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Baradwan S, Khadawardi K, Alayed NM, Akkour KM, Mahmoud MS, Abdelhakim AM, Sunoqrot M, Abdel Hamid AS. The effect of Pilates exercise during pregnancy on delivery outcomes: a systematic review and meta-analysis. Women Health 2024; 64:131-141. [PMID: 38221667 DOI: 10.1080/03630242.2024.2304893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 01/09/2024] [Indexed: 01/16/2024]
Abstract
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.
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Affiliation(s)
- Saeed Baradwan
- Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
| | - Khalid Khadawardi
- Department of Obstetrics and Gynecology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Nada M Alayed
- Department of Obstetrics and Gynecology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Khalid M Akkour
- Department of Obstetrics and Gynecology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | | | | | - Ahmed Sherif Abdel Hamid
- Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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Wong CM, Rugg B, Geere JA. The effects of Pilates exercise in comparison to other forms of exercise on pain and disability in individuals with chronic non-specific low back pain: A systematic review with meta-analysis. Musculoskeletal Care 2023; 21:78-96. [PMID: 36912214 DOI: 10.1002/msc.1667] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 06/12/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To compare the effects of Pilates exercise (PE) with other forms of exercise on pain and disability in individuals with chronic non-specific low back pain (CNSLBP) and to inform clinical practice and future research. STUDY DESIGN Systematic review with meta-analysis conducted and reported in line the Preferred Reporting Items for Systematic review and Meta-analysis. LITERATURE SEARCH Six electronic databases were searched from inception to April 2021. STUDY SELECTION CRITERIA Randomised controlled trials (RCTs) comparing the effect of PE with other forms of exercise for adults with CNSLBP on pain and disability. DATA SYNTHESIS Two reviewers assessed the risk of bias of the trials, guided by the Cochrane RoB2 tool. Available data were extracted for meta-analysis with subgroup analysis. Pilates exercise was compared to general exercise (GE), direction-specific exercise (DSE) and spinal stabilisation exercise (SSE). Certainty of evidence was interpreted following the Grading of Recommendations Assessment, Development and Evaluation approach. RESULTS Eleven RCTs were included. A low certainty of evidence supported PE was more effective than GE in pain reduction [Effect size (ES) 0.44]. Moreover, very low levels of certainty were revealed for effectiveness of PE compared with DSE for pain reduction (ES 0.65) and equivalence of PE and SSE for pain and disability. CONCLUSIONS This review found no strong evidence for using one type of exercise intervention over another when managing patients with CNSLBP. Existing evidence does not allow this review to draw definitive recommendations. In the absence of a superior exercise form clinicians should work collaboratively with the patient, using the individual's goals and preferences to guide exercise selection. Further appropriately designed research is warranted to explore this topic further.
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Affiliation(s)
- Chi Ming Wong
- School of Health Sciences, University of East Anglia, Norwich, UK.,Locomotor Services, Homerton Healthcare NHS Foundation Trust, London, UK
| | - Bradley Rugg
- School of Health Sciences, University of East Anglia, Norwich, UK.,The Clementine Churchill Hospital, Harrow, UK
| | - Jo-Anne Geere
- School of Health Sciences, University of East Anglia, Norwich, UK
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The effects of slow breathing on postural muscles during standing perturbations in young adults. Exp Brain Res 2022; 240:2623-2631. [PMID: 35962803 DOI: 10.1007/s00221-022-06437-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 08/04/2022] [Indexed: 11/04/2022]
Abstract
Maintaining standing balance is vital to completing activities in daily living. Recent findings suggest an interaction between cardiovascular and postural control systems. Volitional slow breathing can modulate the cardiovascular response and affect postural control during quiet standing. However, the effects of slow breathing during threats to standing balance have not been studied. The study examined the effect of slow breathing on the latency and amplitude of postural muscle responses to perturbations of the base of support in healthy, young adults. Twenty-seven participants completed two balance perturbation tasks in standing on an instrumented split-belt treadmill while breathing spontaneously and breathing at 6 breaths per minute. Each perturbation task consisted of 25 posteriorly directed translations of the treadmill belts every 8-12 s. Muscle latency and muscle burst amplitude were measured using surface electromyography from the right limb for the quadriceps (QUADS), medial hamstring (MH), gastrocnemii (GASTROC), soleus (SOL), and tibialis anterior (TA) muscle groups, while a respiratory belt was used to record respiratory rate. Results indicated that during the slow breathing task both muscle latency (p = 0.022) and muscle burst amplitude (p = 0.011) decreased compared to spontaneous breathing. The EMG pre-perturbation activation was not significantly different in any muscle group between conditions (p > 0.167). The study found that reducing respiratory rate to approximately 6 breaths per minute affects the neuromuscular responses in the lower limb muscles to perturbations.
