Influencing psychological well-being through pilates exercises during the Covid-19 pandemic in people with multiple sclerosis

Authors

  • Renata Větrovská College of Physical Education and Sport Palestra
  • Radka Procházková Department of Sports Medicine, First Faculty of Medicine and General University Hospital in Prague,
  • Eva Vohanková
  • Marek Ondruch
  • Klára Novotná

DOI:

https://doi.org/10.58743/asv2024vol12no1.338

Keywords:

Pilates, Multiple Sclerosis, Telerehabilitation, Covid-19, Exercise

Abstract

Background

The period of the Covid-19 pandemic was also very challenging for people with chronic neurological disease (multiple sclerosis) who already suffer from increased levels of depression and anxiety due to the nature of their illness. They may also have reduced levels of self-efficacy due to disability.

Objective

The aim of the pilot study was to test whether a telerehabilitation programme of Pilates exercises could improve psychological wellbeing in people with multiple sclerosis.

Methods

The online Pilates exercise programme was scheduled for 12 weeks (2 times a week for 45 minutes of Pilates exercise combined with 30 minutes of aerobic activity based on participants preferences).

The participants’ psychological well-being were measured before and after exercise programe with the patient reported outcomes Hospital Anxiety and Depression Scale and General Self-efficacy Scale.

Results

There were no significant changes in the evaluated parameters after the three-month telerehabilitation program.

Conclusion

Therefore it is possible that a similar online exercise program could help maintain psychological wellbeing in people with a chronic neurological disease such as MS. However, this needs to be tested in a larger sample of individuals.

References

Abasıyanık, Z., Kurt, M., & Kahraman, T. (2022). COVID-19 and physical activity behaviour in people with neurological diseases: a systematic review. Journal of Developmental and Physical Disabilities, 34(6), 987-1012. https://doi.org/10.1007/s10882-022-09836-x

Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital Anxiety and Depression Scale: an updated literature review. J Psychosom Res. https://doi.org/10.1016/S0022-3999(01)00296-3

Di Tella, S., Pagliari, C., Blasi, V., Mendozzi, L., Rovaris, M., & Baglio, F. (2020). Integrated telerehabilitation approach in multiple sclerosis: a systematic review and meta-analysis. Journal of telemedicine and telecare, 26(7-8), 385-399. https://doi.org/10.1177/1357633X19850381

Dobson, R., & Giovannoni, G. (2019). Multiple sclerosis–a review. European journal of neurology, 26(1), 27-40. https://doi.org/10.1111/ene.13819

Ensari, I., Motl, R. W., & Pilutti, L. A. (2014). Exercise training improves depressive symptoms in people with multiple sclerosis: results of a meta-analysis. Journal of psychosomatic research, 76(6), 465-471.

https://doi.org/10.1016/j.jpsychores.2014.03.014 https://doi.org/10.1016/j.jpsychores.2014.03.014

Fahy, A., & Maguire, R. (2022). Potentially modifiable associates of anxiety in people with multiple sclerosis: a systematic review. Disability and Rehabilitation, 1-12. https://doi.org/10.1080/09638288.2021.2022776

Feinstein, A., O'connor, P., Gray, T., & Feinstein, K. (1999). The effects of anxiety on psychiatric morbidity in patients with multiple sclerosis. Multiple Sclerosis Journal, 5(5), 323-326. https://doi.org/10.1177/135245859900500504

Fleming, K. M., & Herring, M. P. (2018). The effects of pilates on mental health outcomes: A meta-analysis of controlled trials. Complementary therapies in medicine, 37, 80-95. https://doi.org/10.1016/j.ctim.2018.02.003

Garjani, A., Hunter, R., Law, G. R., Middleton, R. M., Tuite-Dalton, K. A., Dobson, R., ... & das Nair, R. (2022). Mental health of people with multiple sclerosis during the COVID-19 outbreak: A prospective cohort and cross-sectional case–control study of the UK MS Register. Multiple Sclerosis Journal, 28(7), 1060-1071. https://doi.org/10.1177/13524585211020435

Honarmand K, Feinstein A (2009) Validation of the hospital anxiety and depression scale for use with multiple sclerosis patients. Mult Scler. https://doi.org/10.1177/1352458509347150

