Effects of Pilates Exercises on Core Stability After Recovery From COVID -19

Study Overview
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Brief Summary
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This study will be conducted in the Department of physical therapy, College of Applied Medical Sciences,Jazan University, to Effects of Pilates Exercises on core stability after Recovery from COVID - 19

Detailed Description
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145 male and female students who had infected with covid 19 with age 19 to 26 years old, will be recruited from the College of Applied Medical Sciences, Jazan University. Subjects will be randomly assigned to a pilates and home exercises (PAH) group or a control group who will perform only home exercises (COH) Four core endurance tests will be performed to assess the core stability Pilates exercise program will be composed of Pilates mat exercise program for a period of 12 weeks and three sessions every week. Each session took one hour. Every session started with 10 minutes of simple stretching movements to warm-up followed by the main part of the exercise plan for 40 min, followed by 10 minutes, some cool-down stretching. When the 12-week study period will over, the core stability will be assessed by the endurance tests and Prokin system for balance

Official Title
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Effects of Pilates Exercises on Core Stability After Recovery From COVID -19

Conditions
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Covid19, Pilates, Core Stability

Intervention / Treatment
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* Other: Pilates Exercises
* Other: Home Exercise program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Persons who had mild to moderate covid- 19 illness. Asymptomatic period of at least seven days (without chest pain, breathlessness). No musculoskeletal damage. No pregnancy. No visually identified asymmetries in the spinal trunk and lower limbs. None of the subjects has a history of balance training Subjects will not have any diseases of the central nervous system. Subjects with body mass index (BMI)<25 kg/m2. Exclusion Criteria: Persons who had more severe covid 19 illnesses and were hospitalized. Persons who had during their illness chest pain breathlessness, palpitation, symptoms, and signs of heart failure. 9. Subjects with cardiopulmonary disorders. 3. A history of previous back or abdominal surgery/injury 4. Evidence of a systemic or musculoskeletal disease within the past six months -

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 26 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Subjects will be randomly assigned to two groups: pilates and home exercises (PAH) group home exercises group (COH)
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pilates and home exercises (PAH) group<br>these subjects will receive pilates and home exercises. | Other: Pilates Exercises<br>* basic five pilates intermediate workout based on the principles of Pilates<br>Other: Home Exercise program<br>* home exercise<br>|
| Active Comparator: control home exercises group (COH)<br>these subjects will receive only home exercises. | Other: Home Exercise program<br>* home exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of core stability: endurance capacity of anterior deep trunk muscles | Abdominal fatigue test: is an isometric trunk flexor test | at the date of the first session and at the last session after 12 weeks | 
| Evaluation of core stability: assesses the functioning of trunk extensor muscles | Sorensen back-extension endurance | at the date of the first session and at the last session after 12 weeks | 
| Evaluation of core stability: Prone Plank test | Prone Plank test | at the date of the first session and at the last session after 12 weeks | 
| Evaluation of core stability: Endurance capacity of lateral core muscles particularly the quadrates lumborum | Side Plank Tests | at the date of the first session and at the last session after 12 weeks | 
| Evaluation of core stability: balance test by Prokin system for perimeter parameter with opened eyes, measured in mm | Eyes Open perimeter (EOPM), measured in mm | 30 seconds | 
| Evaluation of core stability: balance test by Prokin system for perimeter parameter with closed eyes, measured in mm | Eyes closed perimeter (ECPM), measured in mm | 30 seconds | 
| Evaluation of core stability: balance test by Prokin system for ellipse area parameter with Opened eyes, measured in mm | Eyes Open ellipse area (EOEA) measured in mm2 | 30 seconds | 
| Evaluation of core stability: balance test by Prokin system for ellipse area parameter with closed eyes, measured in mm | Eyes closed ellipse area (ECEA) measured in mm2 | 30 seconds |