پاول فردمن

Multiple Sclerosis (MS) is an autoimmune disease in which muscle weakness and fatigue reduce the quality of life. Therefore, the aim of this study was to investigate the effect of two types of Pilates exercises at home and outdoors on fatigue and quality of life in MS patients.

Among the women, 44 women with MS were randomly selected and divided into three groups: home-based training, out-door training and control group. The exercise groups performed Pilates exercises for 8 weeks individually (via DVD) at home and under the sun exposure between 8 and 10 am, but the control group did not do any exercise during this time. Fatigue severity, quality of life and vitamin D levels of patients were measured before and after exercise and data were analyzed using covariance statistical method.

The results showed that after eight weeks of training, there was a significant difference between the indicators of fatigue, quality of life and vitamin D serum in women with MS in all three groups (P≤0.05). The results of post-test post hoc test showed that there was a significant difference between the two training groups in all three indices (P≤0.05). Also, eight weeks of outdoor training compared to home training caused a greater increase in serum vitamin D (78.43%). And quality of life (50.26%) and further reduction in the severity of patients' fatigue (41.76%) (P≤0.05).

Pilates training is recommended for people with MS due to its low cost, availability, and significant effects on quality of life and vitamin D and fatigue.

Multiple Sclerosis (MS) is a debilitating disease of the nervous system that causes muscle weakness and impaired physical function, including walking and balance. The aim of this study was to investigate cardiovascular endurance, muscle endurance, upper and lower strength, coordination, balance and vitamin D levels in MS patients after Home-based and Outdoor Pilates training.

44 women with MS were randomly selected and divided into 3 groups: home-based training (HPT), outdoor training (OPT), and a control. The training groups performed 8 weeks of Pilates between 8 and 10 a.m. individually (via DVD) at home or under sunlight, cardiovascular and muscular endurance, upper and lower body strength, balance, coordination, and vitamin D level of the patients were measured before and
after the 8-week training. The data were analyzed using the covariance statistical method 

Eight weeks of HPT and OPT increased cardiovascular and muscular endurance, upper and lower body strength, coordination, and vitamin D level, and improved the balance of patients (P<0.05). The post-hoc analysis revealed that, compared to HPT, OPT caused a greater increase in upper and lower body muscle strength, balance, and vitamin D in patients. However, the changes in cardiovascular and muscular endurance and coordination between OPT and HPT were not statistically significant (P>0.05).

In general, HPT and OPT increase the functional capacity of women with MS, and to be more effective, OPT is recommended due to the reduction of physical complications of the disease.