Comparison Of The Effectıveness Of Clınıcal Pılates Exercıses, Aerobıc Exercıses And Clınıcal Pılates Wıth Aerobıc Exercıse In Patıents Wıth Rheumatoıd Arthrıtıs

Thesis Type: Doctorate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey

Approval Date: 2020

Thesis Language: Turkish


Supervisor: Deran Oskay


Rheumatoid Arthritis (RA) is a rheumatic disease that may coexist many symptoms clinically. These clinical symptoms progress in a vicious cycle in many patients. Physical activity and exercise are known to improve many symptoms in RA patients. This thesis was designed to investigate the effects of clinical pilates exercises on fatigue, depression, aerobic capacity, pain, sleep quality and quality of life. Thirty voluntary RA patients were included in this study. Patients were separated into three groups equally and each group was applied treatment for eight weeks. Clinical pilates exercises were practiced to the first group, aerobic exercises were practiced to the second group and combined training which was a combination of pilates exercises and aerobic exercises was performed to the third group. Fatigue, depression, aerobic capacity, pain, sleep quality and quality of life were evaluated by Fatigue Severity Scale (FSS), Beck Depression Inventory (BDI), Six minute walk test (6MWT), Short- Form McGill Pain Questionnaire (MPQ), Pittsburg Sleep Quality Index (PSQI) and Rheumatoid Arthritis Quality of Life (RAQoL), respectively. According to our results, statistically significant improvements were found for clinical pilates exercises on fatigue, depression, aerobic capacity and quality of life (p< 0.05). Improvements in all parameters except from pain were concluded for aerobic exercises and combined training (p< 0.05). Also, there was no statistically significant difference among the treatment groups in assessments (p> 0.05). These results showed us that clinical pilates exercises may be effective like aerobic exercises in patients with RA. So, addition of clinical pilates exercises to the routine treatment of RA may enhance the success of rehabilitation.

Key Words

Aerobic Exercises, Pilates Exercises, Rheumatoid Arhtritis, Fatigue