Effects of Online Pilates and Face-To-Face Pilates on Healthy Individuals

Study Overview
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Brief Summary
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Many studies on pilates have shown that these exercises positively affect the endurance of core muscles, mental health, and quality of life in healthy individuals when applied face-to-face. In a few recent studies, the effects of online pilates training have been examined and shown to be effective on core endurance, depression, and quality of life. In the results of these studies, it has been emphasized that it is necessary to compare whether online pilates training is as practical as face-to-face pilates training. For this reason, the investigators thought that randomized controlled studies investigating the effects of online and face-to-face pilates methods in healthy individuals are needed. The investigators planned a randomized controlled study investigating the impact of online pilates and face-to-face pilates methods. The study aims to examine and compare the effects of online pilates and face-to-face pilates methods on core muscle endurance, depression, and quality of life in healthy individuals.

Detailed Description
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An experienced physiotherapist blind will evaluate participants by randomization at the start of the study and eight weeks later. The group participants belong to will not be disclosed to the participants until the end of the first assessment. Individuals who complete the initial evaluation will be randomly assigned to the online pilates group (OPG) or face-to-face pilates group (FPG) using a computer program. Both online and face-to-face applications will be carried out under the supervision of a physiotherapist with 11 years of experience. Participants included in the study will be evaluated with data collection forms filled twice, before and after the training programs. The participants' demographic information (age, body weight, height, body mass index) will be recorded. Statistical analysis will be performed using SPSS software, version 21 (SPSS Inc. Chicago, IL, USA). The normal distribution of the variables will be determined using histograms, probability plots, and the Shapiro-Wilk test. Due to the abnormal distribution, the median and interquartile range (IQR) will be used for descriptive statistics. A Mann-Whitney U test will be used to compare baseline and vary values between groups. The Wilcoxon test will compare baseline values within the group to values after six weeks. The significance level will be set-top < 0.05 for all analyses. Effect sizes will be evaluated according to Cohen's d standards within pre-post differences. Effect size results will be interpreted as small (≥ 0.2), moderate (≥ 0.5), or large (≥ 0.8) according to the guidelines.

Official Title
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Effects of Online Pilates and Face-To-Face Pilates on Healthy Individuals During the COVID-19 Pandemic: A Randomized Controlled Study

Conditions
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Healthy Lifestyle, Health Behavior

Intervention / Treatment
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* Other: Online and Face-to-face Pilates trainings


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 25-40 years of age. Voluntarily participate in research to accept Exclusion Criteria: Any cardiovascular, orthopedic, visual, hearing, and perception problems that may affect the results of the research. Participating in other exercises or physiotherapy programs during the past 6 months.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 40 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: Using a computer program, the investigators randomly placed individuals who completed the initial assessment into the online pilates group (OPG) or face-to-face pilates group (FPG).
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Online pilates group<br>Online pilates, which lasts for eight weeks, three days a week for 1 hour, will be carried out by Australian Pilates and Physiotherapy Institute certified and experienced Ph.D. Physiotherapist Halil Ibrahim Bulguroglu. Microsoft Teams program will be used to implement the online practice method. The individuals in both pilates exercise groups will be divided into six small groups of 3 or 4 people to make the exercises more effective. In this study, the program will be 15 minutes of warm-up, 30 minutes of pilates, and 15 minutes of cool-down and stretching exercises. The exercises will be performed in ten repetitions. The same exercises will be applied in online pilates and face-to-face pilates trainings. | Other: Online and Face-to-face Pilates trainings<br>* Key elements of Pilates, including breathing, focusing, rib cage position, shoulder position, and head and neck positions, will be taught in both groups on the first day. Individuals will be asked to maintain the smoothness of these critical elements throughout the exercises. Different imagery techniques will be used in the exercises, and the exercises will be combined with breathing exercises. The intensity of the exercises will be increased by using different positions and elastic bands (Theraband Elastic Band Hygienic Corporation, Akron, Ohio). Band Resistances will be increased in biweekly periods. Stretching and posture exercises will be used during the cool-down period. The subjects in pilates group will be informed about the side effects such as shortness of breath, dizziness, headache, and muscle pain. Participants will be asked to stop the exercise in case of any side effects.<br>|
| Active Comparator: Face-to-face pilates group<br>Face-to-face pilates training, which lasts for a total of 8 weeks, 3 days a week for 1 hour, will be carried out by Australian Pilates and Physiotherapy Institute certified and experienced Ph.D. Physiotherapist Halil Ibrahim Bulguroglu. Face-to-face pilates training will be held at Ankara Medipol University. To make the exercises more effective, the individuals in both pilates exercise groups will be divided into six small groups of 3 or 4 people. In this study, the program will be 15 minutes of warm-up, 30 minutes of pilates exercises, 15 minutes of cool-down and stretching exercises, and the exercises will be performed as 10 repetitions. The same exercises will be applied in online pilates and face-to-face pilates trainings. | Other: Online and Face-to-face Pilates trainings<br>* Key elements of Pilates, including breathing, focusing, rib cage position, shoulder position, and head and neck positions, will be taught in both groups on the first day. Individuals will be asked to maintain the smoothness of these critical elements throughout the exercises. Different imagery techniques will be used in the exercises, and the exercises will be combined with breathing exercises. The intensity of the exercises will be increased by using different positions and elastic bands (Theraband Elastic Band Hygienic Corporation, Akron, Ohio). Band Resistances will be increased in biweekly periods. Stretching and posture exercises will be used during the cool-down period. The subjects in pilates group will be informed about the side effects such as shortness of breath, dizziness, headache, and muscle pain. Participants will be asked to stop the exercise in case of any side effects.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Core muscle endurance- Baseline | Mcgill core endurance tests | Assessment will be conducted before the intervention | 
| Core muscle endurance- Post intervention | Mcgill core endurance tests | Assessment will be conducted immediately after the intervention | 
| Depression - Baseline | Beck Depression Scale (BDI). The score range in BDI, which is a 21-item self-evaluation type scale, is 0-63. | Assessment will be conducted before the intervention | 
| Depression - Post intervention | Beck Depression Scale (BDI). The score range in BDI, which is a 21-item self-evaluation type scale, is 0-63. | Assessment will be conducted immediately after the intervention | 
| Quality of life - Baseline | Short Form-36 (SF-36). SF-36; consists of 36 items to measure eight dimensions such as physical, mental, and general health. In the subscales evaluated between 0 and 100, a high score indicates a good quality of life. | Assessment will be conducted before the intervention | 
| Quality of life - Post intervention | Short Form-36 (SF-36). SF-36; consists of 36 items to measure eight dimensions such as physical, mental, and general health. In the subscales evaluated between 0 and 100, a high score indicates a good quality of life. | Assessment will be conducted immediately after the intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Core, Depression, Online pilates, Quality of life, Pilates exercises