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Effects of Mat Pilates on Physical Functional Performance of Older Adults

The present meta-analysis aimed to examine evidence from randomized
controlled trials to determine the effects of mat Pilates on measures of physical
functional performance in the older population. DESIGN:
A search was conducted in
the MEDLINE/PubMed, Scopus, Scielo, and PEDro databases between February and
March 2017. Only randomized controlled trials that were written in English,
included subjects aged 60 yrs who used mat Pilates exercises, included a
comparison (control) group, and reported performance-based measures of physical
function (balance, flexibility, muscle strength, and cardiorespiratory fitness)
were included. The methodological quality of the studies was analyzed according
to the PEDro scale and the best-evidence synthesis. The meta-analysis was
conducted with the Review Manager 5.3 software. RESULTS: The search retrieved 518
articles, nine of which fulfilled the inclusion criteria. High methodological
quality was found in five of these studies. Meta-analysis indicated a large
effect of mat Pilates on dynamic balance (standardized mean difference = 1.10,
95% confidence interval = 0.29-1.90), muscle strength (standardized mean
difference = 1.13, 95% confidence interval = 0.30-1.96), flexibility
(standardized mean difference = 1.22, 95% confidence interval = 0.39-2.04), and
cardiorespiratory fitness (standardized mean difference = 1.48, 95% confidence
interval = 0.42-2.54) of elderly subjects. CONCLUSIONS: There is evidence that
mat Pilates improves dynamic balance, lower limb strength, hip and lower back
flexibility, and cardiovascular endurance in elderly individuals. Furthermore,
high-quality studies are necessary to clarify the effects of mat Pilates on other
physical functional measurements among older adults.

Langue : ANGLAIS

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