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Sağlıklı kadınlarda klinik pilates egzersizlerinin fiziksel uygunluk ve psikososyal paremetreler üzerine etkisinin incelenmesi
Abstract
Amaç: Pilates gibi zihin-beden egzersizleri, bireyin kas-iskelet sistemi sorunlarıyla baş etmesine yardımcı olan etkili yöntemlerdir. Bu çalışmanın amacı, sağlıklı kadınlarda gözlem altında ve ev tabanlı klinik pilates egzersizlerinin fiziksel uygunluk, psikososyal durum ve egzersiz inançları üzerindeki etkisini incelemek idi. Yöntem: 38 sağlıklı kadın, gözlem altında (n = 19) ve ev tabanlı (n = 19) olmak üzere iki gruba ayrıldı. Fiziksel uygunluk modifiye push-up, mekik, otur-kalk, anterior köprü, lateral köprü, Biering-Sorensen, gövde fleksörleri endurans, kalk yürü ve 6 dk yürüme testleri ve vücut kitle indeksi (VKİ),bel kalça oranı (BKO) ölçümleri ile; psikososyal durum Sosyal Görünüş Kaygı Ölçeği (SGKO), Rosenberg Benlik Saygısı Ölçeği (RBSO), Beden İmajı Ölçeği ve Egzersiz İnanışları Anketi ile değerlendirildi. Her iki grup haftada 3 gün, 8 hafta boyunca 24 seanslık egzersiz programını tamamladı. Bulgular: Programdan sonra, gözlem altında ki grup modifiye şınav, mekik, otur ve kalk, anterior plank, lateral plank, Biering-Sorensen, gövde fleksör endurans testleri ile SGKO, RBSO'de ve ve Egzersiz İnanışları puanları anlamlı düzeyde gelişti (p
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This study was conducted to investigate the effect of Pilates and yoga participating in their functional movement and individual health level. Ninety volunteers were randomly divided into three groups and evenly recruited female and male participants in each group through a reliable organization. Their age group was between the 30s and 40s. They were informed the research process and assigned to the consent form. Pilates group (n=30), yoga group (n=30), and control group (n=30) were assigned to fulfill short form of Rand 36-item health survey (SF-36) survey form based on self-administration method and were scored functional movement screen (FMS) test before the intervention. Pilates and yoga group were carried out certain exercise program 1-hr duration 3 times per week for 8 weeks. And control group did not perform any exercise during experimental period. After completion of the 8-week Pilates and yoga program, they recorded SF-36 and were scored FMS score for posttest in same way. When we compared the differences between pre- and posttreatment scores, we found that there was statistically significant difference among three groups on FMS (F [2,89]=15.56, P<0.001) and there was significant change in favor of Pilates group groups (F [2,89]=52.36, P<0.001) on SF-36. To conclude, Pilates group was more effective for improving functional movement and individual health level to assess quality of life than yoga group and control group.
Purpose of this study was the investigate the effects of six weeks mat based pilates exercise on biomotirical variables and self esteem of young women. Totally 22 women (mean age; 20.1±2.2 year) participated in to the study voluntary. Participants divided into the two groups (pilates:10, control: 12) randomly. Pilates group did pilates exercise for six weeks. Control group did nothing. Pretests and post tests measurements of body height, body weight, flexibility, balance, abdominal strength and self esteem performed. SPSS used for analysis. Analysis showed that there were statistical findings (p<0.05) on pretest and post test measurements of pilates group of flexibility, abdominal strength, and self esteem variables (p<0.05). When comparison the measurement pretest and post test differences of two groups, there was a statistical differences about flexibility, balance, and abdominal strength. According to findings it is possible to say that six weeks of pilates exercise is the proper exercise type for young girls. Also it can be advice that for positive effecting to self esteem pilates works were preferable exercise methods for young women.
[Purpose] Exercise is one of the most important components of a healthy life. The purpose of this study was to analyze exercise beliefs and psychosocial factors in sedentary and active healthy women and observe the changes in these parameters resulting from clinical Pilates exercises and verbal education in healthy women. [Subjects and Methods] Sixty-six healthy women were included in the study. Participants were divided into clinical Pilates (n=21), verbal education (n=25), and control groups (n=20). Prior to and at the end of the study, demographic information, body mass index, waist-hip circumference, exercise beliefs, physical activity index, and psychosocial factors (Rosenberg self-esteem scale, Body Cathexis Index, SF-36 quality of life, Beck Depression Scale, visual analog scale for tiredness) of the subjects were recorded. [Results] Meaningful changes for all the parameters took place in the clinical Pilates and verbal education groups. Our analyses indicated that the changes in the clinical Pilates group were more meaningful than those in the verbal education group. When the data of the study groups were compared with those of the control group, the clinical Pilates group showed meaningful differences. [Conclusion] The result of this study indicate that both clinical Pilates and verbal education are effective in changing exercise beliefs and physical and psychosocial parameters.
