La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Kingsbury Drive, Bundoora, VIC, 3086, Australia.
Healthscope ARCH, Victorian Rehabilitation Centre, Glen Waverly, VIC, 3150, Australia.
J Bodyw Mov Ther. 2021 Jan;25:240-247. doi: 10.1016/j.jbmt.2020.12.015. Epub 2020 Dec 17.
Pilates has growing appeal to pregnant women, as a form of exercise and relaxation. It is purported to benefit lumbo-pelvic stability, as well as motor control, strength and endurance. Some suggest that modified Pilates exercises may assist low risk pregnant women to enjoy a healthier pregnancy and prepare for the physical demands of labour and birth. The feasibility and safety of Pilates during pregnancy is poorly understood. We describe the protocol for a feasibility study designed to compare a midwife-led 6-week community-based Pilates intervention with standard antenatal care.
A convenience sample of 30 low-risk pregnant women will be recruited from private obstetric clinics in Melbourne, Australia. Participants shall be randomly allocated to a six-week, 1-h weekly Pilates exercises group session or to usual care. The Pilates exercise class will have a warm-up phase, Pilates exercises, breathing exercises, and a cool down phase. Exercises have been designed to prepare for active birth. The primary outcome will be feasibility of implementation, determined by recruitment, retention, adherence and safety. Secondary outcomes include women's health (quality of life, pain, mobility for daily activities, lower extremity performance, abdominal separation, continence) and labour and birth outcomes (duration of first stage and second stage labour, analgesia used, mode of birth). Validated questionnaires will include the Quality of life 12-item short form survey; Pregnancy Mobility Index, and International Consultation on Incontinence Questionnaire. Lower extremity performance and abdominal separation will also be measured.
This trial will provide preliminary data regarding the feasibility and safety of Pilates exercise in healthy pregnant women. It will also provide preliminary outcome data used to inform the design of a future large scale, multi-centre RCT.
This clinical trial has been registered with the Australian and New Zealand Clinical Trials Registry 2016 (ACTRN12616000809437).
普拉提作为一种锻炼和放松方式，对孕妇越来越有吸引力。它据称可以有益于腰骨盆稳定性以及运动控制、力量和耐力。一些人认为，改良后的普拉提运动可能有助于低风险孕妇享受更健康的怀孕，并为分娩时的身体需求做好准备。普拉提在怀孕期间的可行性和安全性知之甚少。我们描述了一项可行性研究的方案，该研究旨在比较由助产士主导的为期 6 周的社区基础普拉提干预与标准产前护理。
将从澳大利亚墨尔本的私人产科诊所招募 30 名低风险孕妇作为方便样本。参与者将随机分配到为期 6 周、每周 1 小时的普拉提运动小组或常规护理组。普拉提运动课程将有热身阶段、普拉提运动、呼吸练习和冷却阶段。练习旨在为积极分娩做准备。主要结果将是实施的可行性，通过招募、保留、依从性和安全性来确定。次要结果包括妇女的健康（生活质量、疼痛、日常活动的移动性、下肢功能、腹部分离、尿失禁）和分娩和分娩结果（第一产程和第二产程的持续时间、使用的镇痛、分娩方式）。将使用经过验证的问卷，包括生活质量 12 项简短调查、怀孕移动性指数和国际尿失禁咨询问卷。还将测量下肢功能和腹部分离。
本试验将提供有关健康孕妇进行普拉提运动的可行性和安全性的初步数据。它还将提供初步的结果数据，用于为未来的大规模、多中心 RCT 提供信息。
这项临床试验已在澳大利亚和新西兰临床试验注册中心（ACTRN12616000809437）注册。
