ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 64 of 68
УЖМБС 2021, 6(5): 450–455
Physical training and Sport. Medical and biological aspects of training athletes

Efficiency of Application of Pilates as a Mean of Physical Therapy in Women with Degenerative-Dystrophic Lesions of the Lumbar Spine

Odynets T. 1, Kolomiichenko O. 2

Degenerative-dystrophic lesions of the lumbar spine are characterized by a systemic multifactorial course and significantly affect the quality of life. Spinal pain due to degenerative-dystrophic diseases very often affects middle-aged people, in particular women, leading to temporary or permanent disability. Degenerative-dystrophic diseases of the spine are accompanied by neurological manifestations, pain syndromes, prone to a protracted course and have repeated relapses. The purpose of the study was to determine the features of physical therapy to improve the functional state of the spine in middle-aged women with degenerative-dystrophic lesions of the lumbar spine. Materials and methods. The following research methods were used in the study: theoretical analysis of scientific and methodological literature, empirical (determination of the functional state of the muscles of the trunk), pedagogical experiment, methods of mathematical statistics. The study involved 28 women. The main group and the comparison group of 14 people each were formed by the method of random sampling, the average age of the subjects was 40.44 ± 1.25 and 41.60 ± 1.14 years old, respectively. The main group was studied according to the developed program of physical therapy with the use of Pilates, the comparison group – according to the program of therapeutic gymnastics (general developmental orientation) of the communal non-profit enterprise "Zaporizhzhya Regional Clinical Hospital". The study of the functional state of the muscles of the trunk was assessed according to the following tests: the time of holding the lateral support; keeping the support lying on the forearms; static body retention; holding the torso at an angle of 60˚; flexion and extension of the spine. Results and discussion. According to the results of the final rehabilitation examination, it was found that in the comparison group it was not possible to record a possible improvement in the functional state of the muscles of the trunk and the amplitude of the spine. At the same time in the main group such changes occurred in all the studied parameters. In particular, the index of lateral support retention in the main group significantly increased by 8.00 s (p <0.05), retention of the support lying on the forearms – by 10.00 s (p <0.05), static trunk retention - by 9.5 s (p <0.05), holding the trunk at an angle of 60˚ - by 10.00 s (p <0.05), flexion of the spine – by 3.00 cm (p <0.05), extension of the spine – by 5.00 cm (p <0.05). Conclusion. The results of the study indicate that Pilates is an effective means of improving the functional state of the muscles of the trunk and the amplitude of the spine, which was confirmed by significantly better indicators of functional tests in the main group compared with the women in the comparison group

Keywords: functional state, Pilates, pain, spine

Full text: PDF (Ukr) 337K

  1. Amini M, Ghasemi G. Comparison of the Effect of Barreausol and Pilates Exercises on Quality of Life of Women with Chronic Low Back Pain. J Paramed Sci Rehabil. 2020; 9(1): 7-17.
  2. Askari A, Ashtianiy A, Ghiasi F, Hosseinifar M, Akbari A. Modified Pilates versus general exercises effectiveness on lumbopelvic motor control, trunk muscles endurance, in nonspecific chronic low back pain women. J Adv Pharm Educ Res. 2020; 1(10): 17-27.
  3. Bertoli J, Biduski GM, de la Rocha Freitas C. Six weeks of Mat Pilates training are enough to improve functional capacity in elderly women. J Bodywork Movement Therapies. 2017; 21(4): 1003-1008.
  4. Byrnes K, Wu PJ, Whillier S. Is Pilates an effective rehabilitation tool? A systematic review. J Bodywork Movement Therapies. 2018; 22(1): 192-202. HTTPS://WWW.NCBI.NLM.NIH.GOV/PUBMED/29332746.
  5. González-Gálvez N, Marcos-Pardo PJ, Trejo-Alfaro H, Vaquero-Cristóbal R. Effect of 9-month Pilates program on sagittal spinal curvatures and hamstring extensibility in adolescents: Randomised controlled trial. Sci Reports. 2020; 10: 1-8.
  6. Oliveira LC, Oliveira RG, de Almeida Pires-Oliveira D A. Pilates increases the isokinetic muscular strength of the knee extensors and flexors in elderly women. J Bodywork Movement Therapies. 2017; 4: 815-822.
  7. Kliziene I, Sipaviciene S, Vilkiene J, Astrauskiene A, Cibulskas G, Klizas S, et al. Effects of a 16-week Pilates exercises training program for isometric trunk extension and flexion strength. J Bodywork Movement Therapies. 2017; 21(1): 124-132.
  8. Kulkarni M, Saini S, Palekar T, Hamdulay N. Effects of pilates on core muscle strength and endurance in post 6 months delivered women. Proteus J. 2020; 11(8): 136-151.
  9. Cruz JC, Liberali R, Cruz TM, Netto MI. The Pilates method in the rehabilitation of musculoskeletal disorders: a systematic review. Fisioterapia em Movimento. 2016; 29(3): 609-622.
  10. Kozii TP. Efektyvnist zastosuvannia pilatesu yak zasobu fizychnoi reabilitatsii pry deheneratyvno-dystrofichnykh zminakh elementiv poperekovoho khrebetno-rukhovoho sehmentu [Effectiveness of Pilates as a Means of Physical Rehabilitation with Degenerative-Distrophic Changes of Elements of the Lumbar Spine-moving segment]. Ukr Zh Med Biol Sport. 2018; 2(11): 271-277. [Ukraine].
  11. Gandolfi NRS, Corrente JE, De Vitta A, Gollino L, da Silva Mazeto GMF. The influence of the Pilates method on quality of life and bone remodelling in older women: a controlled study. Quality of Life Research. 2020; 29(2): 381-389.
  12. Kofotolis N, Kellis E, Vlachopoulos SP, Gouitas I, Theodorakis Y. Effects of Pilates and trunk strengthening exercises on health-related quality of life in women with chronic low back pain. J Back Musculoskelet Rehab. 2016; 29(4): 649-659.
  13. Okamoto H. Osnovy fizychnoi reabilitatsii [Fundamentals of physical rehabilitation]. Navch posib. Lviv: Lvivska oblasna asotsiatsiia fakhivtsiv fizychnoi reabilitatsii; 2002. [Ukraine]