Chiaravalloti, N. D., & DeLuca, J. (2008). Cognitive impairment in multiple sclerosis. The Lancet Neurology, 7(12), 1139-1151. https://doi.org/10.1016/S1474-4422(08)70259-X

Martínez-de-Quel, Ó., Suárez-Iglesias, D., López-Flores, M., & Pérez, C. A. (2021). Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study. Appetite, 158, 105019. https://doi.org/10.1016/j.appet.2020.105019

Motl, R. W., Sandroff, B. M., Kwakkel, G., Dalgas, U., Feinstein, A., Heesen, C., ... & Thompson, A. J. (2017). Exercise in patients with multiple sclerosis. The lancet neurology, 16(10), 848-856. https://doi.org/10.1016/S1474-4422(17)30281-8

Moumdjian, L., Smedal, T., Arntzen, E. C., van der Linden, M. L., Learmonth, Y., Pedullà, L., ... & Coote, S. (2022). Impact of the COVID-19 pandemic on physical activity and associated technology use in persons with multiple sclerosis: an international RIMS-SIG Mobility survey study. Archives of Physical Medicine and Rehabilitation, 103(10), 2009-2015. https://doi.org/10.1016/j.apmr.2022.06.001

Pedullà, L., Santoyo-Medina, C., Novotna, K., Moumdjian, L., Smedal, T., Arntzen, E. C., ... & Tacchino, A. (2022). Physical activity in multiple sclerosis: meeting the guidelines at the time of COVID-19 pandemic. Journal of Neurologic Physical Therapy. https://doi.org/10.1097/NPT.0000000000000430.

Sadovnik, A. D., & Remick, R. A. (1996). Allen. J et al. Depression and multiple sclerosis. Neurology, 46, 628-632.

Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., ... & Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and health, 16(1), 1-11. https://doi.org/10.1186/s12992-020-00589-w

Sandroff, B. M., Motl, R. W., Scudder, M. R., & DeLuca, J. (2016). Systematic, evidence-based review of exercise, physical activity, and physical fitness effects on cognition in persons with multiple sclerosis. Neuropsychology review, 26, 271-294. https://doi.org/10.1007/s11065-016-9324-2

Sánchez-Lastra, M. A., Martínez-Aldao, D., Molina, A. J., & Ayán, C. (2019). Pilates for people with multiple sclerosis: A systematic review and meta-analysis. Multiple sclerosis and related disorders, 28, 199-212. https://doi.org/10.1016/j.msard.2019.01.006

Sbragia, E., Colombo, E., Pollio, C., Cellerino, M., Lapucci, C., Inglese, M., ... & Boffa, G. (2022). Embracing resilience in multiple sclerosis: a new perspective from COVID-19 pandemic. Psychology, Health & Medicine, 27(2), 352-360.

https://doi.org/10.1080/13548506.2021.1916964

Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. J. Weinman, S. Wright, & M. Johnston, Measures in health psychology: A user’s portfolio. Causal and control beliefs, 35, 37.

Sullivan, M. J., Weinshenker, B., Mikail, S., & Edgley, K. (1995). Depression before and after diagnosis of multiple sclerosis. Multiple Sclerosis Journal, 1(2), 104-108.

Tarakci, E., Tarakci, D., Hajebrahimi, F., & Budak, M. (2021). Supervised exercises versus telerehabilitation. Benefits for persons with multiple sclerosis. Acta Neurologica Scandinavica, 144(3), 303-311. https://doi.org/10.1111/ane.13448

Yeni, K., Tulek, Z., & Terzi, M. (2022). A year with the fear of COVID-19 in multiple sclerosis patients: examination of depression, sleep quality and quality of life before and after the pandemic. Multiple Sclerosis and Related Disorders, 57, 103370. https://doi.org/10.1016/j.msard.2021.103370

Wilski, M., & Tasiemski, T. (2016). Illness perception, treatment beliefs, self‐esteem, and self‐efficacy as correlates of self‐management in multiple sclerosis. Acta Neurologica Scandinavica, 133(5), 338-345. https://doi.org/10.1111/ane.12465

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Published

11-07-2024

How to Cite

Větrovská, R., Procházková, R., Vohanková, E., Ondruch, M., & Novotná, K. (2024). Influencing psychological well-being through pilates exercises during the Covid-19 pandemic in people with multiple sclerosis. Acta Salus Vitae, 12(1), 22-29. https://doi.org/10.58743/asv2024vol12no1.338