Effect of Pilates exercises on muscle strength and balance after healed lower limb burns

Yasmeen Mohamed; Khadra Ali; Ashraf Mohamed; Nancy Aboelnour; Haidy Ashem

doi:10.5114/areh.2024.144868

ISSN: 1734-4948

Advances in Rehabilitation

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abstract:

Original article

Effect of Pilates exercises on muscle strength and balance after healed lower limb burns

Yasmeen Hamada Lotfy Mohamed

¹

,

Khadra Mohamed Ali

²

,

Ashraf Elsebaie Mohamed

³

,

Nancy Hassan Aboelnour

⁴

,

Haidy Nady Ashem

⁵

Assistant Lecturer, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Assistant Professor, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Professor, Department of Plastic and General Surgery, Faculty of Medicine, Cairo University, Egypt.
Assistant Professor, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Professor, Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt

Adv Rehab. (2024)

DOI: https://doi.org/10.5114/areh.2024.144868

Online publish date: 2024/11/07

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Introduction
Severe burn injuries result in reduced muscle strength, postural imbalance, limited walking ability, and diminished functional activities. Lower limb burns are common and frequently cause muscle weakness and postural imbalance. This research aimed to study the impacts of Pilates exercises on muscle strength, balance, and function in patients with healed lower limb burns aiming to identify the most effective treatment program for lower limb burn rehabilitation.

Material and methods
Seventy-six patients with second-degree thermal burn injuries affecting their lower limbs were distributed into two equal groups. Each group underwent treatment over 8 weeks (3 sessions per week). Group A underwent Pilates exercises combined with a traditional physiotherapy program comprising stretching, range of motion, and strengthening exercises, while Group B underwent only the traditional physiotherapy program. Muscle strength, balance, and function were evaluated before and after the intervention using a Lafayette hand-held dynamometer (HHD), Berg Balance Scale (BBS), and Lower Extremity Functional Scale (LEFS), respectively.

Results
Both groups A and B exhibited significant improvements in knee flexor and extensor strength, BBS scores, and LEFS scores (p < 0.001). However, Group A achieved greater improvements in all measurements compared to Group B (p < 0.001).

Conclusions
Pilates exercises effectively enhance lower limb muscle strength, balance, and functional status during rehabilitation for patients with lower limb burns.

keywords:

Balance, Muscle Strength, Functional status, Burns, Pilates exercises

Speed

3 days to initial verification (Median)

25 days from submission to first decision (Median)

Effect of Pilates exercises on muscle strength and balance after healed lower limb burns

Yasmeen Hamada Lotfy Mohamed 1 , Khadra Mohamed Ali 2 , Ashraf Elsebaie Mohamed 3 , Nancy Hassan Aboelnour 4 , Haidy Nady Ashem 5

Balance, Muscle Strength, Functional status, Burns, Pilates exercises

Yasmeen Hamada Lotfy Mohamed

¹

,

Khadra Mohamed Ali

²

,

Ashraf Elsebaie Mohamed

³

,

Nancy Hassan Aboelnour

⁴

,

Haidy Nady Ashem

⁵