Effects of Pilates Method on women's static body posture: a systematic review

Schmit, Emanuelle Francine Detogni; Candotti, Cláudia Tarragô; Rodrigues, Ana Paula; Souza, Catiane; Melo, Mônica de Oliveira; Loss, Jefferson Fagundes

doi:10.1590/1809-2950/15676923032016

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SYSTEMATIC REVIEW • Fisioter. Pesqui. 23 (3) • Jul-Sep 2016 • https://doi.org/10.1590/1809-2950/15676923032016 copy

Effects of Pilates Method on women's static body posture: a systematic review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The Pilates Method provides improvement in flexibility, coordination and muscle strength, which can reflect the postural alignment. In this sense, the objective of this study was to verify the level of scientific evidence from randomized controlled trials and nonrandomized that evaluated the influence of Pilates Method in postural alignment women when compared to a control group or other intervention based on a systematic review (CRD42015026518). A search was carried out between 25 and 29 September 2015 at BIREME, EMBASE, PEDro, PubMed, Scielo, Science Direct, Scopus and Web of Science, without language restriction and date. For selecting studies, two reviewers applied independently eligibility criteria: exclusive sample of women; intervention with Pilates Method in a group and presence of comparator; variable outcome static body posture; clinical trials. Reviewers obtained data about the studies (participants, intervention and outcomes), applied the methodological quality scale PEDro and determined the strength of the evidence through Best Evidence Synthesis. Four studies were included, three with high quality, but due to the divergence of results there is no scientific evidence about the effects of the Method in postural alignment. The results suggest that from 24 sessions of Pilates Method, applied twice a week, adjustments occur in the frontal alignment of the shoulders and sagittal of the pelvis in adults. And, after 48 sessions, adds to the improvement in the sagittal alignment of the head. In older, 60 sessions of Pilates Method appear to be effective in reducing the angle of kyphosis thoracic and cervical-thoracic distance, increasing height.

Keywords:
Exercise Therapy; Posture; Women; Review

Author, year	Sample data	Intervention	Results
Donahoe-Filmore et al., 2007	Age: 25-35 years PG: n = 6 CG: n = 5	Duration: 10 weeks PG: Pilates Method on the floor without supervision (3x/week - unspecified exercises) + general PE inital guidelines CG: initial guidelines for general PE	No difference in the pelvic tilt (photogrammetry) in both groups.
Junges et al., 2012	Age: 59 ± 9 years PG: n = 22 CG: n = 19	Duration/frequency: 30 weeks, 2x/week, 60 min/session PG: Pilates Method in equipment and unspecified exercises CG: without intervention	PG: in radiography, ↓ Cobb angle of thoracic kyphosis; in photogrammetry, ↓ cervical-thoracic distance in the position of right and left profile; ↓ shoulder height and shoulder blades in the back position and stature CG: without difference
Cruz-Ferreira et al., 2013	Age: 34.9 ± 16.4 years PG: n = 40 CG: n = 34	Duration/frequency: 24 weeks, 2x/week, 60 min/session PG: Pilates Method on the floor - 34 initial exercises (Body Control Pilates), with progressions and inclusion of free weights CG: without intervention	PG: in photogrammetry, there was a difference in the frontal alignment of the shoulders and in the sagittal alignment of the head and pelvis CG: without difference
Sinzato et al., 2013	Age: 18-25 years PG: n = 14 CG: n = 19	Duration/frequency: 10 weeks, 2x/week PG: Pilates Method on the floor and unspecified exercises CG: without intervention	No difference in variables (photogrammetry) in both groups.

Criterion	Donahoe-Filmore et al.	Junges et al.	Cruz-Ferreira et al.	Sinzato et al.
Eligibility criteria were specified.	1	1	1	1
Subjects were randomly distributed per groups.	1	1	1	1
Subject's distribution was blind.	0	0	1	1
Initially, the groups were similar concerning the most important indicators.	1	1	1	1
All reviewers that measured at least one key outcome did it blindly.	0	1	1	1
Measurements of at least one key outcome were obtained in more than 85% of the subjects initially distributed per groups.	1	1	1	1
All subjects from which measurements of results were presented received the treatment or control condition, according to the distribution or, when this was not the case, the data analysis for at least one of the key outcomes for "treatment intention" was performed.	0	1	1	1
The results of statistical comparisons intergroups are reported for at least one key outcome.	0	1	1	1
The study presents both accuracy measures and variability measures for at least one key outcome.	0	1	1	1
PEDro Scale total score	3	7	8	8

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E-mail: revfisio@usp.br

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[1] Mailing address: Emanuelle Francine Detogni Schmit - Rua Prof. Freitas Cabral, 272/1.006 -Jardim Botânico - Porto Alegre (RS), Brazil - CEP: 90690-130 - Email: manu_schmit@hotmail.com

#1	"Women" [Mesh] OR "Women" OR "Woman" OR "Women's Groups" OR "Group, Women's" OR "Groups, Women's" OR "Women Groups" OR "Women's Group"
#2	"Exercise Movement Techniques" [Mesh] OR "Exercise Movement Techniques" OR "Movement Techniques, Exercise" OR "Exercise Movement Technics" OR "Pilates-Based Exercises" OR "Exercises, Pilates-Based" OR "Pilates Based Exercises" OR "Pilates Training" OR "Training, Pilates" OR "Pilates"
#3	"Posture" [Mesh] OR "posture" OR "postures"
#4	#1 AND #2 AND #3