Effect of Pilates-Based Exercises Applied With Hybrid Telerehabilitation Method on Respiratory Parameters and Functional Capacity in Scoliosis

Abstract

AbstractObjectiveThis study aimed to investigate the effect of Pilates-based exercise training applied with hybrid telerehabilitation on respiratory function, respiratory muscle strength, and functional capacity in patients with adolescent idiopathic scoliosis (AIS).MethodsThis is an evaluator-blinded, randomized, controlled trial. For the study, 32 patients were randomly allocated into two groups. The hybrid telerehabilitation group performed modified Pilates-based exercises with synchronous sessions under the supervision of a physiotherapist, while the home-based exercise group continued the same exercise program at home with weekly brochures. The Pilates-based exercise program consists of stretching and strengthening exercises combined with postural corrections and breathing exercises modified according to the curve type and localization of the AIS patients, done every day of the week for 12 weeks. Spirometry, maximal inspiratory (MIP) and expiratory pressures (MEP), and incremental shuttle walk test were compared and analyzed at the beginning and end of the study.ResultsThe hybrid telerehabilitation group showed statistically significant improvements in PEF%, MIP, and MEP values compared with the home-based exercisel group (p<0.05).ConclusionPilates-based exercises applied with the hybrid telerehabilitation method can improve respiratory muscle strength in patients with AIS. We believe that hybrid telerehabilitation can be used as an alternative to home-based programs, especially in places and times where access to supervised education may be limited, with its more controlled structure.