DPT Abstract ID# 838
Graduate Category: Health Degree Level: DPT Abstract ID# 838
Abstract Background: The Pilates Method was developed by Joseph Pilates to address the physical well-‐being of individuals with postural deformiGes, Polio, and other orthopedic impairments. Current literature, although limited, demonstrates that Pilates may be a beneficial rehabilitaGon tool. The purpose of our study is to invesGgate Pilates uGlizaGon by Physical Therapists. Methods: A pilot survey was sent to 21 physical therapists including experts in Pilates. Data regarding demographics, beliefs and uGlizaGon of Pilates were collected. QualitaGve feedback regarding survey content and structure was collected from parGcipants and will be used to assure content validity in the final version. Frequencies were reported and Chi-‐square analysis as well as Fisher Exact Test were used to determine associaGon between variables. Results: 13 surveys were returned with a response rate of 61.9%. 46% of respondents had greater than 20+ years of experience and 38% were APTA board cerGfied. 54% of respondents uGlize the Pilates Method in pracGce and uGlize Pilates themselves while 33% recommend Pilates to paGents. 29% a[ended a Pilates cerGficaGon course while 43% were self-‐taught. 75% felt that PT’s and PT students should be trained in Pilates. There was a significant associaGon between those that pracGced Pilates themselves and those that uGlized it with their paGents (p=.029). No associaGons were found between region of pracGce or years of experience and uGlizaGon of Pilates. Conclusion: In this small sample, Physical Therapists who uGlize Pilates themselves were more likely to use Pilates with their paGents.
Study Aims • To assure content validity in the final version of the survey through the collecGon of QualitaGve feedback on the Pilot Survey. • To determine the uGlizaGon of Pilates in a small sample of Physical Therapists. • To determine if there are associaGons between those therapists that pracGce Pilates themselves, region they pracGce in and years of experience with uGlizaGon of Pilates with their paGents.
Background • Developed in the early 20th century by Joseph Pilates • Addressed mental and physical well-‐being of those with postural deformiGes, polio and other orthopedic impairments • UGlizes both equipment (reformer, tower, chair) and mat exercises • Can be modified depending on fitness level and strength • Recent surge in use of Pilates in fitness and a shii in its applicaGon to PT and rehabilitaGon • Limited quality research regarding the effecGveness of the Pilates Method in RehabilitaGon
A Pilot Survey of Physical Therapists’ UGlizaGon of The Pilates Method in RehabilitaGon Dr. Debra Bangs PT, DPT Jill Anzalone sPT, BS, Erica Lee sPT, BS, Kelsey Mancini sPT, Meghan O’Malley sPT, BS
Methods
StaGsGcal Analysis
• A pilot survey was developed and sent to 21 physical therapists from a sample of convenience, 13 of which took part in the study. • QualitaGve feedback was requested regarding the content and structure of the pilot survey. • DescripGve data from the pilot survey is summarized as percentages in tables below. • Chi square tests and Fisher Exact Tests were used to determine significance of relaGonships between groups. • A final survey will be developed using the qualitaGve feedback to assure content validity, structure and flow of the survey. • The final survey will be sent to a random group of physical therapists selected from online databases of the Orthopedic and EducaGon SecGons of the American Physical Therapy AssociaGon and American Academy of Orthopedic Manual Physical Therapists. The same methods will be used to analyze the full data set.
Discussion
Conclusion
• 46% of the respondents had 20+ years of experience. There was no significant relaGonship between years of experience and uGlizaGon of Pilates in PT pracGce. This may be due to the fact that the invesGgator has 20+ years of experience and the sample consisted of PT’s familiar to the invesGgator. • 54% of respondents pracGce Pilates themselves. 85.7% of these respondents uGlize Pilates with their paGents. This was a staGsGcally significant associaGon possibly indicaGng that once familiar with Pilates, PT’s are more likely to understand the benefit of Pilates for their paGents. • 33% of respondents recommend Pilates classes to their paGents, all recommend small group classes held at a studio while 50% recommended larger classes, private classes or home DVD’s. • 50% are interested in learning more about Pilates through a weekend course • 75% believe that PT’s and PT students should be familiar with Pilates. This may indicate a need to further educate the PT community regarding the benefits of Pilates in RehabilitaGon. • 100% of respondents who uGlize Pilates do so with their Orthopedic paGents while 57% uGlize Pilates with geriatric and neurological diagnoses. The PT community may need further educaGon regarding the benefits of Pilates with populaGons other than orthopedic paGents.
