The Effect of 8-Week Pilates Training on Aerobic and Anaerobic Capacity and Fatigue Indicators in Women with Multiple Sclerosis

Document Type : Original Article


1 MSc in Exercise Physiology.Department of Physical Education and Sport Science, Shahid Chamran Ahvaz, Ahvaz, Iran.

2 Ph.D in Exercise Physiology.Department of Physical Education and Sport Science, Shahid Chamran Ahvaz, Ahvaz, Iran.

3 Ph.D in genetic Physiology.Department of Physical Education and Sport Science, Shahid Chamran Ahvaz, Ahvaz, Iran.


Background and Objectives: Fatigue is a complications of MS and is associated with the level of physical fitness. The aim of this study was to investigate the effect of eight weeks of Pilates training on aerobic and anaerobic power and fatigue index was women with MS.
Subjects and Methods: In this study, 30 women with MS were selected by purposive sampling method and were placed in two Pilates training and control groups. Pilates training consisted of eight weeks, three sessions/week and each session consists of Pilates exercises under the supervision of researchers. Anaerobic power and capacity, peak oxygen consumption and fatigue index were measured before and after of intervention. Data analyzed by t-test (P ≤ 0.05).
Results: The results showed that a significant increase in anaerobic power and capacity, peak oxygen consumption and reduction in fatigue index in the Pilates group compared to the control group (P > 0.001).
Conclusion: According to these findings, Pilates training are appropriate training methods to improve the aerobic and anaerobic power and with this training method can improve the patient's fitness and reduce fatigue rate.


