Pili Research Articles

Eight-Week Pilates or Whole-Body High-Intensity Interval Training Program Improves Spinal Range of Motion During the Gait Cycle in Sedentary Women: A Preliminary Study

This study aimed to compare the effects of Pilates (PIL) and whole-body high-intensity interval training (WBHIIT) on the spinal curvature of sedentary women. After being invited, 26 sedentary women aged between 20 and 54 voluntarily agreed to participate in the study. The sample was obtained through convenience sampling, and the participants chose either PIL or WBHIIT, which resulted in 13 participants in each group. Spinal posture was assessed pre- and post-intervention through videogrammetry during standing and walking. Markers were placed on the back, and the volunteers were instructed to remain in a standing position on a stationary treadmill for ten seconds. Subsequently, the treadmill was activated at a speed of 5 km/h. After one minute of walking, a complete gait cycle was recorded for analysis. The results showed no significant changes in spinal angles in static position between groups. However, in the walking position, there was a large-magnitude increase in the spinal range of motion (ROM) post-intervention (PIL Lumbar d = 1.8; PIL Thoracic d = 2.9; WBHIIT Lumbar d = 1.0; WBHIIT Thoracic d = 3.5) within groups in the sagittal plane. The adaptations promoted by these interventions in spinal ROM are important for reducing the risks of spinal stiffness and pain due to sedentary behaviour.

Molecular basis of conjugation-mediated DNA transfer by gram-negative bacteria.

Bacterial conjugation is the unidirectional transfer of DNA (often plasmids, but also other mobile genetic elements, or even entire genomes), from a donor cell to a recipient cell. In Gram-negative bacteria, it requires the formation of three complexes in the donor cell: i-a large, double-membrane-embedded transport machinery called the Type IV Secretion System (T4SS), ii-a long extracellular tube, the conjugative pilus, and iii-a DNA-processing machinery termed the relaxosome. While knowledge has expanded regarding molecular events in the donor cell, very little is known about the machinery involved in DNA transfer into the recipient cell. Here, focusing on systems principally involved in DNA transfer, we provide an update on progress made on various mechanistic aspects of conjugation.

Vagal modulation after training at different levels of the Pilates method

Vagal modulation after training at different levels of the Pilates method

Cryo-EM structure of the conjugation H-pilus reveals the cyclic nature of the TrhA pilin.

Conjugation, the major driver of the spread of antimicrobial resistance genes, relies on a conjugation pilus for DNA transfer. Conjugative pili, such as the F-pilus, are dynamic tubular structures, composed of a polymerized pilin, that mediate the initial donor-recipient interactions, a process known as mating pair formation (MPF). IncH are low-copy-number plasmids, traditionally considered broad host range, which are found in bacteria infecting both humans and animals. The reference IncHI1 plasmid R27, isolated from Salmonella enterica serovar Typhi, encodes the conjugative H-pilus subunit TrhA containing 74 residues after cleavage of the signal sequence. Here, we show that the H-pilus forms long filamentous structures that mediate MPF, and describe its cryo electron-microscopic (cryo-EM) structure at 2.2 Å resolution. Like the F pilus, the H-pilin subunits form helical assemblies with phospholipid molecules at a stochiometric ratio of 1:1. While there were previous reports that the T-pilus from Agrobacterium tumefaciens was composed of cyclic subunits, three recent cryo-EM structures of the T-pilus found no such cyclization. Here, we report that the H-pilin is cyclic, with a covalent bond connecting the peptide backbone between the N- and C-termini. Both the cryo-EM map and mass spectrometry revealed cleavage of the last five residues of the pilin, followed by cyclization via condensation of the amine and carboxylate residues. The cyclic nature of the pilin could stabilize the pilus and may explain the high incidence of IncH plasmid dissemination.

Effectiveness of Pilates exercises in sports

Participation in sports is spreading all around the world in an attempt of the community to stay active, healthy, prevent health issues and conditions and to ensure quality of life while there is life expectancy and population is getting more and more older. Existing protocols in rehabilitation are sometimes demanding and are addressed in athletes and people with good physical condition while population gets involved in recreational sports activities more and more. Sport injuries are very common not only in athletes but in general population as well. Pilates is a very popular type of exercise and industry around it is flourishing. Although there are indications that it could be used as an alternative in rehabilitation, research is limited in certain fields. The aim of this editorial is to motivate researchers to conduct well-designed studies in sports injuries’ rehabilitation based on the Pilates method, to explore the efficacy of the method as a complementary approach and the optimal integration strategies in diverse sports rehabilitation settings. Last but not least, it is an attempt for the need of the community to establish certification on Clinical Pilates Physiotherapists based on the principles of rehabilitation.

