Pilates for rehabilitation in patients with multiple sclerosis: A systematic review of effects on cognition, health-related physical fitness, general symptoms and quality of life

Marques, Karen Adriana Pastana; Trindade, Carla; Almeida, Maria Cláudia Valente; Bento-Torres, Natáli Valim Oliver

doi:10.1016/j.jbmt.2020.01.008

Cited by 15 publications

(12 citation statements)

References 37 publications

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“…It has emerged from this synthesis that core strength, posture, flexibility, balance, function, body awareness and joint stability are the most important physical benefits of this approach (Cuddy & Gaskell, 2020; Gaskell & Williams, 2019; Gaskell et al, 2019; Gracey et al, 2015; Lausen et al, 2018; van der Linden et al, 2014; Wells et al, 2014b). This concurs with quantitative systematic reviews demonstrating reduction of pain and disability for various populations (Byrnes et al, 2018), chronic LBP patients (Wells et al, 2014), multiple sclerosis patients (Marques, Trindade, Almeida, & Bento‐Torres, 2020), older people (Bueno de Souza, Marcon, Arruda, Pontes Junior, & Melo, 2018) and healthy subjects (Campos et al, 2016).…”

Section: Discussionsupporting

confidence: 74%

A qualitative systematic review of the views, experiences and perceptions of Pilates‐trained physiotherapists and their patients

Giannakou

Gaskell

2020

Musculoskeletal Care

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Objectives A review of qualitative studies exploring Pilates‐trained physiotherapists and their patients' perspectives and experiences of Pilates, aiming to improve practice and provide a deeper insight into the way this method is being utilized along with its effects on participants. Design Qualitative evidence synthesis using meta‐ethnography. Data sources A comprehensive search strategy, limited to English language articles, was conducted to MEDLINE (PubMed), EMBASE, CINAHL, PEDro and Cochrane Central for the period of January 2000 (inception) to June 2020. This was supplemented by identification of Grey literature through Google Scholar, website searching and reference lists. Study selection Qualitative studies reporting experiences and perceptions of patients' or Pilates‐trained physiotherapists' regarding the efficacy of Pilates for the management of chronic musculoskeletal conditions. After a process of exclusion, eight studies were included in the synthesis. Data extraction The textual data were analysed by a qualitative software program. Studies were critically appraised independently by two reviewers. Data synthesis Articles were synthesized using a technique of meta‐ethnography. Three themes emerged from the process of reciprocal translation: (1) Benefits of the Pilates approach; (2) most effective ways to utilize and most beneficial parameters and (3) risks, precautions, contraindications and indications. Conclusion This is the first qualitative evidence synthesis of practitioners' and patients' perspectives of Pilates. Findings support evidence for the various benefits of this approach and provide fresh insight into the way this method can be practiced to maximize efficiency and focus on the patients' needs. Key recommendations Pilates‐trained physiotherapists identified that Pilates can be tailored to individual requirements, preferences and needs, to promote self‐management to facilitate clinical and cost‐effective care.

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Section: Discussionsupporting

confidence: 74%

A qualitative systematic review of the views, experiences and perceptions of Pilates‐trained physiotherapists and their patients

Giannakou

Gaskell

2020

Musculoskeletal Care

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“…Of interest are the studies by Ozkul et al [32] and Abasiyanik et al [34], which compared the Pilates intervention with doing exercises at home (relaxation in the case of Ozkul et al [32]), and obtained significantly better results in this variable with the Pilates intervention. Although somewhat surprising, the results in these studies open the door to incorporating measurements of cognitive parameters in future work using Pilates, as has been done in others where exercise was also the base of the intervention [49][50][51][52][53].…”

