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Journals / Balıkesir Sağlık Bilimleri Dergisi / 2025 / Volume: 14 Issue: 3

The Effects of Instrument Pilates on Balance, Fatigue, Posture and Quality of Life in Patients with Postural Disorder

Postür Bozukluğu Olan Hastalarda Aletli Pilatesin Denge, Yorgunluk, Postür ve Yaşam Kalitesi Üzerine Etkileri

Ergün Kılınç(İSTANBUL AREL ÜNİVERSİTESİ)0000-0002-3477-9265
Sanem Şener(Bülent Ecevit Üniversitesi)0000-0003-1664-1016
Pages
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Publication Date
2025-10-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Instrumental Pilates exercises performed twice a week had positive effects on balance, fatigue, posture, and quality of life in individuals with postural disorders.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to investigate the effects of instrumental Pilates training on balance, fatigue, posture, and quality of life in individuals with postural disorders.
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Key Findings & Data:Materials and Methods: The study involved 30 volunteer participants who engaged in instrumental Pilates exercises twice a week under the guidance of a physiotherapist for 10 weeks.
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Conclusion & Impact:Conclusion: Instrumental Pilates exercises performed twice a week had positive effects on balance, fatigue, posture, and quality of life in individuals with postural disorders.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Equipment-based pilates · postural balance · fatigue

Abstract

Objective: The aim of this study was to investigate the effects of instrumental Pilates training on balance, fatigue, posture, and quality of life in individuals with postural disorders. Materials and Methods: The study involved 30 volunteer participants who engaged in instrumental Pilates exercises twice a week under the guidance of a physiotherapist for 10 weeks. The participants' quality of life was assessed using the SF-36, balance using the Berg Balance Scale, fatigue using the Fatigue Severity Scale (FSS), and posture using the PostureScreen Mobile® application before and after the intervention. Results: Statistically significant improvements were observed in participants’ balance and all sub-dimensions of quality of life following the Instrumental Pilates training (p < 0.05). Fatigue levels significantly decreased (p<0.05), and significant improvements were found in all posture parameters except anterior shoulder alignment (p< 0.05). Conclusion: Instrumental Pilates exercises performed twice a week had positive effects on balance, fatigue, posture, and quality of life in individuals with postural disorders.

Özet

Amaç: Bu çalışmanın amacı, postür bozukluğu olan bireylerde Aletli Pilates egzersizlerinin denge, yorgunluk, postür ve yaşam kalitesi üzerindeki etkilerini araştırmaktır. Gereç ve Yöntem: Çalışmaya, fizyoterapist eşliğinde haftada iki kez aletli Pilates egzersizlerine katılan 30 gönüllü birey dahil edilmiştir. Egzersiz programı 10 hafta sürmüştür. Katılımcıların yaşam kaliteleri SF-36 formu ile, denge durumları Berg Denge Skalası ile, yorgunluk düzeyleri Yorgunluk Şiddeti Skalası (FSS) ile ve postürleri PostureScreen Mobile® uygulaması ile egzersiz öncesi ve sonrası değerlendirilmiştir. Bulgular: Aletli Pilates egzersizleri sonrasında katılımcıların denge değerlerinde ve yaşam kalitesinin tüm alt boyutlarında istatistiksel olarak anlamlı artış gözlenmiştir (p<0.05). Yorgunluk düzeylerinde anlamlı bir azalma saptanmıştır (p<0.05). Postür analizinde, omuzun anterior değerlendirmesi hariç tüm parametrelerde anlamlı iyileşme elde edilmiştir (p<0.05). Sonuç: Haftada iki gün uygulanan aletli Pilates egzersizlerinin, postür bozukluğu olan bireylerde denge, yorgunluk, postür ve yaşam kalitesi üzerinde olumlu etkileri olduğu belirlenmiştir.

