Pili Research Articles

The Effects of Cervical Mobilization with Clinical Pilates Exercises on Pain, Muscle Stiffness and Head and Neck Blood Flow in Cervicogenic Headache: Randomized Controlled Trial.

Background and Objectives: Physiotherapy approaches are used to eliminate the problems caused by cervicogenic headache (CHA), known as secondary headache associated with the structures of the upper cervical region. This study aimed to investigate the effects of cervical mobilization (CM) with clinical Pilates exercises (CPE) on pain, muscle stiffness and head-neck blood flow in CGH. Materials and Methods: A total of 25 patients participated in this randomized controlled study and were randomized into either the CM group or the CM+CPE group. All treatment methods were applied 3 days a week for 6 weeks. The outcome measure was headache intensity and frequency, the number of analgesics, muscle stiffness and vertebral artery (VA) and internal carotid artery (ICA) blood flow. Headache intensity was measured by a visual analogue scale, muscle stiffness by a myotonometer and blood flow by Doppler US. Evaluations were repeated after 6 weeks of treatment. Within-group comparisons were made by the Wilcoxon signed rank test, and between-group comparisons were made by the Mann-Whitney U test. Results: After treatments in the two groups, headache intensity and frequency and the number of analgesics decreased, the muscle stiffness of the suboccipital, upper trapezius and sternocleidomastoid (SCM) muscles decreased, and the blood flow of the ICA and VA increased (p < 0.05). There was a significant difference between the groups in terms of headache intensity (p = 0.025) and muscle stiffness in SKM (p = 0.044) in favor of the CM+CPE group. Conclusions: Non-pharmacological treatment approaches have an important role in CHA related to the upper cervical region. This study suggests that it would be beneficial to add CM in combination with CPE to the non-pharmacological treatment of patients with CHA.

EXPLORING THE EFFECTS OF VIGOROUS INTERVAL TRAINING, MODERATE RESISTANCE TRAINING AND PILATES ON ARTERIAL STIFFNESS AND BLOOD PRESSURE DURING PREGNANCY: A RANDOMISED CROSS-OVER TRIAL

INTRODUCTION Regular moderate intensity exercise throughout pregnancy provides significant benefits to both maternal and foetal cardiovascular health outcomes. Current exercise guidelines recommend a combination of moderate intensity aerobic and resistance training (RT). However, there is limited research exploring the cardiovascular effects of higher intensities (vigorous/high) in comparison to common pregnancy exercise modalities such as RT and Pilates (PIL). AIM: To investigate the acute effects of three modes of exercise (resistance, vigorous aerobic intervals and Pilates) during trimester two (T2) and three (T3) of pregnancy on measures of arterial stiffness (pulse wave velocity [PWV]) and blood pressure (BP). METHODS Eleven women with uncomplicated pregnancies (age 32 ± 3 years, pre-pregnancy BMI 23.9 ± 3.5 kg/m2) completed testing in T2 (average 20 ± 1.6 weeks gestation) and T3 (average 29 ± 2.5 weeks gestation). Participants performed one each of vigorous intensity interval training (VIIT) (∼33 min), resistance training (RT) (∼35 min) and Pilates (PIL) (∼35 min) in T2 and T3 in randomised order approximately 1 week apart each trimester. Resting outcome measures of PWV, BP and foetal heart rate (FHR) were obtained following 5 minutes of rest and again immediately and 10 minutes post exercise session. BP, maternal heart rate (MHR), and rating of perceived exertion (RPE) were monitored throughout. RESULTS There was no difference in the acute PWV response to each type of exercise across the trimesters (1 min VIIT: T2 = 5.53 ± 0.85m/s, T3 = 5.26 ± 0.67m/s, 95%CI[-1.36-0.67]; RT: T2 = 5.4 ± 0.80m/s, T3 = 5.48 ± 0.56m/s, 95%CI[-0.88-1.10]; PIL: T2 = 5.44 ± 0.68m/s, T3 = 5.44 ± 0.68m/s, 95%CI[-0.93-1.01]). There was no significant difference in the acute response in SBP to VIIT (T2 = 116 ± 12.1mmHg, T3 = 122 ± 7.2mmHg, 95%CI[-0.42 - 1.65]. SBP was significantly higher in T3 than T2 1 minute following PIL (T2 = 110 ± 5.8mmHg, T3 = 121 ± 11.7mmHg, 95%CI[0.04-2.1]) and 10 minutes following RT (T2 = 105 ± 10.1mmHg, T3 = 116 ± 5.0mmHg, 95%CI[0.27 - 2.46]. CONCLUSION VIIT, RT and PIL appear to elicit similar post-exercise haemodynamic and arterial stiffness responses in both the mother and foetus. As such, VIIT may be a suitable addition to standard moderate intensity and RT prescription during an uncomplicated pregnancy.

