Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Nov 14;7:e7948.
doi: 10.7717/peerj.7948. eCollection 2019.

Pilates Versus Resistance Training on Trunk Strength and Balance Adaptations in Older Women: A Randomized Controlled Trial

Affiliations
Free PMC article

Pilates Versus Resistance Training on Trunk Strength and Balance Adaptations in Older Women: A Randomized Controlled Trial

María Carrasco-Poyatos et al. PeerJ. .
Free PMC article

Abstract

Background: The neuromuscular decline impact in the functional independence of older women is determining the necessity of implementing new strategies focused on core strength training and postural stability maintenance to promote healthy aging.

Objectives: To define whether Pilates or resistance training is better at improving (a) core isometric and isokinetic muscular strength, and (b) static and dynamic balance, in older women.

Methods: This was a cluster randomized controlled trial. Physically independent older women (60-80 years) from day centers were randomly allocated to Pilates, Muscular and Control Groups (PG, MG and CG) using a block randomization method. Only the research staff performing the assessment and statistical analysis were blinded. Exercise groups trained twice a week (1 h per session) for 18 weeks in a moderate-to-vigorous intensity. Core strength (primary outcome): trunk and hip isometric and hip isokinetic muscular strength (Biodex System III Pro Isokinetic Dynamometer), alongside one leg static balance (portable force platform Kistler 9286AA) and dynamic balance (timed up and go (TUG)) were assessed.

Results: A total of 60 participants were randomized (PG, n = 20; MG, n = 20; CG, n = 20) and 49 completed the trial (PG, n = 16; MG, n = 19; CG, n = 14). Regarding hip isometric extension strength, PG was statistically better than CG (P = 0.004). There were no differences between groups regarding isokinetic strength or balance. Intra-group comparisons showed significant improvements (P < 0.05) in the dynamic balance and trunk and hip isometric extension strength for PG and MG, whereas every hip isokinetic measurement was improved in MG. Exercise programs did not produce any adverse event.

Conclusions: The Pilates training program was more effective for improving isometric hip and trunk extension strength, while the Muscular training program generated greater benefits on trunk and hip isokinetic strength. Moreover, both training programs showed moderate effects for the TUG.

Clinical trial registration: The trial was registered at ClinicalTrials.gov (identifier: NCT02506491).

Keywords: Dynamometer; Hip strength; Postural equilibrium; Trunk strength; Women.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1. Flow diagram of the progress of the randomized trial.

Similar articles

See all similar articles

References

    1. Bergamin M, Gobbo S, Bullo V, Zanotto T, Vendramin B, Duregon F, Cugusi L, Camozzi V, Zaccaria M, Neunhaeuserer D, Ermolao A. Effects of a pilates exercise program on muscle strength, postural control and body composition: results from a pilot study in a group of post-menopausal women. AGE. 2015;37(6):118. doi: 10.1007/s11357-015-9852-3. - DOI - PMC - PubMed
    1. Bertoli J, Dal Pupo J, Vaz MA, Detanico D, Biduski GM, De la Rocha Freitas C. Effects of mat pilates on hip and knee isokinetic torque parameters in elderly women. Journal of Bodywork and Movement Therapies. 2018;22(3):798–804. doi: 10.1016/j.jbmt.2017.08.006. - DOI - PubMed
    1. Bird ML, Hill K, Ball M, Williams AD. Effects of resistance- and flexibility-exercise interventions on balance and related measures in older adults. Journal of Aging and Physical Activity. 2009;17(4):444–454. doi: 10.1123/japa.17.4.444. - DOI - PubMed
    1. Bird M-L, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with pilates. Archives of Physical Medicine and Rehabilitation. 2012;93(1):43–49. doi: 10.1016/j.apmr.2011.08.005. - DOI - PubMed
    1. Bolognini N, Pascual-Leone A, Fregni F. Using non-invasive brain stimulation to augment motor training-induced plasticity. Journal of NeuroEngineering and Rehabilitation. 2009;6(1):8. doi: 10.1186/1743-0003-6-8. - DOI - PMC - PubMed

Associated data

Grant support

This work was supported by the San Antonio Catholic University (PMAFI/24/14). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

LinkOut - more resources

Feedback