This controlled, quasi-experimental clinical trial investigated the effects of a combined Pilates and whole-body vibration (WBV) intervention on bone mineral density (BMD), muscle strength, postural balance, and quality of life in postmenopausal women. Fifteen women aged 50-71 years initially served as a historical control group in a previous study. After completion of that protocol, ten of these participants underwent a 26-week combined intervention consisting of supervised Pilates exercises and WBV performed three times per week. BMD was assessed using dual-energy X-ray absorptiometry (DXA). Peak torque of the lower limbs was measured by isokinetic dynamometry. Postural balance was evaluated using a force platform, and quality of life was assessed using the Short Form-36 (SF-36) questionnaire. Outcomes obtained after the combined intervention were compared with those from the historical control phase.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
The intervention consisted of a combined protocol integrating supervised mat-based Pilates exercises with whole-body vibration (WBV) performed on a side-alternating vibrating platform. Sessions were conducted three times per week for 26 weeks. Each session included structured Pilates exercises targeting core stability, postural alignment, and lower-limb strengthening, immediately followed by WBV exposure with controlled frequency and amplitude parameters. This combined protocol differs from previous interventions conducted in the same population, in which Pilates and WBV were applied separately. The present study specifically investigated the potential additive or synergistic effects of simultaneously implementing both modalities within the same training session, which had not been previously examined in this cohort.
Lumbar spine BMD
Lumbar spine bone mineral density
Time frame: From enrollment to the end of treatment, in 6 months
Femoral neck BMD
Femoral neck bone mineral density
Time frame: From enrollment to the end of treatment, in 6 months
Total hip BMD
Total hip bne mineral density
Time frame: From enrollment to the end of treatment, in 6 months
Trochanter BMD
Trochanter bone mineral density
Time frame: From enrollment to the end of treatment, in 6 months
Knee extensor strength at 60º/s
Peak isokinetic torque of the knee extensor muscles at 60º/s
Time frame: From enrollment to the end of treatment, in 6 months
Knee flexor strength at 60º/s
Peak isokinetic torque of knee flexor muscles at 60º/s
Time frame: From enrollment to the end of treatment, in 6 months
Knee extensor strength 180º/s
Peak isokinetic torque of knee extensor muscles at 180º/s
Time frame: From enrollment to the end of treatment, in 6 months
Knee flexor strength 180º/s
Peak isokinetic torque of knee flexor muscles at 180º/s
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with bipedal support and eyes open (area - cm2)
Bipedal support with eyes open (area - cm2)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with bipedal support and eyes closed (area - cm2)
Bipedal support with eyes closed (area - cm2)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with semi-tandem support and eyes open (area - cm2)
Semi-tandem support with eyes open (area - cm2)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with semi-tandem support and eyes closed (area - cm2)
Semi-tandem support with eyes closed (area - cm2)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with unipedal support and eyes open (area - cm2)
Unipedal support with eyes open (area - cm2)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with bipedal support and eyes open (anteroposterior displacement - cm/s)
Bipedal support with eyes open (anteroposterior displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with bipedal support and eyes closed (anteroposterior displacement - cm/s)
Bipedal support with eyes closed (anteroposterior displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with semi-tandem support and eyes open (anteroposterior displacement - cm/s)
Semi-tandem support with eyes open (anteroposterior displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with semi-tandem support and eyes closed (anteroposterior displacement - cm/s)
Semi-tandem support with eyes closed (anteroposterior displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with unipedal support and eyes open (anteroposterior displacement - cm/s)
Unipedal support with eyes open (anteroposterior displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with bipedal support and eyes open (medial-lateral displacement - cm/s)
Bipedal support with eyes open (medial-lateral displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with bipedal support and eyes closed (medial-lateral displacement - cm/s)
Bipedal support with eyes closed (medial-lateral displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with semi-tandem support and eyes open (medial-lateral displacement - cm/s)
Semi-tandem support with eyes open (medial-lateral displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with semi-tandem support and eyes closed (medial-lateral displacement - cm/s)
Semi-tandem support with eyes closed (medial-lateral displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Static balance with unipedal support and eyes open (medial-lateral displacement - cm/s)
Unipedal support with eyes open (medial-lateral displacement - cm/s)
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Physical Functioning
Physical Functioning Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Role-Physical
Role-Physical Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Bodily Pain
Bodily Pain Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - General Health
General Health Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Vitality
Vitality Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Social Functioning
Social Functioning Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Role-Emotional
Role-Emotional Domain
Time frame: From enrollment to the end of treatment, in 6 months
Quality of life (SF-36) - Mental Health
Mental Health Domain
Time frame: From enrollment to the end of treatment, in 6 months
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