1
|
Bertoli J, Bezerra EDS, Winters-Stone KM, Alberto Gobbo L, Freitas IF. Mat Pilates improves lower and upper body strength and flexibility in breast cancer survivors undergoing hormone therapy: a randomized controlled trial (HAPiMat study). Disabil Rehabil 2023; 45:494-503. [PMID: 35107399 DOI: 10.1080/09638288.2022.2032410] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
PURPOSE To evaluate the effects of 24 weeks of Mat Pilates in breast cancer survivors (BCS) undergoing hormone therapy on lower and upper body muscle strength parameters and flexibility. MATERIALS AND METHODS Forty-three BCS (≥40 years) with confirmed breast cancer stage 0-III undergoing hormone therapy were included. Participants were randomized into Mat Pilates (three times/week, 60 min session) or control group (relaxation activities every two weeks). The difficulty and number of exercise repetitions were increased over the weeks. Assessments were performed at three times points (baseline, 12 weeks, and 24 weeks). The generalized estimating equations (GEE) model was used to compare each outcome measure during the analysis of intention to treat (ITT) and "Per protocol analysis" (PPA). RESULTS The Pilates group presented significantly increased (p < 0.05) isometric flexor-extensor PT, and concentric and eccentric flexor PT and mechanical work (MW) after the intervention. Most of the upper body strength parameters, time to achieve maximal force (TFmax), maximal force (Fmax), and rapid force index (RFI) and right-left upper and lower body flexibility (p < 0.05) also improved. CONCLUSIONS From our findings, we conclude that 24 and 12-weeks of Mat Pilates induced strength and flexibility gains for lower and upper body, respectively.Implications for rehabilitationMat Pilates can be adapted to the fitness level of breast cancer survivors, with a great variety of exercises that can be performed using a mat only or a few pieces of equipment.Patients can practice at home to gain different health benefits (i.e., increasing strength, flexibility, and functional capacity level), which could positively impact on quality of life.Mat Pilates performed three times per week with systematized increments in exercise level, load, and volume throughout the intervention was effective to improve hip extensor-flexor muscles peak torque and mechanical work at different muscle contractions, as well as upper and lower body flexibility.Mat Pilates was also able to improve right-left shoulder abductor and trunk extensor muscles strength parameters after 12 weeks of intervention, as well as both surgery and non-surgery sides of the upper body.
Collapse
Affiliation(s)
- Josefina Bertoli
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, Brazil
| | | | - Kerri M Winters-Stone
- School of Nursing, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA
| | - Luis Alberto Gobbo
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, Brazil
| | - Ismael Forte Freitas
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, Brazil
| |
Collapse
|
2
|
Effects of mat Pilates on older adult women with knee osteoarthritis: A randomized controlled trial. J Bodyw Mov Ther 2023; 33:136-141. [PMID: 36775508 DOI: 10.1016/j.jbmt.2022.02.007] [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: 11/16/2020] [Revised: 08/27/2021] [Accepted: 02/04/2022] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Osteoarthritis is the most common joint disorder in the world and its incidence is rising, and one of the most frequent causes of pain, loss of function and disability in adults. AIM The aim of this study was to evaluate the effects of Mat Pilates on health status, pain, stiffness, and functionality of older adult women with knee osteoarthritis (KOA). METHODS A randomized-controlled trial to preliminarily test an intervention protocol of Mat Pilates in older women with KOA on health status, pain, stiffness, and functionality. This study included 41 volunteers with age over 40 years, which mean was 52.1 ± 8.9 years, and were allocated into Mat Pilates and control groups. The protocol was developed to be performed in 60 min, twice a week; the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Medical Outcomes Study 36 (SF-36) were used to assess pain, to evaluate functionality and stiffness. RESULTS The Mat Pilates group significantly improved the functional capacity assessed by SF-36 (33.12 ± 22.03 to 69.37 ± 22.43, p < 0.05), and by WOMAC (29.75 ± 6.92 to 9.75 ± 9.35, p < 0.05). The pain domain also improved in Mat Pilates group assessed by SF-36 (39.50 ± 12.89 to 71.75 ± 18.66, p < 0.05) and by WOMAC (8.00 ± 2.56 to 2.75 ± 3.01, p < 0.05). The total score of WOMAC (41.75 ± 10.39 to 14.25 ± 13.88, p < 0.05), and the general health status assessed by SF-36 (59.44 ± 18.07 to 82.75 ± 12.03, p < 0.05) only improved for Mat Pilates group. No differences were observed in outcomes for the control group in both questionnaires. CONCLUSION Our results show that Mat Pilates protocol can improve the health status, pain, and functionality of older women with KOA.