1-Dressendorfer R, Palmer E, Matlick D, Council RO. Multiple Sclerosis and Exercise. 2016.
2-Tofighi A, Saki Y, Razmjoo K. Effect of 12-Week Progressive Resistance Training on Balance, Fatigue and Disability in Women with MS. Jundishapur Sci Med J. 2013;12(2):159-67.
3-Hoang PD, Gandevia SC, Herbert RD. Prevalence of joint contractures and muscle weakness in people with multiple sclerosis. Disability and rehabilitation. 2014;36(19):1588-93.
4-Latimer-Cheung AE, Pilutti LA, Hicks AL, Ginis KAM, Fenuta AM, MacKibbon KA, et al. Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development. Archives of physical medicine and rehabilitation. 2013;94(9):1800-28. e3.
5-Shanazari Z, Marandi M, Mehrabi H. Effect of 12-week aquatic training on the  quality of life in women with multiple sclerosis. J Urmia Nurs Midwifery Fac. 2014;11(12):0-.
6-Sandoval AE. Exercise in multiple sclerosis. Physical medicine and rehabilitation clinics of North America. 2013;24(4):605-18.
7-Dalgas U, Stenager E, Ingemann-Hansen T. Review: Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance-and combined training. Multiple Sclerosis Journal. 2008;14(1):35-53.
8-Kent-Braun J, Ng A, Castro M, Weiner M, Gelinas D, Dudley G, et al. Strength, skeletal muscle composition, and enzyme activity in multiple sclerosis. Journal of Applied Physiology. 1997;83(6):1998-2004.
9-Dettmers C, Sulzmann M, Ruchay‐Plössl A, Gütler R, Vieten M. Endurance exercise improves walking distance in MS patients with fatigue. Acta Neurologica Scandinavica. 2009;120(4):251-7.
10- Romberg A, Virtanen A, Ruutiainen J. Long–term exercise improves functional impairment but not quality of life in multiple sclerosis. Journal of neurology. 2005;252(7):839-45.
11- Mostert S, Kesselring J. Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Multiple Sclerosis Journal. 2002;8(2):161-8.
12- Dashti P, Shabani M, Moazami M. Comparison of the effects of two selected exercises of Theraband and Pilates on the balance and strength of lower limb in elderly women. Iranian Journal of Obstetrics, Gynecology and Infertility. 2015;18(153):1-9.
13- Guclu-Gunduz A, Citaker S, Irkec C, Nazliel B, Batur-Caglayan HZ. The effects of pilates on balance, mobility and strength in patients with multiple sclerosis. NeuroRehabilitation. 2014;34(2):337-42.
14- Kao Y-H, Liou T-H, Huang Y-C, Tsai Y-W, Wang K-M. Effects of a 12-week pilates course on lower limb muscle strength and trunk flexibility in women living in the community. Health care for women international. 2015;36(3):303-19.
15- Hoffman J. Norms for fitness, performance, and health: Human Kinetics; 2006.
16- Slade JM, Miszko TA, Laity JH, Agrawal SK, Cress ME. Anaerobic power and physical function in strength-trained and non–strength-trained older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2002;57(3):M168-M72.
17- Schwid SR, Covington M, Segal BM, Goodman AD. Fatigue in multiple sclerosis: current understanding and future directions. Journal of rehabilitation research and development. 2002;39(2):211.
18- Konečný L, Pospíšil P, Vank P, Mífková L, Pochmonová J, Havelková A, et al. Combination of aerobic and resistant training in multiple sclerosis. EdItOR ‘S OffICE. 2010;83(2):98.
19- Medina-Perez C, de Souza-Teixeira F, Fernandez-Gonzalo R, de Paz-Fernandez JA. Effects of a resistance training program and subsequent detraining on muscle strength and muscle power in multiple sclerosis patients. NeuroRehabilitation. 2014;34(3):523-30.
20- Motl RW, Fernhall B. Accurate prediction of cardiorespiratory fitness using cycle ergometry in minimally disabled persons with relapsing-remitting multiple sclerosis. Archives of physical medicine and rehabilitation. 2012;93(3):490-5.
21- Kerling A, Keweloh K, Tegtbur U, Kück M, Grams L, Horstmann H, et al. Effects of a Short Physical Exercise Intervention on Patients with Multiple Sclerosis (MS). International journal of molecular sciences. 2015;16(7):15761-75.
22- Sharifi G, memarian N. Effect of Combined Trainin and Supplement Manesiumon Endurance and Fatiue in People with Multiple Sclerosise. journal of sport medicine and physical fitness. 2014;1(1):21-32.
23- Taylor N, Dodd K, Prasad D, Denisenko S. Progressive resistance exercise for people with multiple sclerosis. Disability and rehabilitation. 2006;28(18):1119-26.
24- Hayes HA, Gappmaier E, LaStayo PC. Effects of high-intensity resistance training on strength, mobility, balance, and fatigue in individuals with multiple sclerosis: a randomized controlled trial. Journal of Neurologic Physical Therapy. 2011;35(1):2-10.
25- Monazamnezhad A, Habibi A, Majdinasab N, Ghalvand A. The effects of aerobic exercise on lipid profile and body composition in women with multiple sclerosis. Jundishapur Journal of Chronic Disease Care. 2015;4(1).
26- Coote S, Hughes L, Rainsford G, Minogue C, Donnelly A. Pilot randomized trial of progressive resistance exercise augmented by neuromuscular electrical stimulation for people with multiple sclerosis who use walking aids. Archives of physical medicine and rehabilitation. 2015;96(2):197-204.
27- Stroud NM, Minahan CL. The impact of regular physical activity on fatigue, depression and quality of life in persons with multiple sclerosis. Health and quality of life outcomes. 2009;7(1):68.
28- Rampello A, Franceschini M, Piepoli M, Antenucci R. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: a randomized crossover controlled study. Physical therapy. 2007;87(5):545.
29- Smith C, Hale L, Olson K, Schneiders AG. How does exercise influence fatigue in people with multiple sclerosis? Disability and rehabilitation. 2009;31(9):685-92.
30- Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW. Impact of aerobic training on fitness and quality of life in multiple sclerosis. Annals of neurology. 1996;39(4):432-41.