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Published in: Trials 1/2019

Open Access 01-12-2019 | Study protocol

Load monitoring on Pilates training: a study protocol for a randomized clinical trial

Authors: Allysiê Priscilla de Souza Cavina, Eduardo Pizzo Junior, Aryane Flauzino Machado, Taíse Mendes Biral, Carlos Marcelo Pastre, Franciele Marques Vanderlei

Published in: Trials | Issue 1/2019

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Abstract

Background

Currently there are campaigns to raise the awareness of the need to practice physical exercise with several objectives, mainly as a preventive measure. The Pilates method is a form of therapeutic exercise for maintaining and improving health. However, despite being popular, there is still no scientific evidence on the standardization and progression of the method. Therefore, the purpose of this study was to develop a protocol to monitor the progression of daily Pilates loads between the basic, intermediate, and advanced levels, as well as to analyze the effects of the method on psychometric, cardiorespiratory, and autonomic measures.

Methods/design

In total, 54 healthy men underwent 36 sessions of Pilates mat work. Before each training session, cardiorespiratory measures, pain (visual analogue scale), and a psychometric questionnaire were collected. Heart rate (HR), subjective perception of effort (SPE), and RR intervals were measured during the sessions and used later in the analysis of the progression of training load by monitoring the internal training load and heart rate variability. At the end of the sessions, cardiorespiratory measures, the visual analogue scale, and the psychometric questionnaire were measured again. After 15 min of rest, the final HR measurement was made and the participants noted the effort on the SPE scale. The psychometric, cardiorespiratory, and autonomic measures were evaluated before and after each of the 36 training sessions.

Discussion

This is a parallel randomized clinical trial of standardized Pilates training, with the aim of estimating training loads and measuring the efficacy of Pilates through clinical, cardiorespiratory, and autonomic outcomes. The protocol can easily be reproduced and could be used to support professionals in prescribing the method.

