Pilates for people with multiple sclerosis: A systematic review and meta-analysis

Area of Science:

• Neurology
• Physical Therapy
• Rehabilitation

Background:

• Pilates is a low-cost, attractive exercise modality with potential benefits for neurological conditions.
• Evidence for Pilates' effectiveness in multiple sclerosis (MS) rehabilitation is growing.
• Health professionals need updated scientific evidence to prescribe Pilates for MS patients.

Purpose of the Study:

• To systematically review and meta-analyze studies on the effects of Pilates in people with MS.
• To identify the characteristics and methodological quality of relevant research.
• To provide updated scientific evidence on Pilates for MS rehabilitation.

Main Methods:

• Systematic search of four databases (MEDLINE/PubMed, PEDro, SPORTDiscuss, Scopus) up to April 2018.
• Inclusion of 14 studies (10 RCTs, 4 quasi-experimental).
• Methodological quality assessed using PEDro scale and Quality Assessment Tool for Before-After Studies with No Control Group.

Main Results:

• Pilates showed significant effects on physical function, fatigue, balance confidence, and walking ability in MS patients.
• Improvements in quality of life were reported in some studies.
• Depression was not significantly influenced by Pilates.
• Meta-analysis indicated Pilates was not superior to other therapies for functional mobility, cardiorespiratory fitness, fatigue, or quality of life.

Conclusions:

• Pilates is a feasible therapy for individuals with MS, potentially improving physical function and reducing self-perceived fatigue.
• The benefits of Pilates are comparable to other physical therapies.
• High-quality randomized controlled trials (RCTs) are needed to strengthen the evidence base.