Collapse
|
3
|
Bezerra Melo KC, Alves dos Santos G, de Souza Araujo F, Moreira SR. Detraining period of the PILATES method on functional capacity of elderly women with type 2 diabetes: A randomized clinical trial. J Bodyw Mov Ther 2022; 31:77-83. [DOI: 10.1016/j.jbmt.2022.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 11/25/2021] [Accepted: 03/17/2022] [Indexed: 11/25/2022]
|
4
|
Pereira MJ, Mendes R, Mendes RS, Martins F, Gomes R, Gama J, Dias G, Castro MA. Benefits of Pilates in the Elderly Population: A Systematic Review and Meta-Analysis. Eur J Investig Health Psychol Educ 2022; 12:236-268. [PMID: 35323204 PMCID: PMC8947639 DOI: 10.3390/ejihpe12030018] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 02/10/2022] [Accepted: 02/16/2022] [Indexed: 01/25/2023] Open
Abstract
The aim of this systematic review is to collect and summarize the benefits of Pilates in the elderly population (>60 years old), within the current scientific production, assessing its contribution to Healthy Ageing (HA). We used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) to select, collect, and analyse this thematic. The methodological procedures were registered in the PROSPERO database. The main results of the studies analysed (n = 30) point to significant differences between the intervention and the control groups in dynamic balance, strength, mobility, functional capacity, risk of falling reduction, and mental and psychological health. Thus, the results showed that Pilates may be beneficial for the health of the elderly. The meta-analysis found statistical differences between means on the dynamic balance (mean difference (MD) = −0.0, 95% CI [−0.71, −0.50]; I2: 0%) and the aerobic capacity and aerobic resistance [(MD) = 38.29, 95% CI [6.82, 69.77]; I2: 0%). Thus, it is concluded that the efficacy of Pilates has been shown in various areas of HA and has proven to be affordable and safe for the majority of people, using just a mat on the floor. Future studies should focus on the analysis of the relationship between the cost and the benefit of a Pilates intervention in the elderly population, to better understand how health costs can be minimized and to contribute to a multidisciplinary and generalized HA. Pilates has practical application for the clinicians, therapists, and health professionals that work with the elderly population.
Collapse
Affiliation(s)
- Mário José Pereira
- Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal
| | - Rodrigo Mendes
- ESEC-UNICID-ASSERT, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal; (R.M.); (R.S.M.) (F.M.); (R.G.); (G.D.)
| | - Rui Sousa Mendes
- ESEC-UNICID-ASSERT, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal; (R.M.); (R.S.M.) (F.M.); (R.G.); (G.D.)
- ROBOCORP, IIA, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal;
- Research Unit for Sport and Physical Activity (CIDAF) (UID/DTP/04213/2020), Universidade de Coimbra, 3040-248 Coimbra, Portugal;
| | - Fernando Martins
- ESEC-UNICID-ASSERT, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal; (R.M.); (R.S.M.) (F.M.); (R.G.); (G.D.)
- ROBOCORP, IIA, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal;
- Instituto de Telecomunicações (IT), 6201-001 Covilhã, Portugal
| | - Ricardo Gomes
- ESEC-UNICID-ASSERT, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal; (R.M.); (R.S.M.) (F.M.); (R.G.); (G.D.)
- ROBOCORP, IIA, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal;
- Research Unit for Sport and Physical Activity (CIDAF) (UID/DTP/04213/2020), Universidade de Coimbra, 3040-248 Coimbra, Portugal;
| | - José Gama
- Research Unit for Sport and Physical Activity (CIDAF) (UID/DTP/04213/2020), Universidade de Coimbra, 3040-248 Coimbra, Portugal;
| | - Gonçalo Dias
- ESEC-UNICID-ASSERT, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal; (R.M.); (R.S.M.) (F.M.); (R.G.); (G.D.)
