Title: Pilates and Physiotherapy in post Total Hysterectomy – An Evidence Based Study
Author: Dr S.S.Subramanian
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.48
Abstract
Introduction: An increased prevalence of female undergoing hysterectomy in early ages of 35 were recorded widely. With an increased life expectancy and longevity healthcare related with post hysterectomy such as obesity, MSD, urinary incontinence and diminished quality of life gets significant.
Amis & Objectives of this study were to 1. Analyse the combined effects of, Pilates and physiotherapy on obesity 2. To evaluate the reduction in obesity on quality of life and glycemic control of this study subject who has undergone hysterectomy and oophorectomy in Chennai in 2015 December.
Materials & Methodology: 40 years old aged subject post hysterectomy and bilateral oophorectomy with obesity and MSD was treated with combined Pilates and physiotherapy using Physioball during the period from December 2016 to February 2017 with weekly twice frequency.
Results of reduction in obesity P<.05 and an improved quality of life P<.01 among the study subject with statistically and functionally significant.
Conclusion: findings of the study could benefit similar subjects who have undergone gynecological surgeries, there by promoting their dignity and enhanced quality of life.
References
- IIPS District Level Household and Facility Survey (DLHS-3) 2007–08. Gujarat, Mumbai. Indian Institute of Population Studies
- Whiteman MK Hillis SD Jamieson DJ, et al. 2008. Inpatient hysterectomy surveillance in the United States, 2000–2004. American Journal of Obstetrics and Gynecology 198: 34 e1–7.
- Carlson KJ Nichols DH Schiff I. 1993. Indications for hysterectomy. New England Journal of Medicine 328:856- 60.
- Lyznicki JM, Young DC, Riggs JA, Davis RM; Council on Scientific Affairs, American Medical Association. Obesity: assessment and management in primary care. Am Fam Physician.2001 Jun 1; 63(11):2185-96.
- Zhang R, Reisin E. Obesity-hypertension: the effects on cardiovascular and renal systems. Am J Hypertens. 2000;13: 1308–14.
- Lissner L, Lindroos AK, Sjostrom L. Swedish obese subjects (SOS): an obesity intervention study with a nutritional perspective. Eur J Clin Nutr1998; 52: 316–322.
- Gagnon, L. H. (2005). Efficacy of Pilates exercises as therapeutic intervention in treating patients with low back pain. Tese de Doutorado. The University of Tennessee, Knoxville.
- Pilates, S. (2001). Comprehensive mat work manual. Canada, Toronto;Merrithew cooperation Rueter, L. E., & Jacobs, B. L. (1996). A microdialysis examination of serotonin release in the rat forebrain induced by behavioral/environmental manipulations. Brain Res,739:57-69
- Willis, Cris A. Slentz, Lori A. Bateman, Tamlyn Shields, Lucy W. Piner, Connie W. Bales, Joseph A. Houmard and William E. Kraus. Effects of aerobic and/or resistance training on body mass and fat mass in overweight or obese adults. J Appl Physiol (1985). 2012 Dec 15; 113(12): 1831–1837.
- S.Subramanian. Fasting Blood Glucose On Quality Of Life With Aerobic Versus Resisted Exercises. Journal of Medical Science and Clinical Research (JMSCR). June 2016 - Vol-4, Issue:06, Page: 10833-10837
- Patrick DL,Bushnell DM, Rothman M. Performance of two self-report measures for evaluating obesity and weight loss. Obes Res. 2004 Jan;12(1):48-57.
- Patrick DL, Chiang YP. Measurement of health outcomes in treatment effectiveness evaluations: conceptual and method- ological challenges. Med Care. 2000; 38(9 Suppl):II14–25
- Donnelly JB, SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults. Med Sci Sports Exerc41: 459–471, 2009
- Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C. Physical activity/ exercise and type 2 diabetes. Diabetes Care. 2004;27(10):2518–2539. doi: 10.2337/diacare.27.10.2518.
- Mahyar Mokhtari. Maryam Nezakatal-hossaini O. FahimehEsfarjani. The Effect of 12-Week Pilates Exercises on Depression and Balance Associated with Falling in the Elderly. Volume 70, 25 January 2013, Pages 1714-1723
- Hassan, E. A. H., & Amin, M. A. (2011). Pilates Exercises Influence on the Seroto-nin Hormone, Some Physical Variables and the Depression Degree in Battered Women. World Journal of Sport Sciences. 5 ( 2)
- Pennix, B. W., Deeg, D. J., Van Eilk, J. T., Beekman, A. T., & Guralnik, J. M. (2000). Changes in depression and physical decline in older adults. A longitudinal perspective. Journal of Affective Disorders; 6: 1-12.