Effects of Core Stability Training Using Pilates on Core Muscle Strength, Pulmonary Function, and Cardio-respiratory Fitness in the Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 29
- 试验地点
- 1
- 主要终点
- Core Stability (Prone Bridge Test)
研究概览
简要总结
This study investigates how different types of exercise-specifically Mat Pilates and Aerobic training-can help improve the physical health and breathing capacity of healthy older adults aged 60 to 77.
As we age, our bodies naturally experience a decline in core strength and lung function, which can make daily activities more tiring. The goal of this research is to compare whether the specialized breathing and core-strengthening techniques of Pilates provide better results for respiratory health and physical endurance than traditional treadmill walking.
Study Structure
A total of 29 participants from Nakhon Si Thammarat, Thailand, were randomly assigned to one of three groups:
Pilates Group: Practicing Mat Pilates sessions focused on core stability and controlled breathing.
Aerobic Group: Performing moderate-intensity treadmill walking.
Control Group: Maintaining their normal daily routine without a structured exercise program.
Duration & Intensity Both exercise groups trained for 60 minutes, three times a week, over an 8-week period. By comparing these groups, the study aims to identify effective exercise options that can help seniors maintain their independence and improve their quality of life.
详细描述
This randomized controlled trial (RCT) utilizes a three-arm parallel-group design to examine the comparative impacts of Mat Pilates and aerobic exercise on pulmonary function, core muscle strength, flexibility, and cardiorespiratory fitness in healthy older adults.
Methodology and Participants:
Twenty-nine healthy, non-smoking older adults (aged 60-77) were enrolled. Participants were stratified by sex, age, and baseline core stability (assessed via the plank test) before being randomly assigned to the Pilates Training Group (PTG), Aerobic Training Group (ATG), or Control Group (CON).
Intervention Protocol:
Pilates Group (PTG): An 8-week program consisting of 60-minute sessions, three times weekly. The sessions focus on lateral breathing mechanics and core activation ("the powerhouse"), including multi-directional stepping and trunk rotation, maintained at 55%-70% of Heart Rate Reserve (HRR).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Participants and instructors could not be blinded due to the nature of exercise interventions. However, the outcome assessors and data analysts were blinded to the group assignments.
入排标准
- 年龄范围
- 60 Years 至 77 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy older adults aged 60-77 years.
- •Non-smokers.
- •Capable of independent movement and daily activities.
- •Not engaged in any structured exercise program for at least 6 months prior to enrollment.
- •Free from dietary supplementation for at least 6 months.
- •Controlled hypertension (120-159/80-99 mmHg) with physician clearance.
- •Willing to provide written informed consent.
排除标准
- •Severe cardiovascular or respiratory diseases.
- •Acute or chronic musculoskeletal conditions (e.g., spondylolisthesis, scoliosis, arthritis, or gout).
- •Severe back pain or tendinitis that hinders exercise.
- •Uncontrolled hypertension.
- •Use of medications that significantly affect heart rate or physical performance.
研究组 & 干预措施
Pilates Training Group (PTG)
Participants receive an 8-week Mat Pilates program (60 mins, 3 times/week) focused on core stability and breathing mechanics.
干预措施: Mat Pilates Program (Behavioral)
Aerobic Training Group (ATG)
Participants perform moderate-intensity treadmill walking (60 mins, 3 times/week) at 55%-70% Heart Rate Reserve.
干预措施: Aerobic Exercise (Treadmill Walking) (Behavioral)
Control Group (CON)
Participants maintain their usual lifestyle and daily activities without any new structured exercise program.
结局指标
主要结局
Core Stability (Prone Bridge Test)
时间窗: Baseline (Week 0) and Post-intervention (Week 8).
The total time that the participant can maintain a neutral spine position during the Prone Bridge (Plank) Test. This measures the endurance of the core stabilizing muscles. Unit of Measure: Seconds
次要结局
- Forced Vital Capacity (FVC)(Baseline (Week 0) and Post-intervention (Week 8))
- Forced Expiratory Volume in 1 Second (FEV1)(Baseline (Week 0) and Post-intervention (Week 8))
- FEV1/FVC Ratio(Baseline (Week 0) and Post-intervention (Week 8))
- Forced Expiratory Flow at 25-75% (FEF25-75%)(Baseline (Week 0) and Post-intervention (Week 8))
- Maximum Voluntary Ventilation (MVV)(Baseline (Week 0) and Post-intervention (Week 8))
- Six-Minute Walk Test (6MWT)(Baseline (Week 0) and Post-intervention (Week 8))
- Lower Body Flexibility (Sit-and-Reach Test)(Baseline (Week 0) and Post-intervention (Week 8))
- Upper Body Flexibility (Back-Scratch Test)(Baseline (Week 0) and Post-intervention (Week 8))