ABSTRACT
AIMS: To determine the effect of Mat Pilates on serum levels of interleukin-10 and brain-derived neurotrophic factor in women with multiple sclerosis. METHODS: Thirty women with multiple sclerosis with mild to moderate disability were recruited and randomly divided into equal Pilates training and Control groups. Patients in the training group accomplished a Pilates program three times a week for eight weeks. The Control group maintained their routine lifestyle. The serum level of interleukin-10 and brain-derived neurotrophic factor were measured before and after the protocol. The differences between groups were assessed by using analysis of covariance test to compare post-tests by considering covariate pre-tests (assuming a p-value <0.05 as significant). RESULTS: There were no significant changes in interleukin-10 (13.09 ±5.36 ng/ml in the Pilates training group compared to 13.21 ±4.76 ng/ml in the Control group, p =0.81), whereas an increase in brain-derived neurotrophic factor was observed after eight-week Pilates training (11550.14±2619.60 ng/ml in the Pilates training group compared to 9664.35±3161.66 ng/ml in the Control group, p=0.03). CONCLUSIONS: The results suggest that the intensity and duration of this protocol was not related to significant changes in interleukin-10, but was followed by an increase in brain-derived neurotrophic factor in these patients. Based on this finding, physical activity according to the individual's ability is recommended for patients with multiple sclerosis, in parallel with drug therapy.
OBJETIVOS: Determinar o efeito do Mat Pilates sobre os níveis séricos de interleucina-10 e fator neurotrófico derivado do cérebro em mulheres com esclerose múltipla. MÉTODOS: Trinta mulheres com esclerose múltipla e deficiência física leve a moderada foram recrutadas e divididas aleatoriamente em grupos iguais, um de treinamento em Pilates e outro de controle. As pacientes do grupo de treinamento cumpriram um programa de Pilates três vezes por semana durante oito semanas. O grupo controle manteve seu estilo de vida de rotina. O nível sérico de interleucina-10 e o fator neurotrófico derivado do cérebro foram medidos antes e após o protocolo. As diferenças entre os grupos foram avaliadas usando o teste de análise de covariância para comparar pós-testes, considerando pré-testes como covariáveis (assumindo p-valor <0,05 como significativo). RESULTADOS: Não houve alterações significativas na interleucina-10 (13,09±5,36 ng/ml no grupo treinamento em Pilates, em comparação a 13,21±4,76 ng/ml no grupo controle, p=0,81), mas foi observado um aumento no fator neurotrófico derivado do cérebro após o treinamento de Pilates por oito semanas (11550,14±2619,60 ng/ml no grupo treinamento em Pilates em comparação a 9664,35±3161,66 ng/ml no grupo controle, p=0,03). CONCLUSÕES: Os resultados sugerem que a intensidade e duração desse protocolo não se relacionou com mudança significativa na interleucina-10, mas foi seguido por um aumento no fator neurotrófico derivado do cérebro nessas pacientes. Com base neste achado, a atividade física de acordo com a capacidade individual é recomendada para pacientes com esclerose múltipla, paralelamente à terapia medicamentosa.
Subject(s)
Multiple Sclerosis , Exercise , Exercise Movement Techniques , MedicineABSTRACT
Background & objectives: Multiple sclerosis (MS) is a neurodegenerative disease, which affects the patients’ mobility, and exercise training is considered to be beneficial for these patients. The aim of this study was to determine the effects of 10 wk of low intensity exercise and whole body vibration (WBV) training on fatigue, quality of life, functional and physical indices, and serum levels of ghrelin, leptin, and testosterone in MS patients. Methods: Thirty four MS patients with mild to moderate disability were recruited and randomly divided into two groups, the training group (n=17) and control group (n=17). Patients in the training group did low intensity exercise and WBV training programme three times a week for 10 wk. The control group continued their routine life. Intended variables like expanded disability status scale (EDSS), fatigue, quality of life, functional and physical indices consisted of balance, walking speed, functional mobility, functional muscle endurance, and walking endurance, and serum levels of ghrelin, leptin, and testosterone were measured before and after the protocol. Results: Thirty subjects completed the study (23 females, 7 males; mean age =38.80 ± 9.50 yr). Statistical analysis demonstrated that EDSS in the WBV training group was significantly decreased (P=0.01), balance (P=0.01), and walking endurance significantly increased (P=0.01) in MS patients (P<0.05). Interpretation & conclusions: The results suggest that low intensity exercise and WBV training have some beneficial impact on functional and physical indices of MS patients.