Effect of Pilates Exercises On Fatigue In Post Menopausal Women

Study Overview
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Brief Summary
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Pilates is a system of exercises using special apparatus, designed to improve physical strength, flexibility, and enhance mental awareness. Regular exercise of post-menopausal women has benefits of increased cardio-respiratory fitness, increased muscle strength and endurance, reduced body fatigue, improved morale, and increased ability to perform daily tasks with greater force.Thus the main objective of regular exercise is prevention of physical deterioration and optimizing functional capacity to improve overall postmenopausal women's quality of life.

Detailed Description
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Fatigue has a negative impact on quality of life of postmenopausal women. Fatigue can be an overwhelming experience impacting the physical, emotional and social aspects of them. Fatigue can prevent them from carrying out their usual activities of daily living ,Menopause-related fatigue can be caused by changing estrogen levels, but it is often compounded by common symptoms, chief symptoms among these are vasomotor symptoms, which are experienced by up to 80% of women and include hot flashes and night sweats that can disrupt sleep , Pilates exercise considered a complementary therapy to treat fatigue in postmenopausal women. Pilates exercises are a healthy and effective method for improving the functional capacity, flexibility, fatigue, depression and quality of life of post menopause women ,They include stretching and strengthening exercises with controlled and precise movements that have indicated both mental and physical effects on post-menopausal women healthThe purpose of physical training using Pilates is to improve body functioning based on core strengthening that include rectus abdomens, transverse abdomen, erector spine, diaphragm and pelvic floor muscles. The six basic principles of Pilates exercise are centralization, concentration, control, precision, respiration and flow .

Official Title
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Effect of Pilates Exercises On Fatigue In Post Menopausal Women

Conditions
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Fatigue

Intervention / Treatment
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* Other: Pilates exercises
* Dietary Supplement: medical standard care for fatigue


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: . All participants will be sedentary. All participants' ages will be ranged from 50-55 years. All participants body mass index will not exceed 30 kg/m2. All participants will be medically stable. All participants will be able to ambulate independently. All participants suffering from fatigue, when assessed with fatigue assessment scale (FAS) their scores should be >22. Exclusion Criteria: • Post-menopausal women who have Uncontrolled hypertension. Post-menopausal women who have Thyroid gland disorders. Post-menopausal women who have History of syncope or arrhythmia induced by physical exercise. Postmenopausal women who have any mental, neurological, vestibular, cardiovascular disorders or metabolic disease. Postmenopausal women whose visual or hearing impairment did not allow possibility of intervention. Postmenopausal women who have been received hormonal replacement therapy or any drug known to affect their physical activity. Post-menopausal women who have any other problems that make it impossible to perform physical exercises.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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Female

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
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: exercise group<br>This group included twenty six post-menopausal women. They will participate in Pilates exercise, medical standard care for fatigue and advices to deal with fatigue. The Pilates exercises consisted of a set of 10 movements: bridging; hundred; roll up; one leg circle (both ways); single straight leg stretch; single leg kick; side kick up and down; side kick circles; rest position (stretch and relaxation); and curling ,women were instructed to perform 30 min per session, 3 sessions per week, for 8 weeks. | Other: Pilates exercises<br>* Pilates exercises for flexibility and stability<br>Dietary Supplement: medical standard care for fatigue<br>* supplements and medical care<br>|
| Experimental: standard care group<br>Each post-menopausal woman in both groups will receive a medical standard care for post-menopausal fatigue. | Dietary Supplement: medical standard care for fatigue<br>* supplements and medical care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in Fatigue Assessment Scale | Assess fatigue for postmenopausal women The total score ranges from 10 to 50. A total FAS score < 22 indicates no fatigue. A score ≥ 22 indicates fatigue | immediately before the intervention (baseline value) and after 8 weeks of intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in Intreluken-6 test | Evaluate fatigue in post menopausal women it is a blood analysis It's normal range is 0-16.4 pg/mL Values higher than 16.4 indicate fatigue | immediately before the intervention (baseline value) and after 8 weeks of intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fatigue, sleep disturbance