title: Effects of Pilates exercises on sensory interaction, postural control and fatigue in patients with multiple sclerosis.
abstract: BACKGROUND
  Decreased postural control, sensory integration deficits and fatigue are important problems that cause functional impairments in patients with multiple sclerosis (pwMS).
  
  
  OBJECTIVE
  To examine the effect of modified clinical Pilates exercises on sensory interaction and balance, postural control and fatigue in pwMS.
  
  
  METHODS
  Eleven patients with multiple sclerosis and 12 healthy matched controls were recruited in this study. Limits of stability and postural stability tests were used to evaluate postural control by Biodex Balance System and sensory interaction assessed. Fatigue was assessed by Modified Fatigue Impact Scale. Pilates exercises were applied two times a week for 10 weeks and measurements were repeated to pwMS after exercise training.
  
  
  RESULTS
  Postural control and fatigue (except psychosocial parameter) of pwMS were significantly worser than healthy controls (p<0.05). Significant improvements occurred in sensory interaction (eyes open, foam surface) and total, physical and cognitive scores of fatigue after 10-week modified clinical Pilates training (p<0.05). No significant changes were detected in postural control after the pilates exercises (p>0.05).
  
  
  CONCLUSIONS
  Ten-week Pilates training is effective to improve sensory interaction and to decrease fatigue. Pilates exercises can be applied safely in ambulatory pwMS for enhance sensory interaction and balance and combat fatigue. More investigations are needed.
authors.affiliation: School of Physical Therapy and Rehabilitation, Dokuz Eylül University, 35340 İnciraltı, İzmir, Turkey. Electronic address: fzt_meldasoysal@hotmail.com.
authors.forename: Melda
authors.initials: M
authors.lastname: Soysal Tomruk
authors.affiliation: Health Services Vocational School, İzmir Katip Çelebi University, 35340 İnciraltı, İzmir, Turkey. Electronic address: mzahid.uz@ikc.edu.tr.
authors.forename: Muhammed Zahid
authors.initials: MZ
authors.lastname: Uz
authors.affiliation: School of Physical Therapy and Rehabilitation, Dokuz Eylül University, 35340 İnciraltı, İzmir, Turkey. Electronic address: bparlakster@gmail.com.
authors.forename: Bilge
authors.initials: B
authors.lastname: Kara
authors.affiliation: Faculty of Medicine, Department of Neurology, Dokuz Eylül University, 35340 İnciraltı, İzmir, Turkey. Electronic address: egemen.idiman@deu.edu.tr.
authors.forename: Egemen
authors.initials: E
authors.lastname: İdiman
mesh_terms: D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005221:Fatigue / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000503:physiopathology* / Q000628:therapy*; D010465:Perception; D004856:Postural Balance / Q000502:physiology; D012677:Sensation; D012720:Severity of Illness Index; D016037:Single-Blind Method; D016896:Treatment Outcome
keywords: Fatigue; Multiple sclerosis; Pilates exercises; Postural control; Sensory interaction