Trial registration

ClinicalTrials.gov, NCT03232866. Registered on 28 July 2017.
Appendix
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Literature
1.
go back to reference Owsley A. An introduction to clinical Pilates. Athl Ther Today. 2005;10(4):19–25.CrossRef Owsley A. An introduction to clinical Pilates. Athl Ther Today. 2005;10(4):19–25.CrossRef
2.
go back to reference Bernardo LM. The effectiveness of Pilates training in healthy adults: an appraisal of the research literature. J Bodyw Mov Ther. 2007;11(2):106–10.CrossRef Bernardo LM. The effectiveness of Pilates training in healthy adults: an appraisal of the research literature. J Bodyw Mov Ther. 2007;11(2):106–10.CrossRef
3.
go back to reference Rodrigues LB, Forjaz CL, Lima AH, Miranda AS, Rodrigues SL, Cardoso CG Jr, et al. A single bout of resistance exercise does not modify cardiovascular responses during daily activities in patients with peripheral artery disease. Blood Press Monit. 2014;19(2):64–71.CrossRef Rodrigues LB, Forjaz CL, Lima AH, Miranda AS, Rodrigues SL, Cardoso CG Jr, et al. A single bout of resistance exercise does not modify cardiovascular responses during daily activities in patients with peripheral artery disease. Blood Press Monit. 2014;19(2):64–71.CrossRef
4.
go back to reference Prinsloo GE, Rauch HG, Derman WE. A brief review and clinical application of heart rate variability biofeedback in sports, exercise, and rehabilitation medicine. Phys Sportsmed. 2014;42(2):88–99.CrossRef Prinsloo GE, Rauch HG, Derman WE. A brief review and clinical application of heart rate variability biofeedback in sports, exercise, and rehabilitation medicine. Phys Sportsmed. 2014;42(2):88–99.CrossRef
5.
go back to reference Task Force of the European Society of Cardiology of the North American Society of Pacing Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 1996;93(5):1043–65.CrossRef Task Force of the European Society of Cardiology of the North American Society of Pacing Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation. 1996;93(5):1043–65.CrossRef
6.
go back to reference Foster C, Florhaug JA, Franklin J, Gottaschall L, Hrovatin LA, Parker S, et al. A new approach to monitoring exercise training. J Strength Cond Res. 2001;15(1):109–15.PubMed Foster C, Florhaug JA, Franklin J, Gottaschall L, Hrovatin LA, Parker S, et al. A new approach to monitoring exercise training. J Strength Cond Res. 2001;15(1):109–15.PubMed
7.
go back to reference Aubert AE, Seps B, Beackers F. Heart rate variability in athletes. Sports Med. 2003;33(12):889–919.CrossRef Aubert AE, Seps B, Beackers F. Heart rate variability in athletes. Sports Med. 2003;33(12):889–919.CrossRef
8.
go back to reference Ciolac EG, Mantuani SS, Neiva CM, Verardi CEL, Pessôa-Filho DM, Pimenta L. Rating of perceived exertion as a tool for prescribing and self regulating interval training: a pilot study. Biol Sport. 2015;32(2):103–8.CrossRef Ciolac EG, Mantuani SS, Neiva CM, Verardi CEL, Pessôa-Filho DM, Pimenta L. Rating of perceived exertion as a tool for prescribing and self regulating interval training: a pilot study. Biol Sport. 2015;32(2):103–8.CrossRef
9.
go back to reference Azevedo A, Matos LF, Nakamura FY, Pereira G. Perception of effort monitors internal load during compounded circuit training. Motriz: Rev Educ Fís. 2016;22(1):90–3. Azevedo A, Matos LF, Nakamura FY, Pereira G. Perception of effort monitors internal load during compounded circuit training. Motriz: Rev Educ Fís. 2016;22(1):90–3.
10.
go back to reference Woodcock J, Franco OH, Orsini N, Roberts I. Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. Int J Epidemiol. 2011;40(1):121–38.CrossRef Woodcock J, Franco OH, Orsini N, Roberts I. Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. Int J Epidemiol. 2011;40(1):121–38.CrossRef
11.
go back to reference Orrow G, Kinmonth AL, Sanderson S, Sutton S. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2012;344:e1389.CrossRef Orrow G, Kinmonth AL, Sanderson S, Sutton S. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2012;344:e1389.CrossRef
12.
go back to reference Chan AW, Tetzlaff JM, Altman DG, Laupacis A, Gotzsche PC, Krle A-Jeric K, et al. SPIRIT 2013 Statement: defining standard protocol items for clinical trials. Rev Panam Salud Publica 2015;38(6):506–514.PubMedPubMedCentral Chan AW, Tetzlaff JM, Altman DG, Laupacis A, Gotzsche PC, Krle A-Jeric K, et al. SPIRIT 2013 Statement: defining standard protocol items for clinical trials. Rev Panam Salud Publica 2015;38(6):506–514.PubMedPubMedCentral
13.
go back to reference Yamato T, Maher C, Saragiotto B, Moseley A, Hoffmann T, Elkins M, et al. The TIDieR checklist will benefit the physical therapy profession. Braz J Phys Ther. 2016;20(3):191–3.CrossRef Yamato T, Maher C, Saragiotto B, Moseley A, Hoffmann T, Elkins M, et al. The TIDieR checklist will benefit the physical therapy profession. Braz J Phys Ther. 2016;20(3):191–3.CrossRef
14.
