A Pilates exercise program with pelvic floor muscle contraction: Is it effective for pregnant women? A randomized controlled trial

Dias, Nicole Geovana; Ferreira, Letícia Rocha; Fernandes, Mariana G.; Resende, Ana Paula Magalhães; Baldon, Vanessa Santos Pereira

doi:10.1002/nau.23308

Cited by 23 publications

(35 citation statements)

References 23 publications

(41 reference statements)

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“…Therefore, within the wide variety of research that has been conducted, our results are in line with those of other authors in this area 28‐34 . These results open the door to broader interventions that investigate regular, scheduled, and supervised physical exercise during pregnancy as a preventive factor for the tears that occur during childbirth.…”

Section: Discussionsupporting

confidence: 88%

“…In addition, the study conducted by Dias et al 31 with 50 women, in which Pilates and PFMT exercises were applied, found significant differences (P < .005) in favor of the intervention group in pelvic floor muscle resistance, and in this study, a pressure gauge was used to assess the improvement in the previously mentioned parameter. For the intervention group, the absolute score increased from 3 to 7.5, while that of the control group increased from 4 to 5.8.…”

Section: Discussionmentioning

confidence: 74%

“…Active group (n = 16) T A B L E 4 Birth outcomes in the active and non-active pregnant women Therefore, within the wide variety of research that has been conducted, our results are in line with those of other authors in this area. [28][29][30][31][32][33][34] These results open the door to broader interventions that investigate regular, scheduled, and supervised physical exercise during pregnancy as a preventive factor for the tears that occur during childbirth. It is especially important (and almost urgent) that healthcare professionals in charge of pregnant women's health during and after childbirth use physical exercise as an adjuvant within their clinical care practice.…”

Section: Variablementioning

confidence: 99%

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Physical activity during pregnancy is associated with a lower number of perineal tears

Silva-José

Díaz-Blanco

Barakat

et al. 2020

Transl. Sports. Med.

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Complex processes such as pregnancy and childbirth can be decisive for the health and well-being of both the mother and newborn, both during the process and in their life thereafter. 1,2 During 9 months, almost the entire body of a pregnant woman must change to create an environment adequate for fetal growth and development. It cannot be guaranteed that these changes will occur successfully because there are many alterations and pathologies related to the nature of pregnancy that can develop. Accordingly, the risk of complications with pregnancy is high, but there are several factors in a woman's environment that can increase or decrease this risk. 3 According to numerous scientific studies, modern lifestyles have negative effects on pregnancy, which affect the health of the mother, newborn and infant, and in some cases, all aspects of the human being. 4,5 Thus, the gestational period is a very risky period in a woman's life.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 74%

Section: Variablementioning

confidence: 99%

See 1 more Smart Citation

Physical activity during pregnancy is associated with a lower number of perineal tears

Silva-José

Díaz-Blanco

Barakat

et al. 2020

Transl. Sports. Med.

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“…The study participants showed improvement in self-esteem, normal daily activities and personal relationships. Dias et al [50] concluded that Pilates exercise program with PFM contraction performed by pregnant women was not capable of changing the PFM strength as assessed by the manometer. The other authors conclude that the effect of combining PFM contraction with hip isometric abduction or adduction does not have the claimed benefit for PFM function [51].…”

Section: Discussionmentioning

confidence: 99%

Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and Pilates exercises

et al. 2019

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The aim of this study was to compare the effect of pelvic floor muscle training with surface electromyographic (sEMG) biofeedback (BF group) and Pilates exercises (P group) on the bioelectrical activity of pelvic floor muscles in women with stress urinary incontinence. The other aim aim was to compare changes in voiding diaries and scores on quality of life questionnaire against baseline values and between the groups. Women in the BF group (n = 18) participated in pelvic floor muscle training with sEMG biofeedback; the P group (n = 13) participated in basic level Pilates workouts. Both protocols were continued for eight weeks. Voiding diary, quality of life and electromyographic characteristics of the pelvic floor muscles were assessed at the three-time points: at baseline, after eight weeks’ training, and at month six post-training. The sEMG activity of the pelvic floor muscles was tested during five trials in two positions. There was no marked improvement in bioelectrical activity of the pelvic floor muscles during contraction following training with sEMG biofeedback or Pilates exercises. Following eight weeks of sEMG biofeedback training, a decrease was noted in resting bioelectrical activity of pelvic floor muscles and during relaxation after sustained contraction but only in supine-lying. No such effect was observed in the Pilates group. In the BF group, the number of incontinence episodes after end of treatment (timpepoints: 1vs. 2) and at six month follow-up (timpepoints: 1vs. 3) decreased by 68.5% and 89.3%, respectively. The respective values in the P group were 78.6%, and 86.4%. The intergroup differences did not reach the level of statistical significance. As regards the quality of life, the questionnaire demonstrated that Pilates exercises had significantly better effects compared to biofeedback training both at the end of the eight-week exercise program and (p = 0.003) and at six month follow-up (p = 0.0009). The International Consultation on Incontinence Questionnaire—Short Form (ICIQ- SF) showed comparable efficacy of Pilates exercises and training with sEMG biofeedback. Intragroup improvements in micturition frequency, incontinence (leakage) episodes, and nocturia frequency were comparable. Alleviation of urinary incontinence symptoms was comparable in both groups, whereas the improvement in the quality of life was more notable in the Pilates group. The obtained results failed to demonstrate the superiority of any of the two methods regarding the bioelectrical activity of pelvic floor muscles in patients with stress urinary incontinence.

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“…Given the marked increase in practicing Pilates during pregnancy, various studies have been carried out to evaluate its effectiveness [ 14 , 16 , 20 ]. With regard to the specific relation of Pilates with PFD, two studies found a positive impact on the PF musculature during pregnancy [ 21 , 22 ], while another study concluded that the method was a valid means of helping to prevent the dysfunction [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of the Pilates Method on Pelvic Floor Injuries during Pregnancy and Childbirth: A Quasi-Experimental Study

Feria-Ramírez

González-Sanz

Molina-Luque

et al. 2021

IJERPH

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The perineal injuries suffered during childbirth have a great impact on the quality of life of the female population. Evidence suggests that the Pilates method is used by pregnant women to improve the physical and psychological outcomes of pregnancy. The aim of this study was to investigate the influence of the Pilates Method during pregnancy on the incidence and degree of intrapartum perineal trauma. A quasi-experimental study was carried out between November 2018 and December 2019 at different health centers in two health districts. Participants were 72 pregnant women attending the antenatal program, who were assigned to a Pilates group or a control group (48 and 24 pregnant women, respectively). The main outcome measurement was perineal trauma during childbirth. After participating in the Pilates program, the women in the experimental group were significantly less likely to suffer perineal trauma in spontaneous deliveries compared to the women in the control group. After evaluating these results, it is concluded that health center managers should promote the training of midwives in the prevention and treatment of pelvic floor injuries during pregnancy and should consider strategies to enhance adhesion and participation with respect to pelvic floor exercise programs throughout pregnancy by means of Apps and other digital media specifically aimed at this phase.

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A Pilates exercise program with pelvic floor muscle contraction: Is it effective for pregnant women? A randomized controlled trial

Abstract: Pilates exercise program with PFM contraction is not able to change the PFM strength assessed by manometer in pregnant women, but it improved adherence to the intervention.

Cited by 23 publications

References 23 publications

Physical activity during pregnancy is associated with a lower number of perineal tears

Physical activity during pregnancy is associated with a lower number of perineal tears

Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and Pilates exercises

The Effects of the Pilates Method on Pelvic Floor Injuries during Pregnancy and Childbirth: A Quasi-Experimental Study

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