From the Ekiness Health and Movement Center, São José dos Campos, São Paulo, Brazil (ROBdS); School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil (ROBdS, LdFM, ASFdA, FLPJ, RCdM); and Physiotherapy Department, Anhanguera University, Taubaté, São Paulo, Brazil (LdFM).
Am J Phys Med Rehabil. 2018 Jun;97(6):414-425. doi: 10.1097/PHM.0000000000000883.
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.
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.
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.
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.
本荟萃分析旨在从随机对照试验中寻找证据，以确定垫上普拉提对老年人身体机能表现测量指标的影响。
2017 年 2 月至 3 月间在 MEDLINE/PubMed、Scopus、Scielo 和 PEDro 数据库中进行了检索。仅纳入了以英语书写、研究对象为 60 岁以上、使用垫上普拉提运动、有对照组且报告了基于表现的身体功能（平衡、灵活性、肌肉力量和心肺适能）测量指标的随机对照试验。根据 PEDro 量表和最佳证据综合法对研究的方法学质量进行了分析。荟萃分析使用 Review Manager 5.3 软件进行。
检索出 518 篇文章，其中 9 篇符合纳入标准。其中 5 项研究具有较高的方法学质量。荟萃分析表明，垫上普拉提对动态平衡（标准化均数差=1.10，95%置信区间=0.29-1.90）、肌肉力量（标准化均数差=1.13，95%置信区间=0.30-1.96）、灵活性（标准化均数差=1.22，95%置信区间=0.39-2.04）和心肺适能（标准化均数差=1.48，95%置信区间=0.42-2.54）均有较大的影响。
有证据表明垫上普拉提可改善老年人的动态平衡、下肢力量、髋部和下背部的灵活性以及心血管耐力。此外，需要高质量的研究来阐明垫上普拉提对老年人其他身体机能测量指标的影响。
