Beyond conventional therapies: exploring the role of Pilates in neurological physical therapy – a review of the latest research
DOI:
https://doi.org/10.12775/JEHS.2024.60.010Keywords
Pilates, exercise, neurorehabilitation, physiotherapy, multiple sclerosis, Parkinson's diseaseAbstract
Pilates exercise method, characterized by its holistic approach, underscores core stability, strength, and flexibility, coupled with meticulous muscle control, optimal posture, and focused attention on breathing. Widely embraced in both general and clinical fitness realms, this study aims to evaluate the integration of Pilates into physical therapy practices for patients with neurological disorders.
Existing studies indicate the potential efficacy of Pilates in diverse rehabilitation contexts. However, neurological disorders, specifically multiple sclerosis (MS) and Parkinson's disease (PD), have been the primary focus. While systematic reviews and meta-analyses suggest Pilates as a plausible option in physiotherapy for PD and MS patients, a paucity of research on this subject necessitates a comprehensive review of recent original studies.
Analysis of gathered data suggests that Pilates, when incorporated, may yield benefits for patients with various neurological disorders. Consideration of Pilates as a supplementary element to physical activity for those with PD and MS emerges as a reasonable proposition. The study also encourages contemplation of Pilates in rehabilitation research across a broader spectrum of neurological disorders. Subsequent investigations, incorporating relevant considerations, will contribute to a nuanced understanding of Pilates' potential benefits and its comparative advantages over traditional interventions for neurological disorders.
References
Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: a systematic review. Complement Ther Med. 2012 Aug;20(4):253-62. https://doi.org/10.1016/j.ctim.2012.02.005.
Penelope Latey, The Pilates method: history and philosophy, Journal of Bodywork and Movement Therapies, Volume 5, Issue 4, 2001, Pages 275-282, ISSN 1360-8592, https://doi.org/10.1054/jbmt.2001.0237.
Belgen Kaygisiz B, Çoban F, Selcuk F. The effect of clinical pilates-based physiotherapy program for a Stiff Person Syndrome patient: a case report. Acta Neurol Belg. 2021 Feb;121(1):79-85. https://doi.org/10.1007/s13760-020-01502-3.
Cruz-Ferreira A, Fernandes J, Laranjo L, Bernardo LM, Silva A. A systematic review of the effects of pilates method of exercise in healthy people. Arch Phys Med Rehabil. 2011 Dec;92(12):2071-81. https://doi.org/10.1016/j.apmr.2011.06.018.
Byrnes K, Wu PJ, Whillier S. Is Pilates an effective rehabilitation tool? A systematic review. J Bodyw Mov Ther. 2018 Jan;22(1):192-202. https://doi.org/10.1016/j.jbmt.2017.04.008.
Denham-Jones L, Gaskell L, Spence N, Pigott T. A systematic review of the effectiveness of Pilates on pain, disability, physical function, and quality of life in older adults with chronic musculoskeletal conditions. Musculoskeletal Care. 2022 Mar;20(1):10-30. https://doi.org/ 10.1002/msc.1563.
Fleming KM, Herring MP. The effects of pilates on mental health outcomes: A meta-analysis of controlled trials. Complement Ther Med. 2018 Apr;37:80-95. https://doi.org/10.1016/j.ctim.2018.02.003.
García-Soidán JL, Giraldez VA, Cachón Zagalaz J, Lara-Sánchez AJ. Does pilates exercise increase physical activity, quality of life, latency, and sleep quantity in middle-aged people? Percept Mot Skills. 2014 Dec;119(3):838-50. https://doi.org/10.2466/29.25.PMS.119c30z9.
Leopoldino AA, Avelar NC, Passos GB Jr, Santana NÁ Jr, Teixeira VP Jr, de Lima VP, de Melo Vitorino DF. Effect of Pilates on sleep quality and quality of life of sedentary population. J Bodyw Mov Ther. 2013 Jan;17(1):5-10. https://doi.org/10.1016/j.jbmt.2012.10.001.