- ROBOCORP, IIA, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal;
- Research Unit for Sport and Physical Activity (CIDAF) (UID/DTP/04213/2020), Universidade de Coimbra, 3040-248 Coimbra, Portugal;
| | - Maria António Castro
- ROBOCORP, IIA, Instituto Politécnico de Coimbra, 3030-329 Coimbra, Portugal;
- CEMMPRE (UIDB/00285/2020), Universidade de Coimbra, 3030-788 Coimbra, Portugal
- Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal
| |
Collapse
|
5
|
Effects of 6-weeks of detraining on functional capacity and rapid torque production in older women. J Bodyw Mov Ther 2022; 29:167-173. [DOI: 10.1016/j.jbmt.2021.09.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 07/27/2021] [Accepted: 09/24/2021] [Indexed: 11/17/2022]
|
6
|
Meikis L, Wicker P, Donath L. 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. Front Neurol 2021; 12:724218. [PMID: 34759879 PMCID: PMC8574969 DOI: 10.3389/fneur.2021.724218] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 09/23/2021] [Indexed: 12/17/2022] Open
Abstract
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.
Collapse
Affiliation(s)
- Lilly Meikis
- Institute of Movement and Sport Gerontology, German Sport University Cologne, Cologne, Germany
| | - Pamela Wicker
- Department of Sports Science, Bielefeld University, Bielefeld, Germany
| | - Lars Donath
- Institute of Exercise Science and Sport Informatics, German Sport University Cologne, Cologne, Germany
| |
Collapse
|
7
|
The impact of an 8-week Pilates-based physical training program on functional mobility: data from a septuagenarian group. BIOMEDICAL HUMAN KINETICS 2021. [DOI: 10.2478/bhk-2021-0002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract
Study aim: This study aimed to evaluate the effects of a Pilates-based training program on functional mobility and strength in community-dwelling adults over 70 years old.
Material and methods: Twenty community-dwelling elderly subjects were recruited and randomly assigned to control (C = 10) or Pilates training (PT = 10) groups for 8 weeks (2 times/week). Anthropometric, strength, cardiorespiratory fitness, functional mobility, and static and dynamic balance parameters were assessed before and after the intervention.
Results: The PT group had higher values of lower limb strength (p = 0.013 d = 0.56) and 6-minute walking test distance (p = 0.04; d = 0.45) than the C group. The PT group also had differences in one leg stance duration and decrease in the Timed Up and Go test. We also observed a positive correlation between muscle strength and cardiorespiratory fitness (p < 0.01, r = 0.62), cardiorespiratory fitness and one leg stance, eyes closed, right and left leg (p = 0.04, r = 0.45; p = 0.05, r = 0.45, respectively).
Conclusions: Eight weeks of Pilates-based physical training induced improvements in skeletal muscle strength and functional mobility of community-dwelling septuagenarians.
Collapse
|
8
|
Efeitos do Método Pilates no equilíbrio, na força muscular e flexibilidade em idosas. PAJAR - PAN AMERICAN JOURNAL OF AGING RESEARCH 2020. [DOI: 10.15448/2357-9641.2020.1.34953] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Objetivos: analisar os efeitos do Método Pilates no equilíbrio, na força muscular e na flexibilidade em mulheres idosas. Método: estudo de natureza intervencional com idosas do município de Maringá/ PR. Foram avaliadas em relação ao equilíbrio, à flexibilidade e à força muscular. Ao término da avaliação, iniciaram os atendimentos fisioterapêuticos que consistiram em 10 sessões, realizadas em grupo, com duração de 60 minutos, utilizando o Método Pilates no solo. A análise estatística foi realizada pelo teste Kolmogorov-Smirnov, seguida do teste t/Wilcoxon, e do teste t/Mann – Whitney, adotando 5% como índice de significância. Resultados: obteve-se melhora de todas as variáveis, sendo: 10,71%, para a flexibilidade; 25,47%, para o equilíbrio; 46,05%, para a força dos músculos abdominais; e 65,44%, para os músculos extensores de tronco. Conclusões: o Método Pilates no solo mostrou-se eficaz na melhora de todas as variáveis estudadas em mulheres idosas.