Participation in exercise programs is heartily recommended for older adults since the level of physical fitness directly influences functional independence. The aim of this present study was to investigate the effects of supervised Pilates exercise training on the physical function, hypothesizing that a period of Pilates exercise training (PET) can increase overall muscle strength, body composition, and balance, during single and dual-task conditions, in a group of post-menopausal women. Twenty-five subjects, aged 59 to 66 years old, were recruited. Eligible participants were assessed prior and after 3 months of PET performed twice per week. Muscular strength was evaluated with handgrip strength (HGS) test, 30-s chair sit-to-stand test (30CST), and abdominal strength (AST) test. Postural control and dual-task performance were measured through a stabilometric platform while dynamic balance with 8 ft up and go test. Finally, body composition was assessed by means of dual-energy X-ray absorptiometry. Statistically significant improvements were detected on HGS (+8.22 %), 30CST (+23.41 %), 8 ft up and go test (-5.95 %), AST (+30.81 %), medio-lateral oscillations in open eyes and dual-task condition (-22.03 % and -10.37 %). Pilates was effective in increasing upper body, lower body, and abdominal muscle strength. No changes on body composition were detected. Results on this investigation indicated also that 12-week of mat Pilates is not sufficient to determine a clinical meaningful improvement on static balance in single and dual-task conditions.
[Purpose] The aim of the present study was to determine the effects of Pilates on lower leg strength, postural balance and the health-related quality of life (HRQoL) of older adults. [Subjects and Methods] Thirty-two older adults were randomly allocated either to the experimental group (EG, n = 16; mean age, 63.62 ± 1.02 years), which performed two sessions of Pilates per week for 12 weeks, or to the control group (CG, n = 16; mean age, 64.21 ± 0.80), which performed two sessions of static stretching per week for 12 weeks. The following evaluations were performed before and after the interventions: isokinetic torque of knee extensors and flexors at 300°/s, the Timed Up and Go (TUG) test, the Berg Balance Scale, and the Health Survey assessment (SF-36). [Results] In the intra-group analysis, the EG demonstrated significant improvement in all variables. In the inter-group analysis, the EG demonstrated significant improvement in most variables. [Conclusion] Pilates exercises led to significant improvement in isokinetic torque of the knee extensors and flexors, postural balance and aspects of the health-related quality of life of older adults.
The value of various forms of physical activity, exercise and sport for the promotion of mental health has been emphasised in recent research and intervention programmes. This research investigated the relationship between sports involving diverse types of regular exercise, namely hockey and health club activities (team and individual sports involving relatively more aerobic and resistance exercise respectively), and various components of psychological well-being and physical self-perception. Comparisons between 60 university hockey players, 27 health club members and 111 non-exercising students revealed that both hockey players and health club members were generally more psychologically well and had more positive physical self-perception than non-exercising students. Hockey players had significantly higher means than health club members on positive relations with others, sports competence and sport importance. While health club members' means were clearly higher than hockey players on environmental mastery and perceptions of body attractiveness, these relationships did not reach statistical significance. The relevance of these findings and further implications for health, exercise and sport psychological research and interventions are discussed.
To evaluate the effectiveness of Pilates with regard to the degree of scoliosis, flexibility and pain.
The study included 31 female students divided into two groups: a control group (CG = 11), which had no therapeutic intervention, and an experimental group (EG = 20), which underwent Pilates-based therapy. We used radiological goniometry measurements to assess the degree of scoliosis, standard goniometry measurements to determine the degree of flexibility and the scale of perceived pain using the Borg CR 10 to quantify the level of pain.
The independent t test of the Cobb angle (t = - 2.317, p = 0.028), range of motion of trunk flexion (t = 3.088, p = 0.004) and pain (t = -2.478, p = 0.019) showed significant differences between the groups, with best values in the Pilates group. The dependent t test detected a significant decrease in the Cobb angle (Δ% = 38%, t = 6.115, p = 0.0001), a significant increase in trunk flexion (Δ% = 80%, t = -7.977, p = 0.0001) and a significant reduction in pain (Δ% = 60%, t = 7.102, p = 0.0001) in the EG. No significant difference in Cobb angle (t = 0.430, p = 0.676), trunk flexion, (t = 0.938p = 0.371) or pain (t = 0.896, p = 0.391) was found for the CG.
The Pilates group was better than control group. The Pilates method showed a reduction in the degree of non-structural scoliosis, increased flexibility and decreased pain.
This study was performed to assess and compare the effects of Pilates exercise on flexibility and lumbo-pelvic movement control between the Pilates training and control groups.
A randomized single-blinded controlled design was utilized in the study. Forty healthy male and female volunteers (mean age 31.65±6.21 years) were randomly divided into Pilates-based training (20 subjects) and the control groups (20 subjects). The Pilates group attended 45-minute training sessions, 2 times per week, for a period of 8 weeks. Flexibility and lumbo-pelvic stability tests were determined as outcome measures using a standard "sit and reach test" and "pressure biofeedback" respectively at 0, 4 and 8 weeks of the study.
The results showed that the Pilates training group improved flexibility significantly (P<0.001) during time intervals. This effect was also significantly greater than the control group for both 4 weeks and 8 weeks of the training period (P<0.001). There were 65% and 85% of the subjects from Pilates group passing the lumbo-pelvic stability test at 4 and 8 weeks of training periods respectively. No subjects from the control group passed the test at any stages.
Pilates can be used as an adjunctive exercise program to improve flexibility, enhance control-mobility of trunk and pelvic segments. It may also prevent and attenuate the predisposition to axial musculoskeletal injury.