Effects of Neuropilates on Functional Outcomes in Chronic Stroke: A Randomized Clinical Trial.

Neuropilates is an intervention approach that was developed as a modified version of the Pilates Method to be used for neurological rehabilitation. The main objective of this study was to analyze the effectiveness of regular physiotherapy and occupational therapy rehabilitation in comparison to a combination of traditional rehabilitation with Neuropilates in adults with post-stroke motor disabilities. This was a rater- and analyst-blinded randomized clinical trial with a three-month intervention and a one-month follow up. Participants were randomly allocated to either the experimental group (EG, receiving a combination of conventional therapy and Neuropilates; n = 15) or the control group (CG, receiving solely conventional therapy; n = 15). Once adjusted for baseline FIM scores, the results showed significant differences favoring the EG in daily functioning (FIM), static balance (FRT), right-hand manual dexterity (NHPT) and right-upper limb coordination (BBT). Satisfaction with the received treatment as measured with the CSQ-8 was significantly higher for the EG. In conclusion, the incorporation of Neuropilates, facilitated by a single experienced therapist, can be a valuable complement to conventional physical and occupational therapy. However, Neuropilates-based interventions should be supervised and tailored to each individual by a professional specifically trained in the method.

Pilates increases resistance performance in young volleyball players

IntroductionThe aim of this work was to determine whether the Pilates method could promote changes in the activation and performance of core muscles in young volleyball players. MethodSixteen athletes (16.00 ± 1.09 years old; 2.68 ± 1.32 years of sports practice) were evaluated using surface electromyography (EMG) and the sport-specific endurance plank test (SEPT), applied before and after an eight-week Mat Pilates protocol. ResultsThere was a significant increase in SEPT performance after the protocol (p < 0.001). There were also significant reductions of external oblique (EO) and erector spinae (ES) EMG activities after the protocol. There was a significant and moderate correlation between SEPT performance and EO activation (p < 0.01; r = - 0.59), while a weak correlation was observed with ES activation (p < 0.05; r = - 0.39). DiscussionThe Pilates method can improving performance and inducing changes in muscle activation and core muscle resistance this is because one of the pillars of the Pilates method is the stimulation of isometric contractions in all the core/spine stabilizer muscles. ConclusionThe Mat Pilates protocol altered the activation of core muscles and increased resistance performance in young volleyball players.

Effects of a mat Pilates-based exercise program for low back pain in helicopter pilots of the Brazilian Air Force: Randomized controlled trial

IntroductionHelicopter pilots may present chronic low back pain due to vibration exposure and asymmetric posture during flight. ObjectivesTo analyze the effects of a Pilates-based exercise program on low back pain of helicopter pilots of the Brazilian Air Force. MethodsThis is a randomized controlled trial with fifteen helicopter pilots of the Brazilian Air Force, who were assessed for pain intensity (Numerical Pain Rating Scale), disability associated with low back pain, and spine muscle endurance in three positions: trunk extension (Ito test) and left and right lateral bridge. Individuals were randomly distributed into the regular exercises group (REG) (n = 7), oriented to maintain their exercise routine, and Pilates group (PG) (n = 8), which performed an exercise program based on Pilates method twice a week for 12 weeks. Reassessments occurred after 6 and 12 weeks. Data were analyzed on SPSS 20.0 software using a significance level of 5%. ResultsPG showed a significant reduction in low back pain after 12 weeks of training compared with REG (mean difference of 3.5 points, p < 0.0001). We also observed increased endurance of trunk extensors (p = 0.002) and right (p = 0.001) and left lateral muscles (p = 0.001) in the PG compared with REG. However, the indexes of disability did not change between groups. ConclusionPain intensity was significantly reduced while spine muscle endurance increased in PG compared with REG after intervention; thus, Pilates-based exercises should be considered in physical conditioning programs for helicopter pilots.

