Effect of Pilates mat exercise and home exercise programs on pain, functional level, and core muscle thickness in women with chronic low back pain

Batıbay, Sevilay; Külcü, Duygu Geler; Kaleoğlu, Özlem

doi:10.1016/j.jos.2020.10.026

Cited by 28 publications

(26 citation statements)

References 30 publications

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“…In this study, we found that the effects of Pilates were varied with population groups, intervention doses, and even combination treatment types, which should be the reason contributing to inconsistent results among different studies. According to the previous studies, a greater favorable result was observed in patients with chronic lower back pain receiving Pilates than those treated with home exercise (Batibay et al, 2020 ).…”

Section: Discussionmentioning

confidence: 92%

Effect of Pilates on Glucose and Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Chen

Xia

et al. 2021

Front. Physiol.

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Objective: The benefits of Pilates for blood glucose and lipids remain unclear. The purpose of this study was to examine the effect of Pilates on their levels.Methods: Searches were conducted in five databases to identify relevant articles published until October 29, 2020. Paired reviewers independently screened the articles and extracted data from each included study. Meta-analysis was performed to assess the effects of Pilates on blood glucose and lipids. Subgroup analyses and sensitivity analyses were conducted to explore heterogeneity.Results: According to the inclusion and exclusion criteria, 15 randomized controlled trials (RCTs) comprising 587 participants were included in the study. Overall, the Pilates group (PG) had a significantly greater reduction in post-prandial blood glucose than the control group (CG) (MD = −22.25 mg/dL, 95% CI: [−28.34, 16.17] mg/dL, P < 0.00001, I2 = 0%); glycated hemoglobin (HbA1c) (MD = −0.78%, 95% CI: [−1.13, −0.42]%, P < 0.0001, I2 = 88%); total cholesterol (TC) (MD = −20.90 mg/dL, 95% CI: [−37.21, −4.60] mg/dL, P = 0.01, I2 = 84%); triglycerides (TG) (MD = −12.59 mg/dL, 95% CI: [−19.88, −5.29] mg/dL, P = 0.0007, I2 = 86%); and low density lipoprotein cholesterol (LDL-C) (MD = −12.39 mg/dL, 95% CI: [−16.82, −7.95] mg/dL, P < 0.00001, I2 = 45%) compared to CG, whereas no significant difference was detected between the two groups in fasting blood glucose (MD = −7.04 mg/dL, 95% CI: [−17.26, 3.17] mg/dL, P = 0.18, I2 = 93%), insulin (MD = −1.44 μU/mL, 95% CI: [−4.30, 1.41] μU/mL, P = 0.32, I2 = 0%); and high density lipoprotein cholesterol (HDL-C) (MD = −2.68 mg/dL, 95% CI: [−9.03, 3.67] mg/dL, P = 0.41, I2 = 89%). However, by subgroup analysis, we found that compared to the CG, PG showed no significant improvement in blood glucose and lipids levels for non-diabetics, while it presented a significantly greater decrease in post-prandial blood glucose, TC, TG, and LDL-C for diabetic patients. Notably, for diabetic patients, Pilates and medication treatments showed no significant reduction in fasting blood glucose (MD = −7.00 mg/dL, 95% CI: [−26.06, 12.06] mg/dL, P = 0.40) and HbA1c (MD = −0.23%, 95% CI: [−0.58, 0.13]%, P = 0.21, I2 = 0%) than medications treatment used alone, and Pilates combined with medications and dietary treatments presented no significant improvement in fasting blood glucose than a combination of medications and dietary treatments (MD = −10.90 mg/dL, 95% CI: [−32.35, 10.54] mg/dL, P = 0.32, I2 = 94%).Conclusions: Overall, Pilates could improve post-prandial blood glucose, fasting blood glucose, HbA1c, TG, TC, and LDL-C for diabetic patients, which could be influenced by its duration and intensity. Moreover, it had no significant effect on blood glucose and lipids for non-diabetic individuals. However, Pilates, as an adjunctive treatment to medications was not superior to medications used alone in lowering fasting blood glucose and HbA1c. Furthermore, Pilates combined with medications and dietary treatments showed no significant improvement in fasting blood glucose, whereas it had a greater reduction in post-prandial blood glucose and HbA1c for diabetic patients.Systematic Review Registration:https://osf.io/xgv6w.

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Section: Discussionmentioning

confidence: 92%

Effect of Pilates on Glucose and Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Chen

Xia

et al. 2021

Front. Physiol.

