Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review

Low back pain is prevalent in the community and associated with deficits in core muscle strength and activation. Pilates is argued to improve movement and reduce pain, yet there is a limited understanding of the specific effects of Pilates training on core muscle strength or activity. A systematic s...

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Main Authors: Jennifer Franks, Claire Thwaites, Meg E. Morris
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/10/1404
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author Jennifer Franks
Claire Thwaites
Meg E. Morris
author_facet Jennifer Franks
Claire Thwaites
Meg E. Morris
author_sort Jennifer Franks
collection DOAJ
description Low back pain is prevalent in the community and associated with deficits in core muscle strength and activation. Pilates is argued to improve movement and reduce pain, yet there is a limited understanding of the specific effects of Pilates training on core muscle strength or activity. A systematic search of databases (CINAHL, Embase, Ovid MEDLINE) used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods to evaluate randomised controlled trials (RCTs) on the effects of Pilates to improve core muscle activation. Methodological quality was assessed using the Physiotherapy Evidence Database scale (PEDro). The certainty of findings was determined using the Grading of Recommendations Assessment, Development and Evaluation tool. Of the initial yield of 563 articles, eight RCTs met the inclusion criteria. A diverse range of Pilates interventions and outcome measures were utilised to assess effects on core muscle activation and strength. The main finding was that Pilates is not inferior to equivalently dosed exercises, and can be superior to non-equivalent or no exercise, for improving core muscle strength as indicated by muscle thickness. There was emerging evidence that Pilates positively impacts core muscle strength and can be an effective intervention for people living with chronic low back pain.
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spelling doaj.art-479b846462be4d449a98d024dd19e5442023-11-18T01:31:52ZengMDPI AGHealthcare2227-90322023-05-011110140410.3390/healthcare11101404Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic ReviewJennifer Franks0Claire Thwaites1Meg E. Morris2Academic and Research Collaborative in Health (ARCH), La Trobe University, Melbourne, VIC 3086, AustraliaAcademic and Research Collaborative in Health (ARCH), La Trobe University, Melbourne, VIC 3086, AustraliaAcademic and Research Collaborative in Health (ARCH), La Trobe University, Melbourne, VIC 3086, AustraliaLow back pain is prevalent in the community and associated with deficits in core muscle strength and activation. Pilates is argued to improve movement and reduce pain, yet there is a limited understanding of the specific effects of Pilates training on core muscle strength or activity. A systematic search of databases (CINAHL, Embase, Ovid MEDLINE) used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods to evaluate randomised controlled trials (RCTs) on the effects of Pilates to improve core muscle activation. Methodological quality was assessed using the Physiotherapy Evidence Database scale (PEDro). The certainty of findings was determined using the Grading of Recommendations Assessment, Development and Evaluation tool. Of the initial yield of 563 articles, eight RCTs met the inclusion criteria. A diverse range of Pilates interventions and outcome measures were utilised to assess effects on core muscle activation and strength. The main finding was that Pilates is not inferior to equivalently dosed exercises, and can be superior to non-equivalent or no exercise, for improving core muscle strength as indicated by muscle thickness. There was emerging evidence that Pilates positively impacts core muscle strength and can be an effective intervention for people living with chronic low back pain.https://www.mdpi.com/2227-9032/11/10/1404low back painPilatesexercisecore muscle activationcore muscle strengthpain
spellingShingle Jennifer Franks
Claire Thwaites
Meg E. Morris
Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
Healthcare
low back pain
Pilates
exercise
core muscle activation
core muscle strength
pain
title Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
title_full Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
title_fullStr Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
title_full_unstemmed Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
title_short Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review
title_sort pilates to improve core muscle activation in chronic low back pain a systematic review
topic low back pain
Pilates
exercise
core muscle activation
core muscle strength
pain
url https://www.mdpi.com/2227-9032/11/10/1404
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