Objetivo:comprobar la efectividad del método Pilates Romana para conseguir una mayor flexibilidad de la columna, junto con una mejora en la movilidad de la misma, así como del dolor que presentan en ...su vida diaria los pacientes. Metodología: ensayo clínico con intención de tratar a treinta pacientes con dolor lumbar inespecífico. Asistieron a 15 sesiones, 2 veces a la semana, del Método Pilates Romana.. Se evaluaron parámetros tales como dolor, test de Schöber, SRS-22 y distancia dedos- suelo. Resultados. Se encontraron diferencias estadísticamente significativas con respecto al dolor (escala EVA), distancia dedos- suelo, test de Schöber (flexibilidad en plano sagital), flexión lateral (flexibilidad en plano frontal) y en varios ítems de la escala SRS-22, con valores de p<0,001. Por ello, este método puede ser usado para mejorar el dolor, la flexibilidad axial, la función y los aspectos relacionados con la calidad de vida.
During pregnancy, women undergo biopsychosocial changes that can be accompanied by musculoskeletal complaints. Pilates is a type of body and mind exercise that may be an option to preventing these ...complaints. However, there is still no evidence on its effects in preventing of musculoskeletal complaints in pregnant women.
To evaluate the feasibility of Pilates in preventing of musculoskeletal complaints throughout the entire gestational period in pregnant women. Secondary objectives will be to identify the occurrence of musculoskeletal complaints and the number of days from randomization at which these complaints occur, evaluating the type of delivery at birth, and comparing costs related to the gestational period in in woman with routine risk pregnancies and musculoskeletal complaints.
In this randomized controlled pilot study with economic evaluation, 20 pregnant women at routine risk in the 12th gestational week will be randomly allocated into two groups: usual care group, which will receive an educational booklet with information about on routine pregnancy care, and Pilates group, which will receive the same educational booklet and will participate in a specific Pilates exercise program for pregnancy, twice a week, throughout the gestational period. The primary outcomes will be acceptability, suitability, feasibility and fidelity. Secondary outcomes will be the occurrence of a musculoskeletal complaints and the number of days from randomization at which these complaints occur, type of delivery, costs of maternal and fetal healthcare, costs for the pregnant woman and family, and costs of productivity loss at work (presenteeism and absenteeism). Assessments will be conducted at the 12th, 24th and 36th weeks of gestation, and seven to 15 days after delivery, using questionnaires specially developed for this study.
It is expected that the Pilates exercise program will be feasible for pregnant women, from early to late stages of pregnancy, and that it will have positive effects on the evaluated clinical outcomes. Additionally, the economic evaluation will allow for identification of the economic impact that pregnancy, with or without musculoskeletal complaints, has on both the pregnant woman and the health system.
This study will assess the feasibility of a Pilates exercise program throughout the entire gestational period, as well as measure of clinical and economic outcomes for conducting a randomized controlled trial with economic evaluation.
The results of this pilot study will indicate whether it is feasible to conduct a randomized controlled trial for the prevention of musculoskeletal complaints in pregnant women, focusing on important clinical outcomes for this population.
Background: The Pilates Method is a program of physical and mental training that involves the whole body, aiming at the gain of muscular strength, mainly of the central region, formed by the ...abdominal muscles, the spine and the pelvic floor muscles (PFM). The PFM responds to sexual stimulation, with increased local blood circulation and involuntary contractions during orgasm. The training of this musculature assists in the female sexual function. Objective: To evaluate the influence of Pilates Mat associated with perineal contraction in the female sexual response. Method: Uncontrolled clinical trial in which participated twelve women between 20 and 50 years old, who performed Mat Pilates classes associated with perineal exercises, three times a week. The sexual response was evaluated through the Female Sexual Function Index (FSFI) and the contraction capacity of PFM through the Functional Evaluation of the Pelvic Floor (FEPF) before and after 21 sessions. Results: Given the proposed treatment, the FSFI responded positively (0.0099), with an improvement in the median and interquartile range that initially was 25.6 ± 5.4 and increased to 28.4 ± 1.2. The Functional Evaluation of the Pelvic Floor (FEPF) also achieved significant improvement (p= 0.0077), increased from the initial median and interquartile range of 2 ± 1.5 to 4 ± 1. Conclusion: Mat Pilates provides encouraging results, and its use is relevant to promote improved sexual response and strength gain of the pelvic floor muscle.