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“…Yang et al [ 18 ] mentioned in their study that Pilates-based core exercise is an effective therapeutic modality for patients with chronic low back pain that can decrease pain and increase quality of life. Another study that investigated the effect of Pilates on chronic non-specific low back pain confirmed that Pilates decreased pain and increased muscle thickness of the MF and abdominal core muscles [ 17 ].…”

Section: Discussionmentioning

confidence: 96%

“…Hence, Pilates is drawing more attention recently due to its positive effects on whole-body strengthening and its ability to enhance flexibility on the basis of proximal stabilization. Recently, clinical experts have recommended Pilates as a therapeutic exercise approach to rehabilitate disorders of the spine, such as back pain and scoliosis [ 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

The Relationship of Trunk Muscle Activation and Core Stability: A Biomechanical Analysis of Pilates-Based Stabilization Exercise

Lee

2021

IJERPH

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Pilates is an effective exercise method for rehabilitating musculoskeletal disorders as its principles are based on the activation of local muscles. This study aimed to compare the subjects with and without Pilates experience to find out the effect of the experience on the core muscle activity and muscle co-contraction, and to examine the relationship between the core muscle activation level and the kinematic data. This study involved 32 subjects, including 16 experienced Pilates practitioners and 16 non-experienced subjects. The knee stretch on the reformer was performed in three different positions: flat back with a neutral pelvis, round back with posteriorly tilted pelvis (RPP), and extended back anteriorly tilted pelvis (EAP). The electromyography of the internal oblique (IO), rectus abdominis (RA), multifidus (MU), and iliocostalis lumborum (IL) muscles were measured, as well as kinematic data from a 3D motion analysis system. Compared to the non-experienced subjects, the experienced subjects activated the IO muscles more than the RA muscles, and the most significant difference was seen in the RPP position (p < 0.05). The experienced patients activated the MU muscles more often than the IL muscles, with the most significant difference observed in the RPP position and the least significant in the EAP position (p < 0.05). All kinematic data and muscle activity (IO, IO/RA ratio, MU/IL ratio) showed significant differences between the experienced and non-experienced subjects (p < 0.05). The subjects presented a moderate correlation between muscle activation and core stability. It was confirmed that the experienced Pilates practitioners activated the abdominal and low back core muscles effectively, and the stability of the pelvis and trunk were better than that of the non-experienced participants. In addition, the better the trunk stability was maintained, the larger and more accurate movement of the mobility segment was observed.

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“…The implementation of these Pilates training modalities in CLBP patients has achieved significant results similar to those of mat Pilates. In particular, water and apparatus Pilates have been demonstrated to be much more advantageous than mat Pilates in medium-to long-term follow-up after training [35][36][37] . Therefore, it can be argued that water and apparatus Pilates are more effective than mat Pilates.…”

Section: Discussionmentioning

confidence: 99%

“…Pilates training reactivates these muscles, enhancing the strength and stability of the lumbar region. In addition, through stretch-based posture and breath control, the range of motion of the lumbar spine can be improved, resulting in improved pain and dysfunction in CLBP patients 60 female CLBP patients and found that core stability and muscle thickness of the lumbar multifidus, transverse abdominal, external oblique, and internal oblique rectus muscles were significantly higher in the Pilates group 37 . Overall, mat Pilates is effective in activating core muscles and improving low back and pelvic stability, even in CLBP patients.…”

Section: Reviewmentioning

confidence: 99%

Effect of pilates training on pain and disability in patients with chronic low back pain: a systematic review and meta-analysis based on randomized controlled trials

Huang¹,

Park²

2023

Phys Act Nutr

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[Purpose] This systematic review and meta-analysis study evaluated the effects of Pilates on pain and disability in patients with chronic low back pain.[Methods] Six electronic databases were searched between January 2012 and December 2022. From these databases, only randomized controlled trials were selected. The criteria for assessing methodological quality using the PEDro scale were selected. The risk of bias was assessed using the Cochrane Risk of Bias Tool RoB 2.0. Additionally, the primary outcomes were pain and disability in this analysis.[Results] The corresponding results confirmed that Pilates training led to a significant improvement in pain (Visual Analog Scale: weighted mean difference = -29.38, 95% confidence interval, -33.24 to -25.52, I² value = 56.70%; Pain Numerical Rating Scale: weighted mean difference = -2.12, 95% confidence interval, -2.54 to -1.69, I² value = 0.00%) and disability (Roland– Morris Disability Index: weighted mean difference = -4.73, 95% confidence interval, -5.45 to -4.01, I² value = 41.79%). Six months after completion of Pilates training, the improvement in pain (Pain Numerical Rating Scale: weighted mean difference = -1.67, 95% confidence interval, -2.03 to -1.32, I² value = 0.00%) and disability (Roland–Morris Disability Index: weighted mean difference = -4.24, 95% confidence interval, -5.39 to -3.09, I² value = 52.79%) was maintained.[Conclusion] Pilates training may be an effective strategy to improve pain and disability in patients with chronic low back pain.

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Effect of Pilates mat exercise and home exercise programs on pain, functional level, and core muscle thickness in women with chronic low back pain

Cited by 28 publications

References 30 publications

Effect of Pilates on Glucose and Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effect of Pilates on Glucose and Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

The Relationship of Trunk Muscle Activation and Core Stability: A Biomechanical Analysis of Pilates-Based Stabilization Exercise

Effect of pilates training on pain and disability in patients with chronic low back pain: a systematic review and meta-analysis based on randomized controlled trials

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