Marques KAP, Trindade CBB, Almeida MCV, Bento-Torres NVO. 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. J Bodyw Mov Ther. 2020 Apr;24(2):26-36. https://doi.org/10.1016/j.jbmt.2020.01.008.
Rodríguez-Fuentes G, Silveira-Pereira L, Ferradáns-Rodríguez P, Campo-Prieto P. Therapeutic Effects of the Pilates Method in Patients with Multiple Sclerosis: A Systematic Review. J Clin Med. 2022 Jan 28;11(3):683. https://doi.org/10.3390/jcm11030683.
Kyriakatis GM, Besios T, Lykou PM. The effect of therapeutic exercise on depressive symptoms in people with multiple sclerosis - A systematic review. Mult Scler Relat Disord. 2022 Dec;68:104407. https://doi.org/10.1016/j.msard.2022.104407.
Sánchez-Lastra MA, Martínez-Aldao D, Molina AJ, Ayán C. Pilates for people with multiple sclerosis: A systematic review and meta-analysis. Mult Scler Relat Disord. 2019 Feb;28:199-212. https://doi.org/10.1016/j.msard.2019.01.006.
Suárez-Iglesias D, Miller KJ, Seijo-Martínez M, Ayán C. Benefits of Pilates in Parkinson's Disease: A Systematic Review and Meta-Analysis. Medicina (Kaunas). 2019 Aug 13;55(8):476. https://doi.org/10.3390/medicina55080476.
Qian Y, Fu X, Zhang H, Yang Y, Wang G. Comparative efficacy of 24 exercise types on postural instability in adults with Parkinson's disease: a systematic review and network meta-analysis. BMC Geriatr. 2023 Aug 28;23(1):522. https://doi.org/10.1186/s12877-023-04239-9.
Mustafaoglu R, Ahmed I, Pang MYC. Which type of mind-body exercise is most effective in improving functional performance and quality of life in patients with Parkinson's disease? A systematic review with network meta-analysis. Acta Neurol Belg. 2022 Dec;122(6):1433-1446. https://doi.org/10.1007/s13760-022-02070-4.
Zhang SK, Gu ML, Xu H, Zhou WS, Mao SJ, Yang Y. Effects of Different Exercise Modes on Gait Performance of Parkinson's Disease Patients: A Systematic Review and Network Meta-Analysis. Percept Mot Skills. 2023 Aug;130(4):1524-1561. https://doi.org/10.1177/00315125231178669.
Tysnes OB, Storstein A. Epidemiology of Parkinson's disease. J Neural Transm (Vienna). 2017 Aug;124(8):901-905. https://doi.org/10.1007/s00702-017-1686-y.
Reich SG, Savitt JM. Parkinson's Disease. Med Clin North Am. 2019 Mar;103(2):337-350. https://doi.org/10.1016/j.mcna.2018.10.014.
Beitz JM. Parkinson's disease: a review. Front Biosci (Schol Ed). 2014 Jan 1;6(1):65-74. https://doi.org/10.2741/s415.
Ahlskog JE. Aerobic Exercise: Evidence for a Direct Brain Effect to Slow Parkinson Disease Progression. Mayo Clin Proc. 2018 Mar;93(3):360-372. https://doi.org/10.1016/j.mayocp.2017.12.015.
Çoban F, Belgen Kaygısız B, Selcuk F. Effect of clinical Pilates training on balance and postural control in patients with Parkinson's disease: a randomized controlled trial. J Comp Eff Res. 2021 Dec;10(18):1373-1383. https://doi.org/10.2217/cer-2021-0091.
de Faria J, Sousa LR, Dorásio ACP, Pereira MP, Moraes R, Crozara LF, Hallal CZ. Multicomponent and mat Pilates training increased gait speed in individuals with Parkinson's disease when walking and carrying a load: A single-blinded randomized controlled trial. Physiother Res Int. 2023 Oct;28(4):e2031. https://doi.org/10.1002/pri.2031.
