Neuropilates

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Original Editor - Sehriban Ozmen

Top Contributors - Sehriban Ozmen, Kim Jackson and Lucinda hampton  

Introduction[edit | edit source]

Neuropilates is the practice of pilates in people with neurological conditions.[1]

It combines the traditional principles of the Pilates exercise method (such as centring, concentration and control, breath awareness and flow) with neurological rehabilitation principles such as neuroplasticity and motor learning. [2]

It modifies the exercises based on each patient's needs. For example, it may use more functional positions, may increase repetitions (in line with repetitive task training of post-stroke [3]), and may use visualisation cues and motor imagery often [4]. [2]

Effects[edit | edit source]

Neuropilates is theorised to improve the following in people with neurological conditions through retraining low threshold activity of local muscles and decreasing over-active global muscles by The Australian Physiotherapy and Pilates Institute (APPI®): [5]

Evidence[edit | edit source]

Multiple Sclerosis (MS)[edit | edit source]

Recent systematic reviews that investigated Pilates effects on the MS population concluded that Pilates can provide improvement of balance [6] gait, physical-functional capacities, and cognitive functions, [7] and also might reduce self-perceived fatigue [8]. However, findings are fairly limited for fatigue, quality of life, and psychiatric conditions such as depression or anxiety. [7] The superiority of Pilates compared to other interventions still needs further research. [8][6]

Stroke[edit | edit source]

Parkinson[edit | edit source]

Resources[edit | edit source]

The videos below contain examples of Neuropilates exercises guided by Physiotherapist Jo Pritchard.

References[edit | edit source]

  1. Cronin E, Roberts D, Monaghan K. Neuropilates to improve motor function in stroke: past, present, and future. Ortho Res Online J. 2020 Feb 21;7(1):000651.
  2. 2.0 2.1 Cronin E, Monaghan K. Online neuropilates classes in chronic stroke patients: Protocol for a randomised controlled feasibility study. Contemporary Clinical Trials Communications. 2023 Apr 1;32:101068.
  3. French B, Thomas LH, Coupe J, McMahon NE, Connell L, Harrison J, Sutton CJ, Tishkovskaya S, Watkins CL. Repetitive task training for improving functional ability after stroke. Cochrane database of systematic reviews. 2016(11).
  4. Guerra ZF, Lucchetti AL, Lucchetti G. Motor imagery training after stroke: a systematic review and meta-analysis of randomized controlled trials. Journal of Neurologic Physical Therapy. 2017 Oct 1;41(4):205-14.
  5. Withers G. Modified pilates rehabilitation programme (manual) pilates and neurology.
  6. 6.0 6.1 Arik MI, Kiloatar H, Saracoglu I. Do Pilates exercises improve balance in patients with multiple sclerosis? A systematic review and meta-analysis. Multiple Sclerosis and Related Disorders. 2022 Jan 1;57:103410.
  7. 7.0 7.1 7.2 Rodriguez-Fuentes G, Silveira-Pereira L, Ferradans-Rodriguez P, Campo-Prieto P. Therapeutic effects of the pilates method in patients with multiple sclerosis: a systematic review. Journal of clinical medicine. 2022 Jan 28;11(3):683.
  8. 8.0 8.1 8.2 Sánchez-Lastra MA, Martínez-Aldao D, Molina AJ, Ayán C. Pilates for people with multiple sclerosis: A systematic review and meta-analysis. Multiple sclerosis and related disorders. 2019 Feb 1;28:199-212.
  9. The Multiple Sclerosis Trust. Neuro Pilates: Hip twist. Available from: https://www.youtube.com/watch?v=-QXA4KIIO0A
  10. The Multiple Sclerosis Trust. Neuro Pilates: Mermaid stretch. Available from: https://www.youtube.com/watch?v=0YXukdwjRFA