To study the relationship between percent body fat and body mass index (BMI) in different ethnic groups and to evaluate the validity of the BMI cut-off points for obesity.
Meta analysis of literature data.
Populations of American Blacks, Caucasians, Chinese, Ethiopians, Indonesians, Polynesians and Thais.
Mean values of BMI, percent body fat, gender and age were adapted from original papers.
The relationship between percent body fat and BMI differs in the ethnic groups studied. For the same level of body fat, age and gender, American Blacks have a 1.3 kg/m2 and Polynesians a 4.5 kg/m2 lower BMI compared to Caucasians. By contrast, in Chinese, Ethiopians, Indonesians and Thais BMIs are 1.9, 4.6, 3.2 and 2.9 kg/m2 lower compared to Caucasians, respectively. Slight differences in the relationship between percent body fat and BMI of American Caucasians and European Caucasians were also found. The differences found in the body fat/BMI relationship in different ethnic groups could be due to differences in energy balance as well as to differences in body build.
The results show that the relationship between percent body fat and BMI is different among different ethnic groups. This should have public health implications for the definitions of BMI cut-off points for obesity, which would need to be population-specific.
Measuring lower body strength is critical in evaluating the functional performance of older adults. The purpose of this study was to assess the test-retest reliability and the criterion-related and construct validity of a 30-s chair stand as a measure of lower body strength in adults over the age of 60 years. Seventy-six community-dwelling older adults (M age = 70.5 years) volunteered to participate in the study, which involved performing two 30-s chair-stand tests and two maximum leg-press tests, each conducted on separate days 2-5 days apart. Test-retest intraclass correlations of .84 for men and .92 for women, utilizing one-way analysis of variance procedures appropriate for a single trial, together with a nonsignificant change in scores from Day 1 testing to Day 2, indicate that the 30-s chair stand has good stability reliability. A moderately high correlation between chair-stand performance and maximum weight-adjusted leg-press performance for both men and women (r = .78 and .71, respectively) supports the criterion-related validity of the chair stand as a measure of lower body strength. Construct (or discriminant) validity of the chair stand was demonstrated by the test's ability to detect differences between various age and physical activity level groups. As expected, chair-stand performance decreased significantly across age groups in decades--from the 60s to the 70s to the 80s (p < .01) and was significantly lower for low-active participants than for high-active participants (p < .0001). It was concluded that the 30-s chair stand provides a reasonably reliable and valid indicator of lower body strength in generally active, community-dwelling older adults.
The relationships between physical fitness, activity, and self-perceived fitness in adolescents in Hong Kong were investigated. Regular physical activity patterns, self-perceptions of fitness, and health-related physical fitness were measured in 201 secondary school students (M age = 13.8 yr.). The battery of fitness tests measured cardiovascular capacity, flexibility, muscular strength, muscular endurance, and body fat composition. The boys had a higher self-perception of their own fitness and exercised more outside school than the girls. Participation in physical activity was related to cardiovascular capacity, muscular strength, and body composition. Linear regression analysis indicated that exercise activity and body composition explained a portion of variance in the subjects' self-perceived fitness. These findings highlight the connections between physical activity, fitness, and self-perception of fitness and consequently the need for understanding the concept for better health-promotion strategies.
Although yoga is historically a spiritual discipline, it has also been used clinically as a therapeutic intervention. A bibliometric analysis on the biomedical journal literature involving research on the clinical application of yoga has revealed an increase in publication frequency over the past 3 decades with a substantial and growing use of randomized controlled trials. Types of medical conditions have included psychopathological (e.g. depression, anxiety), cardiovascular (e.g. hypertension, heart disease), respiratory (e.g. asthma), diabetes and a variety of others. A majority of this research has been conducted by Indian investigators and published in Indian journals, particularly yoga specialty journals, although recent trends indicate increasing contributions from investigators in the U.S. and England. Yoga therapy is a relatively novel and emerging clinical discipline within the broad category of mind-body medicine, whose growth is consistent with the burgeoning popularity of yoga in the West and the increasing worldwide use of alternative medicine.
Objective: To describe the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of five clinical tests used to measure trunk muscle endurance in low back pain.
Design: A cross-sectional non-experimental design.
Setting: Orthopaedic and physical therapy departments of four hospitals and outpatient physical therapy clinics, Tehran, Iran.
Subjects: Convenience sample of 200 subjects participated in this study. Subjects were categorized into four groups: men without low back pain (N = 50, mean (SD) age = 38 (12) years), women without low back pain (N = 50, mean (SD) age = 43 (11) years), men with low back pain (N = 50, mean (SD) age = 39 (12) years) and women with low back pain (N = 50, mean (SD) age = 43 (12) years).
Main measures: Five clinical static endurance tests of trunk muscles such as: Sorensen test, prone isometric chest raise test, prone double straight-leg raise test, supine isometric chest raise test and supine double straight-leg raise test were measured in each group.
Results: The result of receiver operating characteristics (ROC) curve analysis revealed that in a separate analysis of data for men and women, among all tests, the prone double straight-leg raise test had the highest sensitivity, specificity and predictive value in low back pain compared with other performed tests.
