Comparing Pilates and Physioball Exercise Regimens on Balance and Motor Control in Women with Multiple Sclerosis
Background: Multiple sclerosis (MS) is a chronic, progressive autoimmune and central nervous system disease. By damaging the myelin sheaths that insulate nerve cell axa, MS disrupts neurological function, leading to various complications, particularly balance disorders. The aim of this study was to the compare the effectiveness of eight sessions of either pilates or physioball exercise on balance and motor control for women with MS.
Methods: Thirty patients with MS, who were recruited from the MS Society of Tehran using availability sampling. Participants were randomly assigned to one into three groups: pilates exercises (PE), physioball exercise (PBE), or a control group (CG). PE and PBE group members completed a corresponding eight-week training program, consisting of three supervised sessions per week, for 15 to 45 minutes each session. During the same time period, the CG performed their usual daily activities. A sharpened Romberg's test was used to measured static balance, and motor control was evaluated by the timed up and go test. Both tests were administered to all participants prior to and following the intervention. Repeated measures analysis of variance was used to evaluate the data, with a significance level of P<0.05.
Results: Participants in the PE and PBE conditions showed significantly greater improvements in mean balance and motor control scores compared to CG members. However, no significant differences in mean balance or motor control scores were observed when comparing the PBE and PE groups.
Conclusions: While both the PE and PBE programs correlated with improved balance and motor control among MS patients compared to the CG. By considering the effectiveness of these training programs, we recommended them as preventive intervention against falls and related injuries.