Online Pilates Training on Pregnant Women

NCT05305716 | Completed

• 1 other identifier: 1
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Studies show that pregnant women reduce their physical activity levels during pregnancy. The pandemic process causes the physical activities of pregnant women to decrease even more and causes a number of problems. This study aims to reveal effect of online Pilates exercises with a physiotherapist during the pandemic conducted on depression, anxiety and fear of childbirth levels of pregnant women. A total of 50 volunteer pregnant women, 26 online pilates group (OPG) and 24 control group (CG), who met the inclusion criteria of the study, were included in our study randomly. The OPG was given online Pilates exercises by the physiotherapist in groups 2 days a week for 8 weeks, 1 h a day. The CG was given a home program consisting of relaxation and breathing exercises. Depression levels; with the Edinburgh Postpartum Depression Scale, anxiety; with the State-Trait Anxiety Inventory, fear of childbirth; with the Wijma Birth Expectation/Experience Scale version B were evaluated before and after the study by using the online questionnaire form filling method. As a result of the online pilates training, there was an improvement in the all test scores (p\<0.05), while no change was observed in the control group (p\>0.05). In the light of these results, 8-week online pilates training applied to gain a healthy habit during the pandemic process and increase physical activity levels of the pregnant women has been concluded to be effective in reducing the levels of depression, anxiety and fear of childbirth.

Conditions

Pregnancy; COVID-19; Pilates

Keywords

Pilates exercises; Pregnant; Depression; Anxiety

Outcome Measures

Primary Outcomes (6)

• Depression- Baseline

  Edinburgh Postpartum Depression Scale (EPDS) is a self-report scale consisting of 10 items, in a 4-point Likert format. The lowest score that can be obtained from the scale is 0, and the highest score is 30. The cut-off point for EPDS is 13 points. Accordingly, 13 points and above indicate the risk of depression.

  Assessment will be conducted before the intervention

• Depression-Post intervention

  Edinburgh Postpartum Depression Scale (EPDS) is a self-report scale consisting of 10 items, in a 4-point Likert format. The lowest score that can be obtained from the scale is 0, and the highest score is 30. The cut-off point for EPDS is 13 points. Accordingly, 13 points and above indicate the risk of depression.

  Assessment will be conducted immediately after the intervention

• Anxiety- Baseline

  State-Trait Anxiety Inventory is a Likert-type scale consisting of 20 questions that measures state and trait anxiety levels separately. There are two kinds of expressions in the scales. These are called direct and reverse expressions. Direct expressions, negative emotions; reversed expressions express positive emotions. The scores obtained from both scales separately vary between 20 and 80. A large score indicates a high level of anxiety, and a small score indicates a low level of anxiety.

  Assessment will be conducted before the intervention

• Anxiety-Post intervention

  State-Trait Anxiety Inventory is a Likert-type scale consisting of 20 questions that measures state and trait anxiety levels separately. There are two kinds of expressions in the scales. These are called direct and reverse expressions. Direct expressions, negative emotions; reversed expressions express positive emotions. The scores obtained from both scales separately vary between 20 and 80. A large score indicates a high level of anxiety, and a small score indicates a low level of anxiety.

  Assessment will be conducted immediately after the intervention

• Fear of Childbirth- Baseline

  The Wijma Birth Expectation/Experience Scale version B was developed to measure the nature of the fear of childbirth during and after labor by asking women questions about their experiences after birth. The minimum score on the scale is 33, the maximum score is 198.

  Assessment will be conducted before the intervention

• Fear of Childbirth-Post intervention

  The Wijma Birth Expectation/Experience Scale version B was developed to measure the nature of the fear of childbirth during and after labor by asking women questions about their experiences after birth. The minimum score on the scale is 33, the maximum score is 198

  Assessment will be conducted immediately after the intervention

Study Arms (2)

online pilates group

EXPERIMENTAL

Online pilates training was done for a total of 8 weeks, 2 days a week for 1 hour. Microsoft Teams program was used to perform the exercises online. The investigators divided the individuals in the online pilates exercise group into seven smaller groups of 3 or 4 to verify whether they correctly did the exercises. A program including 15 minutes of warm-up, 30 minutes of Pilates exercises and 15 minutes of cooling and stretching exercises was arranged for the online pilates group and the exercises were performed as 10 repetitions. The exercise program recommended by the Australian Pilates and Physiotherapy Institute during pregnancy was used in the online training.

Other: Online Pilates Training

control group

ACTIVE COMPARATOR

The control group was given breathing and relaxation exercises, which they would do two days a week for eight weeks, in the form of a home program. Diaphragmatic breathing and respiratory control were given as breathing exercises.

Other: Control group

Interventions

Online Pilates Training OTHER

The group that received telerehabilitation and telerehabilitation-based pilates training.

online pilates group

Control group OTHER

The group who received breathing and relaxation exercises with a home program.

control group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• years of age
• Voluntarily participate in research to accept
• weeks of pregnancy
• Singleton pregnancy

You may not qualify if:

• 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.
• Multiple pregnancies

Sponsors & Collaborators

• Ankara Medipol University: lead

Study Sites (1)

Ankara Medipol University

Altındağ, Ankara, 06050, Turkey (Türkiye)

Location

Related Publications (6)

• Arundell L, Salmon J, Timperio A, Sahlqvist S, Uddin R, Veitch J, Ridgers ND, Brown H, Parker K. Physical activity and active recreation before and during COVID-19: The Our Life at Home study. J Sci Med Sport. 2022 Mar;25(3):235-241. doi: 10.1016/j.jsams.2021.10.004. Epub 2021 Oct 14.

  PMID: 34742627 BACKGROUND

• Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987 Jun;150:782-6. doi: 10.1192/bjp.150.6.782.

  PMID: 3651732 BACKGROUND

• Bunevicius A, Kusminskas L, Pop VJ, Pedersen CA, Bunevicius R. Screening for antenatal depression with the Edinburgh Depression Scale. J Psychosom Obstet Gynaecol. 2009 Dec;30(4):238-43. doi: 10.3109/01674820903230708.

  PMID: 19845492 BACKGROUND

• Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. J Psychosom Obstet Gynaecol. 1998 Jun;19(2):84-97. doi: 10.3109/01674829809048501.

  PMID: 9638601 BACKGROUND

• Suner-Keklik S, Numanoglu-Akbas A, Cobanoglu G, Kafa N, Guzel NA. An online pilates exercise program is effective on proprioception and core muscle endurance in a randomized controlled trial. Ir J Med Sci. 2022 Oct;191(5):2133-2139. doi: 10.1007/s11845-021-02840-8. Epub 2021 Oct 30.

  PMID: 34716884 RESULT

• Bulguroglu M, Bulguroglu HI. The effects of online pilates on the mood and fear of birth of pregnant women: a randomized controlled study. Sci Rep. 2024 Jul 12;14(1):16143. doi: 10.1038/s41598-024-67290-5.

  PMID: 38997441 DERIVED

MeSH Terms

Conditions

COVID-19; Depression; Anxiety Disorders

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Behavioral Symptoms; Behavior; Mental Disorders

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• HALIL IB BULGUROGLU, PHD PT

  Ankara Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: March 22, 2022
• First Posted: March 31, 2022
• Study Start: November 3, 2021
• Primary Completion: March 10, 2022
• Study Completion: March 15, 2022
• Last Updated: March 31, 2022

Record last verified: 2022-03

Locations

TU (1)