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Multiple Sclerosis and Related DisordersVolume 57, January 2022, 103410
Do Pilates exercises improve balance in patients with multiple sclerosis? A systematic review and meta-analysisMeltem Isintas, et al
https://doi.org/10.1016/j.msard.2021.103410
Highlights
•Balance problems are widespread in people with multiple sclerosis (MS).
•Pilates exercises might be an effective method for improving balance in MS patients.
•High-quality studies are needed to evaluate the effectiveness of pilates exercises on balance in MS patients.
Abstract
Introduction and purpose
Balance problems are common in people with multiple sclerosis (MS). Pilates can also be treatment strategy for people with MS, but there is inadequate evidence to support or refute the efficacy of Pilates, especially on balance in MS patients. The aim of this study was to conduct a systematic review and meta-analysis to determine the effects of Pilates exercises on balance in people with MS.
Methods
We conducted a literature search of the Cochrane Library, MEDLINE (EBSCO), Physiotherapy Evidence Database (PEDro), CINAHL (EBSCO), PUBMED, OVID, Science Direct, and Scopus databases using the following search terms: multiple sclerosis, Pilates, core stability, balance, equilibrium, postural control. All content from the date of database inception to March 2021 was included in the search.
Results
The initial search strategy based on date range and language yielded 246 relevant records and eight of them were about both Pilates and MS. According to this evaluation, we found the significant advantage of Pilates on balance in patients with MS, when compared to the control group in the Berg Balance Scale (SMD=1.017; 95% CI=−0.040, 1.994; p = 0.041), Activities-Specific Balance Confidence Scale (SMD=0.604; 95% CI=−0.078, 1.130; p = 0.024), Timed Up and Go Test (SMD=0.944; 95% CI=−0.022, 1.867; p = 0.045). But in the Functional Reach Test (SMD=1.846; 95% CI=−0.080, 3.772; p = 0.060), we did not found any difference between groups.
Conclusions
Pilates exercises might be an optional method for improving balance in MS patients, however, we need further robust studies to prove whether it is more effective than other physiotherapy interventions.