Acute effects of a pilates method session on flexibility and performance in practitioners of an extreme conditioning program: A preliminary study

IntroductionThe aim of this study was to evaluate the acute effects of Pilates exercises on flexibility and performance in practitioners of an extreme conditioning program (ECP). The hypothesis adopted was that Pilates could activate deeper muscles and improve the stability of core muscles. MethodsThis was an observational cross-sectional study with individuals practicing an ECP submitted to a Pilates method (PM) exercise session. The Wells bench test was used to assess flexibility, while performance was evaluated using the Wall Ball exercise commonly performed by ECP practitioners. The perception of effort was measured using the Borg scale. ResultsA single session of PM exercises was able to significantly improve flexibility immediately after the exercises (p < 0.001) and performance in one of the movements of the ECP (p < 0.001), as well as decrease the perception of effort. ConclusionAn acute intervention with Pilates exercises promoted improvement in performance of the CrossFit Wall Ball exercise.

Capsules and their traits shape phage susceptibility and plasmid conjugation efficiency

Bacterial evolution is affected by mobile genetic elements like phages and conjugative plasmids, offering new adaptive traits while incurring fitness costs. Their infection is affected by the bacterial capsule. Yet, its importance has been difficult to quantify because of the high diversity of confounding mechanisms in bacterial genomes such as anti-viral systems and surface receptor modifications. Swapping capsule loci between Klebsiella pneumoniae strains allowed us to quantify their impact on plasmid and phage infection independently of genetic background. Capsule swaps systematically invert phage susceptibility, revealing serotypes as key determinants of phage infection. Capsule types also influence conjugation efficiency in both donor and recipient cells, a mechanism shaped by capsule volume and conjugative pilus structure. Comparative genomics confirmed that more permissive serotypes in the lab correspond to the strains acquiring more conjugative plasmids in nature. The least capsule-sensitive pili (F-like) are the most frequent in the species’ plasmids, and are the only ones associated with both antibiotic resistance and virulence factors, driving the convergence between virulence and antibiotics resistance in the population. These results show how traits of cellular envelopes define slow and fast lanes of infection by mobile genetic elements, with implications for population dynamics and horizontal gene transfer.

Effects of Lumbar Stabilization Exercises Using a Pilates Reformer on Pain, Function, and Quality of Life in Patients with Chronic Low Back Pain

Effects of Lumbar Stabilization Exercises Using a Pilates Reformer on Pain, Function, and Quality of Life in Patients with Chronic Low Back Pain

EXPLORING THE IMPORTANCE OF DIAPHRAGM ACTIVATION, GLUTEAL ACTIVATION, AND THEIR EFFECTS ON GLUTEAL AMNESIA, PELVIC FLOOR ACTIVATION, CLINICAL PILATES FOR JOINTS CORE TRAINING AND PRECAUTIONS IN EXERCISE SELECTION

Clinical Pilates has emerged as a prominent therapeutic approach aimed at improving movement control, stability, and rehabilitation outcomes across diverse populations. This research article delves into the pivotal aspects of Clinical Pilates, shedding light on the significance of diaphragm activation, gluteal activation, and their intricate relationship with gluteal amnesia, pelvic floor activation, Pilates for joint health, exercise selection precautions, and core training strategies. Through a synthesis of relevant concepts and evidence-based insights, this article offers practical recommendations tailored for Pilates practitioners and healthcare professionals, illuminating the multifaceted nature of Clinical Pilates and its profound impact on musculoskeletal health and functional well-being.

The efficacy of Pilates method in patients with hypertension: systematic review and meta-analysis.

This study aimed to systematically review the available evidence on the effects of Pilates training programs on blood pressure in hypertensive patients. Randomized clinical trials and comparative studies were searched in four electronic databases until September 2023 (updated December 2023). The methodological quality of included studies was assessed using the Physiotherapy Evidence Database and Methodological Index for Non-Randomized Studies scales. A total of 4 randomized clinical trials and 7 comparative studies were included, showing a low (n = 1), hight (n = 6), and good (n = 4) methodological quality. Data synthesis indicated that participants who performed Pilates program obtained significantly reduces on systolic blood pressure and diastolic blood pressure, of -4.76 mmHg (95% CI: -6.55 to -2.97, p < 0.001) and -3.43 mmHg (95% CI: -4.37 to -2.49, p < 0.001), respectively, in comparison with those included in the comparison groups. When the analysis was performed by comparing hypertensive, and normotensive patients, the results remained non-significant for blood pressure (systolic blood pressure: 0.96 mmHg (95% CI: -2.85 to 4.77, P = 0.49); diastolic blood pressure: 1.18 mmHg (95% CI: -1.23 to 3.58, P = 0.34); mean blood pressure: 1.73 mmHg (95% CI: -1.96 to 5.42, P = 0.36). Evidence suggests Pilates is safe for hypertensive patients and can be part of their rehabilitation, but it may not necessarily offer superior results or improve exercise adherence compared to other modalities.