• In a very small sample of convenience that included experts in the Pilates Method, therapists that pracGce Pilates are more likely to uGlize Pilates with their paGents. • Once qualitaGve feedback is analyzed and the survey is sent to a larger populaGon, it will be determined if the staGsGcal significance found in the pilot survey can be extended to the PT populaGon at large. • With a larger sample, associaGons may become significant with respect to region of the country and years of experience and uGlizaGon of Pilates. • More research and educaGon is needed regarding the benefits of Pilates in rehabilitaGon. • The survey is of appropriate length but several quesGons will need re-‐wording to alleviate confusion and assure accuracy of terminology related to Pilates.
Data/results
References
QualitaGve feedback
1. Anderson B. Fiqng pilates into a rehabilitaGon pracGce. Rehab Manag. 2010;23(5):24.
Add the quesGon “Do you plan on adding Pilates to your pracGce” #3 confusing, by personally pracGced did you mean with paGents? Include other doctorate degrees, PhD and EdD Put demographic informaGon first In order to be cerGfied in Pilates, you must take an exam with the Pilates Method Alliance, only when you pass that exam are you considered cerGfied, otherwise you are a pracGGoner so make sure to make this disGncGon in the quesGon • Great survey, interesGng topic, achieves what you set out to learn
5. Di Lorenzo CE. Pilates: What is it? Should it be used in rehabilitaGon? Sports Health. 2011 Jul;3(4):352-‐61
• • • • •
2. Ickes D. Pilates: An adjunct to a PT's pracGce. Rehab Manag. 2009;22(5):32-‐33. 3. Anderson B, Spector A. IntroducGon to Pilates-‐Based RehabilitaGon. Orthop Clin N Am. 2000;9(3): 395-‐410 4. Image from: Debra Collier School of Dance Inc. Available at: h[p://collierdance.com/wp-‐content/ uploads/2013/12/pilates-‐2.jpg, Accessed 19 March 2015. 6. Dias JM, Menacho MdO, Mazuquin BF, et al. Comparison of the electromyographic acGvity of the anterior trunk during the execuGon of two pilates exercises – teaser and longspine – for healthy people. Journal of Electromyography and Kinesiology. 2014;24(5):689-‐697. 7. Wells C, Kolt GS, Marshall P, Bialocerkowski A. The definiGon and applicaGon of pilates exercise to treat people with chronic low back pain: A delphi survey of australian physical therapists. Phys Ther. 2014;94(6): 792-‐805. 8. Wells C, Kolt G, S., Marshall P, Bialocerkowski A. IndicaGons, benefits, and risks of Pilates exercise for people with chronic low back pain: A delphi survey of Pilates-‐trained physical therapists. Phys There. 2014;94(6):806-‐817. 9. Wells, Cherie, et al. "EffecGveness of Pilates exercise in treaGng people with chronic low back pain: a systemaGc review of systemaGc reviews." BMC Medical Research Methodology 13 (2013): 7. Academic OneFile. Web. 6 Nov. 2014. 10. Choon Wyn Lim E, Li Choo Poh R, Ying Low A, Pong Wong W. Effects of Pilates-‐based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systemaGc review with meta-‐ analysis. J Orthop Sports Phys There. 2011;41(2):70-‐-‐80. 11. Pata RW, Lord K, Lamb J. The effect of pilates based exercise on mobility, postural stability, and balance in order to decrease fall risk in older adults. J Bodywork Movement Ther. 2014;18(3):361-‐367. 12. Curi Pérez VS, Haas AN, Wolff SS. Analysis of acGviGes in the daily lives of older adults exposed to the pilates method. J Bodywork Movement Ther. 2014;18(3):326-‐331. 13. Alves dA, Bezerra dS, Bragade Mello D, Cader SA, Shiguemi IS, Dantas EHM. The effecGveness of the pilates method: Reducing the degree of non-‐structural scoliosis, and improving flexibility and pain in female college students. J Bodyw Mov Ther. 2012;16(2):191-‐198.
