Objectives
A review of qualitative studies exploring Pilates‐trained physiotherapists and their patients' perspectives and experiences of Pilates, aiming to improve practice and provide a deeper ...insight into the way this method is being utilized along with its effects on participants.
Design
Qualitative evidence synthesis using meta‐ethnography.
Data sources
A comprehensive search strategy, limited to English language articles, was conducted to MEDLINE (PubMed), EMBASE, CINAHL, PEDro and Cochrane Central for the period of January 2000 (inception) to June 2020. This was supplemented by identification of Grey literature through Google Scholar, website searching and reference lists.
Study selection
Qualitative studies reporting experiences and perceptions of patients' or Pilates‐trained physiotherapists' regarding the efficacy of Pilates for the management of chronic musculoskeletal conditions. After a process of exclusion, eight studies were included in the synthesis.
Data extraction
The textual data were analysed by a qualitative software program. Studies were critically appraised independently by two reviewers.
Data synthesis
Articles were synthesized using a technique of meta‐ethnography. Three themes emerged from the process of reciprocal translation: (1) Benefits of the Pilates approach; (2) most effective ways to utilize and most beneficial parameters and (3) risks, precautions, contraindications and indications.
Conclusion
This is the first qualitative evidence synthesis of practitioners' and patients' perspectives of Pilates. Findings support evidence for the various benefits of this approach and provide fresh insight into the way this method can be practiced to maximize efficiency and focus on the patients' needs.
Key recommendations
Pilates‐trained physiotherapists identified that Pilates can be tailored to individual requirements, preferences and needs, to promote self‐management to facilitate clinical and cost‐effective care.
O Método Pilates tem sido considerado um sistema de exercícios que visa melhorar a flexibilidade, resistencia física, força, equilibrio e coordenaçao motora. Dessa forma, muitas pessoas tem buscado o ...Método para melhorar ou manter a saúde. O objetivo do estudo foi verificar o efeito do treinamento de exercícios de pré-pilates na execuçao do exercício Hundred por meio da eletromiografia de superficie em praticantes de Pilates. Foram avaliados praticantes de Pilates (N=29) de ambos os sexos (idade média de 44,31 ± 12,807 anos). Trata-se de um estudo quantitativo, analítico e transversal. Foi realizado um protocolo com exercícios pré-pilates e exercícios Hundred. Cem. Foram feitas análises de ativaçâo eletromiográfica de superficie nos músculos reto abdominal, transverso abdominal/oblíquo interno, oblíquo externo e multífido. A percepçâo subjetiva de esforço foi avaliada por meio da escala de Borg, uma parcela (36,6%) dos voluntários classificou Hundred sem pré-pilates como mais leve que Hundred com pré-pilates. A menor parte (13,3%) considerou Hunderd com pré-pilates mais leve do que sem pré-pilates. Os resultados da análise eletromográfica não comprovaram o aumento da ativaçâo elétrica dos músculos avaliados ao realizar o exercício Hundred com pré-Pilates em relaçâo ao Hunded sem pré-pilates em praticantes.
Evidence-Based Answer There is low- to moderate-quality evidence that Pilates exercises taught by certified instructors improve pain and reduce disability in patients with chronic low back pain. ...(Strength of Recommendation: B, based on inconsistent or limited-quality patient-oriented evidence.) Practice Pointers Up to 40% of patients with acute low back pain will not have resolution of pain in the first three months, and more than one-half of these patients will have residual pain after one year.1 No systematic review has concluded which, if any, of the commonly suggested exercise regimens-including yoga, tai chi, and McKenzie method regimens-is best for treating patients with chronic low back pain. The conclusion that Pilates is beneficial in the short and intermediate term for relief of pain and disability is consistent with the findings of other recent systematic reviews.2,3 Although they do not specify one type of exercise regimen over another, current guidelines suggest that all patients with chronic pain participate in some form of exercise therapy to improve function and fitness.4 Patients can find Pilates instruction from many resources, including free introductory videos available online.
Introduction Sleep is related to physical activity, but previous population-level studies have not been able to explore specific types of activities associated with better sleep. Methods Data from ...the 2017 Behavioral Risk Factor Surveillance System were used, with N=38,964 adults age>18 providing complete physical activity and sleep data. Participants were asked whether they engaged in any physical activity in the past 30 days and if so, what was the main form of activity. The most common activities were walking, biking, running, gardening/yardwork, weights/aerobics/calisthenics, golf, swimming, jogging, yoga/pilates, and household/chores/childcare. Sleep variables assessed included duration (very short<5h, short5-6h, normal7-8h and long9+h), sleep difficulties (nights/week), and daytime sleepiness (days/week). Weighted regressions were adjusted for age, sex, race/ethnicity, education, and BMI. These were done relative to no activity and relative to walking. Results RESULTS: Compared to no activity, walking, running, weights/aerobics/calisthenics, and biking were associated with a decreased likelihood of very short (all p<0.0005), short (all p<0.0005), and long sleep (all p≤0.001), fewer sleep difficulties (all p<0.0005), and less sleepiness (all p<0.0005). Also, less very short and short sleep, and less sleepiness were seen with yoga/pilates (p<0.0005, p=0.004, and p<0.0005, respectively), and less very short sleep and fewer sleep difficulties were also seen with swimming (p=0.008 and p=0.01, respectively) and golf (p=0.001 and p=0.02, respectively). Less sleepiness was also seen in those who reported jogging (p<0.0005) and gardening/yardwork (p<0.0005). Compared to walking, very short sleep was still inversely related to biking, golf, and yoga/pilates (p=0.04, p=0.01, and p<0.0005, respectively), and was positively related to childcare/housework (p=0.02). Long sleep was inversely related to running (p=0.02). Sleep disturbance was inversely related to running, weights/aerobics/calisthenics, and biking (p<0.0005, p=0.008, and p=0.02, respectively). Sleepiness was inversely related to biking (p=0.004). Conclusion In the population, physical activity was associated with better sleep, but this may depend on the type of activity that an individual engages in. Support (If Any) R01MD011600
PDF