The effect of clinical Pilates on core muscle thickness, physical performance, fatigue, activities of daily living, and quality of life in patients with Parkinson’s disease: A randomized controlled trial

The effect of clinical Pilates on core muscle thickness, physical performance, fatigue, activities of daily living, and quality of life in patients with Parkinson’s disease: A randomized controlled trial

Methodology and Experimental Protocol for Studying Learning and Motor Control in Neuromuscular Structures in Pilates.

The benefits of Pilates have been extensively researched for their impact on muscular, psychological, and cardiac health, as well as body composition, among other aspects. This study aims to investigate the influence of the Pilates method on the learning process, motor control, and neuromuscular trunk stabilization, specifically in both experienced and inexperienced practitioners. This semi-randomized controlled trial compares the level of experience among 36 Pilates practitioners in terms of motor control and learning of two Pilates-based skills: standing plank and side crisscross. Data will be collected using various assessment methods, including abdominal wall muscle ultrasound (AWMUS), shear wave elastography (SWE), gaze behavior (GA) assessment, electroencephalography (EEG), and video motion. Significant intra- and inter-individual variations are expected, due to the diverse morphological and psychomotor profiles in the sample. The adoption of both linear and non-linear analyses will provide a comprehensive evaluation of how neuromuscular structures evolve over time and space, offering both quantitative and qualitative insights. Non-linear analysis is expected to reveal higher entropy in the expert group compared to non-experts, signifying greater complexity in their motor control. In terms of stability, experts are likely to exhibit higher Lyapunov exponent values, indicating enhanced stability and coordination, along with lower Hurst exponent values. In elastography, experienced practitioners are expected to display higher transversus abdominis (TrA) muscle elasticity, due to their proficiency. Concerning GA, non-experts are expected to demonstrate more saccades, focus on more Areas of Interest (AOIs), and shorter fixation times, as experts are presumed to have more efficient gaze control. In EEG, we anticipate higher theta wave values in the non-expert group compared to the expert group. These expectations draw from similar studies in elastography and correlated research in eye tracking and EEG. They are consistent with the principles of the Pilates Method and other scientific knowledge in related techniques.

EFEITOS DO PILATES VS TREINAMENTO AERÓBIO EM HIPERTENSOS: ENSAIO RANDOMIZADO

ABSTRACT Introduction: The Pilates method (PM) combines slow-deep breathing with strengthening and stretching exercises. However, it has been proposed as a method of physical conditioning for several decades and only recently aroused academic/scientific interest, with few reports of the effects of this intervention in hypertensive patients. Objective: to compare PM to aerobic training (AT) effects on hypertensive subjects’ blood pressure (BP), functional capacity and autonomic balance. Methods: Twenty-four hypertensive subjects were randomly allocated into two groups: ATG performed three 40 min sessions/week, moderate intensity (40-70% of reserve HR), and PMG performed two 60 min sessions/week; both during the same eight weeks period. Blood pressure (casual and for 24 hours), 6-minute walking test (6-MWT) and autonomic balance were evaluated before and after intervention. Results: There was a reduction on systolic BP (SBP, p=0.007), diastolic (p=0.032) and mean blood pressure (MBP, p=0.016), measured on 24h, on PMG. There was also a 24h SBP reduction on ATG (p=0.021). The PMG had a greater reduction on 24h SBP (-3.4 mmHg, 95% CI -6.6 to -0.2) and MBP (-3.3 mmHg, 95% CI -6.3 to -0.3) than the ATG. ATG held a longer distance in 6-MWT. Casual BP and autonomic balance had no difference. Conclusion: This PM protocol was superior to AT on BP monitored for 24 hours in hypertensive subjects, but AT was better for functional capacity. The eight weeks of training were not enough to change the autonomic balance. Level of Evidence: I; High-quality randomized clinical trial with or without statistically significant difference, but with narrow confidence intervals.

