Health Sciences Post Graduation Program, Federal University of Uberlandia, Minas Gerais, Brazil.
Physiotherapy Graduation, Federal University of Uberlandia, Minas Gerais, Brazil.
Neurourol Urodyn. 2018 Jan;37(1):379-384. doi: 10.1002/nau.23308. Epub 2017 May 23.
The aim of this study was to evaluate the effectiveness of a Pilates exercise program with pelvic floor muscle (PFM) contraction compared to a conventional intervention in pregnant women.
Fifty primiparous women, without gestational alterations, were randomized to the Pilates group (n = 25) and control group (n = 25). Interventions for both groups consisted of twice-weekly sessions of 1 h each during the period between the 14-16th and 32-34th gestational weeks. The Pilates group performed a Pilates exercises program with the addition of voluntary PFM contraction. Mat-based Pilates exercises were performed involving movement of the upper limbs, lower limbs and trunk in all sessions. The Control group walked for 10 min and performed strengthening exercises of the lower limbs, upper limbs, and trunk with resistance from an elastic band and body weight. Each woman was evaluated by an unblinded physiotherapist before and after intervention for primary (PFM strength using a manometer) and secondary (PFM strength using Oxford Scale, endurance and repeatability) outcomes. Covariance analysis (ANCOVA) was used to compare the groups using the baseline values as a covariate.
Thirty-six women were included in the analysis. There were no differences between the groups for manometry. An increase in the PFM strength, endurance, and repeatability was only observed in the Pilates group. In addition, the Pilates group showed greater adherence to the intervention.
Pilates exercise program with PFM contraction is not able to change the PFM strength assessed by manometer in pregnant women, but it improved adherence to the intervention.
本研究旨在评估与传统干预相比，结合骨盆底肌肉（PFM）收缩的普拉提运动方案对孕妇的有效性。
将 50 名无妊娠并发症的初产妇随机分为普拉提组（n=25）和对照组（n=25）。两组干预均包括在 14-16 周和 32-34 周之间，每周两次，每次 1 小时。普拉提组进行普拉提运动方案，并增加自愿性 PFM 收缩。在所有课程中，均使用垫上运动来移动上肢、下肢和躯干，以完成普拉提运动。对照组则步行 10 分钟，并使用弹性带和体重进行下肢、上肢和躯干的强化锻炼。每位女性在干预前后均由一名未参与研究的物理治疗师进行评估，以评估主要（使用压力计评估 PFM 强度）和次要（使用牛津量表评估 PFM 强度、耐力和可重复性）结局。使用基线值作为协变量，采用协方差分析（ANCOVA）比较组间差异。
36 名女性纳入分析。两组之间在压力计评估的 PFM 强度方面没有差异。仅在普拉提组观察到 PFM 强度、耐力和可重复性的增加。此外，普拉提组对干预的依从性更高。
结合 PFM 收缩的普拉提运动方案不能改变孕妇通过压力计评估的 PFM 强度，但它提高了对干预的依从性。
