Is Pilates an effective tool for the management of kinesiophobia in musculoskeletal disorders?

BACKGROUND Kinesiophobia is a common condition often manifested in patients with musculoskeletal disorders within the process of rehabilitation.Recently,the literature has been investigating whether Pilates could contribute to the management of kinesiophobia in various musculoskeletal disorders.However,aggregated data regarding its effectiveness are absent from literature.AIM To evaluate recordings of the Pilates method in kinesiophobia related to musculoskeletal disorders.METHODS PubMed,ScienceDirect,Scopus and Pedro databases were all scrutinized for randomized controlled trials,by two or more intervention groups,where at least one group received a Pilates-based intervention and which had been conducted in patients aged 18-65 years with musculoskeletal disorders,having assessed at least one outcome related to kinesiophobia.The systematic review was based on the PRISMA guidelines.RESULTS We have identified five studies,with a total of 366 patients with musculoskeletal disorders.Three of them showed that a Pilates-based intervention by either mat or equipment can combat kinesiophobia in patients with musculoskeletal conditions,while another showed that Pilates exercises with equipment may have better long-term effects on kinesiophobia compared to Pilates mat.CONCLUSION Overall,a strong level of research evidence has been amassed for the Pilates intervention as well as a moderate level of research evidence for the effectiveness of equipment-based Pilates in reducing kinesiophobia in patients with musculoskeletal disorders.While the underlying mechanisms driving such a result remain unknown,it appears that Pilates can influence both biological and psychological factors in musculoskeletal disorders,thus resulting in the management of kinesiophobic behaviours.

Effectiveness of Pilates exercises in sports

Participation in sports is spreading all around the world in an attempt of the community to stay active,healthy,prevent health issues and conditions and to ensure quality of life while there is life expectancy and population is getting more and more older.Existing protocols in rehabilitation are sometimes demanding and are addressed in athletes and people with good physical condition while population gets involved in recreational sports activities more and more.Sport injuries are very common not only in athletes but in general population as well.Pilates is a very popular type of exercise and industry around it is flourishing.Although there are indications that it could be used as an alternative in rehabilitation,research is limited in certain fields.The aim of this editorial is to motivate researchers to conduct well-designed studies in sports injuries’rehabilitation based on the Pilates method,to explore the efficacy of the method as a complementary approach and the optimal integration strategies in diverse sports rehabilitation settings.Last but not least,it is an attempt for the need of the community to establish certification on Clinical Pilates Physiotherapists based on the principles of rehabilitation.

Pilates运动对慢性下腰痛患者康复作用的研究进展

慢性下腰痛(Chronic Low Back Pain,CLBP)不仅是临床常见疾病,亦是全球范围内严重的社会与经济问题。Pilates运动对慢性下腰痛而言是一种重要的康复训练手段,其对改善患者躯体症状,摆脱疼痛困扰,减轻社会经济负担具有重大意义。本文对慢性下腰痛相关概念、Pilates运动原理、我国Pilates运动研究状况以及Pilates运动对慢性下腰痛患者意义做一综述,以期为慢性下腰痛患者的康复护理提供新的理念与方法。

Pilates运动操联合中医综合干预在腰椎间盘突出症保守治疗中的运用

目的:探讨Pilates运动操联合中医综合干预在腰椎间盘突出保守治疗中的运用效果。方法:将2016年6月至2017年12月在广东省中医院珠海医院骨科接受保守治疗的364例腰椎间盘突出症(lumbardisc herniation,LDH)患者随机分为2组,其中观察组184例,对照组180例。对照组采用针灸、牵引、推拿、热疗等中医综合方案及出院后常规健康管理,观察组采用中医综合方案联合Pilates运动疗法,比较两组患者干预前、干预1周后、1个月后及3个月后的视觉模拟评分法(Visual Analogue Score,VAS)评分、日本骨科学会(Japanese Orthopaedic Association,JOA)评分、直腿抬高角度和Oswestry功能障碍指数(Oswestry Disability Index,ODI)变化情况。结果:干预前两组患者VAS评分、JOA评分、直腿抬高角度和ODI指数对比差异无统计学意义(P>0.05),观察组在干预1周、1个月及3个月后的VAS评分、JOA评分、直腿抬高角度和ODI指数均明显优于对照组同期,差异有统计学意义(P<0.05)。结论:Pilates运动操联合中医综合干预能有效改善腰椎间盘突出症保守治疗效果,促进脊柱功能的恢复,值得在临床中推广应用。

