Article

OBJECTIVES: To investigate the effect of Pilates on balance and falls in older
adults, and whether programs tested in prior studies met best-practice
recommendations for exercise to prevent falls. DATA SOURCES: MEDLINE, SPORTDiscus, CINAHL, PubMed, Physiotherapy Evidence Database, and The Cochrane
Library were searched from earliest record to July 2014. STUDY SELECTION:
Randomized and controlled clinical trials evaluating the effect of Pilates on
balance and/or falls in older adults. DATA EXTRACTION: Two reviewers
independently extracted demographic, intervention, and outcome data. Six studies
were included in this review. DATA SYNTHESIS: High-quality studies in this area
are lacking. When compared with nonactive control groups, Pilates was shown to
improve balance (standardized mean difference [SMD]=.84; 95% confidence interval
[CI], .44-1.23; 6 studies) and reduce the number of falls (SMD=-2.03; 95% CI,
-2.66 to -1.40; 1 study). Three studies provided sufficient detail to enable
assessment of compliance with the recommendation of exercises providing a
moderate or high challenge to balance. In these studies, 2% to 36% of exercises
were assessed as providing a moderate or high challenge to balance. All studies
provided >/=2 hours of exercise per week, and 1 study provided >50 hours of
exercise during the study period. CONCLUSIONS: The evidence suggests Pilates can
improve balance, an important risk factor for falls in older adults. However,
there is limited data on the impact of Pilates on falls. Effects may have been
overestimated because of the low methodological quality of studies. Best-practice
recommendations were rarely applied in prior studies, indicating greater effects
may have been achieved if recommendations were incorporated.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS