Article

OBJECTIVE: To evaluate evidence for the effectiveness of the Pilates method of
exercise (PME) in healthy people. DATA SOURCES: Published research was identified
by searching Science Direct, MEDLINE, PubMed, SPORTDiscus, PEDro, Cochrane
Central Register of Controlled Trials, CINAHL, and Web of Science. STUDY
SELECTION: Research studies published from inception to May 7, 2011 were selected
for evaluation. Two reviewers independently applied the inclusion criteria to
selected potential studies. Studies were included if they were published in a
peer-reviewed journal, written in the English language, conducted as a randomized
controlled trial (RCT) or quasi-RCT in healthy people, had an inactive and/or
exercise control group(s), included key study outcomes, and used the PME as the
study intervention in at least 1 study arm. DATA EXTRACTION: Two reviewers
independently extracted data (study, design, subjects, intervention, key outcomes
results), applied the Physiotherapy Evidence Database (PEDro) scale to assess the
method quality of selected studies, and determined the strength of the evidence
using the best evidence synthesis grading system. DATA SYNTHESIS: Sixteen studies
met the inclusion criteria. PEDro scale values ranged from 3 to 7 (mean, 4.1),
indicating a low level of scientific rigor. The outcomes studied most often were
flexibility, muscular endurance, strength, and postural alignment. The PME
appears to be effective in improving flexibility (strong evidence), dynamic
balance (strong evidence), and muscular endurance (moderate evidence) in healthy
people. CONCLUSIONS: There was strong evidence to support the use of the PME at
least to the end of training to improve flexibility and dynamic balance and
moderate evidence to enhance muscular endurance. Future RCTs should focus on the
components of blinding, concealed allocation, subject adherence,
intention-to-treat analysis, and follow-up designs.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS