A systematic review of the effectiveness of Pilates on pain, disability, physical function, and quality of life in older adults with chronic musculoskeletal conditions

Denham‐Jones, L ORCID: https://orcid.org/0000-0001-7806-7609, Gaskell, LE ORCID: https://orcid.org/0000-0001-6086-0502, Spence, NJ ORCID: https://orcid.org/0000-0001-5002-7293 and Pigott, TMC 2021, '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 .

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Abstract

Objectives: This systematic review aims to evaluate the effectiveness and delivery of Pilates to reduce pain and disability and to improve physical function and quality of life in middle-aged to older adults with a range of chronic musculoskeletal conditions. Methods: Searches were conducted using CENTRAL, CINAHL, SCOPUS, Pubmed, PsycInfo, Web of Science Core Collection and Google Scholar. Inclusion criteria were controlled trials and observational studies, population mean age 50 years and over with chronic musculoskeletal conditions, using mat-based Pilates exercise. Outcomes included pain, disability, physical function and quality of life. Results: Seven studies were included, with a combined total sample of 397 participants (73% female). Pilates was significantly effective (p ≤ 0.05) for reducing back pain, neck pain and pain associated with knee osteoarthritis and osteoporosis. Additional significant disability, physical functioning and quality of life effects were found for back pain, osteoporosis, and knee OA. Overall Pilates was as effective as other exercise. Adherence to group exercise was good, but poor for home exercise. No significant adverse effects were reported. Conclusion: Pilates is a safe and effective exercise intervention for adults over 50 with a diverse range of musculoskeletal conditions which may otherwise put them at risk of becoming sedentary. Although no overall significant superiority was found over other exercise, participants reported psychosocial benefits particular to the Pilates group exercise, with enjoyment a possible positive factor in adherence. Further research on Pilates exercises for various pathologies could inform teaching and improve engagement with older adults, including those with chronic conditions.

Item Type: Article
Additional Information: ** Article version: VoR ** From Crossref journal articles via Jisc Publications Router **Journal IDs: pissn 1478-2189; eissn 1557-0681 **History: issued 24-05-2021; published_online 24-05-2021 **License for this article: starting on 24-05-2021, , http://onlinelibrary.wiley.com/termsAndConditions#vor
Schools: Schools > School of Health and Society
Journal or Publication Title: Musculoskeletal Care
Publisher: Wiley
ISSN: 1478-2189
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 25 Aug 2021 08:02
Last Modified: 27 Aug 2021 21:53
URI: http://usir.salford.ac.uk/id/eprint/60838

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