Section: Cognitive/psychological Functionmentioning

confidence: 69%

Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review

Fuentes

Silveira-Pereira²,

Ferradáns-Rodríguez³

et al. 2022

JCM

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The Pilates Method is a rehabilitation tool with verified benefits in pain management, physical function, and quality of life in many different physiotherapy areas. It could be beneficial for patients with multiple sclerosis (pwMS). The aim of the study was to summarize current evidence for the effectiveness of Pilates in pwMS. A comprehensive search of Cinahl, Scopus, Web of Science, PEDro, and PubMed (including PubMed Central and Medline) was conducted to examine randomized controlled trials (RCT) that included Pilates intervention in multiple sclerosis. The PEDro scale and the Cochrane risk-of-bias tool, RoB-2, were used to evaluate risk of bias for RCT. Twenty RCT (999 patients) were included. Ten were of good quality (PEDro), and seven had low risk of bias (RoB-2). Pilates improves balance, gait, physical-functional conditions (muscular strength, core stability, aerobic capacity, and body composition), and cognitive functions. Fatigue, quality of life, and psychological function did not show clear improvement. There was good adherence to Pilates intervention (average adherence ≥ 80%). Cumulative data suggest that Pilates can be a rehabilitation tool for pwMS. High adherence and few adverse effects were reported. Future research is needed to develop clinical protocols that could maximize therapeutic effects of Pilates for pwMS.

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“…Studies on dual-task performance assessment were mostly carried out among older adults [ 9 , 25 , 27 , 54 ], but dual-task intervention programs in different age groups remain to be investigated. Although the benefits of Pilates on cognitive function were preliminarily demonstrated [ 36 , 56 , 57 , 58 ], no studies explored the effects of Pilates and cognitive stimulation in dual task on physical functional parameters and cognitive outcomes.…”

Section: Discussionmentioning

confidence: 99%

Pilates and Cognitive Stimulation in Dual Task an Intervention Protocol to Improve Functional Abilities and Minimize the Rate of Age-Related Cognitive Decline in Postmenopausal Women

Silva

Torres

Ericeira

et al. 2022

IJERPH

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It is already known the effectiveness of Pilates training on cognitive and functional abilities. It is also known that dual-task exercise and cognitive stimuli improve cognition and functional capacity. However, no previous report combined cognitive stimuli and Pilates in dual task and measured its effects on the cognitive and physical performances of postmenopausal women. Objective: To apply an interventional dual-task (PILATES-COG) protocol and to evaluate its influence on memory, language, and functional physical performances on healthy, community-dwelling postmenopausal older women. Methods: 47 women with amenorrhea for at least 12 months participated in this study. Those allocated on the PILATES-COG group underwent a 12-week, twice a week regimen of 50 min sessions of simultaneous mat Pilates exercise program and cognitive tasks. Cognitive and physical functional performance were assessed. Two-way mixed ANOVA was used for data analysis, and Bonferroni post hoc tests were used for within- and between-group comparisons. Results: The PILATES-COG group showed significant improvement after the intervention in semantic verbal fluency (p < 0.001; ηρ² = 0.268), phonological verbal fluency (p < 0.019; ηρ² = 0.143), immediate memory (p < 0.001; ηρ² = 0.258), evocation memory (p < 0.001 ηρ² = 0.282), lower-limb muscle strength (p < 0.001; ηρ² = 0.447), balance (p < 0.001; ηρ² = 0.398), and dual-ask cost (p < 0.05; ηρ² = 0.111) assessments on healthy, community-dwelling postmenopausal older women. Conclusion: This is the first report of a feasible and effective approach using Pilates and cognitive stimulation in dual task for the reduction of age-related cognitive decline and the improvement of physical functional performance in healthy postmenopausal women.

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Pilates for rehabilitation in patients with multiple sclerosis: A systematic review of effects on cognition, health-related physical fitness, general symptoms and quality of life

Cited by 15 publications

References 37 publications

A qualitative systematic review of the views, experiences and perceptions of Pilates‐trained physiotherapists and their patients

A qualitative systematic review of the views, experiences and perceptions of Pilates‐trained physiotherapists and their patients

Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review

Pilates and Cognitive Stimulation in Dual Task an Intervention Protocol to Improve Functional Abilities and Minimize the Rate of Age-Related Cognitive Decline in Postmenopausal Women

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