go back to reference Yamato TP, Maher CG, Saragiotto BT, Moseley AM, Hoffmann TC, Elkins MR, et al. The TIDieR checklist will benefit the physiotherapy profession. Physiother Can. 2016;68(4):311–2.CrossRef Yamato TP, Maher CG, Saragiotto BT, Moseley AM, Hoffmann TC, Elkins MR, et al. The TIDieR checklist will benefit the physiotherapy profession. Physiother Can. 2016;68(4):311–2.CrossRef
15.
go back to reference Treweek S, Lockhart P, Pitkethly M, Cook JA, Kjeldstrom M, Johansen M, et al. Methods to improve recruitment to randomised controlled trials: Cochrane systematic review and meta-analysis. BMJ Open. 2013;3:e002360.CrossRef Treweek S, Lockhart P, Pitkethly M, Cook JA, Kjeldstrom M, Johansen M, et al. Methods to improve recruitment to randomised controlled trials: Cochrane systematic review and meta-analysis. BMJ Open. 2013;3:e002360.CrossRef
16.
go back to reference Machado AF, Almeida AC, Micheletti JK, Vanderlei FM, Tribst MF, Netto Junior J, et al. Dosages of cold-water immersion post exercise on functional and clinical responses: a randomized controlled trial. Scand J Med Sci Sports. 2017;27(11):1356–63.CrossRef Machado AF, Almeida AC, Micheletti JK, Vanderlei FM, Tribst MF, Netto Junior J, et al. Dosages of cold-water immersion post exercise on functional and clinical responses: a randomized controlled trial. Scand J Med Sci Sports. 2017;27(11):1356–63.CrossRef
17.
go back to reference Broatch JR, Petersen A, Bishop DJ. Post-exercise cold-water immersion benefits are not greater than the placebo effect. Med Sci Sports Exerc. 2014;46(11):2139–47.CrossRef Broatch JR, Petersen A, Bishop DJ. Post-exercise cold-water immersion benefits are not greater than the placebo effect. Med Sci Sports Exerc. 2014;46(11):2139–47.CrossRef
18.
go back to reference Tanaka H, Monaha KD, Selas DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153–6.CrossRef Tanaka H, Monaha KD, Selas DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153–6.CrossRef
19.
go back to reference Moreira A, Bilsborough JC, Sullivan CJ, Ciancosi M, Aoki MS, Coutts AJ. The training periodization of professional Australian football players during an entire AFL season. Int J Sports Physiol Perform. 2015;10(5):566–71.CrossRef Moreira A, Bilsborough JC, Sullivan CJ, Ciancosi M, Aoki MS, Coutts AJ. The training periodization of professional Australian football players during an entire AFL season. Int J Sports Physiol Perform. 2015;10(5):566–71.CrossRef
20.
go back to reference Edwards S. High performance training and racing. In: The Heart Rate Monitor Book. 8th ed. Sacramento: Feet Fleet Press; 1993. Edwards S. High performance training and racing. In: The Heart Rate Monitor Book. 8th ed. Sacramento: Feet Fleet Press; 1993.
21.
go back to reference Flatt AA, Esco MR, Nakamura FY. Individual heart rate variability responses to preseason training in high level female soccer players. J Strenght Cond Res. 2017;31(2):531–8.CrossRef Flatt AA, Esco MR, Nakamura FY. Individual heart rate variability responses to preseason training in high level female soccer players. J Strenght Cond Res. 2017;31(2):531–8.CrossRef
22.
go back to reference Nakamura FY, Pereira LA, Rabelo FN, Flatt AA, Esco MR, Bertollo M, et al. Monitoring weekly heart rate variability in futsal players during the preseason: the importance of maintaining high vagal activity. J Sports Sci. 2016;34(24):2262–8.CrossRef Nakamura FY, Pereira LA, Rabelo FN, Flatt AA, Esco MR, Bertollo M, et al. Monitoring weekly heart rate variability in futsal players during the preseason: the importance of maintaining high vagal activity. J Sports Sci. 2016;34(24):2262–8.CrossRef
23.
go back to reference Vanderlei LCM, Silva RA, Pastre CM, Azevedo FM, Godoy MF. Comparison of the Polar S810i monitor and the ECG for the analysis of heart rate variability in the time and frequency domains. Braz J Med Biol Res. 2008;41(10):854–9.CrossRef Vanderlei LCM, Silva RA, Pastre CM, Azevedo FM, Godoy MF. Comparison of the Polar S810i monitor and the ECG for the analysis of heart rate variability in the time and frequency domains. Braz J Med Biol Res. 2008;41(10):854–9.CrossRef
24.
go back to reference Marães VFSR, Teixeira LCA, Catai AM, Milan LA, Rojas FAR, Oliveira L, et al. Determinação e avaliação do limiar de anaerobiose a partir de métodos de análise da frequência cardíaca de sua variabilidade. Rev Soc Cardiol Estado de São Paulo. 2003;13(4):1–6. Marães VFSR, Teixeira LCA, Catai AM, Milan LA, Rojas FAR, Oliveira L, et al. Determinação e avaliação do limiar de anaerobiose a partir de métodos de análise da frequência cardíaca de sua variabilidade. Rev Soc Cardiol Estado de São Paulo. 2003;13(4):1–6.
25.
go back to reference Laborde S, Mosley E, Thayer JF. Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting. Front Psychol. 2017;8:213.CrossRef Laborde S, Mosley E, Thayer JF. Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting. Front Psychol. 2017;8:213.CrossRef
26.
go back to reference Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front Public Health. 2017;5:258.CrossRef Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front Public Health. 2017;5:258.CrossRef
27.
