Acute Effects of Reformer, Cadillac, and Chair Pilates Appa-ratuses on Cardiac Autonomic Modulation and Flexibility in Sedentary Middle-Aged Women

Pilates is widely used to improve strength, posture, and flexibility, and it may also influence how the heart responds to exercise. Many Pilates programs use equipment such as the reformer, cadillac, and chair, which provide adjustable spring resistance and allow movement in different body positions. Although these apparatuses are commonly used in fitness and rehabilitation settings, little is known about whether they create different short-term effects on cardiovascular function or flexibility, especially in people who are sedentary.

This study designed to compare the immediate effects of three Pilates apparatuses-reformer, cadillac, and chair-on heart rate variability (a marker of cardiac autonomic activity) and flexibility in sedentary middle-aged women. Understanding these effects may help practitioners choose equipment that best supports specific goals, such as improving cardiovascular recovery or increasing muscle flexibility.

Each participant will complete one exercise session on each apparatus in a randomized order. Heart rate variability will be measured before exercise, during exercise, and throughout a short recovery period to observe how the body responded and returned to a resting state. Flexibility will be assessed before and after each session to determine the immediate physical benefit of the different apparatus types.

This study may help clarify whether specific Pilates equipment provides unique physiological advantages. Such information may support more targeted exercise prescriptions for individuals who are beginning Pilates, those with limited fitness experience, or those seeking improvements in flexibility or cardiovascular regulation.