Yıl: 2023 Cilt: 53 Sayı: 4 Sayfa Aralığı: 990 - 1000 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5663 İndeks Tarihi: 31-08-2023

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

Öz:
Background/aim: 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. Materials and 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). Conclusion: 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.
Anahtar Kelime: Parkinson’s disease Pilates muscle thickness core endurance

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  • 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. https://doi.org/10.1016/j.rehab.2014.01.003
  • 2. 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. https://doi.org/10.1002/14651858.CD002817.pub4
  • 3. Clarke CE, Patel S, Ives N, E Rick C, 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. https://doi.org/10.3310/hta20630
  • 4. 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. https://doi. org/10.1016/j.jbmt.2015.03.003
  • 5. 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. https://doi.org/10.33233/fb.v16i2.278
  • 6. Mollinedo-Cardalda I, Carral JMC, Rodriguez-Fuentes G. Pilates method guidelines for physical therapy in patients with Parkinson’s disease. Parkinsonism & Related Disorders 2016; 22: e65-e66. https://doi.org/10.1016/j.parkreldis.2015.10.150
  • 7. Johnson L, Putrino D, James I, Rodrigues J, Stell R. The effects of a supervised Pilates training program on balance in Parkinson’s disease. Advances in Parkinson’s Disease 2013; 2 (02): 58-61. https://doi.org/10.4236/apd.2013.22011
  • 8. Muscolino JE, Cipriani S. Pilates and the “powerhouse”-I. Journal of Bodywork and Movement Therapies 2004; 8 (1): 15- 24. https://doi.org/10.1016/S1360-8592(03)00057-3
  • 9. García-Jaén M, Cortell-Tormo JM, Hernández-Sánchez S, Tortosa-Martinez J. Influence of abdominal hollowing maneuver on the core musculature activation during the prone plank exercise. International Journal of Environmental Research and Public Health 2020; 17 (20): 7410. https://doi. org/10.3390/ijerph17207410
  • 10. Atılgan E. Fizyoterapide Pilates. In: Karaduman A (editors). Fizyoterapi Rehabilitasyon. 1st ed. Ankara: Pelikan Kitabevi; 2016. pp. 699-706.
  • 11. Critchley DJ, Pierson Z, Battersby G. Effect of pilates mat exercises and conventional exercise programmes on transversus abdominis and obliquus internus abdominis activity: pilot randomised trial. Manuel Therapy 2011; 16 (2): 183-189. https://doi.org/10.1016/j.math.2010.10.007
  • 12. Suruliraj K, Chakrapani M, Ganesan S, Ellajosyla R. Pelvic alignment in standing, and its relationship with trunk control and motor recovery of lower limb after stroke. Neurology and Clinical Neuroscience 2017; 5 (1): 22-28. https://doi. org/10.1111/ncn3.12092
  • 13. Cole MH, Naughton GA, Silburn PA. Neuromuscular impairments are associated with impaired head and trunk stability during gait in Parkinson fallers. Neurorehabilitation and Neural Repair 2017; 31 (1): 34-47. https://doi. org/10.1177/1545968316656057
  • 14. Masaki M, Kasahara M, Takeuchi M, Minakawa K, Inagaki Y et al. Comparison of the mass and amount of intramuscular non-contractile tissue of the trunk and lower extremity muscles between patients with Parkinson’s disease and community- dwelling older adults. Neurological Sciences. 2022; 43 (6): 3629-3640. https://doi.org/10.1007/s10072-021-05828-5
  • 15. Ota M, Ikezoe T, Kato T, Tateuchi H, Ichihashi N. Age related changes in muscle thickness and echo intensity of trunk muscles in healthy women: comparison of 20–60s age groups. European Journal of Applied Physiology 2020; 120: 1805-1814. https://doi.org/10.1007/s00421-020-04412-7
  • 16. Masaki M, Kasahara M, Inagaki Y, Yokota M, Takeuchi M. Association of sagittal spinal alignment in the standing position with the masses and amounts of intramuscular non-contractile tissue of the trunk and lower extremity muscles in patients with Parkinson’s disease. Clinical Biomechanics 2023; 101: 105868. https://doi.org/10.1016/j.clinbiomech.2022.105868
  • 17. Moon JH, Hong SM, Kim CW, Shin Y. Comparison of deep and superficial abdominal muscle activity between experienced Pilates and resistance exercise instructors and controls during stabilization exercise. Journal of Exercise Rehabilitation 2015; 11 (3): 161. https://doi.org/10.12965/jer.150203
  • 18. Hebert JJ, Koppenhaver SL, Parent EC, Fritz JM. A systematic review of the reliability of rehabilitative ultrasound imaging for the quantitative assessment of the abdominal and lumbar trunk muscles. Spine 2009; 34 (23): E848-E856. https://doi. org/10.1097/BRS.0b013e3181ae625c