Conclusions: It seems that the prone double straight-leg raise test has more sensitivity, specificity and predictive value in low back pain than other tests and could be used as a useful clinical method for testing the spinal muscle endurance to predict the probability of the occurrence of low back pain.
The Social Appearance Anxiety Scale (SAAS) was created to measure anxiety about being negatively evaluated by others because of one's overall appearance, including body shape. This study examined the psychometric properties of the SAAS in three large samples of undergraduate students (respective ns = 512, 853, and 541). The SAAS demonstrated a unifactorial structure with high test-retest reliability and internal consistency. The SAAS was positively associated with measures of social anxiety. The SAAS was also related to greater disparity between perceived, actual, and ideal physical attributes, beliefs that one's appearance is inherently flawed and socially unacceptable and that being unattractive is socially deleterious, feelings of unattractiveness, emphasis on appearance and its maintenance, and a preoccupation with being overweight. It was a unique predictor of social anxiety above and beyond negative body image indicators. Findings suggest that the SAAS is a psychometrically valid measure of social anxiety regarding one's overall appearance.
Objective
This meta-analysis estimated the population effect size for Pilates effects on mental health outcomes.
Data sources
Articles published prior to August 2017 were located with searches of Pubmed, Medline, Cinahl, SportDiscus, Science Direct, PsychINFO, Web of Science, and Cochrane Controlled Trial Register using combinations of: Pilates, Pilates method, mental health, anxiety, and depression.
Study selection
Eight English-language publications that included allocation to a Pilates intervention or non-active control and a measure of anxiety and/or depressive symptoms at baseline and after the Pilates intervention were selected.
Data extraction
Participant and intervention characteristics, anxiety and depressive symptoms and other mental health outcomes, including feelings of energy and fatigue and quality of life, were extracted. Hedges’ d effect sizes were computed, study quality was assessed, and random effects models estimated sampling error and population variance.
Data synthesis
Pilates resulted in significant, large, heterogeneous reductions in depressive (Δ = 1.27, 95%CI: 0.44, 2.09; z = 3.02, p ≤ 0.003; N = 6, n = 261) and anxiety symptoms (Δ = 1.29, 95%CI: 0.24, 2.33; z = 2.40, p ≤ 0.02; N = 5, n = 231) and feelings of fatigue (Δ = 0.93, 95%CI: 0.21, 1.66; z = 2.52, p ≤ 0.012; N = 3, n = 161), and increases in feelings of energy (Δ = 1.49, 95%CI: 0.67, 2.30; z = 3.57, p < 0.001; N = 2, n = 116).
Conclusions
Though this review included a small number of controlled trials with small sample sizes and non-active control conditions of variable quality, the available evidence reviewed here supports that Pilates improves mental health outcomes. Rigorously designed randomized controlled trials, including those that compare Pilates to other empirically-supported therapies, are needed to better understand Pilates’ clinical effectiveness and plausible mechanisms of effects.
Pilates exercises have several demonstrated physical and psychological benefits. To date, most research in this context was conducted with symptomatic or elderly people with few dependent measures. The current study examined the chronic or longitudinal effects of very low frequency, once a week, Pilates training on several physical and psychological measures, over a 10-week intervention, in young, healthy, and sedentary women. Further, the study gauged the acute effects of Pilates exercises on positive- and negative affect in 10 exercise sessions. Compared to a control group, the Pilates group exhibited significant improvements in skeletal muscle mass, flexibility, balance, core- and abdominal muscle strength, body awareness, and negative affect. This group also showed favorable changes in positive (22.5% increase) and negative affect (12.2% decrease) in nine out of ten exercise sessions. This work clearly demonstrates the acute and chronic benefits of Pilates training on both physical and psychological measures. It also reveals that even only once a week Pilates training is enough to trigger detectable benefits in young sedentary women. While this frequency is below the required levels of exercise for health, it may overcome the ‘lack of time’ excuse for not exercising and subsequently its tangible benefits may positively influence one's engagement in more physical activity.
Joseph Pilates developed his exercise philosophy and program in the early 1900s, and the program has become a popular fitness activity today. Pilates offers numerous potentialm benefits to individuals requiring core stability for health and performance. Incorporating the principles of Pilates into rehabilitation programs can help facilitate a completely new approach to the way execises are taught.
When executing a push-up an individual lowers the body to a down position and then raises it to an up position. A down position often used in recent years is a 90° angle at the elbows (90° push-up) as in FITNESSGRAM. Several researchers have found the interscorer objectivity and stability reliability for 90° push-up scores to be low. The purpose of this study was to (a) estimate the interscorer objectivity and stability reliability for scores from a revised push-up test protocol and (b) obtain evidence concerning the validity of interpretations based on revised push-up test scores. Interscorer objectivity was estimated for a score of one scorer and stability reliability was estimated for a score obtained on 1 day. Four studies were conducted. In the first study, pilot study, the revised push-up test protocol was developed and refined. In the second study, objectivity study, the push-up test was administered once to 49 female and 31 male college-aged students. Two scorers independently scored each student. Interscorer objectivity coefficients of·75 for women and ·88 for men were obtained. In the third study, objectivity and reliability study, the push-up test was administered on each of 2 days to 89 female and 63 male college-aged students. Two scorers independently scored each student on each day. Interscorer objectivity coefficients of ·97 and ·95 for women and ·98 and ·99 for men were obtained. Stability reliability coefficients of ·90 and ·93 for women and ·95 and ·95 for men were obtained. In the fourth study, validity study, validity was estimated using a logical approach, group difference approach, and criterion approach. There were 58 male and 48 female college students in the validity study. The revised push-up test protocol is very similar to protocols presently used and as expected the men scored significantly (p < .01) better than the women on the revised push-up test. The correlation between revised push-up scores and number of bench press executions with a percentage of the body weight was·80 for women and ·87 for men. The interscorer objectivity and stability reliability coefficients are very acceptable. Sufficient validity evidence was provided that the revised push-up scores relate to the amount of arm and shoulder girdle strength and endurance a person has to move the body weight.
