Effects of using the Pilates method on head and shoulder range of motion in post-coronary artery bypass graft cardiac patients
Poster Presentation XML
1Master in Corrective Exercise and Sport Injury, Faculty of Physical Education and Sport Sciences, Isfahan University, Isfahan, Iran
2Professor, Department of Corrective Exercise and Sport Injury, Isfahan, Iran
Introduction: The adaptations of the human body resulting from the surgery process especially loss of flexibility can increase the risk of developing other health conditions. Exercise training, in particular the Pilates exercise method, has become an important form of physical activity that minimizes the deleterious effects of open-heart surgery on flexibility. Few studies have evaluated the effect of this training method on body flexibility among cardiac patients. We aimed to evaluate the effects of physical training using the Pilates method on range of motion of head and shoulders joints in women cardiac patients after open-heart surgery.
Methodology: twenty-two women heart disease were selected and randomized into equal experimental (n=11, mean & standard deviation, age 60.4±8.8 year, height 157.5±6 cm, weight 77.5±13 kg) and control groups (n=11, mean & standard deviation, age 62.8±8.1 year, height 154.4±3 cm, weight 77.4±9.5 kg). flexion, extension, right and left tilt, and right and left rotation of the cervical and flexion, extension, abduction, and lateral and medial right and left rotation of the glenohumeral joint were measured by goniometer before and after the training period. The experimental group for eight weeks, three sessions per week and each session began an hour to do Pilates exercises, but the control group received no exercise intervention. The data were analyzed by dependent and independent t-test.
Results: There was an observed increase in flexion (27 %; p < 0.05), extension (14 %; p < 0.05), lateral bending right (12 %; p < 0.05), lateral bending left (13.5 %; p < 0.05), rotation to the right side (20%; p > 0.05) and rotation to the left side (9 %; p > 0.05) of the cervical spine; flexion (right—9%, p > 0.05; left—9 %, p > 0.05), extension (right—56%, p < 0.05; left—60 %, p < 0.05), abduction (right—12.4 %, p < 0.05; left—14 %, p < 0.05), medial rotation (right—25 % and left—26 %; p < 0.05 for both directions), and external rotation (right—24 % and left—23 %; p < 0.05 for both directions) of the glenohumeral joint.
Discussion: The results of this study can be concluded that Pilates exercise cause improved head and shoulder range of motion. So can recommended Pilates exercises to improve the range of motion in these patients.