  • 19. Koppenhaver SL, Hebert JJ, Parent EC, Fritz JM. Rehabilitative ultrasound imaging is a valid measure of trunk muscle size and activation during most isometric sub-maximal contractions: a systematic review. Australian Journal of Physiotherapy 2009; 55 (3): 153-169. https://doi.org/10.1016/S0004-9514(09)70076-5
  • 20. Taghipour M, Mohseni Bandpei MA, Behtash H, Abdollahi A, Rajabzadeh F et al. Reliability of real time ultrasound imaging for the assessment of trunk stabilizer muscles: A systematic review of the literature. Journal of Ultrasound in Medicine 2019; 38 (1): 15-26. https://doi.org/10.1002/jum.14661
  • 21. Arab AM, Chehrehrazi M. Ultrasound measurement of abdominal muscles activity during abdominal hollowing and bracing in women with and without stress urinary incontinence. Manuel Therapy 2011; 16 (6): 596-601. https:// doi.org/10.1016/j.math.2011.06.002
  • 22. Park SY, Oh S, Baek KH, Bae SS, Kwon JW. Comparison of abdominal muscle thickness between the abdominal draw-in maneuver and maximum abdominal contraction maneuver. Healthcare 2022; 10 (2) 251. https://doi.org/10.3390/ healthcare10020251
  • 23. Ko YH, Ha YG, Juri J, Van Hee L. Variations in lateral abdominal muscle thickness during abdominal drawing-in maneuver in three positions in a young healthy population. Physical therapy rehabilitation science 2014; 3 (2): 101-106. https://doi. org/10.14474/ptrs.2014.3.2.101
  • 24. Mew R. Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultrasound imaging. Manual Therapy 2009; 14 (6): 690-695. https://doi.org/10.1016/j.math.2009.05.003
  • 25. Giacomini MB, da Silva AMV, Weber LM, Monterio MB. The Pilates Method increases respiratory muscle strength and performance as well as abdominal muscle thickness. Journal of Bodywork and Movement Therapies 2016; 20 (2): 258-264. https://doi.org/10.1016/j.jbmt.2015.11.003
  • 26. Han JS, Cho WS, Lim JH. The effects of pilates mat exercise on trunk muscle thickness and balance. The Journal of Korean Physical Therapy 2017; 29 (4): 201-206. https://doi. org/10.18857/jkpt.2017.29.4.201
  • 27. Öksüz S, Ünal E. The effect of the clinical pilates exercises on kinesiophobia and other symptoms related to osteoporosis: Randomised controlled trial. Complementary Therapies in Clinical Practice 2017; 26: 68-72. https://doi.org/10.1016/j. ctcp.2016.12.001
  • 28. Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT et al. Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: status and recommendations the Movement Disorder Society Task Force on rating scales for Parkinson’s disease. Movement Disorders 2004; 19 (9): 1020- 1028. https://doi.org/10.1002/mds.20213
  • 29. Goetz CG, Tilley BC, Shaftman SR, Stebbins GT, Fahn S et al. Movement Disorder Society sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS UPDRS): scale presentation and clinimetric testing results. Movement Disorders 2008; 23 (15): 2129-2170. https://doi.org/10.1002/mds.22340
  • 30. Akbostanci MC, Bayram E, Yilmaz V, Rzayev S, Özkan S et al. Turkish standardization of movement disorders society unified Parkinson’s disease rating scale and unified dyskinesia rating scale. Movement Disorders Clinical Practice 2018; 5 (1): 54-59. https://doi.org/10.1002/mdc3.12556
  • 31. Linek P, Saulicz E, Wolny T, Mysliwiec A. Assessment of the abdominal muscles at rest and during abdominal drawing-in manoeuvre in adolescent physically active girls: A case–control study. Journal of Sport and Health Science 2017; 6 (1): 118-124. https://doi.org/10.1016/j.jshs.2015.10.002
  • 32. Tahan N, Khademi-Kalantari K, Mohseni-Bandpei MA, Mikaili S, Baghban AA et al. Measurement of superficial and deep abdominal muscle thickness: an ultrasonography study. Journal of Physiological Anthropology 2016; 35 (1): 1-5. https://doi. org/10.1186/s40101-016-0106-6
  • 33. Whittaker JL, Stokes M. Ultrasound imaging and muscle function. Journal of Orthopaedic & Sports Physical Therapy 2011; 41 (8): 572-580. https://www.jospt.org/doi/10.2519/ jospt.2011.3682
  • 34. Bulguroglu I, Guclu-Gunduz A, Yazici G, Özkul C, Irkec C et al. The effects of Mat Pilates and Reformer Pilates in patients with Multiple Sclerosis: A randomized controlled study. NeuroRehabilitation 2017; 41 (2): 413-422. https://doi. org/10.3233/NRE-162121
  • 35. Dorado C, Calbet J, Lopez-Gordillo A, Alayon S, Sanchis- Moysi J. Marked effects of Pilates on the abdominal muscles: a longitudinal magnetic resonance imaging study. Medicine & Science in Sports & Exercise 2012; 44 (8): 1589-1594. https://doi. org/10.1249/MSS.0b013e31824fb6ae
