PTRCTJournal of physical therapy science2016

Effects of modified Pilates on variability of inter-joint coordination during walking in the elderly.

Sukhoon Yoon, Joo Nyeon Kim, Hee Sung Lim

PMID 28174474

WHAT IT FOUND

In 20 older adults, 8 weeks of modified Pilates plus regular treatment increased hip-knee coordination variability compared with regular treatment alone.

Knee-ankle variability and single-joint variability did not change.

Key findings

01Modified Pilates training, added to regular treatment, significantly increased hip-knee coordination variability compared with the control group.

02Knee-ankle coordination variability did not differ significantly between the groups after training.

03Ankle, knee, and hip single-joint variability did not differ significantly between the groups before or after training.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 20 older adults were studied, so the result may be unstable. The training group received Pilates plus regular treatment, and the regular treatment was not described in detail. The outcomes were laboratory gait coordination measures, not falls, walking speed, balance, or daily function. Measurements were taken only before and after 8 weeks, so longer-term effects are unknown. Participants had no orthopedic abnormalities in the past year, so findings may not apply to more impaired or fall-prone older adults.

Declared interests

No funding or conflict-of-interest statement is provided in the supplied text.

The easy way to misread this

Do not conclude that modified Pilates reduces falls or improves walking. The study measured hip-knee coordination variability, not falls or gait speed, and knee-ankle and single-joint variability did not change.

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