The Pilates method is a comprehensive body-conditioning method that is directed toward the development of both the body and the mind of the individual. Toward this end, the Pilates method incorporates six key principles: centering, concentration, control, precision, breath, and flow. The purpose of this paper is to investigate the underlying biomechanical foundation of the principle of “centering”. The principle of centering refers to the concept that all movements of the human body emanate from the center or core or what Joseph Pilates called the powerhouse of the body. The Pilates method endeavors to strengthen the powerhouse as one of its primary goals. In effect, strengthening the powerhouse is core-stabilization. Part one of this article investigates what the boundaries and components of the powerhouse are as well as the muscle groups that effect movements of the powerhouse. It then explores the three major effects that Pilates exercises have upon the health and integrity of the powerhouse: (1) its effect upon pelvic posture, (2) its effect of lengthening the spine, and (3) its effect upon the structural integrity or tone of the abdominopelvic cavity. The sum total of these effects is to create what may be termed the Pilates Powerhouse Posture. Part two will then illustrate various Pilates exercises and describe their effects upon the powerhouse.
The neuromuscular system acts to maintain postural stability and reduce the impact of deleterious loads on the spine. Exercising of the abdominal muscles has become widely used in the management of low back pain in order to provide this supplement to spinal stability. Several exercise programmes have been advocated to promote stabilization but evaluation is difficult. This study evaluates two common forms of exercise effects on the ability to appropriately contract Transversus Abdominis (TrA) muscle, whose normal function is regarded as significant in spinal stability. Thirty-six asymptomatic females were examined. Twelve formed the Pilates trained group, 12 the abdominal curl group (both attending a minimum of 25 classes in 6 months) and 12 were non-training controls. A pressure biofeedback unit (PBU) was used to assess performance of the TrA muscle during an abdominal hollowing activity (TrA isolation test) and under limb load (Lumbo-pelvic stability test). The percentage of subjects passing the TrA isolation test was 10 subjects (83%) from the Pilates group, four subjects (33%) from the abdominal curl group, and three subjects (25%) from the control group. The percentage of subjects passing the lumbo-pelvic stability test was five subjects (42%) from the Pilates group, all the subjects from both the abdominal curl and control groups failed the test. The study appears to indicate that Pilates trained subjects could contract the TrA and maintain better lumbo-pelvic control than do those who perform regular abdominal curl exercises, or no abdominal muscle exercises.
To describe Pilates exercise according to peer-reviewed literature, and compare definitions used in papers with healthy participants and those with low back pain.
A systematic review of literature was conducted. A search for "pilates" within the maximal date ranges of the Cochrane Library, Medline, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, ProQuest: Nursing and Allied Health Source, Proquest: Medical and Health Complete, Scopus, Sport Discus, and Web of Science, was undertaken. To be included, papers needed to describe Pilates exercise, and be published in English within an academic, peer-reviewed journal. There were no restrictions on the methodological design or quality of papers. Content analysis was used to record qualitative definitions of Pilates. Frequencies were calculated for mention of content categories, equipment, and traditional Pilates principles. Frequencies were then compared statistically in papers with healthy participants and those with low back pain.
119 papers fulfilled inclusion criteria. Findings suggest that Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle control, posture and breathing. Exercises can be mat-based or involve use of specialised equipment. Posture was discussed statistically significantly more often in papers with participants with low back pain compared to papers with healthy participants. Traditional Pilates principles of centering, concentration, control, precision, flow, and breathing were discussed on average in 23% of papers. Apart from breathing, these principles were not mentioned in papers with low back pain participants.
There is a general consensus in the literature of the definition of Pilates exercise. A greater emphasis may be placed on posture in people with low back pain, whilst traditional principles, apart from breathing, may be less relevant.
To evaluate evidence for the effectiveness of the Pilates method of exercise (PME) in healthy people.
Published research was identified by searching Science Direct, MEDLINE, PubMed, SPORTDiscus, PEDro, Cochrane Central Register of Controlled Trials, CINAHL, and Web of Science.
Research studies published from inception to May 7, 2011 were selected for evaluation. Two reviewers independently applied the inclusion criteria to selected potential studies. Studies were included if they were published in a peer-reviewed journal, written in the English language, conducted as a randomized controlled trial (RCT) or quasi-RCT in healthy people, had an inactive and/or exercise control group(s), included key study outcomes, and used the PME as the study intervention in at least 1 study arm.
