{"title":"Effectiveness of pilates on fatigue in persons with chronic conditions: a systematic review and meta-analysis.","authors":"Ulric Sena Abonie, Martin Ackah, Michael Kelly","doi":"10.1080/09638288.2025.2512406","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effectiveness of Pilates on fatigue, quality of life and physical function in persons with chronic conditions and explore potential intervention moderators.</p><p><strong>Materials and methods: </strong>PubMed, SPORTDiscus, AMED and CINAHL were systematically searched from database inception to September 2024, to identify relevant studies. Two independent reviewers screened and selected the articles and evaluated methodological quality. Studies were included if they were randomised controlled trials of Pilates to improve fatigue in persons with chronic conditions.</p><p><strong>Results: </strong>Eighteen studies involving 812 participants were included. Pilates had a significant effect on fatigue, quality of life and physical function. Meta-analyses showed Pilates had significant effect on physical function [Hedge's <i>g</i> = 0.85 (95% CI: 0.30; 1.40), <i>p</i> = 0.01] but the effects on fatigue [Hedge's g = -0.43 (95% CI: -0.96; 0.11), <i>p</i> = 0.12] and quality of life [Hedge's <i>g</i> = 0.49 (95% CI: -0.40; 1.37), <i>p</i> = 0.28] were not significant. Interventions with smaller duration (6-8 weeks) influenced Pilates effect on fatigue. The type of chronic condition and control did not influence effect.</p><p><strong>Conclusions: </strong>Pilates has beneficial effects on physical function and may help reduce fatigue and improve quality of life in persons with chronic conditions. Pilates exercises used in rehabilitation settings can influence health outcomes.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Disability and Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09638288.2025.2512406","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To examine the effectiveness of Pilates on fatigue, quality of life and physical function in persons with chronic conditions and explore potential intervention moderators.
Materials and methods: PubMed, SPORTDiscus, AMED and CINAHL were systematically searched from database inception to September 2024, to identify relevant studies. Two independent reviewers screened and selected the articles and evaluated methodological quality. Studies were included if they were randomised controlled trials of Pilates to improve fatigue in persons with chronic conditions.
Results: Eighteen studies involving 812 participants were included. Pilates had a significant effect on fatigue, quality of life and physical function. Meta-analyses showed Pilates had significant effect on physical function [Hedge's g = 0.85 (95% CI: 0.30; 1.40), p = 0.01] but the effects on fatigue [Hedge's g = -0.43 (95% CI: -0.96; 0.11), p = 0.12] and quality of life [Hedge's g = 0.49 (95% CI: -0.40; 1.37), p = 0.28] were not significant. Interventions with smaller duration (6-8 weeks) influenced Pilates effect on fatigue. The type of chronic condition and control did not influence effect.
Conclusions: Pilates has beneficial effects on physical function and may help reduce fatigue and improve quality of life in persons with chronic conditions. Pilates exercises used in rehabilitation settings can influence health outcomes.
目的:探讨普拉提对慢性疾病患者的疲劳、生活质量和身体功能的影响,并探讨潜在的干预调节因子。材料和方法:系统检索PubMed、SPORTDiscus、AMED和CINAHL从建库到2024年9月的相关研究。两名独立审稿人对文章进行筛选和选择,并评估方法学质量。研究纳入随机对照试验普拉提,以改善慢性疾病患者的疲劳。结果:纳入18项研究,涉及812名受试者。普拉提对疲劳、生活质量和身体机能有显著的影响。meta分析显示普拉提对身体功能有显著影响[Hedge's g = 0.85 (95% CI: 0.30;1.40), p = 0.01]但对疲劳的影响[Hedge's g = -0.43 (95% CI: -0.96;0.11), p = 0.12]和生活质量[Hedge's g = 0.49 (95% CI: -0.40;1.37), p = 0.28]差异无统计学意义。时间较短的干预(6-8周)影响普拉提对疲劳的效果。慢性疾病类型和对照组对疗效没有影响。结论:普拉提对身体功能有有益的影响,可能有助于减轻慢性疾病患者的疲劳和提高生活质量。在康复环境中使用普拉提运动可以影响健康结果。
期刊介绍:
Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.