Pilate疗法对腰椎术后综合症的疗效

目的:观察Pilate疗法治疗腰椎术后综合症(FBSS)的疗效。方法:FBSS患者151例,分为观察组79例和对照组72例,2组均进行针灸、按摩及物理因子等常规治疗,观察组在此基础上应用Pilate疗法训练腹横肌及腰部多裂肌,分别于治疗3及6个月时对2组采用数字疼痛评分(NRC)评价患者下背痛和腿痛的疼痛程度,Oswestry功能障碍指数(ODI)及SF-36量表评估患者生活质量,并统计FBSS复发次数。结果:治疗3及6个月,观察组腰痛复发次数,NRC及ODI评分明显低于对照组(P<0.05);SF-36评分除BP外其余各项评分均高于对照组(P<0.05)。对照组治疗6个月时,SF-36中GH、SF及MH评分较治疗3个月时明显提高(P<0.05),但仍低于观察组。结论:Pilate疗法治疗FBSS安全有效,有助于保持良好的体态体姿、强健脊柱和保护腰椎、改善身体肌肉的平衡性和协调性,帮助患者早日康复。

三棱针刺血结合Pilates运动疗法治疗神经根型颈椎病的临床研究

目的观察三棱针刺血结合Pilates运动疗法治疗神经根型颈椎病的临床疗效。方法将芜湖市某康复门诊收治的神经根型颈椎病患者90例,随机分为治疗组、对照组1、对照组2,治疗组采用三棱针刺血疗法结合Pilates运动疗法,对照组1采用治三棱针刺血治疗,对照组2采用Pilates运动疗法。结果三组治疗前VAS、NDI各项指标比较,差异均无统计意义(p> 0. 05);三组治疗前、后各项指标比较,差异均有统计意义(p <0. 05);治疗组治疗后各项指标与对照组1和对照组2比较,差异均有统计意义(p <0. 05或p <0. 01)。对照组1有效率为83. 3%,对照组2为76. 7%,治疗组为96. 7%,治疗组有效率显著高于对照组1、对照组2,差异均有统计意义(p <0. 05或p <0. 01)。结论治疗组治疗神经根型颈椎病的VAS、NDI各项指标和临床疗效明显优于对照组1和对照组2,此疗法安全有效,可在临床推广。

An Androgynous Interpretation of Pilate in Song of Solomon

In this essay, the author tentatively verifies Pilate from Song of Solomon as an apt exemplification of the ideal state of androgyny that Morrison shapes in her works, who embodies the harmonious integration of both feminine and masculine merits.

Pilates运动配合仿生物电刺激治疗产后腹直肌分离患者的应用效果

目的:探讨Pilates运动配合仿生物电刺激在治疗产后腹直肌分离中的临床应用。方法:选取广州市第一人民医院南沙医院2019年9月至2020年9月期间收治的60例产后腹直肌分离患者,通过随机数字表法分为对照组和观察组,各30例。对照组采取常规仿生物电刺激治疗,观察组采取Pilates运动配合仿生物电刺激治疗,记录两组患者临床疗效,观察两组患者治疗前后腹直肌分离距离、下腰背疼痛改善情况及患者满意度情况。结果:治疗后两组患者的脐上腹直肌分离宽度和脐下腹直肌分离间距均有不同程度缩短,且治疗后观察组患者的肚脐上腹直肌分离宽度和肚脐下腹直肌分离间距短于对照组,差异具有统计学意义(P<0.05)。治疗后两组患者的腰背疼痛占比均有不同程度降低,且治疗后观察组患者的腰背疼痛占比低于对照组,差异具有统计学意义(P<0.05)。观察组患者的满意度为93.33 %,高于对照组的73.33 %,差异具有统计学意义(P<0.05)。结论:Pilates运动结合仿生物电刺激可提高产后腹直肌分离患者整体的治疗效果,有效降低下腰背痛程度,改善腹直肌分离间距及腰围恢复,增加整体满意度。

Pilates训练联合饮食干预对老年糖尿病患者衰弱现状及自我管理行为的影响

目的:探讨普拉提(Pilates)训练联合饮食干预对老年糖尿病患者衰弱现状及自我管理行为的影响。方法:选取2017年1月至2019年4月本院老年科60岁以上合并衰弱症状的老年2型糖尿病患者56例,按照入院先后顺序随机分为对照组和观察组,每组各28例。对照组给予糖尿病专科常规护理,观察组在对照组基础上实施Pilates训练联合饮食干预护理模式。干预周期2个月,对比两组干预前后衰弱症状学评分(中文版Tilburg衰弱量表,TFI)指标、血糖(空腹血糖、餐后2h血糖、糖化血红蛋白)、血脂(总胆固醇、三酰甘油及低密度脂蛋白胆固醇)及身体质量指数(BMI)和自我管理行为SDSCA得分。结果:干预前,两组TFI指标分值、血糖、血脂及BMI等相关指标比较均无明显差异(P>0.05);干预后,两组TFI指标分值均明显降低,但观察组降低幅度明显高于对照组,观察组血糖和血脂水平均明显低于对照组,观察组BMI改善较对照组明显,观察组SDSCA得分明显优于对照组,以上差异均有统计学意义(P<0.05)。结论:Pilates训练联合饮食干预能明显降低老年糖尿病患者血糖血脂水平,优化身体质量指数,显著改善患者衰弱症状,患者易于接受且自我管理行为能力得到明显提升。

