Pilates Plus Whole-body Vibration on Bone Mass, Muscle Strength, Balance and Quality of Life in Postmenopausal Women
Overview
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 10
- Primary Endpoint
- Lumbar spine BMD
Overview
Brief Summary
This controlled, quasi-experimental clinical trial investigated the effects of a combined Pilates and whole-body vibration (WBV) intervention on bone mineral density (BMD), muscle strength, postural balance, and quality of life in postmenopausal women. Fifteen women aged 50-71 years initially served as a historical control group in a previous study. After completion of that protocol, ten of these participants underwent a 26-week combined intervention consisting of supervised Pilates exercises and WBV performed three times per week.
BMD was assessed using dual-energy X-ray absorptiometry (DXA). Peak torque of the lower limbs was measured by isokinetic dynamometry. Postural balance was evaluated using a force platform, and quality of life was assessed using the Short Form-36 (SF-36) questionnaire. Outcomes obtained after the combined intervention were compared with those from the historical control phase.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •(a) no engagement in structured physical exercise for at least six months prior to enrollment; (b) agreement to refrain from participating in any additional physical exercise programs during the study period; (c) ability to perform activities of daily living independently23, 24; (d) presentation of a medical certificate confirming fitness to engage in physical exercise; (e) cognitive status score \> 19 on the Mini-Mental State Examination25; and (f) no use of medications aimed at increasing BMD or muscle mass within the previous 12 months.
Exclusion Criteria
- •(a) personal decision; (b) adverse events that make participation impossible.
Arms & Interventions
Pilates plus WBV
Pilates exercises combined with whole-body vibration.
Intervention: Pilates plus whole-body vibration (Other)
Outcomes
Primary Outcomes
Lumbar spine BMD
Time Frame: From enrollment to the end of treatment, in 6 months
Lumbar spine bone mineral density
Femoral neck BMD
Time Frame: From enrollment to the end of treatment, in 6 months
Femoral neck bone mineral density
Total hip BMD
Time Frame: From enrollment to the end of treatment, in 6 months
Total hip bne mineral density
Trochanter BMD
Time Frame: From enrollment to the end of treatment, in 6 months
Trochanter bone mineral density
Secondary Outcomes
- Knee extensor strength at 60º/s(From enrollment to the end of treatment, in 6 months)
- Knee flexor strength at 60º/s(From enrollment to the end of treatment, in 6 months)
- Knee extensor strength 180º/s(From enrollment to the end of treatment, in 6 months)
- Knee flexor strength 180º/s(From enrollment to the end of treatment, in 6 months)
- Static balance with bipedal support and eyes open (area - cm2)(From enrollment to the end of treatment, in 6 months)
- Static balance with bipedal support and eyes closed (area - cm2)(From enrollment to the end of treatment, in 6 months)
- Static balance with semi-tandem support and eyes open (area - cm2)(From enrollment to the end of treatment, in 6 months)
- Static balance with semi-tandem support and eyes closed (area - cm2)(From enrollment to the end of treatment, in 6 months)
- Static balance with unipedal support and eyes open (area - cm2)(From enrollment to the end of treatment, in 6 months)
- Static balance with bipedal support and eyes open (anteroposterior displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with bipedal support and eyes closed (anteroposterior displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with semi-tandem support and eyes open (anteroposterior displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with semi-tandem support and eyes closed (anteroposterior displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with unipedal support and eyes open (anteroposterior displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with bipedal support and eyes open (medial-lateral displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with bipedal support and eyes closed (medial-lateral displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with semi-tandem support and eyes open (medial-lateral displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with semi-tandem support and eyes closed (medial-lateral displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Static balance with unipedal support and eyes open (medial-lateral displacement - cm/s)(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Physical Functioning(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Role-Physical(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Bodily Pain(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - General Health(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Vitality(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Social Functioning(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Role-Emotional(From enrollment to the end of treatment, in 6 months)
- Quality of life (SF-36) - Mental Health(From enrollment to the end of treatment, in 6 months)
Investigators
Raphael Goncalves de Oliveira
Dr
Universidade Estadual do Norte do Parana