Effects of Pilates Standing Exercises on Walking Mobility and Postural Balance

NCT03526757 | Completed

• 1 other identifier: 8185
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Importance: Aging is characterized by numerous molecular, physiological, functional, motor and psychological changes, such as loss of postural balance and reduced muscle mass/strength. Such modifications often lead to reduced physical-functional capacity in the elderly and increased risk of falls. Currently, physical exercise is widely used to improve physical performance and reduce, at least in part, postural instabilities and the risk of falls. In this context, the Pilates method may be a good strategy to improve body balance, muscle strength and, potentially, the perception of quality of life in this population, depending how the exercises are performed. This study seeks to assess whether practicing Pilates exercises in orthostatic position results in differential effects on walking mobility and postural balance in healthy elderly women when compared to the standard sequence in the Pilates method, which involves less time performing exercise in the orthostatic position. The study hypothesis is that a higher relative volume of Pilates exercises performed in the orthostatic position can promote greater benefits in terms of walking mobility and postural balance compared to the standard Pilates protocol in the elderly.

Conditions

Aging; Mobility Limitation; Postural Balance

Keywords

Postural balance; Pilates method; Elderly

Outcome Measures

Primary Outcomes (1)

• Walking mobility (Timed Up and Go Test)

  Walking mobility will be assessed using the Timed Up and Go tests (single and dual task - cognitive/motor). It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down. During the test, the person is expected to wear their regular footwear and use any mobility aids that they would normally require.

  Post-intervention (change after 12 weeks of training)

Secondary Outcomes (4)

• Postural balance - Functional Reach Test

  Post-intervention (change after 12 weeks of training)

• Postural balance - BERG Balance scale

  Post-intervention (change after 12 weeks of training)

• Activities-specific Balance Confidence (ABC) Scale.

  Post-intervention (change after 12 weeks of training)

• Quality of life (36-Item Short Form Health Survey - SF-36)

  Post-intervention (change after 12 weeks of training)

Other Outcomes (3)

• Physical Activity Levels

  Baseline

• Cognition screening

  Baseline

• Depression screening

  Baseline

Study Arms (2)

Standing Pilates protocol

EXPERIMENTAL

Subjects will be submitted to a bi-weekly, 50-minute session of Pilates exercises focusing on orthostatic position, for twelve weeks. The following equipment will be used: The Cadillac, Reformer and Chair, emphasizing balance training in the orthostatic position.

Other: Standing Pilates protocol

Standard Pilates protocol

ACTIVE COMPARATOR

Subjects will be submitted to a bi-weekly, 50-minute session of the standard sequence of Pilates exercises (traditional sequence of the contemporary / classical method) for twelve weeks. The exercises will be performed using the same equipment used in the intervention group, but following the dorsal decubitus, sedestation and orthostasis, in a time-balanced distribution in each session.

Other: Standard Pilates protocol

Interventions

Standing Pilates protocol OTHER

Subjects will be submitted to a bi-weekly, 50-minute session of Pilates exercises focusing on orthostatic position, for twelve weeks. The following equipment will be used: The Cadillac, Reformer and Chair, emphasizing balance training in the orthostatic position.

Also known as: Pilates exercises in orthostatic position

Standing Pilates protocol

Standard Pilates protocol OTHER

Subjects will be submitted to a bi-weekly, 50-minute session of the standard sequence of Pilates exercises (traditional sequence of the contemporary / classical method) for twelve weeks. The exercises will be performed using the same equipment used in the intervention group, but following the dorsal decubitus, sedestation and orthostasis, in a time-balanced distribution in each session.

Also known as: Standard Pilates exercises

Standard Pilates protocol

Eligibility Criteria

• Age: 60 Years+
• Gender Eligibility Details: This study seeks to investigate elderly women, since they show higher risk of falling.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Sedentary for at least 6 months
• To be available for one hour, twice a week, on two different working days to perform the proposed exercises.
• To show preserved cognitive function, according to the mini-mental state examination criteria;
• Be able to come and go on their own to the training location (Physiotherapy Laboratory at PUCRS).