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Mazzarino M, Morris ME, Kerr D. Pilates for low risk pregnant women: Study protocol for a randomized controlled trial. J Bodyw Mov Ther 2020; 25:240-247. [PMID: 33714503 DOI: 10.1016/j.jbmt.2020.12.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 10/25/2020] [Accepted: 12/11/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND Pilates has growing appeal to pregnant women, as a form of exercise and relaxation. It is purported to benefit lumbo-pelvic stability, as well as motor control, strength and endurance. Some suggest that modified Pilates exercises may assist low risk pregnant women to enjoy a healthier pregnancy and prepare for the physical demands of labour and birth. The feasibility and safety of Pilates during pregnancy is poorly understood. We describe the protocol for a feasibility study designed to compare a midwife-led 6-week community-based Pilates intervention with standard antenatal care. METHODS A convenience sample of 30 low-risk pregnant women will be recruited from private obstetric clinics in Melbourne, Australia. Participants shall be randomly allocated to a six-week, 1-h weekly Pilates exercises group session or to usual care. The Pilates exercise class will have a warm-up phase, Pilates exercises, breathing exercises, and a cool down phase. Exercises have been designed to prepare for active birth. The primary outcome will be feasibility of implementation, determined by recruitment, retention, adherence and safety. Secondary outcomes include women's health (quality of life, pain, mobility for daily activities, lower extremity performance, abdominal separation, continence) and labour and birth outcomes (duration of first stage and second stage labour, analgesia used, mode of birth). Validated questionnaires will include the Quality of life 12-item short form survey; Pregnancy Mobility Index, and International Consultation on Incontinence Questionnaire. Lower extremity performance and abdominal separation will also be measured. DISCUSSION This trial will provide preliminary data regarding the feasibility and safety of Pilates exercise in healthy pregnant women. It will also provide preliminary outcome data used to inform the design of a future large scale, multi-centre RCT. TRIAL REGISTRATION This clinical trial has been registered with the Australian and New Zealand Clinical Trials Registry 2016 (ACTRN12616000809437).
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Affiliation(s)
- Melissa Mazzarino
- La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Kingsbury Drive, Bundoora, VIC, 3086, Australia.
| | - Meg E Morris
- Healthscope ARCH, Victorian Rehabilitation Centre, Glen Waverly, VIC, 3150, Australia.
| | - Debra Kerr
- Deakin University, School of Nursing and Midwifery, Geelong, VIC, 3220, Australia.
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Martins FM, DA Silva EG, Souza MA, Vieira ER, DA Silva RA, Barbosa AC. Eight-week equipment-based Pilates exercises positively affects quality of life, and functional capacity in non-active adult women: a randomized controlled trial. J Sports Med Phys Fitness 2020; 61:435-443. [PMID: 33092327 DOI: 10.23736/s0022-4707.20.11327-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The Pilates exercises are popular for muscle conditioning among women. However, the effects on conditioning of healthy non-active adult women due to Pilates practicing are not fully explained. The aim of this randomized controlled trial was to assess the effects of equipment-based Pilates exercises on the percentage of body fat, weight, body mass index (BMI), functional capacity, and quality of life of adult healthy women. METHODS Seventy-eight non-active women were randomly assigned to 2 groups (Pilates or Control). The Pilates group performed a total of 16 exercise sessions (60 minutes each, performed twice a week for 8 consecutive weeks). The control group was instructed to perform no exercise. Percentage of body fat (DXA scans), weight, BMI, distance covered in the incremental shuttle walk test, maximal oxygen uptake (VO<inf>2max</inf>), and quality of life (SF-36 scores) were analyzed. RESULTS There were no significant between-group differences at baseline, but significant group-by-time interaction was observed for Pilates group postintervention. Higher distance covered (P=0.01), VO<inf>2max</inf> (P=0.04), and quality of life (P=0.04) were observed after the intervention compared to the control group. No differences were observed for body composition. CONCLUSIONS Two months of equipment-based Pilates training improved functional capacity and quality of life in healthy adult women.