Two reviewers independently extracted data (study, design, subjects, intervention, key outcomes results), applied the Physiotherapy Evidence Database (PEDro) scale to assess the method quality of selected studies, and determined the strength of the evidence using the best evidence synthesis grading system.
Sixteen studies met the inclusion criteria. PEDro scale values ranged from 3 to 7 (mean, 4.1), indicating a low level of scientific rigor. The outcomes studied most often were flexibility, muscular endurance, strength, and postural alignment. The PME appears to be effective in improving flexibility (strong evidence), dynamic balance (strong evidence), and muscular endurance (moderate evidence) in healthy people.
There was strong evidence to support the use of the PME at least to the end of training to improve flexibility and dynamic balance and moderate evidence to enhance muscular endurance. Future RCTs should focus on the components of blinding, concealed allocation, subject adherence, intention-to-treat analysis, and follow-up designs.
To evaluate effects of a Pilates intervention on balance and function in community-dwelling older (aged >60y) adults.
Randomized crossover study design lasting 16 weeks.
University exercise clinic.
Ambulatory older community-dwelling adults (N=32) were recruited, and 27 (mean ± SD age, 67.3±6.5y) completed the program.
Participants were allocated to either 5 weeks of a group Pilates training intervention or 5 weeks of usual activity (control). After a 6-week washout period, participants performed the alternate intervention.
Static and dynamic balance measures (mediolateral sway range, Four Square Step Test, Timed Up and Go Test) and leg strength were recorded at 4 times before and after each intervention (baseline [t1], interim time immediately after the first group intervention [t2], after 5-week washout [before the second intervention period] [t3], and at study conclusion after the second group intervention [t4]).
There were no significant differences between the Pilates and control groups for any measured variables (P>.05) despite static and dynamic balance significantly improving during the study and from pre- to post-Pilates (P<.05) without significant changes occurring during the control phase. Improvements that occurred during Pilates between t1 and t2 did not return to baseline after the washout period (t3). There were no changes in leg strength. Mediolateral sway range standing on a foam cushion with eyes closed improved -1.64cm (95% confidence interval, -2.47 to -0.82) and had the largest effect size post-Pilates (d=.72).
Although there were no significant between-group differences, participation in the Pilates component of the study led to improved static and dynamic balance. The absence of differences between conditions may be a result of small sample size or the crossover study design because Pilates may produce neuromuscular adaptations of unknown resilience.
Since most previous reports of EMG activation profiles from psoas and the abdominal wall have been qualitative, the objective of this work was to document myoelectric activity from these deep muscles. This knowledge is required to assist in choosing specific training exercises and for making rehabilitation decisions that require knowledge of normalized and calibrated muscle activation levels in different tasks.
Intramuscular EMG was collected from five men and three women, in whom amplitudes were normalized to maximum contraction efforts and reported over a wide variety of clinical and rehabilitation tasks. Electrodes were inserted into vertebral portions of psoas and the three layers of the abdominal wall. Normalized signal amplitudes were reported as peak levels and time histories.
All forms of sit-ups activated psoas (15-35% MVC) more than the curl-up (<10%); psoas was not highly activated during barbell lifting of loads up to 100 kg (< 16% MVC); psoas was most active during maximal hip flexion efforts; push-ups activated psoas up to 25% MVC. Several isometric abdominal exercises were evaluated using the criteria of maximizing abdominal activation while minimizing psoas activity: the side (bridge) support exercise proved the best training method for the abdominal wall.
Consideration of deep muscle activity, provided in this report, is important for choosing the most appropriate rehabilitation and training program for an individual. Specific guidance is provided for choosing the best abdominal exercise, together with activation profiles during lifting, during twisting, and during hip rotation.
The objective of this study was to determine the effect of Pilates-based mat exercises on life satisfaction, perception of appreciation by other people, perception of physical appearance, perception of functionality, total physical self-concept, and perception of health status in healthy women. A randomized controlled trial was conducted in Evora, Portugal, in 2008, in which 62 healthy adult women were randomized to a Pilates-based mat (experimental group) (n = 38, mean age ± SD, 41.08 ± 6.64 years) or a control group (n = 24, mean age ± SD, 40.25 ± 7.70 years). Experimental group participants performed the Initial Mat of Body Control Pilates twice per week, 60-minutes per session. Repeated measurements were performed at baseline, 3 months and 6 months. No significant differences between the two groups were observed in life satisfaction, perception of appreciation by other people, perception of physical appearance, perception of functionality, total physical self-concept, and perception of health status at three time point measures (baseline, after 3 months, and after 6 months). No significant differences were observed in the control group over time. The experimental group showed significant improvements between baseline and six months in life satisfaction (p = .04), perception of appreciation by other people (p = .002), perception of physical appearance (p = .001), perception of functionality (p = .01), total physical self-concept (p = .001), perception of health status (p = .013) and between three and six months in life satisfaction (p = .002), perception of appreciation by other people (p = .05), perception of physical appearance (p = .001), perception of functionality (p = .02), and total physical self-concept (p = .001). Life satisfaction, perception of appreciation by other people, perception of physical appearance, perception of functionality, total physical self-concept and perception of health status may improve after 6 months of Pilates-based mat exercise.
There are very few randomized controlled studies on exercise in cancer patients. Consequently, there are no guidelines available with regard to the exercises that can be recommended and difficulties are encountered in the clinical practice as to which exercise is more suitable to the patients.