  • 36. Çelenay ŞT, Kaya DÖ. An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students: a randomized controlled study. Turkish Journal of Medical Sciences 2017; 47 (2): 504-513.https://doi.org/10.3906/sag-1511- 155
  • 37. Jamali Brayjani S, Rahnama N, Abrishamkar S. The Effect of Pilates Exercises on Muscular Endurance of the Central Part of Body and the Range of Motion of Lumbar Spine in Patients with Spondylolysis. Journal of paramedical sciences and rehabilitation 2019; 8 (1): 7-16. https://doi.org/10.22038/JPSR.2019.36259.1877
  • 38. Llewellyn H, Konstantaki M, Johnson M, Francis P. The effect of a Pilates exercise programme on perceived functional disability and pain associated with non-specific chronic low back pain. MOJ Yoga Physical Therapy 2017; 2 (1).https://doi.org/10.15406/ mojypt.2017.02.00013
  • 39. Monjo H, Fukumoto Y, Asai T, Shuntoh H. Muscle thickness and echo intensity of the abdominal and lower extremity muscles in stroke survivors. Journal of Clinical Neurology 2018; 14 (4): 549-554. / https://doi.org/10.3988/jcn.2018.14.4.549
  • 40. Lee J, Jeongwoob J, Dongyeopb L, Jiheonb H et al. Effect of trunk stabilization exercise on abdominal muscle thickness, balance and gait abilities of patients with hemiplegic stroke: A randomized controlled trial. NeuroRehabilitation 2020; 47 (4): 435-442. https://doi.org/10.3233/NRE-203133
  • 41. Kim Y, Kim J, Nam H, Kim HY, Eom M et al. Ultrasound imaging of the trunk muscles in acute stroke patients and relations with balance scales. Annals of Rehabilitation Medicine 2020; 44 (4): 273-283. https://doi.org/10.5535/arm.19125
  • 42. Madokoro S, Yokogawa M, Miaki H. Effect of the abdominal draw-in maneuver and bracing on abdominal muscle thickness and the associated subjective difficulty in healthy individuals. Healthcare 2020; 8 (4): 496. https://doi.org/10.3390/ healthcare80404966
APA GOZ E, Özyürek S, Aktar B, Dönmez Çolakoğlu B, BALCI B (2023). The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. , 990 - 1000. 10.55730/1300-0144.5663
Chicago GOZ EVRIM,Özyürek Seher,Aktar Burçin,Dönmez Çolakoğlu Berril,BALCI BİRGUL The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. (2023): 990 - 1000. 10.55730/1300-0144.5663
MLA GOZ EVRIM,Özyürek Seher,Aktar Burçin,Dönmez Çolakoğlu Berril,BALCI BİRGUL The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. , 2023, ss.990 - 1000. 10.55730/1300-0144.5663
AMA GOZ E,Özyürek S,Aktar B,Dönmez Çolakoğlu B,BALCI B The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. . 2023; 990 - 1000. 10.55730/1300-0144.5663
Vancouver GOZ E,Özyürek S,Aktar B,Dönmez Çolakoğlu B,BALCI B The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. . 2023; 990 - 1000. 10.55730/1300-0144.5663
IEEE GOZ E,Özyürek S,Aktar B,Dönmez Çolakoğlu B,BALCI B "The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study." , ss.990 - 1000, 2023. 10.55730/1300-0144.5663
ISNAD GOZ, EVRIM vd. "The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study". (2023), 990-1000. https://doi.org/10.55730/1300-0144.5663
APA GOZ E, Özyürek S, Aktar B, Dönmez Çolakoğlu B, BALCI B (2023). The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. Turkish Journal of Medical Sciences, 53(4), 990 - 1000. 10.55730/1300-0144.5663
Chicago GOZ EVRIM,Özyürek Seher,Aktar Burçin,Dönmez Çolakoğlu Berril,BALCI BİRGUL The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. Turkish Journal of Medical Sciences 53, no.4 (2023): 990 - 1000. 10.55730/1300-0144.5663
MLA GOZ EVRIM,Özyürek Seher,Aktar Burçin,Dönmez Çolakoğlu Berril,BALCI BİRGUL The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. Turkish Journal of Medical Sciences, vol.53, no.4, 2023, ss.990 - 1000. 10.55730/1300-0144.5663
AMA GOZ E,Özyürek S,Aktar B,Dönmez Çolakoğlu B,BALCI B The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. Turkish Journal of Medical Sciences. 2023; 53(4): 990 - 1000. 10.55730/1300-0144.5663
Vancouver GOZ E,Özyürek S,Aktar B,Dönmez Çolakoğlu B,BALCI B The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study. Turkish Journal of Medical Sciences. 2023; 53(4): 990 - 1000. 10.55730/1300-0144.5663
IEEE GOZ E,Özyürek S,Aktar B,Dönmez Çolakoğlu B,BALCI B "The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study." Turkish Journal of Medical Sciences, 53, ss.990 - 1000, 2023. 10.55730/1300-0144.5663
ISNAD GOZ, EVRIM vd. "The effects of Pilates training on abdominal muscle thickness and core endurance in patients with Parkinson’s disease: a single-blind controlled clinical study". Turkish Journal of Medical Sciences 53/4 (2023), 990-1000. https://doi.org/10.55730/1300-0144.5663