Abstract Background: The Pilates Method was developed by Joseph Pilates to address the physical well-‐being of individuals with postural deformiGes, Polio, and other orthopedic impairments. Current literature, although limited, demonstrates that Pilates may be a beneficial rehabilitaGon tool. The purpose of our study is to invesGgate Pilates uGlizaGon by Physical Therapists. Methods: A pilot survey was sent to 21 physical therapists including experts in Pilates. Data regarding demographics, beliefs and uGlizaGon of Pilates were collected. QualitaGve feedback regarding survey content and structure was collected from parGcipants and will be used to assure content validity in the final version. Frequencies were reported and Chi-‐square analysis as well as Fisher Exact Test were used to determine associaGon between variables. Results: 13 surveys were returned with a response rate of 61.9%. 46% of respondents had greater than 20+ years of experience and 38% were APTA board cerGfied. 54% of respondents uGlize the Pilates Method in pracGce and uGlize Pilates themselves while 33% recommend Pilates to paGents. 29% a[ended a Pilates cerGficaGon course while 43% were self-‐taught. 75% felt that PT’s and PT students should be trained in Pilates. There was a significant associaGon between those that pracGced Pilates themselves and those that uGlized it with their paGents (p=.029). No associaGons were found between region of pracGce or years of experience and uGlizaGon of Pilates. Conclusion: In this small sample, Physical Therapists who uGlize Pilates themselves were more likely to use Pilates with their paGents.
Study Aims • To assure content validity in the final version of the survey through the collecGon of QualitaGve feedback on the Pilot Survey. • To determine the uGlizaGon of Pilates in a small sample of Physical Therapists. • To determine if there are associaGons between those therapists that pracGce Pilates themselves, region they pracGce in and years of experience with uGlizaGon of Pilates with their paGents.
Background • Developed in the early 20th century by Joseph Pilates • Addressed mental and physical well-‐being of those with postural deformiGes, polio and other orthopedic impairments • UGlizes both equipment (reformer, tower, chair) and mat exercises • Can be modified depending on fitness level and strength • Recent surge in use of Pilates in fitness and a shii in its applicaGon to PT and rehabilitaGon • Limited quality research regarding the effecGveness of the Pilates Method in RehabilitaGon
A Pilot Survey of Physical Therapists’ UGlizaGon of The Pilates Method in RehabilitaGon Dr. Debra Bangs PT, DPT Jill Anzalone sPT, BS, Erica Lee sPT, BS, Kelsey Mancini sPT, Meghan O’Malley sPT, BS
Methods
StaGsGcal Analysis
• A pilot survey was developed and sent to 21 physical therapists from a sample of convenience, 13 of which took part in the study. • QualitaGve feedback was requested regarding the content and structure of the pilot survey. • DescripGve data from the pilot survey is summarized as percentages in tables below. • Chi square tests and Fisher Exact Tests were used to determine significance of relaGonships between groups. • A final survey will be developed using the qualitaGve feedback to assure content validity, structure and flow of the survey. • The final survey will be sent to a random group of physical therapists selected from online databases of the Orthopedic and EducaGon SecGons of the American Physical Therapy AssociaGon and American Academy of Orthopedic Manual Physical Therapists. The same methods will be used to analyze the full data set.
Discussion
Conclusion
• 46% of the respondents had 20+ years of experience. There was no significant relaGonship between years of experience and uGlizaGon of Pilates in PT pracGce. This may be due to the fact that the invesGgator has 20+ years of experience and the sample consisted of PT’s familiar to the invesGgator. • 54% of respondents pracGce Pilates themselves. 85.7% of these respondents uGlize Pilates with their paGents. This was a staGsGcally significant associaGon possibly indicaGng that once familiar with Pilates, PT’s are more likely to understand the benefit of Pilates for their paGents. • 33% of respondents recommend Pilates classes to their paGents, all recommend small group classes held at a studio while 50% recommended larger classes, private classes or home DVD’s. • 50% are interested in learning more about Pilates through a weekend course • 75% believe that PT’s and PT students should be familiar with Pilates. This may indicate a need to further educate the PT community regarding the benefits of Pilates in RehabilitaGon. • 100% of respondents who uGlize Pilates do so with their Orthopedic paGents while 57% uGlize Pilates with geriatric and neurological diagnoses. The PT community may need further educaGon regarding the benefits of Pilates with populaGons other than orthopedic paGents.