O presente relatório de estágio reflete todo o trabalho desenvolvido no Complexo de Piscinas do Estádio Universitário de Lisboa (EULisboa) no ano letivo 2016/2017. Inserido no Mestrado em Exercício e ...Saúde, este estágio teve como tema o exercício aquático para indivíduos idosos, na vertente da modalidade de Hidroginástica. Neste relatório são apresentadas todas as atividades desenvolvidas durante o período do estágio, bem como os respetivos objetivos e a sua importância para a formação académica da estagiária. É também apresentada uma ampla revisão da literatura acerca do processo de envelhecimento, de todas as alterações que daí advêm, do papel do exercício na retardação dos efeitos inerentes ao avançar da idade e dos principais fundamentos do exercício aquático para pessoas idosas. Em termos práticos, o estágio incluiu a frequência de diferentes tipos de aulas de Hidroginástica e a realização de diversas fichas de observação e de análise crítica das aulas do EULisboa. Numa fase mais avançada, foram lideradas partes de aulas de Hidroginástica Sénior e foi desenvolvido um projeto de iniciação científica, através da realização de um estudo dentro da instituição de estágio, tendo como amostra pessoas idosas que frequentem regularmente as aulas de Hidroginástica. A vertente prática do estágio culminou com a lecionação de uma aula completa de Hidroginástica destinada à população idosa
PURPOSELow back pain is the most frequently reported musculoskeletal disorder and represents one of the highest patient burdens in healthcare. This systematic review and meta-analysis aimed to ...investigate the effectiveness of Pilates exercise on pain intensity and functional disability caused by low back pain (LBP). MATERIALS AND METHODSA Systematic review with meta-analysis was conducted. Data sources: MEDLINE-NLM and MEDLINE-EBSCO. We also searched on Scopus Elsevier, Cochrane, DOAJ, SciELO, PEDro, and PLOS ONE databases. Eligibility criteria: randomized controlled trials (RCTs) evaluating LBP in which the primary treatment was based on Pilates exercise compared with no exercise, or non-specific exercise. RESULTSThe search returned 1566 records of which 36 articles were included in the systematic review and 19 in the meta-analysis. Twenty-two studies compared the effects of Pilates exercise vs no exercise and 13 studies examined the effects of Pilates exercise vs non-specific exercise. Analysis showed that Pilates had a positive effect on the perception of LBP vs no exercise. A similar trend occurred with non-specific exercise. CONCLUSIONSPilates exercise can decrease LBP compared to no exercise and non-specific exercise. General practitioners should consider Pilates exercise as an effective strategy to manage LBP and counteract the growing health. TRIAL REGISTRATIONPROSPERO registration number: CRD42022308387.IMPLICATIONS FOR REHABILITATIONPilates is a good strategy for improving low back pain and is more effective than other exercise programs or no exercise.Pilates is a safe tool to apply to most of the population with low back pain.Pilates is a non-pharmacological strategy useful for counteracting low back pain.
A partir do crescimento da expectativa de vida mundial, que aumentou demasiadamente nos últimos anos, estão sendo realizados diversos estudos em busca de melhorar a qualidade de vida dos idosos que ...enfrentam dificuldades como a perda do potencial de equilíbrio, bem como deficiências motoras e de marcha, principalmente em mulheres devido as alterações hormonais que elas sofrem ao longo da vida. Pensando nisso, exercícios como o método Pilates, são considerados adequados para o fortalecimento muscular preservando assim a capacidade funcional de idosos, portanto, o presente estudo visou realizar uma revisão de literatura sobre os resultados do método Pilates no equilíbrio de mulheres idosas.
Workout programmes have proven physiological benefits, and it is widely accepted that they can yield more positive health outcomes when parameters such as balance and mobility are at play. This study ...intends to examine the effects of a 12-week mat pilates workout program on mobility and dynamic balance parameters in the former athlete group (FAG) and the sedentary group (SG). The study was designed in an experimental design with pre-test and post-test in two groups. The study group consisted of 30 female participants, SG (n=15) and FAG (n = 15). Dynamic balance values were measured using the Star Excursion Balance Test, and lower extremity mobility was measured using the Sit and Reach Test. Both groups conducted mat pilates exercises twice a week for 12 weeks. At the end of the 12-week mat pilates workout programme, a significant difference of increase was obtained in the mobility values of the FAG (p<0,002) and the SG (p<0,001). The Y Balance Test identified a significant difference of increase with pre-test and post-test in anterior (p = 0.04), postero-lateral (p = 0.03), posteromedial (p = 0.04) directions balance in the FAG. In the difference between groups, SG showed a significant increase in posterolateral (p = 0.001) and posteromedial (p = 0.002) directions balance than FAG at post-test. At the end of the 12-week mat pilates workout programme, it was revealed out that the FAG scored better in post-test in dynamic balance than the SG although it scored lower in the dynamic balance pre-test than the SG.