Pilates运动疗法对慢性下腰痛患者腰背肌耐力的影响

目的:探讨Pilates(普拉提)运动疗法对慢性下腰痛患者腰背肌耐力的影响。方法:遴选120例慢性下腰痛患者,随机分为对照组(接受常规疗法)和干预组(接受常规疗法+Pilates运动疗法),比较两组患者的腰背肌耐力综合评分、视觉模拟疼痛评分(VAS)及Oswestry功能障碍指数问卷(ODI)评分变化。结果:干预后,两组腰背肌耐力评分、VAS评分及ODI评分均降低,且干预组降低程度大于对照组,以上差异均有统计学意义(P<0.05)。结论:Pilates运动疗法能有效改善慢性下腰痛患者腰背肌耐力,减轻其疼痛程度及Oswestry功能障碍,有较高的临床使用价值。

The effects of a supervised Pilates training program on balance in Parkinson’s disease

Pilates therapy improves core muscle function and axial stability but its effects on balance in idiopathic Parkinson’s disease (IPD) have not been evaluated. The objective of this study was to evaluate the effects of a Pilates exercise program on postural stability and balance confidence in people with IPD. Ten IPD patients (Hoehn & Yahr Stage 1-3) with a history of falls or nearfalls had the following assessments before and after completion of a 6-week supervised Pilates exercise program: Activities-Specific Balance Confidence Scale (ABC);Berg Balance Scale (BBS);Schwab and England Scale (SES);Unified Parkinson’s Disease Rating Scale (UPDRS);pull-test;timed-up-and-go (TUG);5-metre walk;static and dynamic posturography. There were significant improvements in BBS score, 5-metre walk time and TUG after the training program, as well as improvement trends in some posturographic measures. Participants also reported improved balance confidence with Activities of Daily Living (ADLs). Our findings suggest that Pilates therapy can be beneficial in IPD and warrants further evaluation in a larger study.

Evaluating the Impact of a Pilates Intervention on Physical Function in Children with Hypermobility Spectrum Disorder: A Study Protocol Using Single-Case Experimental Design

Background: Pilates has been shown to be an effective intervention for adults with musculoskeletal conditions with only a few examples available in the literature for children. As musculoskeletal pain is a major symptom experienced by children with Hypermobility Spectrum Disorder (HSD), they may benefit from practicing Pilates to improve postural alignment, strength and motor control to effectively distribute movement load and decrease adverse load through involved joints. Method: This study aims to evaluate the impact of a Physiotherapy-led Pilates intervention on school aged children with HSD and the benefits of this approach on pain, physical function and quality of life when delivered in a community-based model of care. A single-case experimental design (SCED) that incorporates a multiple baseline design will be used. Children with HSD, aged from 8 to 12 years, will commence concurrently in this study. Participants will undergo multiple assessments through all phases of the study which incorporates an A-B-A withdrawal design. The initial baseline period will be randomised from 5 to 7 weeks duration, then participants will enter the intervention period for 8 weeks followed by a withdrawal period of 5 weeks. The Physiotherapy-led Pilates intervention will consist of individual, 45 minute bi-weekly sessions, performed on both mat and the Pilates Reformer with an additional home program of mat exercises performed weekly. The study hypotheses are that children will show: 1) a decrease in pain;2) an increase in their physical function as measured by muscle strength, postural control, fatigue and physical activity levels;and 3) an improvement in their Health Related Quality of Life in the domains of physical, emotional, social and school functioning. Conclusion: The findings will add specific responsiveness information to the scientific evidence for Physiotherapy-led Pilates for children with HSD.

Effects of Pilates exercise on balance, walking and lower limbs motor function in stroke patients: A meta-analysis