Evidence map of chikungunya treatmentsMapa de la evidencia sobre el tratamiento del chikunguña

Based on a review of the literature, to create a map of the available evidence on the treatment methods for chikungunya. In May 2022, a literature search on chikungunya was conducted using the PubMed and Virtual Health Library platforms. To create the evidence map, studies that mentioned chikungunya fever were selected and characterized based on the type of intervention, outcome, and direction of the effect (positive, negative, potentially positive or potentially negative, inconclusive, or no effect), following the methodology recommended by the Latin American and Caribbean Center on Health Sciences Information (BIREME). Fifteen studies (systematic reviews, controlled clinical trials, and narrative reviews) with both pharmacological and non-pharmacological interventions were included. All interventions focused on symptom mitigation; no study specifically investigated ways to combat the virus itself. Only one study on pharmacological interventions reported a positive effect, involving monotherapy with hydroxychloroquine and combined therapy with methotrexate plus sulfasalazine and hydroxychloroquine for reducing and relieving pain caused by post-chikungunya arthritis. The only study to report a negative effect described the use of chloroquine for post-chikungunya arthralgia. Among non-pharmacological interventions, positive effects were noted for transcranial direct current stimulation, elastic band exercises, and the Pilates method, particularly for pain relief and improvement of joint function. Although the review did not identify any treatments that act directly on the virus after the onset of the disease, the evidence map suggests that it is possible to treat the symptoms and sequelae of chikungunya with both pharmacological and non-pharmacological therapies.

Is connective tissue massage effective in individuals with fibromyalgia?

ObjectivesThe aim of the study was to examine the effectiveness of Clinical Pilates exercises and connective tissue massage (CTM) in individuals with Fibromyalgia (FM) on pain, disease impact, functional status, anxiety, quality of life and biopsychosocial status. Methods32 women were randomly divided into two groups as intervention gorup (CTM + Clinical Pilates exercises, n = 15, mean age = 48.80 ± 7.48) and control gorup (Clinical Pilates exercises, n = 17, mean age = 55.64 ± 7.87). The number of painful regions were assessed with Pain Location Inventory (PLI), disease impact with Fibromyalgia Impact Questionnare (FIQ), functional status with Health Assessment Questionnare (HAQ), anxiety with Beck Anxiety Inventory (BAI), quality of life with Short Form-36 (SF-36) and biopsychosocial status with Biopsychosocial Questionnaire (BETY-BQ) were evaluated. All evaluations were made before and after treatment. Both treatments were applied 3 times a week for 6 weeks. ResultsWhen the pre-treatment and post-treatment results are analyzed; significant difference was observed in PLI (p = 0.007; effect size 1.273), FIQ (p = 0.004; effect size 0.987), SF-36 physical component (p = 0.025; effect size −0.496) and mental component (p = 0.017; effect size −0.761) in the intervention group while the significant difference was observed in FIQ (p = 0.001; effect size 1.096) and BAI (p = 0.043; effect size 0.392), SF-36 physical component (p = 0.008; effect size −0.507) and mental component (p = 0.024; effect size −0.507) in the control group. When the delta values of the groups are compared, the difference was determined only in the PLI (p = 0.023) in favor of the intervention group. ConclusionsCTM can be effective in reducing the number of painful areas in addition to the positive effects of clinical Pilates exercises in women with FM.

The effects of the Pilates method in individuals after stroke: a systematic review with meta-analysis

Background: Pilates has shown significant effects in post-cerebrovascular accident (CVA) patients. Objective: To carry out a systematic review with meta-analysis, investigating the effects of the Pilates method in post-stroke individuals. Methods: An electronic search was performed using an optimized strategy in the Medline, CINAHL, SPORTDiscus, Web of Science, LILACS and PEDro databases, plus a manual search. Clinical trials that used the Pilates method in post-stroke rehabilitation, in functionality outcomes, were included. Studies were reviewed by two independent reviewers. Methodological quality was assessed using the PEDro scale. Results: Seven studies were included. The results of the meta-analyses showed that Pilates was effective in improving mobility (-3 seconds; CI 95% -4 to -1; p=0.009), assessed by the Timed Up and Go, and quality of life (SMD 1 .1; 95% CI 0.5 to 1.58; p&lt;0.001) of individuals after stroke. Regarding the descriptive results, Pilates proved to be effective in improving lower limb motor function, cardiopulmonary function, step length, and gait ability. Conclusion: This systematic review showed, through meta-analysis, that the Pilates method is effective in improving the mobility and quality of life of post-stroke individuals. In addition, descriptive results were significant for lower limb motor function, cardiopulmonary function, step length, and gait ability. However, these latter results deserve caution, as they were all based on descriptive results from only one clinical trial each.

