A qualitative study of the experiences and perceptions of adults with chronic musculoskeletal conditions following a 12‐week Pilates exercise programme

Gaskell, Lynne; Williams, Anita

doi:10.1002/msc.1365

Cited by 11 publications

(23 citation statements)

References 35 publications

(41 reference statements)

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“…Physiotherapists in the present study perceived the physical benefits These holistic benefits may be significant, particularly for older participants, by reducing levels of inactivity seen as a result of ageing, and improving chronic conditions, as has been demonstrated in a previous study of Pilates (Gaskell & Williams, 2018).…”

Section: Discussionsupporting

confidence: 61%

“…However, several of the other proposed benefits—such as improved posture and movement control, with carry‐over to some achieving recommended levels of weekly physical activity, continuing at work and hobbies, and facilitation of self‐management—have not been verified by clinical trials (C. Wells, G. S. Kolt, P. Marshall, & A. Bialocerkowski, ). These holistic benefits may be significant, particularly for older participants, by reducing levels of inactivity seen as a result of ageing, and improving chronic conditions, as has been demonstrated in a previous study of Pilates (Gaskell & Williams, ).…”

Section: Discussionmentioning

confidence: 77%

“…Qualitative research can be used to investigate the wider concepts related to physiotherapy practice, including exercise prescription and use of evidence or patient preference in the delivery of Pilates classes for people with musculoskeletal pain. There is a paucity of qualitative evidence on the perceptions, clinical reasoning and use of evidence within physiotherapy‐led Pilates classes (Gaskell & Williams, ). Therefore, the aim of the present study was to investigate the perceived benefits and rationale for Pilates classes as an exercise prescription for people with musculoskeletal conditions among Pilates‐trained physiotherapists.…”

Section: Introductionmentioning

confidence: 99%

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Perceived benefits, rationale and preferences of exercises utilized within Pilates group exercise programmes for people with chronic musculoskeletal conditions: A questionnaire of Pilates‐trained physiotherapists

Gaskell

Williams

Preece

2019

Musculoskeletal Care

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Introduction An estimated 29% of the population, around 17.8 million people, live with a musculoskeletal condition in the UK. Pilates exercise has positive benefits, including reducing pain and disability for people with musculoskeletal conditions. The aim of the present study was to explore the views of Pilates‐trained physiotherapists in relation to the perceived benefits of, and clinical reasoning for, exercise prescription in Pilates classes. Methods A qualitative approach was taken to both data collection and analysis, using a thematic framework. Data were collected via electronic questionnaires using open‐ended questions. Participants included 15 Pilates‐trained physiotherapists who regularly ran Pilates exercise classes within seven private physiotherapy clinics for people with a range of chronic musculoskeletal conditions. Results The results were organized into six main themes: Perceived benefits 1: Improved function and increased levels of activity. Perceived benefits 2: Improved ability to manage their musculoskeletal condition autonomously; Efficacy of group Pilates exercise; Optimum combination of exercises used within a class; Physiotherapist rationale for the most effective exercises; Precautions with specific exercises. Conclusions The study was the first to investigate perceived benefits, rationale and preference for choice of exercise among Pilates‐trained physiotherapists. Physiotherapists felt that the Pilates classes facilitated an active lifestyle and self‐management approach. They used a combination of exercises in each class to address all the main muscle groups, but some had specific exercise preferences related to the patients' needs. Exercises were linked to evidence around neuromuscular control, direction preference and biomechanical principles.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

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Perceived benefits, rationale and preferences of exercises utilized within Pilates group exercise programmes for people with chronic musculoskeletal conditions: A questionnaire of Pilates‐trained physiotherapists

Gaskell

Williams

Preece

2019

Musculoskeletal Care

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“…Focus group studies have been successfully employed to gain insight into individual experiences and perceptions of exercise programs and to provide information for the development of programs accordingly [ 21 , 22 ]. Using a similar approach to inform the design of a walking program, we conducted a qualitative study with the research question: What key characteristics need to be included in planning and developing a walking program specific for women with moderate to severe menopause symptoms?…”