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Affiliation(s)
- Fábio M Martins
- Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Ester G DA Silva
- Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Matheus A Souza
- Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Brazil
| | - Edgar R Vieira
- Department of Physical Therapy, Florida International University, Miami, FL, USA
| | - Rubens A DA Silva
- Department of Health Sciences, Physical Therapy program McGill-UQAC, Laboratory of research LabBioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, QC, Canada
| | - Alexandre C Barbosa
- Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Brazil -
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Santos NTOD, Souza LA, Donzeli MA, Oliveira KCRD, Gasparini ALP, Bertoncello D. Desempenho muscular respiratório após 12 sessões de treinamento utilizando o aparelho Reformer do método Pilates. FISIOTERAPIA E PESQUISA 2019. [DOI: 10.1590/1809-2950/18003226012019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Analisar o desempenho muscular respiratório em praticantes de exercícios utilizando o aparelho Reformer do Método Pilates após um treinamento de 12 sessões. O estudo foi realizado com 24 voluntárias, adultas jovens, saudáveis, não tabagistas e não praticantes de exercício físico regular, divididas em Grupo Controle (GC) e Grupo Treinado (GT). Os dois grupos foram submetidos às avaliações inicial e final para análise do desempenho dos músculos respiratórios por meio da manovacuometria e da eletromiografia do músculo reto abdominal. Utilizou-se o teste de Shapiro-Wilk para verificar a normalidade dos dados. A análise de variância two-way foi empregada para as comparações entre os grupos (GT e GC) e os momentos (inicial e final). Para comparações múltiplas, utilizou-se o teste post-hoc de Scheffé. Os GC e GT foram pareados para idade e IMC e, para verificação de diferenças entre os grupos, utilizou-se o teste t pareado. Considerou-se p<0,05 para significância. Houve diferença significante (p=0,039) entre os valores iniciais (116,6 ± 12,8) e finais (120 ± 12,8) de PImáx no GT, assim como entre os valores iniciais (75,3 ± 12,4) e finais (89,3 ± 13,7) de PEmáx nesse mesmo grupo (p=0,0005). Para a eletromiografia houve diferença significante (p=0,03) entre o momento inicial (42,1 ± 15,8) e final (76,7 ± 37,1) do GT para o músculo reto abdominal esquerdo. Conclui-se que as doze sessões de Pilates utilizando o aparelho Reformer melhoraram o desempenho muscular respiratório, aumentando a força da musculatura inspiratória e expiratória.
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Finatto P, Silva ESD, Okamura AB, Almada BP, Oliveira HB, Peyré-Tartaruga LA. Pilates training improves 5-km run performance by changing metabolic cost and muscle activity in trained runners. PLoS One 2018; 13:e0194057. [PMID: 29561907 PMCID: PMC5862462 DOI: 10.1371/journal.pone.0194057] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 02/25/2018] [Indexed: 11/18/2022] Open
Abstract
Purpose Strength training improves distance running economy and performance. This finding is based predominantly on maximal and explosive strength programmes applied to locomotor muscles, particularly on the lower limbs. It is not certain whether a minimization of metabolic cost (Cmet) and an improvement in running performance is feasible with strength training of the postural and trunk muscles. Methods Using kinematic, neuromuscular and metabolic measurements of running at two different speeds before and after a 12-week Pilates training programme, we tested the hypothesis that core training might improve the running Cmet and performance of trained runners. Thirty-two individuals were randomly assigned to the control group (CG, n = 16) or the Pilates group (PG, n = 16). Results Confirming our hypothesis, a significant improvement (p<0.05) was observed for running performance in the PG (pre: 25.65±0.4 min; post: 23.23±0.4 min) compared to the CG (pre: 25.33±0.58 min; post: 24.61±0.52 min). Similarly, the PG (4.33±0.07 J.kg-1.m-1) had better responses than the CG (4.71±0.11 J.kg-1.m-1) during post-training for Cmet. These findings were accompanied by decreased electromyographic activity of the postural muscles at submaximal running intensities in the PG. Conclusions Overall, these results provide a rationale for selecting strength training strategies that target adaptations on specific postural and locomotor muscles for trained distance runners.