go back to reference Tulppo MP, Makikallio TH, Takala TES, Seppanen T, Huikuri HV. Quantitative beat-to-beat analysis of heart rate dynamics during exercise. Am J Phys. 1996;271(7):H244–52. Tulppo MP, Makikallio TH, Takala TES, Seppanen T, Huikuri HV. Quantitative beat-to-beat analysis of heart rate dynamics during exercise. Am J Phys. 1996;271(7):H244–52.
28.
go back to reference Smith AL, Reynolds KJ, Owen H. Correlated Poincaré indices for measuring heart rate variability. Australas Phys Eng Sci Med. 2007;30(4):336–41.PubMed Smith AL, Reynolds KJ, Owen H. Correlated Poincaré indices for measuring heart rate variability. Australas Phys Eng Sci Med. 2007;30(4):336–41.PubMed
29.
go back to reference Irwin S, Tecklin JS. Fisioterapia cardiopulmonar. 3rd ed. São Paulo: Manole; 2003. p. 348–9. Irwin S, Tecklin JS. Fisioterapia cardiopulmonar. 3rd ed. São Paulo: Manole; 2003. p. 348–9.
30.
go back to reference Nunes WA, Terzi RGG. Pulse oximeters in the evaluation of oxygen transportation in critical patients. Rev Latino-Am Enfermagem. 1999;7(2):79–85.CrossRef Nunes WA, Terzi RGG. Pulse oximeters in the evaluation of oxygen transportation in critical patients. Rev Latino-Am Enfermagem. 1999;7(2):79–85.CrossRef
31.
go back to reference Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT, et al. 7ª Diretriz brasileira de hipertensão arterial. Rev Soc Bras Cardiol. 2016;107(3):1–03. Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT, et al. 7ª Diretriz brasileira de hipertensão arterial. Rev Soc Bras Cardiol. 2016;107(3):1–03.
32.
go back to reference Sellwood KL, Brukner P, Williams D, Nicol A, Hinman R. Ice-water immersion and delayed-onset muscle soreness: a randomised controlled trial. Br J Sports Med. 2007;41(6):392–7.CrossRef Sellwood KL, Brukner P, Williams D, Nicol A, Hinman R. Ice-water immersion and delayed-onset muscle soreness: a randomised controlled trial. Br J Sports Med. 2007;41(6):392–7.CrossRef
33.
go back to reference Baroni BM, Leal Junior EC, De Marchi T, Lopes AL, Salvador M, Vaz MA. Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol. 2010;110(4):789–96.CrossRef Baroni BM, Leal Junior EC, De Marchi T, Lopes AL, Salvador M, Vaz MA. Low level laser therapy before eccentric exercise reduces muscle damage markers in humans. Eur J Appl Physiol. 2010;110(4):789–96.CrossRef
34.
go back to reference Barbosa MPR, Netto Júnior J, Cassemiro BM, de Souza NM, Bernardo AF, da Silva AK, et al. Impact of functional training on cardiac autonomic modulation, cardiopulmonary parameters and quality of life in healthy women. Clin Physiol Funct Imaging. 2016;36(4):318–25.CrossRef Barbosa MPR, Netto Júnior J, Cassemiro BM, de Souza NM, Bernardo AF, da Silva AK, et al. Impact of functional training on cardiac autonomic modulation, cardiopulmonary parameters and quality of life in healthy women. Clin Physiol Funct Imaging. 2016;36(4):318–25.CrossRef
35.
go back to reference Hopkins WG. Measures of reliability in sports medicine and science. Sports Med. 2000;30(1):1–5.CrossRef Hopkins WG. Measures of reliability in sports medicine and science. Sports Med. 2000;30(1):1–5.CrossRef
36.
go back to reference Batterham AM, Hopkins WG. Making meaningful inferences about magnitudes. Int J Sports Physiol Perform. 2006;1(1):50–7.CrossRef Batterham AM, Hopkins WG. Making meaningful inferences about magnitudes. Int J Sports Physiol Perform. 2006;1(1):50–7.CrossRef
37.
go back to reference Buchheit M. Monitoring training status with HR measures: Do all roads lead to Rome? Front Physiol. 2014;73(5):1–19. Buchheit M. Monitoring training status with HR measures: Do all roads lead to Rome? Front Physiol. 2014;73(5):1–19.
38.
go back to reference Pivatelli FC, Santos MA, Fernandes GB, Gatti M, Abreu LC, Valenti VE, et al. Sensitivity, specificity and predictive values of linear and nonlinear indices of heart rate variability in stable angina patients. Int Arch Med. 2012;5(1):31.CrossRef Pivatelli FC, Santos MA, Fernandes GB, Gatti M, Abreu LC, Valenti VE, et al. Sensitivity, specificity and predictive values of linear and nonlinear indices of heart rate variability in stable angina patients. Int Arch Med. 2012;5(1):31.CrossRef
39.
go back to reference Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: A systematic review. Complement Ther Med. 2012;20(4):253–62.CrossRef Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: A systematic review. Complement Ther Med. 2012;20(4):253–62.CrossRef
40.
go back to reference Yamato TP, Maher CG, Saragiotto BT, Hancock MJ, Ostelo RW, Cabral CM, et al. Pilates for low-back pain. Cochrane Database Syst Rev. 2015;7:CD010265. Yamato TP, Maher CG, Saragiotto BT, Hancock MJ, Ostelo RW, Cabral CM, et al. Pilates for low-back pain. Cochrane Database Syst Rev. 2015;7:CD010265.
Metadata
Title
Load monitoring on Pilates training: a study protocol for a randomized clinical trial
Authors
Allysiê Priscilla de Souza Cavina
Eduardo Pizzo Junior
Aryane Flauzino Machado
Taíse Mendes Biral
Carlos Marcelo Pastre
Franciele Marques Vanderlei
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Trials / Issue 1/2019
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-019-3684-x

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