School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Kids Care Physiotherapy, Brisbane, Australia.
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Arch Phys Med Rehabil. 2020 Feb;101(2):317-328. doi: 10.1016/j.apmr.2019.05.023. Epub 2019 May 30.
To conduct a systematic review to evaluate the effectiveness of Pilates intervention on physical function in children and youth.
Six electronic databases were searched from inception to June 2018 using the term Pilates.
Articles were included if they (1) reported original data for a Pilates-only intervention; (2) involved children or youth aged up to 22 years; (3) reported a musculoskeletal, pain, or function study outcome. Searches identified 2565 papers and 11 studies fulfilled the inclusion criteria.
The 2 authors independently screened and assessed all studies and any discrepancies were resolved by consensus.
Level of evidence was classified using the Oxford Centre for Evidence Based Medicine. Study quality was assessed using the Physiotherapy Evidence Database for randomized controlled trials and Risk of Bias in N-of-1 Trials scale for single case experimental design studies. Four studies were high quality, 3 were fair quality, and 4 were of low quality. Findings showed that Pilates does appear to improve flexibility (n=6); muscle strength, power and movement speed (n=3); postural control, orientation and balance (n=3); metabolic cost (n=1); functional ability (n=1) and health related quality of life (n=1) and reduce pain (n=2) in children with musculoskeletal pathology, the majority with a large effect size. Pilates content varied from group-based mat classes to individualized programs using specialized equipment. Intervention dose and frequency varied widely.
This is the first systematic review of the effect of Pilates intervention for children and youth. Research is in the preliminary stages; however, Pilates does appear to improve flexibility, strength and postural control, and reduce pain in children with musculoskeletal pathology. Further research is warranted to determine the potential effectiveness of Pilates for children and youth for various population groups and to develop comprehensive treatment guidelines.
系统评价普拉提干预对儿童和青少年身体功能的影响。
从建库到 2018 年 6 月，使用“Pilates”一词在 6 个电子数据库中进行检索。
如果文章（1）仅报告普拉提干预的原始数据；（2）涉及年龄在 22 岁以下的儿童或青少年；（3）报告肌肉骨骼、疼痛或功能研究结果，则纳入文章。检索共确定了 2565 篇论文，有 11 项研究符合纳入标准。
两位作者独立筛选和评估了所有研究，任何分歧均通过共识解决。
使用牛津循证医学中心对证据水平进行分类。使用物理治疗证据数据库对随机对照试验进行研究质量评估，使用 1 例病例实验设计研究的偏倚风险量表进行评估。4 项研究为高质量，3 项为中等质量，4 项为低质量。结果表明，普拉提似乎确实可以提高柔韧性（n=6）；肌肉力量、功率和运动速度（n=3）；姿势控制、定向和平衡（n=3）；代谢成本（n=1）；功能能力（n=1）和健康相关生活质量（n=1），并减轻患有肌肉骨骼疾病的儿童的疼痛（n=2），其中大多数具有较大的效应量。普拉提的内容从基于小组的垫上课程到使用专门设备的个体化课程各不相同。干预剂量和频率差异很大。
这是第一项关于普拉提干预对儿童和青少年影响的系统评价。研究处于初步阶段；然而，普拉提似乎确实可以提高柔韧性、力量和姿势控制，减轻患有肌肉骨骼疾病的儿童的疼痛。需要进一步研究，以确定普拉提对各种人群的儿童和青少年的潜在有效性，并制定全面的治疗指南。