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Affiliation(s)
- Paula Finatto
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Edson Soares Da Silva
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Alexandre B. Okamura
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Bruna P. Almada
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Henrique B. Oliveira
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Leonardo A. Peyré-Tartaruga
- Exercise Research Laboratory, Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
- * E-mail:
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Barbosa AC, Martins FM, Silva AF, Coelho AC, Intelangelo L, Vieira ER. Activity of Lower Limb Muscles During Squat With and Without Abdominal Drawing-in and Pilates Breathing. J Strength Cond Res 2017; 31:3018-3023. [PMID: 29068863 DOI: 10.1519/jsc.0000000000001877] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Barbosa, AC, Martins, FM, Silva, AF, Coelho, AC, Intelangelo, L, and Vieira, ER. Activity of lower limb muscles during squat with and without abdominal drawing-in and Pilates breathing. J Strength Cond Res 31(11): 3018-3023, 2017-The purpose of this study was to assess the effects of abdominal drawing-in and Pilates breathing on the activity of lower limb muscles during squats. Adults (n = 13, 22 ± 3 years old) with some Pilates experience performed three 60° squats under each of the following conditions in a random order: (I) normal breathing, (II) drawing-in maneuver with normal breathing, and (III) drawing-in maneuver with Pilates breathing. Peak-normalized surface electromyography of the rectus femoris, biceps femoris, gastrocnemius medialis, and tibialis anterior during the knee flexion and extension phases of squat exercises was analyzed. There were significant differences among the conditions during the knee flexion phase for the rectus femoris (p = 0.001), biceps femoris (p = 0.038), and tibialis anterior (p = 0.001), with increasing activation from conditions I to III. For the gastrocnemius medialis, there were significant differences among the conditions during the knee extension phase (p = 0.023), with increased activity under condition I. The rectus and biceps femoris activity was higher during the extension vs. flexion phase under conditions I and II. The tibialis anterior activity was higher during the flexion compared with the extension phase under all conditions, and the medial gastrocnemius activity was higher during the extension phase under condition I. Doing squats with abdominal drawing-in and Pilates breathing resulted in increased rectus, biceps femoris, and tibialis anterior activity during the flexion phase, increasing movement stability during squat exercises.
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Affiliation(s)
- Alexandre C Barbosa
- 1Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Brazil;2Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil;3Department of Physical Therapy, University Institute of Gran Rosario, Rosario, Argentina; and4Department of Physical Therapy, Florida International University, Miami, Florida
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Teixeira de Carvalho F, de Andrade Mesquita LS, Pereira R, Neto OP, Amaro Zangaro R. Pilates and Proprioceptive Neuromuscular Facilitation Methods Induce Similar Strength Gains but Different Neuromuscular Adaptations in Elderly Women. Exp Aging Res 2017; 43:440-452. [DOI: 10.1080/0361073x.2017.1369624] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Fabiana Teixeira de Carvalho
- Department of Biomedical Engineering, Universidade Camilo Castelo Branco, São José dos Campos, São Paulo, Brazil
- Department of Physical Therapy, Universidade Estadual do Piauí, Teresina, Piauí, Brasil
| | - Laiana Sepúlveda de Andrade Mesquita
- Department of Biomedical Engineering, Universidade Camilo Castelo Branco, São José dos Campos, São Paulo, Brazil
- Department of Physical Therapy, Universidade Estadual do Piauí, Teresina, Piauí, Brasil
| | - Rafael Pereira
- Departamento de Ciências Biológicas, Universidade Estadual do Sudoeste da Bahia, Jequié, Bahia, Brazil
| | - Osmar Pinto Neto
- Universidade Camilo Castelo Branco, São José dos Campos, São Paulo, Brazil
- Associação Cidade da Ciência Tecnologia e Educação, São José dos Campos, SP, Brazil
- Consultoria Esportiva, Arena235, São José dos Campos, São Paulo, Brazil
| | - Renato Amaro Zangaro
- Universidade Camilo Castelo Branco, São José dos Campos, São Paulo, Brazil
- Associação Cidade da Ciência Tecnologia e Educação, São José dos Campos, SP, Brazil
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Lee SY, Jo ME. Comparison of maximum voluntary isometric contraction of the biceps on various posture and respiration conditions for normalization of electromyography data. J Phys Ther Sci 2016; 28:3007-3010. [PMID: 27942110 PMCID: PMC5140790 DOI: 10.1589/jpts.28.3007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Accepted: 07/19/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Maximum voluntary isometric contraction can increase the reliability of
electromyography data by controlling respiration; however, many studies that use
normalization of electromyography data fail to account for this. This study aims to check
changes in maximum voluntary isometric contraction based on changes in posture and
respiration conditions. [Subjects and Methods] Twenty-two healthy volunteers were included
in this study. Using 22 healthy subjects, MVIC of the biceps brachii muscle was measured
in three respiration conditions: (1) Maximum voluntary isometric contraction during
inspiration after maximal expiration, (2) Maximum voluntary isometric contraction during
expiration after maximal inspiration and (3) Maximum voluntary isometric contraction
during the Valsalva maneuver. The subjects were in tested in standing and supine postures
under all three respiration conditions. [Results] A significant difference was observed in
the standing and supine postures based on the respiration condition. A significant
difference was observed in the maximum voluntary isometric contraction during inspiration
after maximal expiration and maximum voluntary isometric contraction during the Valsalva
maneuver conditions when the subjects were in the supine posture. [Conclusion] It is
necessary to apply the same respiration condition and the same posture to each subject
when measuring Maximum voluntary isometric contraction for the normalization of
electromyography data.
