A Delphi survey of pilates-trained physical therapists
Physical Therapy, 05/12/2014 Clinical Article
Wells C, et al. – The objective of this study was to establish a consensus regarding the indications, contraindications, and precautions of Pilates exercise and the potential benefits and risks of Pilates exercise for people with chronic low back pain (CLBP). These findings contribute to a better understanding of the indications, contraindications, and precautions of Pilates exercise and the benefits and risks of Pilates exercise for people with CLBP.
Methods
- A panel of 30 Australian physical therapists experienced in the use of Pilates exercise were surveyed using the Delphi technique.
- Three electronic questionnaires were used to collect participant opinions.
- Answers to open–ended questions were analyzed thematically, combined with research findings, and translated into statements about Pilates exercise.
- Participants then rated their level of agreement with statements using a 6–point Likert scale.
- Consensus was achieved when 70% of panel members agreed or disagreed with an item.
Results
- Thirty physical therapists completed the 3 questionnaires.
- Consensus was reached on 100% of items related to the benefits, indications, and precautions of Pilates exercise, on 50% of items related to risks, and on 56% of items related to contraindications.
- Participants agreed that people who have poor body awareness and maladaptive movement patterns may benefit from Pilates exercise, whereas those with pre–eclampsia, unstable spondylolisthesis, or a fracture may not benefit.
- Participants also agreed that Pilates exercise may improve functional ability, movement confidence, body awareness, posture, and movement control.