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Cite This Article

Kılınç, E., Şener, S. (2025). The Effects of Instrument Pilates on Balance, Fatigue, Posture and Quality of Life in Patients with Postural Disorder. Balıkesir Sağlık Bilimleri Dergisi, Volume: 14 Issue: 3. https://doi.org/10.53424/balikesirsbd.1651101

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References (40)

  1. Abonie, U. S., Ackah, M., & Kelly, M. (2025). Effectiveness of Pilates on fatigue in persons with chronic conditions: A systematic review and meta-analysis. Disability and Rehabilitation, 1–10. https://doi.org/10.1080/09638288.2025.2512406
  2. Aibar-Almazán, A., Hita-Contreras, F., Cruz-Díaz, D., De La Torre-Cruz, M., Jiménez-García, J. D., & Martínez-Amat, A. (2019). Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas, 124, 62–67. https://doi.org/10.1016/j.maturitas.2019.03.019
  3. Arik, M. I., Kiloatar, H., & Saracoglu, I. (2022). Do Pilates exercises improve balance in patients with multiple sclerosis? A systematic review and meta-analysis. Multiple Sclerosis and Related Disorders, 57, 103410. https://doi.org/10.1016/j.msard.2021.103410
  4. Armutlu, K., Korkmaz, N. C., Keser, I., Sumbuloglu, V., Akbiyik, D. I., Guney, Z., & Karabudak, R. (2007). The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 30(1), 81–85. https://doi.org/10.1097/MRR.0b013e3280146ec4
  5. Berg, K. O., Maki, B. E., & Williams, K. I. (1992). Clinical and laboratory measures of postural balance in an elderly population. Archives of Physical Medicine and Rehabilitation, 73, 1073–1080.
  6. Boland, D. M., Neufeld, E. V., Ruddell, J., Dolezal, B. A., & Cooper, C. B. (2016). Inter- and intra-rater agreement of static posture analysis using a mobile application. Journal of Physical Therapy Science, 28(12), 3398–3402. https://doi.org/10.1589/jpts.28.3398
  7. Bullo, V., Bergamin, M., Gobbo, S., Sieverdes, J. C., Zaccaria, M., Neunhaeuserer, D., & Ermolao, A. (2015). The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: A systematic review for future exercise prescription. Preventive Medicine, 75, 1–11. https://doi.org/10.1016/j.ypmed.2015.03.002
  8. Çağlayan, B. Ç., Aras, B., Aras, Ö., & Süt, N. (2021). Effects of clinical Pilates exercises in individuals with fibromyalgia: A randomized controlled trial. European Journal of Rheumatology, 8(1), 32–37. https://doi.org/10.5152/eurjrheum.2020.20037
  9. Centemeri, R., Riva, M. A., Belingheri, M., Paladino, M. E., D'Orso, M. I., & Intra, J. (2024). The clinical challenge of identifying postural changes associated with musculoskeletal disorders in a population of adolescents: The evaluation of a diagnostic approach. Biomedicines, 12(10), 2168. https://doi.org/10.3390/biomedicines12102168
  10. Cruz-Ferreira, A., Fernandes, J., Kuo, Y.-L., Bernardo, L. M., Fernandes, O., Laranjo, L., & Silva, A. (2013). Does Pilates-based exercise improve postural alignment in adult women? Women & Health, 53(6),597-611. https://doi.org/10.1080/03630242.2013.817505
  11. Çoban, O. (2021). Denge yetisinin incelenmesi. Çanakkale Onsekiz Mart Üniversitesi Spor Bilimleri Dergisi, 4(3), 58–80.
  12. Długosz-Boś, M., Filar-Mierzwa, K., Stawarz, R., Ścisłowska-Czarnecka, A., Jankowicz-Szymańska, A., & Bac, A. (2021). Effect of three months Pilates training on balance and fall risk in older women. International Journal of Environmental Research and Public Health, 18(7), 3663. https://doi.org/10.3390/ijerph18073663
  13. Emery, K., De Serres, S. J., McMillan, A., & Côté, J. N. (2010). The effects of a Pilates training program on arm-trunk posture and movement. Clinical Biomechanics (Bristol, Avon), 25(2), 124–130. https://doi.org/10.1016/j.clinbiomech.2009.10.003