Objective: To systematically evaluate the effects of Pilates exercise on balance, walking and lower limbs motor function in stroke patients. Methods: The literature databases such as the Cochrane Library, EMbase, PubMed, Web of Science, Chinese Biomedicine Database (CBM), China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals (VIP) and Wan Fang database (Wan Fang) were retrieved. Randomized controlled trials (RCTs) regarding the effects of Pilates exercise on balance, walking and lower limbs motor function of stroke patients were retrieved. Data were collected and evaluated independently by two researchers. Then, we adopted RevMan 5.3 software to perform a meta-analysis. Results: A total of 5 RCTs were included, including 182 subjects were chosen. The result showed that compared with the routine care group, Pilates exercise can effectively improve the balance of stroke patients when they have trained eight weeks [MD=4.71, 95%CI (2.14, 7.28), P=0.0003], shorten the time of the Timed Up and Go test (TUG)[MD=-1.63, 95%CI (-2.69,-0.56), P=0.003], increase the stride velocity [MD=3.83, 95%CI (1.43, 6.23), P=0.002]. However, the evidence did not support the effectiveness of Pilates exercise on increasing the score of Fugl-Meyer Assessment-Lower Extremity (FMA-LE) of stroke patients [MD=6.70, 95%CI (-3.46, 16.86), P=0.20]. Conclusion: The findings suggest that Pilates could improve the balance and walking speed of stroke patients. However, there still is the lack of the evidence in improving lower limb function. Due to the limitation of the quality of the included studies. highquality studies still should be conducted to investigate the effect of Pilates exercise in stroke patients.

Pilate我的腰腹革命

瘦身就是一场革命,你曾尝试节食,也听够了健身器材没完没了的嘎吱声,然而腰腹上的赘肉却有增无减。现在该是对腰腹发动一场起义的时候了…… Spine twist 盘腿坐姿,两臂垂于体侧,腹横肌收紧。两臂慢慢向上抬起,掌心向下,吸气准备。然后利用腹外斜肌的力量向身体的一侧转动身体,同时呼气。然后再反向练习身体的另一侧。练习过程中,身体不要移动。

Conventional kinesiotherapy or Pilates mat exercises,what is more efficient for abdominal weakness?A feasibility study

The aim of this feasibility study was to contrast rectus abdominis (RA) muscle strength and electrical activity after two abdominal training protocols, conventional kinesiotherapy (CK) and Pilates mat exercises (PME). 13 participants were randomized to one of two groups: CK and PME, and were trained accordingly. The upper rectus abdominis (URA) and lower rectus abdominis (LRA) were independently examined and intra-group and inter-group comparison were done. Findings demonstrate a significant increase in RA strength after both protocols, relative to baseline. Significantly increased electrical activation was seen in the URA after CK. Training with PME, although as efficient as CK in strength improvement, produced decreased activation level of muscles. CK training induced an opposite result. The differences after training suggest that CK and PME training programmers may strength RA, but the neuromuscular activation strategies for that are not the same. PME can be incorporated into protocols to improve abdominals strength, and trunk stabilization.

普拉提运动操配合热罨包在腰椎间盘突出症患者康复护理中的效果分析

目的探讨普拉提(Pilates)运动操配合热罨包在腰椎间盘突出症患者康复护理中的效果分析。方法选取本院2020年1月—2021年12月收治的120例腰椎间盘突出症患者作为研究对象,根据抽签法将120例患者分为对照组60例和观察组60例。对照组实施传统常规的康复护理方法,观察组在传统常规护理基础上实施Pilates运动操配合热罨包治疗干预,干预过程中分别记录两组患者心理弹性水平、腰椎功能以及生活质量变化并进行比较。结果干预后,观察组患者的心理弹性得分高于对照组(P<0.05);观察组患者腰椎功能评分高于对照组(P<0.05);观察组患者生活质量评分高于对照组(P<0.05)。结论Pilates运动操配合热罨包的康复护理干预可显著提升腰椎间盘突出症患者的心理弹性水平,加速患者腰椎功能的恢复并提高患者后续生活质量,值得临床推广与应用。

非审判的审判——阿甘本视角下的《彼拉多与耶稣》

在《彼拉多与耶稣》(Pilate and Jesus)一书开端,阿甘本以基督教信经中"本丢·彼拉多"这个神学语境之外的存在,断定了耶稣的审判之历史性。他引用施米特(Carl Schmitt)关于基督教历史观的看法,指出彼拉多出现在信经里绝非偶然,而是必要的历史陈述,因为基督教信经的内容以至基督教的本质皆为历史的。设若基督道成肉身是绝无仅有的历史事件,"耶稣的审判因此是人类历史的一个关键时刻,在其中,永恒于某个决断点跟历史交叉了".

情陷普拉提

Pilates训练法是由德国人约瑟夫.普拉提创立并推广的。体弱多病令他童年灰暗无比,气喘病,佝偻病,风湿病困扰更使他拥有了渴望健康的动力。在长期的锻炼过程中，他积累和总结了一套独特的均衡肌体的训练体系。

探索新优雅

最新一季男装的精髓是什么?见多识广而又思虑周密的比利时设计师Dries Van Noten显然已有高见。Dries Van Noten以一句话总结他对2011春夏系列的视角:"探索全新层次的优雅"。这句话的回响在早前结束的巴黎各时装展处处可闻。设计师们致力将精细剪裁与运动休闲服装的灵动与线条揉合,而非对比,且吸收了花园和沙漠的色调融汇灰蓝色的城市天际。