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Affiliation(s)
- Sang-Yeol Lee
- Department of Physical Therapy, College of Science, Kyungsung University, Republic of Korea
| | - Marg-Eun Jo
- Department of Physical Therapy, Graduate School of Clinical Pharmacy and Health, Kyungsung University, Republic of Korea
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Oliveira NTBD, Freitas SMSF, Fuhro FF, Luz MAD, Amorim CF, Cabral CMN. Muscle Activation During Pilates Exercises in Participants With Chronic Nonspecific Low Back Pain: A Cross-Sectional Case-Control Study. Arch Phys Med Rehabil 2016; 98:88-95. [PMID: 27693691 DOI: 10.1016/j.apmr.2016.09.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 08/31/2016] [Accepted: 09/02/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To determine the amplitude of the electromyographic activity of trunk muscles during Pilates exercises in women with and without chronic low back pain (LBP). DESIGN Case-control study. SETTING University physical therapy clinic. PARTICIPANTS Women (N=60) divided into an LBP group and a control group. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Amplitude of the electromyographic activity (root mean square values) of the gluteus maximus and external oblique muscles collected during 3 Pilates exercises: Shoulder Bridge performed on the mat, and Hip Roll and Breathing performed in equipment. Pain intensity was assessed in the LBP group. RESULTS The amplitude of the electromyographic activity was similar between groups (P≥.05). For both groups, the amplitude of the gluteus maximus was higher in the Shoulder Bridge exercise compared with the Hip Roll with 2 springs (control group: mean difference [MD]=.18; 95% confidence interval [CI], .05-.41; LBP group: MD=.29; 95% CI, .16-.31) and the Breathing exercise (control group: MD=-.40; 95% CI, -.55 to -.26; LBP group: MD=-.36; 95% CI, -.52 to -.20). The amplitude of the external oblique muscle was higher in the Shoulder Bridge compared with the Hip Roll with 2 springs (control group: MD=.13; 95% CI, .05-.21; LBP group: MD=.18; 95% CI, .03-.33). Pain intensity increased after exercises, but this increase was lower for the mat exercises. CONCLUSIONS Similar muscle activation between groups was found. The findings suggest that mat exercises caused less pain and a greater difference in the amplitude of muscle activation compared with the equipment-based exercises.
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Affiliation(s)
| | | | - Fernanda Ferreira Fuhro
- Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil
| | | | - Cesar Ferreira Amorim
- Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil
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Silva GB, Morgan MM, Gomes de Carvalho WR, Silva E, de Freitas WZ, da Silva FF, de Souza RA. Electromyographic activity of rectus abdominis muscles during dynamic Pilates abdominal exercises. J Bodyw Mov Ther 2015; 19:629-35. [DOI: 10.1016/j.jbmt.2014.11.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 10/30/2014] [Accepted: 11/11/2014] [Indexed: 10/24/2022]
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Andrade LS, Mochizuki L, Pires FO, da Silva RAS, Mota YL. Application of Pilates principles increases paraspinal muscle activation. J Bodyw Mov Ther 2015; 19:62-6. [DOI: 10.1016/j.jbmt.2014.11.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2014] [Revised: 10/20/2014] [Accepted: 11/11/2014] [Indexed: 11/26/2022]
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The Pilates breathing technique increases the electromyographic amplitude level of the deep abdominal muscles in untrained people. J Bodyw Mov Ther 2015; 19:57-61. [DOI: 10.1016/j.jbmt.2014.05.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Revised: 05/12/2014] [Accepted: 05/23/2014] [Indexed: 11/19/2022]
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