Section: Introductionmentioning

confidence: 99%

Walking together: women with the severe symptoms of menopause propose a platform for a walking program; outcome from focus groups

et al. 2020

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Background Menopause and midlife are stages in a woman’s life that can be marked by debilitating symptoms and increasing risks for cancer, cardiovascular, metabolic, and bone health issues. Walking represents a simple, low cost, and widely accessible activity with proven health benefits, though its therapeutic effect on alleviating menopause symptoms is not well characterized. Women are generally not opposed to exercise programs; however, increasing or maintaining exercise levels remains a challenge. We undertook a qualitative descriptive study to explore features of a walking program that would be conductive to menopausal women’s participation, as well as to inform the development of such a program. Methods We conducted focus groups with women recruited from two menopause clinics and who suffered from moderate to severe menopause symptoms. The focus groups were audio recorded and transcribed. Women were prompted to talk about their menopause experience and exercise practice and how they would envision a walking exercise program that would keep them engaged. Qualitative content analysis was used to analyze the data and to identify characteristics of a walking exercise program. Results Twenty women participated in 5 focus groups. Women were very interested in trying walking as a means of staying healthy and possibly reducing menopause symptoms. Four major characteristics emerged as important for a walking program: (a) sensitivity to health realities of menopausal women, (b) inclusivity of various needs/levels of physical ability, (c) attentiveness to the need for mutual social support, (d) flexibility in planning of locations and scheduling. A restricted social network platform with features catering to women in menopause was suggested as suitable to initiate and sustain an adequate walking program. Conclusions The findings of this study will be essential in designing a program that would be attractive for women to start and maintain a walking habit. The program would assist in elucidating whether walking is a useful and valuable alternative therapy for menopausal symptoms and, ultimately, might help women staying fit in midlife and postmenopausal.

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“…However, of the randomized controlled trials (RCTs) reviewed, high levels of heterogeneity were reported, in terms of sample (sub‐types of back pain), exercise selection, delivery and frequency of treatment. In addition, qualitative research evaluating Pilates as a treatment approach is limited, mostly focusing on LBP populations (Gaskell & Williams, ). These methods can be valuable to review the definition, scope and rationale of Pilates treatment methods used by physiotherapists, to provide optimum rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

“How do Pilates Trained Physiotherapists utilize and value Pilates Exercise for MSK conditions? A Qualitative Study”

Cuddy

Gaskell

2020

Musculoskeletal Care

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Background Pilates is a popular exercise therapy approach offering numerous benefits, including muscular strength, flexibility, control, and core stability. Pilates has been widely utilized in the prevention and rehabilitation of a variety of musculoskeletal disorders. Objectives The aim of this study was to explore the experiences and opinions of Pilates trained NHS and private practice physiotherapists in the UK, regarding the perceived benefits, risks, delivery and rationale for this exercise method. Methods This qualitative study used a self‐designed electronic survey to retrieve the views of 30 physiotherapists, who had undertaken formal Pilates Instruction training, recruited by a purposive and snowball sampling method. Questions were either multiple choice or open‐ended, examined via thematic analysis. Results Physiotherapists identified the most important benefits of Pilates as reduction in fear‐avoidance, improving bodily awareness and increasing muscular strength. Exercises that promote general movement were highlighted as being particularly useful, with a majority recommending daily practice for optimum benefit. Participants recognized lack of core strength as a key indicator, whereas others criticized excessive focus on this principle. Conclusions Physiotherapists identified a range of inter‐linked benefits and recognized that Pilates is hugely modifiable. Individualizing exercises can further encourage participation and negate the restriction of some health conditions. NHS and Private Practice Therapists utilize Pilates in a similar way, although rationales for its use may differ, as the justification for Pilates exercise may be evolving. Pilates appears a valuable methodology in the NHS, which can help patients engage with activity.

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A qualitative study of the experiences and perceptions of adults with chronic musculoskeletal conditions following a 12‐week Pilates exercise programme

Cited by 11 publications

References 35 publications

Perceived benefits, rationale and preferences of exercises utilized within Pilates group exercise programmes for people with chronic musculoskeletal conditions: A questionnaire of Pilates‐trained physiotherapists

Perceived benefits, rationale and preferences of exercises utilized within Pilates group exercise programmes for people with chronic musculoskeletal conditions: A questionnaire of Pilates‐trained physiotherapists

Walking together: women with the severe symptoms of menopause propose a platform for a walking program; outcome from focus groups

“How do Pilates Trained Physiotherapists utilize and value Pilates Exercise for MSK conditions? A Qualitative Study”

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