Collapse
|
9
|
Carlin de Ramos do Espírito Santo B, Garcias L, Bertoli J, Kulevicz da Silva AC, Freitas CDLR. Acute effects of mat Pilates session on heart rate and rating of perceived exertion. J Bodyw Mov Ther 2020; 24:104-108. [PMID: 32507133 DOI: 10.1016/j.jbmt.2019.10.004] [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: 07/02/2019] [Accepted: 10/02/2019] [Indexed: 10/25/2022]
Abstract
AIMS The aim of this study was to analyze the acute effects of Heart Rate (HR) and Rating of Perceived Exertion (RPE) for 21 of 34 original Mat Pilates (MP) exercises, to estimate maximum oxygen consumption (VO2max), and energy expenditure (EE) of a MP session. METHODS Ten participants volunteered (26.30 ± 3.98 yrs) to measure the intensity of each exercise; HR and RPE were monitored immediately after the end of each exercise. VO2maxwas estimated using the Astrand-Ryhming step submaximal test, and EE by a linear regression equation. HR and RPE mean values and standard deviations were calculated for each exercise. RESULTS The maximum value for each participant normalized the EE and VO2max values, which were ranked from highest to lowest. The percentage of the mean values of HRmax and RPEmax in each exercise showed significant, strong and positive correlation (p = 0.82; p = 0.001). In 10 exercises, HR was 60% higher than HRmax. The mean values of EE and VO2max were 213.71 ± (76.41) Kcal and 34.69 ml (Kg.min)-1 (±3.5), respectively, for the entire MP session. Half of the exercises achieved moderate intensity in HR with low estimated VO2max during the whole MP session. However, if the MP session of this study was practiced five times per week, it would meet the weekly American College of Sports Medicine (ACSM) EE recommendations. CONCLUSION The 21 MP exercises monitored in this study promote considerably acute and high increments in HR and RPE.
Collapse
Affiliation(s)
| | - Leandro Garcias
- Laboratório de Biomecânica, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil
| | - Josefina Bertoli
- Laboratório de Biomecânica, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil; Centro de Estudo e Laboratório de Avaliação e Prescrição de Atividade Motora, Universidade Estadual Paulista, Faculdade de Ciência e Tecnologia, Presidente Prudente, SP, Brazil.
| | | | | |
Collapse
|
10
|
Carrasco-Poyatos M, Ramos-Campo DJ, Rubio-Arias JA. Pilates versus resistance training on trunk strength and balance adaptations in older women: a randomized controlled trial. PeerJ 2019; 7:e7948. [PMID: 31741786 PMCID: PMC6859004 DOI: 10.7717/peerj.7948] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 09/24/2019] [Indexed: 11/20/2022] Open
Abstract
Background The neuromuscular decline impact in the functional independence of older women is determining the necessity of implementing new strategies focused on core strength training and postural stability maintenance to promote healthy aging. Objectives To define whether Pilates or resistance training is better at improving (a) core isometric and isokinetic muscular strength, and (b) static and dynamic balance, in older women. Methods This was a cluster randomized controlled trial. Physically independent older women (60–80 years) from day centers were randomly allocated to Pilates, Muscular and Control Groups (PG, MG and CG) using a block randomization method. Only the research staff performing the assessment and statistical analysis were blinded. Exercise groups trained twice a week (1 h per session) for 18 weeks in a moderate-to-vigorous intensity. Core strength (primary outcome): trunk and hip isometric and hip isokinetic muscular strength (Biodex System III Pro Isokinetic Dynamometer), alongside one leg static balance (portable force platform Kistler 9286AA) and dynamic balance (timed up and go (TUG)) were assessed. Results A total of 60 participants were randomized (PG, n = 20; MG, n = 20; CG, n = 20) and 49 completed the trial (PG, n = 16; MG, n = 19; CG, n = 14). Regarding hip isometric extension strength, PG was statistically better than CG (P = 0.004). There were no differences between groups regarding isokinetic strength or balance. Intra-group comparisons showed significant improvements (P < 0.05) in the dynamic balance and trunk and hip isometric extension strength for PG and MG, whereas every hip isokinetic measurement was improved in MG. Exercise programs did not produce any adverse event. Conclusions The Pilates training program was more effective for improving isometric hip and trunk extension strength, while the Muscular training program generated greater benefits on trunk and hip isokinetic strength. Moreover, both training programs showed moderate effects for the TUG. Clinical Trial Registration The trial was registered at ClinicalTrials.gov (identifier: NCT02506491).
Collapse
Affiliation(s)
- María Carrasco-Poyatos
- Department of Education, Health and Public Administration Research Center, Universidad de Almería, Almería, Spain
| | - Domingo J Ramos-Campo
- Department of Physical Activity and Sport Sciences, UCAM Research Centre for High Performance Sport, Universidad Católica San Antonio, Murcia, Spain
| | - Jacobo A Rubio-Arias
- Department of Physical Activity and Sport Sciences, UCAM Research Centre for High Performance Sport, Universidad Católica San Antonio, Murcia, Spain
| |
Collapse
|
11
|
Bertoli J, Diefenthaeler F, Detanico D, Dal Pupo J, Vaz MA, de la Rocha Freitas C. Can mat Pilates intervention increase lower limb rate of force development in overweight physically active older women? SPORT SCIENCES FOR HEALTH 2019. [DOI: 10.1007/s11332-019-00533-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|