  14. Eroğlu, A., Erden, Z., & Tekindal, M. A. (2013). The effects of Pilates exercises on posture, flexibility and musculoskeletal symptoms in sedentary women. Journal of Bodywork and Movement Therapies, 17(3), 273–281. https://doi.org/10.1016/j.jbmt.2013.03.006
  15. Feldman, R., Schreiber, S., Pick, C. G., & Been, E. (2020). Gait, balance and posture in major mental illnesses: Depression, anxiety, and schizophrenia. Austin Medical Sciences, 5(1), 1-6. https://doi.org/10.32508/amj.v5i1.1384 Fleming, K. M., Coote, S. B., & Herring, M. P. (2021). Home-based Pilates for symptoms of anxiety, depression and fatigue among persons with multiple sclerosis: An 8-week randomized controlled trial. Multiple Sclerosis Journal, 27(14), 2267–2279. https://doi.org/10.1177/135245852110092
  16. García-Soidán, J. L., Giraldez, V. A., Cachón Zagalaz, J., & Lara-Sánchez, A. J. (2014). Does Pilates exercise increase physical activity, quality of life, latency, and sleep quantity in middle-aged people?. Perceptual and motor skills, 119(3), 838–850. https://doi.org/10.2466/29.25.PMS.119c30z9
  17. Hopkins, B. B., Vehrs, P. R., Fellingham, G. W., George, J. D., Hager, R., & Ridge, S. T. (2019). Validity and reliability of standing posture measurements using a mobile application. Journal of Manipulative and Physiological Therapeutics, 42(2), 132–140. https://doi.org/10.1016/j.jmpt.2019.02.003
  18. Jobe, C. M., Phipatanakul, W. P., & Coen, M. J. (2009). Gross anatomy of the shoulder. In C. A. Rockwood Jr., F. A. Matsen III, M. A. Wirth, & S. L. Burkhead (Eds.), The shoulder (4th ed., Vol. 1, pp. 213, 233). Saunders Elsevier. Katayıfçı, N., Düger, T., & Ünal, E. (2016). Sağlıklı bireylerde klinik Pilates egzersizlerinin fiziksel uygunluk üzerine etkisi. Journal of Exercise Therapy and Rehabilitation, 1, 17–21.
  19. Koçyiğit, H. (1999). Turkish validity and reliability of the Short Form-36. İlaç ve Tedavi Dergisi, 12, 102–106. Kibar, S., Yardımcı, B., Tetik, S., & Aksoy, S. (2017). Clinical Pilates exercises influence on postural alignment, pain and quality of life in office workers. Physiotherapy Theory and Practice, 33(6), 483–489. https://doi.org/10.1080/09593985.2017.1289578
  20. Kisner, C., Colby, L. A., & Borstad, J. (2017). Therapeutic exercise: Foundations and techniques (7th ed.). F.A. Davis.
  21. Kloubec, J. A. (2010). Pilates for improvement of muscle endurance, flexibility, balance, and posture. Journal of Strength and Conditioning Research, 24(3), 661–667. https://doi.org/10.1519/JSC.0b013e3181c277a6
  22. Lee, S. M., Lee, C. H., O'Sullivan, D., Jung, J. H., & Park, J. J. (2016). Clinical effectiveness of a Pilates treatment for forward head posture. Journal of Physical Therapy Science, 28(7), 2009–2013. https://doi.org/10.1589/jpts.28.2009
  23. Lim, E. J., & Park, J. E. (2019). The effects of Pilates and yoga participants on engagement in functional movement and individual health level. Journal of Exercise Rehabilitation, 15(4), 553–559. https://doi.org/10.12965/jer.1938280.140
  24. Marshall, P. W., Schabrun, S., & Knox, M. F. (2017). Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PLOS ONE, 12(7), e0180788. https://doi.org/10.1371/journal.pone.0180788
  25. Mazzarino, M., Kerr, D., Wajswelner, H., & Morris, M. E. (2015). Pilates Method for Women's Health: Systematic Review of Randomized Controlled Trials. Archives of physical medicine and rehabilitation, 96(12), 2231–2242. https://doi.org/10.1016/j.apmr.2015.04.005
  26. Meikis, L., Wicker, P., & Donath, L. (2021). Effects of Pilates training on physiological and psychological health parameters in healthy older adults and in older adults with clinical conditions over 55 years: A meta-analytical review. Frontiers in Neurology, 12, 724218. https://doi.org/10.3389/fneur.2021.724218