The purpose of this study was to investigate the impact of pilates exercises on physical performance, flexibility, fatigue, depression and quality of life in women who had been treated for breast cancer.
Randomized controlled trial.
Out patient group, Department of Physical Medicine and Rehabilitation and Medical Oncology Department, University Hospital.
Fifty-two patients with breast cancer were divided into either pilates exercise (group 1) and control group (group 2).
Patients in Group 1 performed pilates and home exercises and patients in group 2 performed only home exercises. Pilates exercise sessions were performed three times a week for a period of eight weeks in the rehabilitation unit.
Subjects were assessed before and after rehabilitation program, with respect to, 6-min walk test (6MWT), modified sit and reach test, Brief Fatigue Inventory (BFI), Beck Depression Index (BDI) and the European Organisation for Research and Treatment of Cancer Quality of Life C30 (EORTC QLQ-C30) and EORTC QLQ BR23.
After the exercise program, improvements were observed in Group 1 in 6-minute walk test, BDI, EORTC QLQ-C30 functional, and EORTC QLQ-C30 BR23 functional scores (P<0.05). In contrast, no significant improvement was observed in Group 2 after the exercise program in any of parameters in comparison to the pre-exercise period (P>0.05). When the two exercise groups were compared, there were significant differences in 6MWT in pilates-exercise group (P<0.05).
Pilates exercises are effective and safe in female breast cancer patients. There is a need for further studies so that its effect can be confirmed.
This study addressed the effects of pilates exercise, as a new approach, on functional capacity, fatigue, depression and quality of life in breast cancer patients in whom there are doubts regarding the efficacy and usefulness of the exercise.
Pilates training is said to increase Transversus abdominis (TrA) and Obliquus internus (OI) activation during exercise and functional activities. 34 Pain-free health club members with no Pilates experience, mean (SD) age 30(7) years, were randomised to Pilates mat exercises or strength training. Participants exercised unsupervised twice-weekly for eight weeks. TrA and OI thickness (a proxy for muscle activity at the low-medium efforts of our exercises) were measured with ultrasound pre- and post-training during Pilates exercises 'Imprint' (an abdominal drawing-in manoeuvre) and 'Hundreds A' (lying supine, arms slightly raised, hips and knees flexed to 90°) and 'Hundreds B' (as A, with neck flexion) and functional postures sitting and standing. Pilates participants had increased TrA thickness in Hundreds A [all values mean (SD) mm]: 3.7(1.3) pre-intervention, 4.7(1.1) post-intervention (P = 0.007); and decreased OI muscle thickness during Imprint: 11.7(2.8) pre-intervention, 10.8(3.5) post-intervention (P = 0.008). Strength training participants had greater OI thickness during Imprint (P = 0.014), Hundreds A (P = 0.018) and Hundreds B (P = 0.004) than Pilates participants post-intervention. There were no changes in muscle thickness at rest or during functional postures. Pilates training appears to increase TrA activity but only when performing Pilates exercises. Further research is required into Pilates in clinical populations and how to increase deep abdominal activation during functional activities.
Many claims have been made about the effectiveness of Pilates exercise on the basic parameters of fitness. The purpose of this study was to determine the effects of Pilates exercise on abdominal endurance, hamstring flexibility, upper-body muscular endurance, posture, and balance. Fifty subjects were recruited to participate in a 12-week Pilates class, which met for 1 hour 2 times per week. Subjects were randomly assigned to either the experimental (n = 25) or control group (n = 25). Subjects performed the essential (basic) mat routine consisting of approximately 25 separate exercises focusing on muscular endurance and flexibility of the abdomen, low back, and hips each class session. At the end of the 12-week period, a 1-way analysis of covariance showed a significant level of improvement (p < or = 0.05) in all variables except posture and balance. This study demonstrated that in active middle-aged men and women, exposure to Pilates exercise for 12 weeks, for two 60-minute sessions per week, was enough to promote statistically significant increases in abdominal endurance, hamstring flexibility, and upper-body muscular endurance. Participants did not demonstrate improvements in either posture or balance when compared with the control group. Exercise-training programs that address physical inactivity concerns and that are accessible and enjoyable to the general public are a desirable commodity for exercise and fitness trainers. This study suggests that individuals can improve their muscular endurance and flexibility using relatively low-intensity Pilates exercises that do not require equipment or a high degree of skill and are easy to master and use within a personal fitness routine.
We investigated responses of adult, novice practitioners (n = 9) to an 8-week traditional mat Pilates program (P) that met 1 hr/day three times/week. Classes consisted primarily of beginner and intermediate level exercises. Compared to an active control group (C; n = 13) that showed no improvements, those in P significantly (p < .05) improved relative body fat (-1.2% BF), sit-and-reach (+7.5 cm), shoulder reach (+6.9 cm), curl-up (+14 reps), and low back extension (+7 reps) scores, as well as circumferences at the waist (-2.7 cm), chest (-1.7 cm), and arm (-0.5 cm). Baseline differences were noted only for curl-ups and low back extensions, with P being lower than C Body composition, muscular endurance, and flexibility significantly improved after 8 weeks of traditional mat Pilates.
