The effect of the clinical pilates exercises on kinesiophobia and other symptoms related to osteoporosis: Randomised controlled trial

Oksuz, Sevim; Ünal, Edibe

doi:10.1016/j.ctcp.2016.12.001

Cited by 28 publications

(39 citation statements)

References 21 publications

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“…Related to physical performance in daily tasks, the functionality term includes aerobic endurance, gait parameters, and activities of daily living (ADLs), and it plays an essential role in avoiding falls or fear of falling and the autonomy of older people in their ADLs [25]. Our results are in line with those of recent studies showing positive effects of Pilates on functionality [20,46,47]; moreover, none of the studies included in our review showed a negative ES for this outcome. Evidence sug-gests that Pilates improves functionality through postural stability [70], joint mobility [28], and strengthening of the muscular structures involved [49].…”

Section: Discussionsupporting

confidence: 89%

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Fernández‐Rodríguez¹,

Álvarez‐Bueno²,

Ferri-Morales³

et al. 2021

Physiotherapy

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Background Falls are the leading cause of injury-related deaths in older adults. Physical exercise is a suitable strategy to reduce the risk of falls, but there is little research on the effectiveness of specific exercise modalities. Objectives To estimate the effectiveness of Pilates compared to habitual or non-exercise on physical performance and the risk of falls in older adults. Data sources Five databases were searched through April 15, 2021. Study selection Randomized controlled trial in people aged ≥60 years. Outcomes: balance, strength, flexibility, functionality, and risk of falls. Data synthesis Pooled standardized mean differences were calculated using a random-effects model. Subgroup analyses based on Pilates' modality, the existence of a detailed exercise protocol, supervision by a certified instructor, and overall risk of bias were performed. Results Thirty-nine studies were included in the systematic review and meta-analyses. The meta-analyses indicated a moderate effect of Pilates on balance (ES = 0.36; 95% CI = 0.21 to 0.50), strength (ES = 0.63; 95% CI = 0.44 to 0.81), flexibility (ES = 0.41; 95% CI = 0.16 to 0.67), and functionality (ES = 0.51; 95% CI = 0.32 to 0.72) as well as a large effect on the risk of falls (ES = 0.90; 95% CI = 0.41 to 1.38) in older adults when compared with control groups. The level of certainty of the findings was low for balance, flexibility, and functionality and moderate for strength and falls. Conclusion and implications of key findingsPilates may promote the autonomy of older people in their daily living activities. Contribution of the Paper• Pilates is an alternative exercise for reducing the risk of falls.• Pilates improves balance, strength, flexibility, and functionality in older people.• Pilates may increase the autonomy of older adults in their daily living activities.

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Section: Discussionsupporting

confidence: 89%

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Fernández‐Rodríguez¹,

Álvarez‐Bueno²,

Ferri-Morales³

et al. 2021

Physiotherapy

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“…Thirty-one trials only included women, whereas one study only included men ( 69 ). One third of the studies included participants with a clinical condition ( n = 18), which were declared as follows: risk of falling ( 55 ), women with chronic low back pain ( 61 , 62 , 97 ), participants with Chikungunya Fever ( 65 ), men with post-prostatectomy urinary incontinence ( 69 ), participants with impaired balance ( 73 ), total knee arthroplasty ( 74 ), women with Osteoporosis ( 75 , 85 ), post-stroke patients ( 76 , 77 , 90 ), women with Type II Diabetes ( 81 ), individuals with Parkinson's Stage 1–3 ( 83 ), knee osteoarthritis in women ( 99 ), and women with breast cancer ( 84 , 100 ).…”

Section: Resultsmentioning

confidence: 99%

“…ICs either instructed participants to stay with their normal activity level (51,52,56,57,59,60,66,67,71,78,82,85,87,89,93,96,101), to not exercise or train (53, 68, 69, 72, 76, 79, 90-92, 94, 95, 99), to take part at a monthly meeting for communication (63,64), to attend educational workshops (97,100), or to take part in standard clinical care (65). The ACs' intervention approaches included an unspecific activity program (54,97), home exercises (for balance and strength) (55,75), a static stretching program (58,86,88) One study did not report the duration of the Pilates sessions (74).…”

