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Physiother Theory Pract. 2017 Apr;33(4):289-295. doi: 10.1080/09593985.2017.1289578. Epub 2017 Mar 1.

Do Pilates-based exercises following total knee arthroplasty improve postural control and quality of life?

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a Department of Physiotherapy and Rehabilitation , Hacettepe University, Faculty of Health Sciences , Samanpazari , Ankara , Turkey.
b Department of Orthopedics and Traumatology , Hacettepe University, Faculty of Medicine , Samanpazari , Ankara , Turkey.



The aim of this prospective, randomized, controlled study was to investigate the effects of the addition of Pilates-based exercises to standard exercise programs performed after total knee arthroplasty on quality of life and balance.


Forty-six volunteers were divided into two groups. The control group (n = 17) was assigned a standard exercise program after discharge; the study group (n = 17) was assigned Pilates-based exercises along with the standard exercise program. We carried out clinical evaluations of all patients on the day of discharge and after the completion of the 6-week exercise program. We also recorded sociodemographic data, Berg Balance test scores, and Short Form-36 (SF-36) health-related quality of life measurements.


When we compared the differences between pre- and post-treatment balance scores of the groups, we found a significant change in favor of the Pilates-based exercise group (13.64 ± 1.45; p < 0.01). The changes in the pre- and post-treatment SF-36 scores of the Pilates-based exercises group were found to be significant in terms of physical function (p = 0.001), physical role restriction (p = 0.01), and physical component score (p = 0.001).


Pilates-based exercises performed along with standard exercise programs were more effective for improving balance and quality of life than standard exercise programs alone.


Balance; core control; exercise; functional performance; pilates-based exercises; total knee arthroplasty; trunk stabilization

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