This study evaluated a modified, timed version of the "Get-Up and Go" Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital (mean age 79.5 years). The patient is observed and timed while he rises from an arm chair, walks 3 meters, turns, walks back, and sits down again. The results indicate that the time score is (1) reliable (inter-rater and intra-rater); (2) correlates well with log-transformed scores on the Berg Balance Scale (r = -0.81), gait speed (r = -0.61) and Barthel Index of ADL (r = -0.78); and (3) appears to predict the patient's ability to go outside alone safely. These data suggest that the timed "Up & Go" test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time. The test is quick, requires no special equipment or training, and is easily included as part of the routine medical examination.
Of all 30-, 40-, 50-, and 60-year-old inhabitants of Glostrup, a suburb of Copenhagen, 82% (449 men and 479 women) participated in a general health survey, which included a thorough physical examination relating to the lower back. The examination was constituted of anthropometric measurements, flexibility/elasticity measurements of the back and hamstrings, as well as tests for trunk muscle strength and endurance. The reproducibility of the tests was found to be satisfactory. Twelve months after the physical examination 99% of the participants completed a questionnaire sent by mail concerning low back trouble (LBT) in the intervening period. The prognostic value of the physical measurements was evaluated for first-time experience and for recurrence or persistence of LBT by analyses of the separate measurements and discriminant analyses. The main findings were that good isometric endurance of the back muscles may prevent first-time occurrence of LBT in men and that men with hypermobile backs are more liable to contract LBT. Recurrence or persistence of LBT was correlated primarily to the interval since last LBT-episode: the more LBT, the shorter the intervals had been. Weak trunk muscles and reduced flexibility/elasticity of the back and hamstrings were found as residual signs, in particular, among those with recurrence or persistence of LBT in the follow-up year.
To establish isometric endurance holding times, as well as ratios between torso extensors, flexors, and lateral flexors (stabilizers), for clinical assessment and rehabilitation targets.
Simple measurement of endurance times in four tests performed in random order by a healthy cohort. To measure reliability, a subsample also performed the tests again 8 weeks later.
University laboratory.
Seventy-five young healthy subjects (31 men, 44 women).
Women had longer endurance times than men for torso extension, but not for torso flexion or for the "side bridge" exercise, which challenges the lateral flexors (stabilizers). Men could sustain the "side bridge" for 65% of their extensor time and 99% of their flexion time, whereas women could sustain the "side bridge" for only 39% of their extensor time and 79% of their flexion time. The tests proved reliable, with reliability coefficients of >.97 for the repeated tests on 5 consecutive days and again 8 weeks later.
Healthy young men and women possess different endurance profiles for the spine stabilizing musculature. Given the growing support for quantification of endurance, these data of endurance times and their ratios between extensor, flexor, and lateral flexor groups in healthy normal subjects are useful for patient evaluation and for providing clinical training targets.
The purpose of the present study was to develop a method of appraising the feelings of an individual towards his body and to ascertain whether or not variables derived from these appraised feelings are significant for personality theory." On the basis of results obtained on a scale designed by the authors, the following conclusions were reached: (1) Split-half reliabilities of the scale were satisfactory. (2) Feelings of the body are commensurate with feelings about the self. (3) Low body-cathexis is associated with anxiety concerning pain, disease, or bodily injury. (4) Low body-cathexis is associated with in-security.
To assess the relative effectiveness of interventions to prevent falls in older adults to either a usual care group or control group.
Systematic review and meta-analyses.
Medline, HealthSTAR, Embase, the Cochrane Library, other health related databases, and the reference lists from review articles and systematic reviews.
Components of falls intervention: multifactorial falls risk assessment with management programme, exercise, environmental modifications, or education.
40 trials were identified. A random effects analysis combining trials with risk ratio data showed a reduction in the risk of falling (risk ratio 0.88, 95% confidence interval 0.82 to 0.95), whereas combining trials with incidence rate data showed a reduction in the monthly rate of falling (incidence rate ratio 0.80, 0.72 to 0.88). The effect of individual components was assessed by meta-regression. A multifactorial falls risk assessment and management programme was the most effective component on risk of falling (0.82, 0.72 to 0.94, number needed to treat 11) and monthly fall rate (0.63, 0.49 to 0.83; 11.8 fewer falls in treatment group per 100 patients per month). Exercise interventions also had a beneficial effect on the risk of falling (0.86, 0.75 to 0.99, number needed to treat 16) and monthly fall rate (0.86, 0.73 to 1.01; 2.7).
Interventions to prevent falls in older adults are effective in reducing both the risk of falling and the monthly rate of falling. The most effective intervention was a multifactorial falls risk assessment and management programme. Exercise programmes were also effective in reducing the risk of falling.
Core strengthening and stability exercises have become key components of training programs for athletes of all levels. The core muscles act as a bridge between upper and lower limbs, and force is transferred from the core, often called the powerhouse, to the limbs. Stability initially requires maintenance of a neutral spine but must progress beyond the neutral zone in a controlled manner. Some studies have demonstrated a relationship between core stability and increased incidence of injury. A training program should start with exercises that isolate specific core muscles but must progress to include complex movements and incorporate other training principles.
The Joseph Pilates Archive Collection
- S Gallagher
- R Kryzanowska
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