the prone bridge and sit-ups test performances, and an increase in the thickness of the IO muscle [during resting in the supine position and abdominal drawing-in maneuver (ADIM) in standing position] and the TrA muscle (during ADIM in the standing position) (p < 0.05). Pilates exercises were also shown to have improved core muscle endurance and thickness (IO thickness during ADIM in the standing position and TrA thickness during resting in the supine position, ADIM in the supine and standing position) in the Pilates training group after a period of 18 weeks (p < 0.05).

Discussion: Pilates training has a favorable effect on the core endurance, and the TrA and IO muscle thickness of patients with Parkinson's disease and this effect can be maintained until three months after the training.

Keywords: Parkinson's disease; Pilates; core endurance; muscle thickness.

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Figures

Figure 1
Figure 1
Flowchart of study process.
Figure 2
Figure 2
Ultrasound images of right anterolateral abdominal muscles at rest (a) and during abdominal drawing-in maneuver (b). IO, internal oblique; TrA, transversus abdominis.
Figure 3
Figure 3
Ultrasound images of right anterolateral abdominal muscles at rest (a) and during abdominal drawing-in maneuver (b). IO, internal oblique; TrA, transversus abdominis.
See this image and copyright information in PMC

References

    1. Tambosco L, Percebois-Macadré L, Rapin A, Nicomette-Bardel J, Boyer FC. Effort training in Parkinson’s disease: a systematic review. Annals of Physical and Rehabilitation Medicine. 2014;57(2):79–104. doi: 10.1016/j.rehab.2014.01.003. - DOI - PubMed
    1. Tomlinson CL, Patel S, Meek C, Herd C, Clarke C, et al. Physiotherapy versus placebo or no intervention in Parkinson’s disease. Cochrane Database of Systematic Reviews (CDSR) 2013:9. doi: 10.1002/14651858.CD002817.pub4. - DOI - PMC - PubMed
    1. Clarke CE, Patel S, Ives N, Rick EC, Woolley R, et al. Clinical effectiveness and cost-effectiveness of physiotherapy and occupational therapy versus no therapy in mild to moderate Parkinson’s disease: a large pragmatic randomised controlled trial (PD REHAB) Health Technology Assessment. 2016;20(63):1–96. doi: 10.3310/hta20630. - DOI - PMC - PubMed
    1. de Oliveira Francisco C, de Almeida Fagundes A, Gorges B. Effects of Pilates method in elderly people: Systematic review of randomized controlled trials. Journal of Bodywork and Movement Therapies. 2015;19(3):500–508. doi: 10.1016/j.jbmt.2015.03.003. - DOI - PubMed
    1. de Freitas MLM, Zager M, Camphell C. The influence of Pilates method on the postural instability of elderly patient with Parkinson disease. Fisioterapia Brasil. 2015;16(2):155–159. doi: 10.33233/fb.v16i2.278. - DOI