Physiotherapy and pilates in the functionality and quality of life of people with multiple sclerosis

Background: Multiple Sclerosis is a chronic progressive disease that affects the Central Nervous System, causing destruction of myelin, and like many autoimmune diseases, it should be caused by a combination of environmental and genetic factors. Objective: To evaluate the influence of conventional physical therapy and the Pilates method in patients with Relapsing Remitting MS (RRMS) on their daily activities and quality of life. Methods: We retrospectively analyzed 25 medical records of patients submitted to Pilates (group A with 12 patients) and physical therapy (group B with 13 patients) with only one technique for each group from 2018 to 2019. Some scales were used: the Berg Balance Scale, Modified Fatigue Impact Scale (MFIS), MRC Medical Research Council Scale (MRC), and Quality of Life in Multiple Sclerosis Scale (MSQOL-54). Results: With the significance level adopted for p &lt; 0.05, by the Wilcoxon test, we obtained MFIS: conventional p = 0.030 and Pilates p = 0.005, BERG: conventional p = 0.015 and Pilates p = 0, 004, MSQOL-54 (Physical): Conventional p = 0.263 and Pilates p = 0.009 and MSQOL-54 (Mental): Conventional p = 0.807 and Pilates p = 0.028. Conclusion: The Pilates method proved to be more efficient, both in terms of functionality regarding fatigue and balance, as well as in quality of life, showing physical and mental improvement.

Effects of Strength Training and The Pilates Method on Dynamic Balance, Physical Capacity and Quality of Life in Older People: A Triple-Blind Randomized Clinical Trial

Effects of Strength Training and The Pilates Method on Dynamic Balance, Physical Capacity and Quality of Life in Older People: A Triple-Blind Randomized Clinical Trial

Ligand-displaying Escherichia coli cells and minicells for programmable delivery of toxic payloads via type IV secretion systems.

The rapid emergence of drug-resistant bacteria and current low rate of antibiotic discovery emphasize the urgent need for alternative antibacterial strategies. We engineered Escherichia coli to conjugatively transfer plasmids to specific E. coli and Pseudomonas aeruginosa recipient cells through the surface display of cognate nanobody/antigen (Nb/Ag) pairs. We further engineered mobilizable plasmids to carry CRISPR/Cas9 systems (pCrispr) for the selective killing of recipient cells harboring CRISPR/Cas9 target sequences. In the assembled programmed delivery system (PDS), Nb-displaying E. coli donors with different conjugation systems and mobilizable pCrispr plasmids suppressed the growth of Ag-displaying recipient cells to significantly greater extents than unpaired recipients. We also showed that anucleate minicells armed with conjugation machines and pCrispr plasmids were highly effective in killing E. coli recipients. Together, our findings suggest that bacteria or minicells armed with PDSs may prove highly effective as an adjunct or alternative to antibiotics for antimicrobial intervention.

Effects of Pilates method on quality of life, fatigue and sleep quality among breast cancer women receiving hormone therapy – Two-arm randomized clinical trial

ObjectiveTo analyze the effect of the Pilates method on the quality of life, fatigue, and sleep quality of patients undergoing adjuvant clinical treatment with hormone therapy for breast cancer. MethodsA randomized two-arm clinical trial with 34 breast cancer women that were randomized into two groups: a) Intervention group, who performed 16 weeks of mat Pilates; b) Control group, who maintained their daily routine activities and received three educational sessions. The questionnaires for each variable were applied before the intervention, after the intervention, and six months after the end of the intervention. Quality of life was assessed by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30), fatigue by the Functional Assessment of Cancer Therapy-Fatigue (FACT-F), and sleep quality by the Pittsburgh Sleep Quality Index. ResultsThe fatigue variable presented a time effect (p = 0.034) regardless of the analyzed group, in which a difference was found between baseline and the post-intervention period (p = 0.037). The variable sleep showed an effect of time (p = 0.025), presenting a difference between the baseline period and six months, with improvement for all participants (p = 0.004). Global health also showed a positive change also for all participants, with an isolated effect of time (p = 0.024). ConclusionInterventions based on the Pilates method may bring positive results in quality of life, fatigue, and sleep quality in patients undergoing adjuvant treatment for breast cancer, but further studies on the subject are needed to prove the results in a larger number of patients.