This newsletter’s featured article from the JBMT is a review and meta-analysis conducted to evaluate the response of the Pilates method in the function of the pelvic floor muscles. Clinical trials assessing the effectiveness of the Pilates method for the function of pelvic floor muscles in healthy women were included. 4434 articles were identified and 2 articles were selected to compose this review and the meta-analysis.
The conclusion? “No evidence showed a modification of the function of pelvic floor muscles in healthy women practicing the Pilates method”.
To many of us this conclusion may seem disappointing, given the anecdotal evidence we see every day with our clients! Although there are some limitations to the accuracy of the results in these outlined studies, we can take this as an opportunity to lift our game in our approach to pelvic floor issues – in both the young and old, male and female!
Specific conditions and pathologies of the pelvic floor and the pelvic “core”, require additional training to enhance the effectiveness of Pilates as a rehabilitation method. It reminds us of the need for continuing professional education with suitably qualified trainers, if we are to truly service the multiple needs of our clients.
We hope you find it interesting.
PAA Committee Member, Education Sub-committee
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The Pilates Method in the Function of Pelvic Floor Muscles: Systematic Review and Meta-Analysis
Many Pilates instructors believe that the method can produce significant improvement in the resistance of pelvic floor muscles, but it is known that about 49% of women who can contract this muscle do not perform an adequate contraction and cannot increase urethral closure pressure.
To evaluate the response of the Pilates method in the function of the pelvic floor muscles, compared to the control group, in healthy women.
The following databases were searched from October to December 2016: PUBMED, SCIELO, LILACS, MEDLINE, WEB OF SCIENCE and CINAHL via PERIÓDICOS CAPES, without restriction of language and year of publication.
Randomized (RCTs), quasi-randomized, and non-randomized clinical trials assessing the effectiveness of the Pilates method for the fuction of pelvic floor muscles in healthy women were included.
Data collection and analysis
Two reviewers independently selected the studies, assessed the risk of bias and performed the data extraction. Primary outcomes were the method of evaluation of strength, function, coordination, and symmetry of contraction of the pelvic floor muscles.
4434 articles were identified and 2 articles were selected to compose this review and the meta-analysis. No between-group difference was demonstrated for the pelvic floor muscle function as measured by perineometry (p = 0.32).
No evidence showed a modification of the function of pelvic floor muscles in healthy women practicing the Pilates method.
Eligible Full members may read the complete article here: https://www.bodyworkmovementtherapies.com/article/S1360-8592(18)30176-1/abstract