Barnet-Hepples Talia, Barros Amorim Anita, de Azeyêdo Nogueira Clebeson, Silva de Melo Maria Clara, Borges Dario Amabile, Latey Penelope, Alves Gomes Sâmara Raquel, de Brito Macedo Liane
Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, 2006, Australia.
Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, 2006, Australia.
Ann Phys Rehabil Med. 2025 Apr 22;68(6):101973. doi: 10.1016/j.rehab.2025.101973.
Pilates has gained popularity for its benefits in reducing pain and disability among people with low back pain. However, conflicting evidence exists regarding its efficacy for musculoskeletal conditions in the upper and lower limbs.
Investigate the effect of Pilates on pain, disability, quality of life, and physical function in people with musculoskeletal conditions in the extremities.
A systematic review and meta-analysis of experimental studies using Pilates for musculoskeletal conditions in the extremities. Our outcomes included pain, disability, quality of life, and physical function. We searched eleven databases from inception to December 2023. Evidence was synthesised as standardised mean differences (SMD) with 95% confidence intervals (CI) using random-effects models. Risk of bias was assessed using the Revised Cochrane risk of bias tool or the ROBINS-I tool. GRADE was used to determine evidence certainty.
Eleven studies (n = 444) were included. Studies had moderate to high risk of bias. Pilates lessened pain (5 studies; SMD 1.41, 95% CI, 0.54-2.28), and disability (5 studies; SMD 0.83, 95% CI, 0.15-1.50), and improved quality of life (2 studies; SMD 2.10, 95% CI, 0.34-3.86) compared to the control group. The effect of Pilates on strength compared to the control the group was estimated to be small (3 studies; SMD 0.35), with unclear true effect due to uncertainty (95% CI, -0.27-0.98). The effects of Pilates on further aspects of physical function, including balance, proprioception, and range of motion remain unclear due to a lack of data which prevented meta-analysis.
Pilates was found to lessen pain and disability and improve quality of life in people with musculoskeletal conditions in the extremities compared to control. However, this evidence is of a very low certainty. The effect of Pilates on physical function remains uncertain. The evidence supporting the superiority of Pilates over other exercise interventions is inconclusive.
PROSPERO (CRD42022375925).
普拉提因其在减轻腰痛患者疼痛和残疾方面的益处而受到欢迎。然而，关于其对上下肢肌肉骨骼疾病的疗效，存在相互矛盾的证据。
研究普拉提对四肢肌肉骨骼疾病患者的疼痛、残疾、生活质量和身体功能的影响。
对使用普拉提治疗四肢肌肉骨骼疾病的实验研究进行系统综述和荟萃分析。我们的结局指标包括疼痛、残疾、生活质量和身体功能。我们检索了从数据库创建到2023年12月的11个数据库。使用随机效应模型将证据综合为标准化均数差（SMD）及95%置信区间（CI）。使用修订的Cochrane偏倚风险工具或ROBINS-I工具评估偏倚风险。采用GRADE来确定证据的确定性。
纳入11项研究（n = 444）。研究存在中度至高偏倚风险。与对照组相比，普拉提减轻了疼痛（5项研究；SMD 1.41，95%CI，0.54 - 2.28）和残疾程度（5项研究；SMD 0.83，95%CI，0.15 - 1.50），并改善了生活质量（2项研究；SMD 2.10，95%CI，0.34 - 3.86）。与对照组相比，普拉提对力量的影响估计较小（3项研究；SMD 0.35），由于存在不确定性，真实效果尚不清楚（95%CI， - 0.27 - 0.98）。由于缺乏数据无法进行荟萃分析，普拉提对身体功能其他方面（包括平衡、本体感觉和关节活动范围）的影响仍不清楚。
与对照组相比，发现普拉提可减轻四肢肌肉骨骼疾病患者的疼痛和残疾程度，并改善生活质量。然而，该证据的确定性非常低。普拉提对身体功能的影响仍不确定。支持普拉提优于其他运动干预措施的证据尚无定论。
PROSPERO（CRD42022375925）
