title: Different types of exercise in Multiple Sclerosis: Aerobic exercise or Pilates, a single-blind clinical study.
abstract: BACKGROUND
  The aim of our study is to examine effects of aerobic and Pilates exercises on disability, cognition, physical performance, balance, depression and fatigue in relapsing-remitting Multiple Sclerosis (MS) patients as compared to healthy controls.
  
  
  METHODS
  The subjects were divided as aerobic exercise (n = 26), Pilates (n = 9), and the healthy control group (n = 21). We used MSFC, physical performance, Berg balance scale, Beck depression scale, fatigue impact scale. All evaluations were performed before and after exercise training.
  
  
  RESULTS
  There are statistically meaningful differences between Nine hole testing, PASAT 3, physical performance and fatique impact scale before and after aerobic exercise. Also we found significant difference for physical performance in the Pilates group. There are no significant differences in measures of fatique impact scale and depression between aerobic exercise group and the healthy controls after exercise. We found significant differences between Pilates and control group's after measurements except depression. There were significant differences between the Pilates and aerobic group for cognitive tests in favor of the Pilates group.
  
  
  CONCLUSIONS
  Aerobic exercise and clinical Pilates exercises revealed moderate changes in levels of cognitive, physical performance, balance, depression, fatigue in MS patients.
authors.affiliation: Department of Physical Therapy and Rehabilitation, School of Health Sciences, Dokuz Eylül University, İnciraltı, İzmir, Turkey.
authors.forename: Bilge
authors.initials: B
authors.lastname: Kara
authors.affiliation: Department of Physical Therapy and Rehabilitation, Institute of Health Sciences, Hacettepe University, Ankara, Turkey.
authors.forename: Fadime
authors.initials: F
authors.lastname: Küçük
authors.affiliation: Maya Neuropsychological Counselling Center, İzmir, Turkey.
authors.forename: Esra Coşkuner
authors.initials: EC
authors.lastname: Poyraz
authors.affiliation: Department of Physical Therapy and Rehabilitation, School of Health Sciences, Dokuz Eylül University, İnciraltı, İzmir, Turkey.
authors.forename: Melda Soysal
authors.initials: MS
authors.lastname: Tomruk
authors.affiliation: Department of Neurology, School of Medicine, Dokuz Eylül University, İzmir, Turkey.
authors.forename: Egemen
authors.initials: E
authors.lastname: İdıman
mesh_terms: D000328:Adult; D003071:Cognition; D003863:Depression; D015444:Exercise; D005081:Exercise Therapy; D005221:Fatigue; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000628:therapy*; D026741:Physical Therapy Modalities; D004856:Postural Balance; D016037:Single-Blind Method
keywords: Multiple Sclerosis; aerobic exercises; balance; clinical Pilates; cognition; physical performance