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Impact of Pilates training on gait performance in individuals with unilateral transtibial amputation
Tavares, J.M.A. Cutisque, L.P. Rodacki, A.L.F.
Tavares, J.M.A.
Cutisque, L.P.
Rodacki, A.L.F.
Publication Date
2025-10-17
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© 2025 The Author(s). This is an Open Access article distributed under the Creative Commons CC-BY license (https://creativecommons.org/licenses/by/4.0/)
Peer-Reviewed
Yes
Open Access status
openAccess
Accepted for publication
2025-10-04
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tavares_et_al_2025.pdf
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Additional title
Abstract
Purpose
To evaluate the effects of a 3-month Pilates training program on spatiotemporal gait parameters in unilateral transtibial amputees (TTA).
Materials and methods
Ten TTA (aged 18 to 59 years) participated in a training program consisting of 36 remote, supervised mat-based Pilates sessions, assessed at baseline, pre- and post-training, and at follow-up. Spatiotemporal gait parameters were recorded using an instrumented walkway at self-selected walking speed (SSWS) and fast walking speed (FWS). Functional mobility was assessed using the Timed-up and Go (TUG) test. Statistical analyses included repeated measures ANOVA and effect size calculations.
Results
Following training prosthetic limb step length increased (p = 0.015). The intact side also showed increased step length (p = 0.009), while stance time (p = 0.011) and swing time (p = 0.005) decreased post-training. No changes in asymmetry were observed, regardless of walking speed (p > 0.05). Walking speed increased significantly for SSWS (p < 0.001) and FWS (p = 0.002). Performance on the TUG test increased post the training intervention (p < 0.001).
Conclusion
The 3-month Pilates program improved gait performance and functional mobility in TTA, suggesting that Pilates may be an effective rehabilitation tool.
Version
Published version
Citation
Tavares JMA, Cutisque LP, Buckley J et al (2025) Impact of Pilates training on gait performance in individuals with unilateral transtibial amputation. Disability and Rehabilitation.
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Article