Göz E, Çolakoğlu BD, Çakmur R, Balci B. Effects of Pilates and Elastic Taping on Balance and Postural Control in Early Stage Parkinson's Disease Patients: A Pilot Randomised Controlled Trial. Noro Psikiyatr Ars. 2020 Apr 24;58(4):308-313. https://doi.org/10.29399/npa.24935.
Maciel DP, Mesquita VL, Marinho AR, Ferreira GM, Abdon AP, Maia FM. Pilates method improves balance control in Parkinson's disease patients: An open-label clinical trial. Parkinsonism Relat Disord. 2020 Aug;77:18-19. https://doi.org/10.1016/j.parkreldis.2020.05.037.
Cancela JM, Mollinedo Cardalda I, Ayán C, de Oliveira IM. Feasibility and Efficacy of Mat Pilates on People with Mild-to-Moderate Parkinson's Disease: A Preliminary Study. Rejuvenation Res. 2018 Apr;21(2):109-116. https://doi.org/10.1089/rej.2017.1969.
Reich DS, Lucchinetti CF, Calabresi PA. Multiple Sclerosis. N Engl J Med. 2018 Jan 11;378(2):169-180. https://doi.org/10.1056/NEJMra1401483.
Dobson R, Giovannoni G. Multiple sclerosis - a review. Eur J Neurol. 2019 Jan;26(1):27-40. https://doi.org/ 10.1111/ene.13819.
Ghosh R, Roy D, Dubey S, Das S, Benito-León J. Movement Disorders in Multiple Sclerosis: An Update. Tremor Other Hyperkinet Mov (N Y). 2022 May 4;12:14. https://doi.org/10.5334/tohm.671.
McGinley MP, Goldschmidt CH, Rae-Grant AD. Diagnosis and Treatment of Multiple Sclerosis: A Review. JAMA. 2021 Feb 23;325(8):765-779. https://doi.org/10.1001/jama.2020.26858. Erratum in: JAMA. 2021 Jun 1;325(21):2211
Abasıyanık Z, Ertekin Ö, Kahraman T, Yigit P, Özakbaş S. The effects of Clinical Pilates training on walking, balance, fall risk, respiratory, and cognitive functions in persons with multiple sclerosis: A randomized controlled trial. Explore (NY). 2020 Jan-Feb;16(1):12-20. https://doi.org/10.1016/j.explore.2019.07.010.
Abasıyanık Z, Yiğit P, Özdoğar AT, Kahraman T, Ertekin Ö, Özakbaş S. A comparative study of the effects of yoga and clinical Pilates training on walking, cognition, respiratory functions, and quality of life in persons with multiple sclerosis: A quasi-experimental study. Explore (NY). 2021 Sep-Oct;17(5):424-429. https://doi.org/10.1016/j.explore.2020.07.013.
Fleming KM, Coote SB, Herring MP. Home-based Pilates for symptoms of anxiety, depression and fatigue among persons with multiple sclerosis: An 8-week randomized controlled trial. Mult Scler. 2021 Dec;27(14):2267-2279. https://doi.org/ 10.1177/13524585211009216.
Fleming KM, Herring MP, Coote SB, Tindall D. Participant experiences of eight weeks of supervised or home-based Pilates among people with multiple sclerosis: a qualitative analysis. Disabil Rehabil. 2022 Sep;44(19):5549-5556. https://doi.org/10.1080/09638288.2021.1939446.
Gheitasi M, Bayattork M, Andersen LL, Imani S, Daneshfar A. Effect of twelve weeks pilates training on functional balance of male patients with multiple sclerosis: Randomized controlled trial. J Bodyw Mov Ther. 2021 Jan;25:41-45. https://doi.org/10.1016/j.jbmt.2020.11.003.
Najafi P, Hadizadeh M, Cheong JPG, Mohafez H, Abdullah S, Poursadeghfard M. Effects of Tele-Pilates and Tele-Yoga on Biochemicals, Physical, and Psychological Parameters of Females with Multiple Sclerosis. J Clin Med. 2023 Feb 16;12(4):1585. https://doi.org/10.3390/jcm12041585.
