Vpliv pilates vadbe na ravnotežje pri bolnikih z multiplo sklerozo - pregled literature : diplomsko delo

Štukl, Manca (author), Hiti, Nina (mentor), Palma, Polona (reviewer)

Uvod: Multipla skleroza je najpogostejše kronično nevrološko in avtoimunsko obolenje mladih, na katerega lahko vplivajo genetski in okoljski dejavniki. Vzdrževanje ravnotežja je kompleksna motorična sposobnost, ki vključuje integracijo različnih senzoričnih informacij ter načrtovanja in izvedbe gibalnih vzorcev, kar je pri bolnikih z multiplo sklerozo običajno omejeno. Pri tem ima pomembno vlogo telesna vadba, s katero lahko te težave omilimo. Pilates je vadba, ki daje poudarek na stabilizacijo telesnega jedra s ponavljanjem nizko intenzivnih vaj za izboljšanje gibljivosti in za mišično vzdržljivost. Namen: Namen diplomskega dela je bil na podlagi pregleda strokovne in znanstvene literature ugotoviti vpliv pilates vadbe na ravnotežje pri bolnikih z multiplo sklerozo. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela s pregledom znanstvene in strokovne literature. Literaturo smo iskali v podatkovnih zbirkah PubMed, Research Gate in PEDro. Vključitveni kriteriji so bili randomizirani kontrolirani poskusi, starost udeležencev nad 18 let, raziskave, objavljene po letu 2011 in raziskave, kjer so preiskovanci izvajali vadbo pilates vsaj osem zaporednih tednov. Rezultati: V pregled literature smo vključili šest raziskav, ki so ustrezale vključitvenim merilom. Vse vključene raziskave so preučevale vpliv pilates vadbe na ravnotežje pri bolnikih z multiplo sklerozo. Trajale so 8 ali 12 zaporednih tednov. Preiskovanci so bili razdeljeni v kontrolne in raziskovalne skupine, kjer so raziskovalne skupine izvajale pilates vadbo, kontrolne skupine pa standardizirane vaje, relaksacijo, masažo ali pa prejemale običajne obravnave pri zdravniku. V petih raziskavah so ugotovili statistično pomembne razlike v ravnotežju v primerjavi z začetnimi meritvami, ni pa bilo statistično pomembnih razlik v rezultatih med skupinama, ki so izvajale pilates vadbo in standardizirano vadbo. Razprava in zaključek: Na podlagi rezultatov lahko zaključimo, da pilates vadba lahko vpliva na izboljšanje ravnotežja pri bolnikih z multiplo sklerozo. Pozitivne učinke na ravnotežje smo ugotovili tudi pri standardizirani vadbi za bolnike z multiplo sklerozo, pri čemer ni prišlo do statistično pomembnih razlik v primerjavi s skupinami, ki so izvajale pilates vadbo. Slednjo bi bilo zaradi popestritve programa smiselno vključevati v fizioterapevtski program pri bolnikih z multiplo sklerozo. Omejitve vključenih raziskav so bili majhni vzorci preiskovancev, neocenjeni dolgoročni vplivi pilates vadbe in premalo nadzirano izvajanje vadbe doma.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, multipla skleroza, ravnotežje, pilates vadba, stabilnost telesnega jedra
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Štukl]
• Year: 2022
• Number of pages: 19 str., [4] str. pril.
• PID: 20.500.12556/RUL-141553
• UDC: 615.8
• COBISS.SI-ID: 123919107
• Publication date in RUL: 01.10.2022

ŠTUKL, Manca, 2022, Vpliv pilates vadbe na ravnotežje pri bolnikih z multiplo sklerozo - pregled literature : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : M. Štukl. [Accessed 5 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=141553

Secondary language

• Language: English
• Title: The effects of pilates on balance in patients with multiple sclerosis - literature review : diploma work

Abstract

Introduction: Multiple sclerosis is the most common chronic neurological and autoimmune disease of young people, which can be influenced by genetic and environmental factors. Maintaining balance is a complex motor skill that involves the integration of various sensory information and the planning and execution of movement patterns, which is usually limited in patients with multiple sclerosis. Physical exercise has an important role and can alleviate this problem. Pilates is an exercise that focuses on stabilizing the body's core through repetition of low-intensity exercises for stretching and muscular endurance Purpose: The purpose of diploma work was to determine the impact of Pilates exercise on balance in patients with multiple sclerosis, based on a review of professional and scientific literature. Methods: In this diploma work we used a descriptive method of work with a review of scientific and professional literature. We searched the literature in the databases PubMed, Research Gate and PEDro. The inclusion criteria were randomized controlled trials, age of participants over 18 years, research published after 2011 and research where subjects practiced pilates for at least eight consecutive weeks. Results: Six studies that met the inclusion criteria were included in the literature review. All included studies examined the effect of pilates exercise on balance in patients with multiple sclerosis. They lasted 8 or 12 consecutive weeks. The subjects were divided into control and research groups, where the research groups performed pilates exercises, and the control groups received standardized exercises, relaxation, massage, or received the usual treatment from a medical doctor. Five studies found statistically significant differences in balance compared to baseline measurements, but there were no statistically significant differences in scores between the Pilates and standardized exercise groups. Discussion and conclusion: Based on the results, we can conclude that pilates exercise can affect the improvement of balance in patients with multiple sclerosis. Positive effects on balance were also found in standardized exercise for patients with multiple sclerosis, with no statistically significant differences compared to groups that performed pilates exercise. In order to diversify the program, it would make sense to include pilates exercises in the physiotherapy program for patients with multiple sclerosis. Limitations of the included studies were small study samples, unassessed long-term effects of pilates, and insufficiently supervised implementation of exercise at home.

• Keywords: diploma theses, physiotherapy, multiple sclerosis, balance, pilates, core stability