Section: Interventionsmentioning

confidence: 99%

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

2021

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This meta-analytical review aimed at comparing the impact of Pilates interventions (PIs) on physiological and psychological health parameters in healthy older adults and older adults with a clinical condition aged 55 years and older. The literature search was conducted in three databases (PubMed, Web of Science, SPORTDiscus). Randomized controlled trials that aimed at improving physiological and psychological health parameters in adults aged 55 years and older using Pilates as an intervention were screened for eligibility. The included data was extracted and assigned based on participants' health condition (clinical vs. non-clinical), as well as the respective control condition used in the study [inactive (IC) vs. active control group (AC)]. Statistical analyses were computed using a random-effects inverse-variance model. Fifty-one studies with a total of 2,485 participants (mean age: 66.5 ± 4.9 years) were included. Moderate effects (SMD: 0.55; 0.68) were found for physiological health parameters (muscle strength, balance, endurance, flexibility, gait, and physical functioning) in both experimental (clinical and non-clinical) conditions when compared to ICs (p < 0.003; p = 0.0001), and small to moderate effects (SMD: 0.27; 0.50) when compared to ACs (p = 0.04; p = 0.01). Moderate to large effects (SMD: 0.62; 0.83) were documented for psychological health parameters (quality of life, depression, sleep quality, fear of falling, pain, and health perception) in both conditions when compared to ICs (p < 0.001, p < 0.001). PIs induce small to large effects in physiological and psychological health parameters in older adults, regardless of their health condition. The substantial heterogeneity within the included studies complicated standardized comparison of the training modalities between the two target groups. Nonetheless, Pilates seems to be a safe, adaptable, and promising exercise approach for a heterogenous population of older adults.

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“…Fall risk is an independent factor affecting fracture frequency, and decline in balance ability is highly correlated with the incidence of falls [ 6 ]. Current research confirms that the Berg Balance Scale (BBS) of people with a history of falls is significantly lower than that of people without a history of falls [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Nonpharmacological Interventions on Balance Function in Patients with Osteoporosis or Osteopenia: A Network Meta-Analysis of Randomized Controlled Trials

Zhu

Chen

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To evaluate the clinical efficacy of nonpharmacological interventions in improving balance function of patients with osteoporosis or osteopenia using network meta-analysis (NMA). Methods. We searched seven databases (PubMed, the Cochrane Library, Embase, CKNI, Wanfang Data, VIP, and CBM) for relevant randomized controlled trials (RCTs) up to August 31, 2020. Berg Balance Scale (BBS) and Time Up and Go Test (TUGT) were used as outcome measures. Two researchers independently screened studies, collected data from the studies, and estimated risk of study bias. Divergence in the evaluation process was settled by consulting a third researcher. We used Stata 15.1 software for network meta-analysis (NMA). Results. We identified 10 eligible RCTs, with a total of 737 patients and four intervention methods, including traditional Chinese medicine (TCM) exercises, pulsed electromagnetic fields (PEMFs), strength training, and balance and strength training. The results revealed that all nonpharmacological interventions could improve balance function, but the effect of balance and strength training was better than other interventions. Conclusion. Exercise can significantly improve the balance function of patients with osteoporosis and osteopenia, and balance combined with strength training has the best effect, followed by TCM exercises.

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The effect of the clinical pilates exercises on kinesiophobia and other symptoms related to osteoporosis: Randomised controlled trial

Cited by 28 publications

References 21 publications

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

Effects of Nonpharmacological Interventions on Balance Function in Patients with Osteoporosis or Osteopenia: A Network Meta-Analysis of Randomized Controlled Trials

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