You may not qualify if:

• Clinical contraindications for performing physical exercises;
• To show severe heart, orthopedic, neurological or other diseases/conditions that may affect the outcome measures;
• Practicing physical exercises outside the study protocol;
• Absence of independent gait.

Sponsors & Collaborators

• Pontificia Universidade Católica do Rio Grande do Sul: lead
• Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.: collaborator
• Conselho Nacional de Desenvolvimento Científico e Tecnológico: collaborator
• Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul, Brazil: collaborator

Study Sites (1)

Pontifícia Universidade Católica do Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, 90619-900, Brazil

Location

Related Publications (8)

• Bird ML, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Arch Phys Med Rehabil. 2012 Jan;93(1):43-9. doi: 10.1016/j.apmr.2011.08.005. Epub 2011 Oct 5.

  PMID: 21975148 BACKGROUND

• Walowska J, Bolach B, Bolach E. The influence of Pilates exercises on body balance in the standing position of hearing impaired people. Disabil Rehabil. 2018 Dec;40(25):3061-3069. doi: 10.1080/09638288.2017.1370731. Epub 2017 Nov 13.

  PMID: 29132250 BACKGROUND

• Bueno de Souza RO, Marcon LF, Arruda ASF, Pontes Junior FL, Melo RC. Effects of Mat Pilates on Physical Functional Performance of Older Adults: A Meta-analysis of Randomized Controlled Trials. Am J Phys Med Rehabil. 2018 Jun;97(6):414-425. doi: 10.1097/PHM.0000000000000883.

  PMID: 29283899 BACKGROUND

• Oliveira LC, Oliveira RG, Pires-Oliveira DAA. Pilates increases the isokinetic muscular strength of the knee extensors and flexors in elderly women. J Bodyw Mov Ther. 2017 Oct;21(4):815-822. doi: 10.1016/j.jbmt.2017.01.006. Epub 2017 Jan 8.

  PMID: 29037633 BACKGROUND

• Bertoli J, Biduski GM, de la Rocha Freitas C. Six weeks of Mat Pilates training are enough to improve functional capacity in elderly women. J Bodyw Mov Ther. 2017 Oct;21(4):1003-1008. doi: 10.1016/j.jbmt.2016.12.001. Epub 2016 Dec 3.

  PMID: 29037615 BACKGROUND

• 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 Oct-Dec;43(5):440-452. doi: 10.1080/0361073X.2017.1369624. Epub 2017 Sep 26.

  PMID: 28949820 BACKGROUND

• Vieira ND, Testa D, Ruas PC, Salvini TF, Catai AM, de Melo RC. The effects of 12 weeks Pilates-inspired exercise training on functional performance in older women: A randomized clinical trial. J Bodyw Mov Ther. 2017 Apr;21(2):251-258. doi: 10.1016/j.jbmt.2016.06.010. Epub 2016 Jun 21.

  PMID: 28532866 BACKGROUND

• Greblo Jurakic Z, Krizanic V, Sarabon N, Markovic G. Effects of feedback-based balance and core resistance training vs. Pilates training on cognitive functions in older women with mild cognitive impairment: a pilot randomized controlled trial. Aging Clin Exp Res. 2017 Dec;29(6):1295-1298. doi: 10.1007/s40520-017-0740-9. Epub 2017 Mar 1.

  PMID: 28251569 BACKGROUND

MeSH Terms

Conditions

Mobility Limitation

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Régis G Mestriner, PhD

  Pontifícia Universidade Católica do Rio Grande do Sul

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcomes assessors are masked for subject allocation.
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The subjects will be allocated to one of two groups: intervention protocol (high volume of standing Pilates exercises) or control protocol (standard sequence of Pilates exercises).

Study Record Dates

• First Submitted: April 26, 2018
• First Posted: May 16, 2018
• Study Start: March 1, 2018
• Primary Completion: July 30, 2019
• Study Completion: July 30, 2019
• Last Updated: September 21, 2021

Record last verified: 2019-07

Locations

BR (1)