Cited by 143Musculoskeletal pain and rehabilitationSports Performance and TrainingLower Extremity Biomechanics and Pathologies

Effects of Pilates Training on Lumbo-Pelvic Stability and Flexibility

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Phrompaet, Sureeporn, Paungmali, Aatit, Pirunsan, Ubon, Sitilertpisan, Patraporn·2011·Asian Journal of Sports Medicine

Abstract

PURPOSE: This study was performed to assess and compare the effects of Pilates exercise on flexibility and lumbo-pelvic movement control between the Pilates training and control groups. METHODS: A randomized single-blinded controlled design was utilized in the study. Forty healthy male and female volunteers (mean age 31.65±6.21 years) were randomly divided into Pilates-based training (20 subjects) and the control groups (20 subjects). The Pilates group attended 45-minute training sessions, 2 times per week, for a period of 8 weeks. Flexibility and lumbo-pelvic stability tests were determined as outcome measures using a standard "sit and reach test" and "pressure biofeedback" respectively at 0, 4 and 8 weeks of the study. RESULTS: The results showed that the Pilates training group improved flexibility significantly (P<0.001) during time intervals. This effect was also significantly greater than the control group for both 4 weeks and 8 weeks of the training period (P<0.001). There were 65% and 85% of the subjects from Pilates group passing the lumbo-pelvic stability test at 4 and 8 weeks of training periods respectively. No subjects from the control group passed the test at any stages. CONCLUSIONS: Pilates can be used as an adjunctive exercise program to improve flexibility, enhance control-mobility of trunk and pelvic segments. It may also prevent and attenuate the predisposition to axial musculoskeletal injury.

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  • Sensitivity analysis removing the lowest effect size still showed a significant moderate effect in favor of resistance training.

    “A sensitivity analysis indicated that by removing the lowest ES (− 4.166 by Phrompaet et al. [76]), there was still a significant moderate effect in favor of RT whilst heterogeneity decreased slightly (ES = − 0.669; p < 0.001, I2 = 67.37%).”
  • Sensitivity analysis removing both the highest and lowest effect sizes still showed a significant moderate effect in favor of resistance training.

    “Finally, by removing both the highest and lowest ES [38, 76], we also found a significant moderate effect in favor of RT while heterogeneity decreased (ES = − 0.696; p < 0.001, I2 = 64.07%).”

    From Resistance Training Induces Improvements in Range of Motion: A Systematic Review and Meta-Analysis (2023) · cites this paper as [76]

    The Methods and Results describe a Pilates-versus-control trial and report flexibility and lumbo-pelvic stability outcomes. Our copy does not report the citing authors’ sensitivity analysis, its pooled effect or heterogeneity, or whether this trial supplied the highest or lowest effect size (searched: effect size, sensitivity analysis, heterogeneity). (LLM, conf=0.78)

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Research works printed but not linked: 3

  1. [14]Kish R The Functional Effects of Pilates Training on Dancers 1998 PhD thesis. California State University; Department of Kinesiology
  2. [15]Wimer J The effects of functional resistance training on muscular strength, balance and functional abilities of older adults 1999 PhD thesis. San Diego State University; Department of Exercise and Nutritional Sciences
  3. [16]Bass M Robinson L Thomson G The Complete Classic Pilates Method. Basingstoke 2004 Oxford Macmillan

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Authors
Phrompaet, S., Paungmali, A., Pirunsan, U., & Sitilertpisan, P.
Affiliations
Chiang Mai University (TH)
Corresponding author
Paungmali, Aatit
Venue
Asian Journal of Sports Medicine
Publisher
Brieflands
Published
2011-03-01
Volume
2
Issue
1
Pages
16-22
ISSN
  • 2008-000X (ISSN-L)
  • 2008-7209
OpenAlex
W2116126433
Cited by
143
References
29
Citations by year
2026: 3 · 2025: 4 · 2024: 30 · 2023: 11 · 2022: 9 · 2021: 10 · 2020: 5 · 2019: 6 · 2018: 11 · 2017: 14 · 2016: 16 · 2015: 9 · 2014: 5 · 2013: 7 · 2012: 3
FWCI
3.51
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Asian Journal of Sports Medicine (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Funders
Thai Health Promotion Foundation
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
  • Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Keywords
Pilates, lumbopelvic stability, flexibility, trunk control, pelvic control, sit-and-reach test, pressure biofeedback, exercise training, musculoskeletal injury prevention

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