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J Bodyw Mov Ther. 2012 Oct;16(4):549-54. doi: 10.1016/j.jbmt.2012.02.002. Epub 2012 Feb 28.

Changes in gait and balance parameters in elderly subjects attending an 8-week supervised Pilates programme.

Author information

1
Anglo European College of Chiropractic, 14-15 Parkwood Rd, Bournemouth BH5 2DF, UK. dnewell@aecc.ac.uk

Abstract

Falls in the elderly have important clinical and economic costs and interventions that may reduce the risk of such problems are potentially important. Although evidence exists for a range of exercise interventions, few have looked at a Pilates-based intervention in a supervised community-based setting and none have specifically measured gait parameters as an outcome. This observational study investigated gait parameters including inter-stride variability (ISV) and postural sway in a group (n = 9) of elderly (age range, 60-76) subjects attending a weekly Pilates class over eight weeks. The results suggest that significant improvement in walking speed (0.14 m/s (95% CI: 0.06-0.21)), step cycle (0.07 m (95% CI: 0.01-0.14)) and length (0.10 m (95% CI: 0.05-0.15)) and a composite ambulation index (6.5% (95% CI: 1.85-11.26)) were seen post the intervention, while coefficients of variation decreased around 15%. In addition both anterior-posterior sway decreased along with a improvement in a fall risk index (FRI). Inter-stride variability on the other hand did not change. The results of this study suggest that a short Pilates program may have the potential to improve gait and sway parameters, including those associated with fall risk.

PMID:
23036886
DOI:
10.1016/j.jbmt.2012.02.002
[Indexed for MEDLINE]

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