Aim: This study aims to define the effect of a weight-loss diet on body composition in women doing reformer pilates for 12 weeks. It compares dietary habits in subject groups with and without a ...weight-loss diet and macro and micronutrient intakes at the beginning and end of the study. Method: A total of 49 women (≥18 age) were randomly allocated to either a control (CG: reformer pilates; n=23) or a study (SG: reformer pilates+weight-loss diet; n=26) group. In both groups, subjects did pilates for 45 minutes a day three times a week for a total of 12 weeks. Their body weight (kg), waist circumference (cm), hip circumference (cm), neck circumference (cm), mid-upper arm circumference (cm), body composition, waist/height ratio, and body mass index (BMI; kg/m2) were evaluated at the beginning and the third month of the study. Dietary habits of all subjects were questioned, their 24-hour retrospective food consumption was taken, and their physical activity levels were evaluated through the International Physical Activity Questionnaire (Short Form). Results: The use of vitamin and mineral supplements in SG was lower than CG (p=0.003). The twelve-week evaluation showed a significantly higher increase in dietary protein and calcium levels in SG than CG (p<0.05). In SG, a significantly higher decrease was determined in body weight, BMI, waist circumference, hip circumference, and waist/height ratio, and a higher increase in Basal Metabolic Rate, body muscle, and body water, compared to CG (p<0.05). Conclusion: Pilates combined with a weight-loss diet has more positive effects on body composition than pilates alone. Providing dietary training and counseling for women who practice reformer pilates will increase the health benefits of exercise.
Amaç: Bu araştırmada 12 haftalık sürede kadınlarda aletli pilatesin vücut kompozisyonuna tek başına veya zayıflama diyeti ile birlikte etkisinin karşılaştırılması amaçlanmıştır. Çalışmanın diğer amacı ise zayıflama diyeti yapan ve yapmayan grupların beslenme alışkanlıkları ve çalışmanın başlangıcı ve sonundaki makro ve mikro besin ögesi alımlarını karşılaştırmaktır. Materyal ve Metod: Kadınlar (≥18, n=49), kontrol (CG: Reformer pilates, n=23) ya da çalışma (SG: Reformer pilates+Zayıflama diyeti, n=23) grubu olarak rastgele iki gruba ayrılmıştır. Katılımcılar, 12 hafta boyunca günde 45 dakika olmak üzere haftada üç kez pilates yapmıştır. Vücut ağırlığı (kg), bel çevresi (cm), kalça çevresi (cm), boyun çevresi (cm), üst orta kol çevresi (cm), vücut kompozisyonu, bel/boy oranı ve beden kütle indeksi (BMI; kg/m2) çalışmanın başlangıcında ve üçüncü ayda değerlendirilmiştir. Tüm katılımcıların beslenme alışkanlıkları ve 24 saatlik geriye yönelik besin tüketim kayıtları sorgulanmış ve fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi (Kısa Form) (IPAQ) kullanılarak değerlendirilmiştir. Bulgular: Çalışma grubunda vitamin ve mineral desteği kullanımının kontrol grubundan daha düşük olduğu saptanmıştır (p=0.003). On iki haftalık değerlendirme sonucunda, SG’de CG’ye göre diyetle alınan protein ve kalsiyum düzeyinin anlamlı olarak daha fazla arttığı belirlenmiştir (p<0.05). SG’de, CG’ye göre vücut ağırlığı, BMI, bel çevresi, kalça çevresi, bel/boy oranının anlamlı olarak daha fazla azaldığı; bazal metabolizma hızı, vücut kas oranının ve vücut su oranının daha fazla arttığı gözlenmiştir (p<0.05). Sonuç: Pilates ile birlikte zayıflama diyetinin, tek başına pilates uygulamasına göre vücut kompozisyonu üzerine daha fazla olumlu etkisinin olduğu belirlenmiştir. Aletli pilates yapan kadınlara beslenme eğitimi ve danışmanlığı verilerek uygulanan egzersizden sağlanacak sağlık yararlarının artırılabileceği düşünülmektedir.
A systematic review and meta-analysis were conducted to investigate the effectiveness of the Pilates exercise program during pregnancy on different delivery outcomes. Various databases were searched ...from inception until November 2022. The included studies compared Pilates exercise to routine antenatal care in pregnant women. The primary outcomes assessed were vaginal and cesarean delivery rates, as well as labor duration. Secondary outcomes included episiotomy incidence, Apgar scores, and epidural analgesia. Seven studies met the inclusion criteria, involving a total of 1,003 patients. Results indicated a significant increase in the vaginal delivery rate among the Pilates exercise group compared to the control group (p < .001). Moreover, the Pilates exercise group exhibited significantly reduced rates of cesarean delivery and shorter labor duration. Pilates exercise was associated with a significant decline in the incidence of episiotomy and the number of women requiring epidural analgesia during delivery (p < .001 & p = .008). In addition, Apgar scores at one and five minutes were significantly higher in the Pilates exercise group compared to the control group (p < .001). In conclusion, Pilates exercise during pregnancy has a positive effect on maternal outcomes and Apgar scores. However, more trials are needed to confirm these findings.