  27. Michener, L. A., McClure, P. W., & Karduna, A. R. (2003). Anatomical And Biomechanical Mechanisms of Subacromial Impingement Syndrome. Clinical Biomechanics, 18(5), 369-379. https://doi.org/10.1016/j.clinbiomech.2003.04.003
  28. Mirzaei, E., Kouhnavard, B., Daneshmandi, H., Seif, M., & Zamanian, Z. (2024). Determining the effect of environmental factors, work postures and mental workload on musculoskeletal disorders in rescue workers and accidents of one of the water and sewage companies in Iran. Work, 78(4), 969–981. https://doi.org/10.3233/WOR-230250
  29. Natour, J., Cazotti, L.deA., Ribeiro, L. H., Baptista, A. S., & Jones, A. (2015). Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clinical rehabilitation, 29(1), 59–68. https://doi.org/10.1177/0269215514538981
  30. Oliveira, L. C. de, Oliveira, R. G. de, & Pires-Oliveira, D. A. A. (2015). Effects of Pilates on muscle strength, postural balance and quality of life of older adults: A randomized, controlled, clinical trial. Journal of Physical Therapy Science, 27(3), 871–876. https://doi.org/10.1589/jpts.27.871
  31. Razak, N. A., Azhar, Z. I., Ismail, Z., Azman, Z. A. M., Manap, S. A. A., Ramli, N., & Mun, C. C. (2024). Impact of Pilates exercise on quality of life, functional capacity, cancer-related fatigue, depression and salivary cortisol of colorectal cancer survivors: A quasi-experimental study. Asian Pacific Journal of Cancer Prevention, 25(8), 2895–2902. https://doi.org/10.31557/APJCP.2024.25.8.2895
  32. Roller, M., Kachingwe, A., Beling, J., Ickes, D. M., Cabot, A., & Shrier, G. (2018). Pilates Reformer Exercises For Fall Risk Reduction in Older Adults: A Randomized Controlled Trial. Journal of Bodywork and Movement Therapies, 22(4), 983-998. https://doi.org/10.1016/j.jbmt.2017.09.004
  33. Ruas, C. V., & Vieira, E. R. (2017). Do muscle strength imbalances and low flexibility levels lead to low back pain? A brief review. Journal of Bodywork and Movement Therapies, 21(4), 857–861. https://doi.org/10.1016/j.jbmt.2017.04.007
  34. Sahin, F., Yilmaz, F., Ozmaden, A., Kotevolu, N., Sahin, T., & Kuran, B. (2008). Reliability and validity of the Turkish version of the Berg Balance Scale. Journal of Geriatric Physical Therapy, 31(1), 32–37. https://doi.org/10.1519/00139143-200831010-00006
  35. Segal, N. A., Hein, J., & Basford, J. R. (2004). The effects of Pilates training on flexibility and body composition: An observational study. Archives of Physical Medicine and Rehabilitation, 85(12), 1977–1981. https://doi.org/10.1016/j.apmr.2004.01.036
  36. Sekendiz, B., Altun, Ö., Korkusuz, F., & Aktop, A. (2007). Effects of Pilates exercise on trunk strength, endurance and flexibility in sedentary adult females. Journal of Bodywork and Movement Therapies, 11(4), 318–326. https://doi.org/10.1016/j.jbmt.2006.12.002
  37. Uzun, M. (2017). Omuz-boyun postür problemi olan yetişkin hastalarda klinik Pilates egzersizlerinin postüre etkisinin belirlenmesi (Yayımlanmamış yüksek lisans tezi). Hasan Kalyoncu Üniversitesi, Gaziantep.
  38. Valachi, B., & Valachi, K. (2003). Mechanisms leading to musculoskeletal disorders in dentistry. Journal of the American Dental Association (1939), 134(10), 1344–1350. https://doi.org/10.14219/jada.archive.2003.0048
  39. Vieira, F. T., Faria, L. M., Wittmann, J. I., Teixeira, W., & Nogueira, L. A. (2013). The influence of Pilates method in quality of life of practitioners. Journal of Bodywork and Movement Therapies, 17(4), 483–487. https://doi.org/10.1016/j.jbmt.2013.03.006
  40. Warburton, D. E., & Bredin, S. S. (2016). Reflections on physical activity and health: what should we recommend?. Canadian Journal of Cardiology, 32(4), 495-504. https://doi.org/10.1016/j.cjca.2016.01.024