Sivrika A, Sivrika P, Morakis A, Lamnisos D, Georgoudis G, Stasinopoulos D. Is Pilates an effective tool for the management of kinesiophobia in musculoskeletal disorders? World J Meta-Anal 2024; 12(4): 96981 [DOI: 10.13105/wjma.v12.i4.96981]
Corresponding Author of This Article
Aikaterini Sivrika, MSc, Physiotherapist, Department of Physiotherapy, University of West Attica, 28, Agiou Spyridonos Street, Egaleo 12243, Athens, Greece. asivrika@uniwa.gr
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Meta-Anal. Dec 18, 2024; 12(4): 96981 Published online Dec 18, 2024. doi: 10.13105/wjma.v12.i4.96981
Is Pilates an effective tool for the management of kinesiophobia in musculoskeletal disorders?
Aikaterini Sivrika, Panagiota Sivrika, Andreas Morakis, Demetris Lamnisos, George Georgoudis, Dimitrios Stasinopoulos
Aikaterini Sivrika, George Georgoudis, Dimitrios Stasinopoulos, Department of Physiotherapy, University of West Attica, Egaleo 12243, Athens, Greece
Panagiota Sivrika, Department of Physiotherapy, Freelancer, Ymittos 17236, Attikí, Greece
Andreas Morakis, Department of Orthopaedics, KAT General Hospital, Athens 14561, Attikí, Greece
Demetris Lamnisos, Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia 2404, Cyprus
Author contributions: Sivrika AP contributed to conceptualization; Sivrika AP and Sivrika PP contributed to methodology; Sivrika AP, Sivrika PP, and Morakis A contributed to data collection and analysis; Sivrika AP, Sivrika PP, and Morakis A contributed to original writing and draft preparation; Lamnisos D, Georgoudis G, and Stasinopoulos D contributed to review-writing and editing; Sivrika AP and Stasinopoulos D contributed to Visualization; Sivrika AP and Stasinopoulos D contributed to project administration.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, revise, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Aikaterini Sivrika, MSc, Physiotherapist, Department of Physiotherapy, University of West Attica, 28, Agiou Spyridonos Street, Egaleo 12243, Athens, Greece. asivrika@uniwa.gr
Received: May 19, 2024 Revised: July 7, 2024 Accepted: September 11, 2024 Published online: December 18, 2024 Processing time: 206 Days and 15.8 Hours
Abstract
BACKGROUND
Kinesiophobia is a common condition often manifested in patients with musculoskeletal disorders within the process of rehabilitation. Recently, the literature has been investigating whether Pilates could contribute to the management of kinesiophobia in various musculoskeletal disorders. However, aggregated data regarding its effectiveness are absent from literature.
AIM
To evaluate recordings of the Pilates method in kinesiophobia related to musculoskeletal disorders.
METHODS
PubMed, ScienceDirect, Scopus and Pedro databases were all scrutinized for randomized controlled trials, by two or more intervention groups, where at least one group received a Pilates-based intervention and which had been conducted in patients aged 18-65 years with musculoskeletal disorders, having assessed at least one outcome related to kinesiophobia. The systematic review was based on the PRISMA guidelines.
RESULTS
We have identified five studies, with a total of 366 patients with musculoskeletal disorders. Three of them showed that a Pilates-based intervention by either mat or equipment can combat kinesiophobia in patients with musculoskeletal conditions, while another showed that Pilates exercises with equipment may have better long-term effects on kinesiophobia compared to Pilates mat.
CONCLUSION
Overall, a strong level of research evidence has been amassed for the Pilates intervention as well as a moderate level of research evidence for the effectiveness of equipment-based Pilates in reducing kinesiophobia in patients with musculoskeletal disorders. While the underlying mechanisms driving such a result remain unknown, it appears that Pilates can influence both biological and psychological factors in musculoskeletal disorders, thus resulting in the management of kinesiophobic behaviours.
Core Tip: Pilates is a type of exercise that promotes body awareness and helps individuals gradually gain functional capacity. The structural and progressive nature of Pilates exercises allows individuals to regain movement through a holistic approach which offers confidence and thus reduces fear of movement which is often associated with musculoskeletal conditions. Several studies have indicated positive results of Pilates in treating kinesiophobia. More well-designed studies would set the principles of tailor-made rehabilitation protocols which would contribute to a more evidence-based, successful and sustained recovery.