• In a very small sample of convenience that included experts in the Pilates Method, therapists that pracGce Pilates are more likely to uGlize Pilates with their paGents. • Once qualitaGve feedback is analyzed and the survey is sent to a larger populaGon, it will be determined if the staGsGcal significance found in the pilot survey can be extended to the PT populaGon at large. • With a larger sample, associaGons may become significant with respect to region of the country and years of experience and uGlizaGon of Pilates. • More research and educaGon is needed regarding the benefits of Pilates in rehabilitaGon. • The survey is of appropriate length but several quesGons will need re-‐wording to alleviate confusion and assure accuracy of terminology related to Pilates.
Data/results
References
QualitaGve feedback
1. Anderson B. Fiqng pilates into a rehabilitaGon pracGce. Rehab Manag. 2010;23(5):24.
Add the quesGon “Do you plan on adding Pilates to your pracGce” #3 confusing, by personally pracGced did you mean with paGents? Include other doctorate degrees, PhD and EdD Put demographic informaGon first In order to be cerGfied in Pilates, you must take an exam with the Pilates Method Alliance, only when you pass that exam are you considered cerGfied, otherwise you are a pracGGoner so make sure to make this disGncGon in the quesGon • Great survey, interesGng topic, achieves what you set out to learn
5. Di Lorenzo CE. Pilates: What is it? Should it be used in rehabilitaGon? Sports Health. 2011 Jul;3(4):352-‐61
• • • • •
2. Ickes D. Pilates: An adjunct to a PT's pracGce. Rehab Manag. 2009;22(5):32-‐33. 3. Anderson B, Spector A. IntroducGon to Pilates-‐Based RehabilitaGon. Orthop Clin N Am. 2000;9(3): 395-‐410 4. Image from: Debra Collier School of Dance Inc. Available at: h[p://collierdance.com/wp-‐content/ uploads/2013/12/pilates-‐2.jpg, Accessed 19 March 2015. 6. Dias JM, Menacho MdO, Mazuquin BF, et al. Comparison of the electromyographic acGvity of the anterior trunk during the execuGon of two pilates exercises – teaser and longspine – for healthy people. Journal of Electromyography and Kinesiology. 2014;24(5):689-‐697. 7. Wells C, Kolt GS, Marshall P, Bialocerkowski A. The definiGon and applicaGon of pilates exercise to treat people with chronic low back pain: A delphi survey of australian physical therapists. Phys Ther. 2014;94(6): 792-‐805. 8. Wells C, Kolt G, S., Marshall P, Bialocerkowski A. IndicaGons, benefits, and risks of Pilates exercise for people with chronic low back pain: A delphi survey of Pilates-‐trained physical therapists. Phys There. 2014;94(6):806-‐817. 9. Wells, Cherie, et al. "EffecGveness of Pilates exercise in treaGng people with chronic low back pain: a systemaGc review of systemaGc reviews." BMC Medical Research Methodology 13 (2013): 7. Academic OneFile. Web. 6 Nov. 2014. 10. Choon Wyn Lim E, Li Choo Poh R, Ying Low A, Pong Wong W. Effects of Pilates-‐based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systemaGc review with meta-‐ analysis. J Orthop Sports Phys There. 2011;41(2):70-‐-‐80. 11. Pata RW, Lord K, Lamb J. The effect of pilates based exercise on mobility, postural stability, and balance in order to decrease fall risk in older adults. J Bodywork Movement Ther. 2014;18(3):361-‐367. 12. Curi Pérez VS, Haas AN, Wolff SS. Analysis of acGviGes in the daily lives of older adults exposed to the pilates method. J Bodywork Movement Ther. 2014;18(3):326-‐331. 13. Alves dA, Bezerra dS, Bragade Mello D, Cader SA, Shiguemi IS, Dantas EHM. The effecGveness of the pilates method: Reducing the degree of non-‐structural scoliosis, and improving flexibility and pain in female college students. J Bodyw Mov Ther. 2012;16(2):191-‐198.
