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Feasibility and Preliminary Outcomes of a Machine-Based Pilates Program on Quality of Life and Low Back Pain in Aged Adults: A Mixed-Methods Approach

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
dc.contributor.authorAzul, Joana
dc.contributor.authorSilva, Carolina
dc.contributor.authorSalvador, Rogério Paulo
dc.contributor.authorAntunes, Raul
dc.contributor.authorDuarte-Mendes, Pedro
dc.contributor.authorRodrigues, Filipe
dc.date.accessioned2026-08-25T09:57:14Z
dc.date.available2026-08-25T09:57:14Z
dc.date.issued2026-05-25
dc.description.abstractBackground and Objectives: The aging process impacts physical function and quality of life, often exacerbated by chronic conditions such as low back pain. This pilot study explored the feasibility and preliminary outcomes of a 12-week machine-based Classical Pilates program on quality of life and low back pain in older adults. Materials and Methods: An exploratory mixed-methods approach was used. The quantitative phase included 13 participants (Mage = 64.76 ± 4.71) to evaluate quality of life. All 13 participants were assessed for low back pain and quality of life, and 4 females participated in a focus group for a qualitative analysis of perceived benefits. The intervention consisted of two individual sessions per week. Results: Preliminary quantitative analysis revealed an increase in the physical domain of quality of life (p < 0.05). There was a reduction in pain intensity and global pain values (p < 0.05). Qualitative data provided context for these preliminary findings, with participants reporting perceived improvements in mobility, body awareness, pain management, and sleep quality, alongside notable psychosocial benefits. Conclusions: Preliminary findings suggest that a 12-week individual machine-based Pilates program is feasible and may be associated with improvements in the physical domain of quality of life and perceived low back pain in active older adults. Due to the complete absence of a control group and the very small sample size, it is impossible to isolate the intervention’s efficacy from natural progression or placebo effects. Consequently, these results are strictly exploratory and hypothesis-generating. The mixed-methods approach highlights that individualized machine-based Pilates may provide self-reported psychosocial and daily living benefits, supporting the need for future well-powered randomized controlled trials.eng
dc.identifier.citationAzul, J., Silva, C., Salvador, R., Antunes, R., Duarte-Mendes, P., & Rodrigues, F. (2026). Feasibility and Preliminary Outcomes of a Machine-Based Pilates Program on Quality of Life and Low Back Pain in Aged Adults: A Mixed-Methods Approach. Medicina, 62(6), 1021. https://doi.org/10.3390/medicina62061021
dc.identifier.doi10.3390/medicina62061021
dc.identifier.issn1648-9144
dc.identifier.urihttp://hdl.handle.net/10400.8/16710
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relationResearch Center in Sports Sciences, Health Sciences and Human Development
dc.relation.hasversionhttps://www.mdpi.com/1648-9144/62/6/1021
dc.relation.ispartofseries6
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectquality of life
dc.subjectlow back pain
dc.subjectPilates
dc.subjectindividualized training
dc.titleFeasibility and Preliminary Outcomes of a Machine-Based Pilates Program on Quality of Life and Low Back Pain in Aged Adults: A Mixed-Methods Approacheng
dc.typeresearch article
dspace.entity.typePublication
oaire.awardNumberUID/DTP/04045/2019
oaire.awardTitleResearch Center in Sports Sciences, Health Sciences and Human Development
oaire.awardURIhttp://hdl.handle.net/10400.8/14238
oaire.citation.issue6
oaire.citation.startPage1021
oaire.citation.titleMedicina
oaire.citation.volume62
oaire.fundingStreamFinanciamento do Plano Estratégico de Unidades de I&D - 2019
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSalvador
person.familyNameAntunes
person.familyNameRodrigues
person.givenNameRogério Paulo
person.givenNameRaul
person.givenNameFilipe
person.identifier613329
person.identifier.ciencia-idD116-EE46-620C
person.identifier.ciencia-id8B16-73A3-A66E
person.identifier.ciencia-id9B18-7FE1-74AF
person.identifier.orcid0000-0001-5712-9479
person.identifier.orcid0000-0002-5485-9430
person.identifier.orcid0000-0003-1327-8872
person.identifier.ridA-8152-2019
person.identifier.scopus-author-id57194044687
person.identifier.scopus-author-id57206270107
relation.isAuthorOfPublication594b7e2e-64cf-4d97-aee0-7745cfd5dc39
relation.isAuthorOfPublication292d3773-ef00-4441-a4b8-9f53e3cba456
relation.isAuthorOfPublication661e2126-79f7-445a-bda0-eb4c9d0bb0e2
relation.isAuthorOfPublication.latestForDiscovery594b7e2e-64cf-4d97-aee0-7745cfd5dc39
relation.isProjectOfPublication0d7d01bd-1227-427b-a242-17cfca8677be
relation.isProjectOfPublication.latestForDiscovery0d7d01bd-1227-427b-a242-17cfca8677be

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