TY - JOUR
T1 - The feasibility of Pilates to improve symptoms of anxiety, depression, and fatigue among people with Multiple Sclerosis
T2 - An eight-week randomized controlled pilot trial
AU - Fleming, Karl M.
AU - Coote, Susan B.
AU - Herring, Matthew P.
N1 - Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2019/11
Y1 - 2019/11
N2 - Objective: Evidence supports benefits of exercise for mental health among people with Multiple Sclerosis (PwMS). However, non-traditional exercise modes like Pilates remain understudied. This eight-week randomized pilot trial explored indicators of feasibility of supervised or home-based Pilates compared to wait-list control on mental health outcomes among PwMS. Method: The pilot trial took place in Limerick (August to October 2017). We recruited through the MS Society of Ireland Midwest region. Seventeen females (49.8 ± 8.4 y) were randomized to two weekly 60-min supervised or home-based Pilates sessions guided by a DVD, or wait-list control. Feasibility relative to recruitment, retention, compliance, and presence/absence of adverse events was examined. Well-validated questionnaires assessed symptoms of anxiety, depression, and fatigue. Standardized mean differences and Hedges’ d were calculated to explore magnitude of change in response to Pilates compared to wait-list. Results: Nineteen participants registered interest. Following screening, 17 met inclusion criteria and accepted randomization. Attrition was 40% for supervised Pilates; no home-based or wait-list participant withdrew. Pilates compliance was >80%. No adverse events were reported. Compared to wait-list, home-based Pilates scores were significantly lower for feelings of depressed mood at weeks 4, 6, and 8 (d = 0.47–1.25; all p ≤ 0.02), physical symptoms of fatigue at weeks 4 and 8 (d = 0.82–0.84; all p ≤ 0.005), and total fatigue at weeks 4 and 8 (d = 0.57–0.60; all p ≤ 0.02). Conclusions: Findings support the feasibility of home-based Pilates to improve mental health outcomes among women with MS with minimal-to-mild mobility disability. Results support development of future larger home-based randomized controlled trials to better understand Pilates’ effects.
AB - Objective: Evidence supports benefits of exercise for mental health among people with Multiple Sclerosis (PwMS). However, non-traditional exercise modes like Pilates remain understudied. This eight-week randomized pilot trial explored indicators of feasibility of supervised or home-based Pilates compared to wait-list control on mental health outcomes among PwMS. Method: The pilot trial took place in Limerick (August to October 2017). We recruited through the MS Society of Ireland Midwest region. Seventeen females (49.8 ± 8.4 y) were randomized to two weekly 60-min supervised or home-based Pilates sessions guided by a DVD, or wait-list control. Feasibility relative to recruitment, retention, compliance, and presence/absence of adverse events was examined. Well-validated questionnaires assessed symptoms of anxiety, depression, and fatigue. Standardized mean differences and Hedges’ d were calculated to explore magnitude of change in response to Pilates compared to wait-list. Results: Nineteen participants registered interest. Following screening, 17 met inclusion criteria and accepted randomization. Attrition was 40% for supervised Pilates; no home-based or wait-list participant withdrew. Pilates compliance was >80%. No adverse events were reported. Compared to wait-list, home-based Pilates scores were significantly lower for feelings of depressed mood at weeks 4, 6, and 8 (d = 0.47–1.25; all p ≤ 0.02), physical symptoms of fatigue at weeks 4 and 8 (d = 0.82–0.84; all p ≤ 0.005), and total fatigue at weeks 4 and 8 (d = 0.57–0.60; all p ≤ 0.02). Conclusions: Findings support the feasibility of home-based Pilates to improve mental health outcomes among women with MS with minimal-to-mild mobility disability. Results support development of future larger home-based randomized controlled trials to better understand Pilates’ effects.
KW - Anxiety
KW - Depression
KW - Fatigue
KW - Multiple Sclerosis
KW - Pilates
UR - http://www.scopus.com/inward/record.url?scp=85070778134&partnerID=8YFLogxK
U2 - 10.1016/j.psychsport.2019.101573
DO - 10.1016/j.psychsport.2019.101573
M3 - Article
AN - SCOPUS:85070778134
SN - 1469-0292
VL - 45
SP - -
JO - Psychology of Sport and Exercise
JF - Psychology of Sport and Exercise
M1 - 101573
ER -