Kreiner DS, Hwang SW, Easa JE, Resnick DK, Baisden JL, Bess S, Cho CH, DePalma MJ, Dougherty P 2nd, Fernand R, Ghiselli G, Hanna AS, Lamer T, Lisi AJ, Mazanec DJ, Meagher RJ, Nucci RC, Patel RD, Sembrano JN, Sharma AK, Summers JT, Taleghani CK, Tontz WL Jr, Toton JF; North American Spine Society. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. Spine J. 2014 Jan;14(1):180-91. https://doi.org/10.1016/j.spinee.2013.08.003.
Jordan J, Konstantinou K, O'Dowd J. Herniated lumbar disc. BMJ Clin Evid. 2009 Mar 26;2009:1118.
Benzakour T, Igoumenou V, Mavrogenis AF, Benzakour A. Current concepts for lumbar disc herniation. Int Orthop. 2019 Apr;43(4):841-851. https://doi.org/10.1007/s00264-018-4247-6.
Taşpınar G, Angın E, Oksüz S. The effects of Pilates on pain, functionality, quality of life, flexibility and endurance in lumbar disc herniation. J Comp Eff Res. 2023 Jan;12(1):e220144. https://doi.org/10.2217/cer-2022-0144.
Cumplido-Trasmonte C, Fernández-González P, Alguacil-Diego IM, Molina-Rueda F. Manual therapy in adults with tension-type headache: A systematic review. Neurologia (Engl Ed). 2021 Sep;36(7):537-547. https://doi.org/10.1016/j.nrleng.2017.12.005.
Ashina S, Mitsikostas DD, Lee MJ, Yamani N, Wang SJ, Messina R, Ashina H, Buse DC, Pozo-Rosich P, Jensen RH, Diener HC, Lipton RB. Tension-type headache. Nat Rev Dis Primers. 2021 Mar 25;7(1):24. https://doi.org/10.1038/s41572-021-00257-2.
Repiso-Guardeño A, Moreno-Morales N, Armenta-Pendón MA, Rodríguez-Martínez MDC, Pino-Lozano R, Armenta-Peinado JA. Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials. Int J Environ Res Public Health. 2023 Mar 2;20(5):4466. https://doi.org/10.3390/ijerph20054466.
Leite A, Matignon A, Marlot L, Coelho A, Lopes S, Brochado G. The Impact of Clinical Pilates Exercises on Tension-Type Headaches: A Case Series. Behav Sci (Basel). 2023 Jan 27;13(2):105. https://doi.org/10.3390/bs13020105.
Hadavi S, Noyce AJ, Leslie RD, Giovannoni G. Stiff person syndrome. Pract Neurol. 2011 Oct;11(5):272-82. https://doi.org/10.1136/practneurol-2011-000071.
Baizabal-Carvallo JF, Jankovic J. Stiff-person syndrome: insights into a complex autoimmune disorder. J Neurol Neurosurg Psychiatry. 2015 Aug;86(8):840-8. https://doi.org/10.1136/jnnp-2014-309201.
Dalakas MC. Therapies in Stiff-Person Syndrome: Advances and Future Prospects Based on Disease Pathophysiology. Neurol Neuroimmunol Neuroinflamm. 2023 Apr 14;10(3):e200109. https://doi.org/10.1212/NXI.0000000000200109.
Belgen Kaygisiz B, Çoban F, Selcuk F. The effect of clinical pilates-based physiotherapy program for a Stiff Person Syndrome patient: a case report. Acta Neurol Belg. 2021 Feb;121(1):79-85. https://doi.org/10.1007/s13760-020-01502-3.
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Copyright (c) 2024 Monika Maleszewska, Aleksandra Żmijewska, Gabriela Nowak, Mateusz Sztybór, Julia Piątkiewicz, Maria Krzyżanowska, Mikołaj Wojtas, Karol Momot, Karen Głogowska, Marcin Kapica
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