Is Pilates an effective tool for the management of kinesiophobia in musculoskeletal disorders?

BACKGROUND Kinesiophobia is a common condition often manifested in patients with musculoskeletal disorders within the process of rehabilitation. Recently, the literature has been investigating whether Pilates could contribute to the management of kinesiophobia in various musculoskeletal disorders. However, aggregated data regarding its effectiveness are absent from literature. AIM To evaluate recordings of the Pilates method in kinesiophobia related to musculoskeletal disorders. METHODS PubMed, ScienceDirect, Scopus and Pedro databases were all scrutinized for randomized controlled trials, by two or more intervention groups, where at least one group received a Pilates-based intervention and which had been conducted in patients aged 18-65 years with musculoskeletal disorders, having assessed at least one outcome related to kinesiophobia. The systematic review was based on the PRISMA guidelines. RESULTS We have identified five studies, with a total of 366 patients with musculoskeletal disorders. Three of them showed that a Pilates-based intervention by either mat or equipment can combat kinesiophobia in patients with musculoskeletal conditions, while another showed that Pilates exercises with equipment may have better long-term effects on kinesiophobia compared to Pilates mat. CONCLUSION Overall, a strong level of research evidence has been amassed for the Pilates intervention as well as a moderate level of research evidence for the effectiveness of equipment-based Pilates in reducing kinesiophobia in patients with musculoskeletal disorders. While the underlying mechanisms driving such a result remain unknown, it appears that Pilates can influence both biological and psychological factors in musculoskeletal disorders, thus resulting in the management of kinesiophobic behaviours.

Exercise program based on the pilates method for muscle flexibility in poultry workers

Background: Musculoskeletal (MS) disorders in poultry workers range from mild ailments to severe pain and illness; caused by lack of flexibility. Pilates exercises have positive effects on physical condition. Objective: Apply a Pilates-based exercise program to improve muscle flexibility in poultry workers. Methods: A study was developed in 29 workers who met the inclusion criteria. The intensity of pain was assessed with the visual analog scale and the level of flexibility with the Flexitest, to determine the needs of the workers and design the program based on Pilates. The program was validated by expert judgment and applied for 12 weeks, pain intensity and flexibility level were reassessed. Results: They demonstrated significant clinical and statistical improvements in the entire population, decreasing the intensity of pain from moderate and severe to mild (p<0.005) and improving flexibility from levels 1 and 2, which are poor and medium, to level 3, which is good flexibility. (p<0.005) after the program. Conclusion: The Pilates-based exercise program improves muscle flexibility and decreases pain intensity in poultry workers.

EIGHT WEEKS OF PILATES METHOD IMPROVES PHYSICAL FITNESS AND SLEEP QUALITY OF INDIVIDUALS WITH POST-COVID-19 SYNDROME: A RANDOMIZED CLINICAL TRIAL BLINDED

ObjectivesTo evaluate the impact of eight weeks of Pilates Method on physical fitness and sleep quality of individuals with post-COVID-19 syndrome. MethodsRandomized clinical trial blinded conducted with fifty-nine individuals with post-COVID-19 syndrome. The participants were randomly allocated to the Pilates group (PG; n = 20), supervised physical exercise group (SPEG; n = 20) and control group (CG; n = 19). The intervention occurred twice a week for eight weeks in a total of 16 sessions. The primary outcome was distance covered in the 6-min walk test and the secondary outcomes were the profile of the sample, post-exercise fatigue and sleep quality. ResultsAfter the intervention, only the PG increased the distance covered in the 6-min walk test (p < 0.001; d = 0.762) and reduced the score on the modified BORG scale after exercise (p < 0.010; d = −0.835) and the Pittsburgh Sleep Quality Index (p < 0.005; d = −0.699). Furthermore, the PG covered a greater distance compared to the SPEG in the 6-min walk test [95%CI (26.129–179.770); p < 0.010; d = 1.021] and exhibited a greater reduction in fatigue levels compared to the CG [95%CI (−2.352 to −0.162); p < 0.050; d = 0.919]. ConclusionEight weeks of Pilates Method improve the physical fitness and sleep quality of individuals with post-COVID-19 syndrome.

The effects of conventional treatment in addition to Pilates on biopsychosocial status in chronic neck pain: A randomized clinical trial.

Although guidelines and systematic reviews recommend the use of exercise in the treatment of chronic pain and neck pain, there are no clear recommendations for conservative treatments frequently used in clinics. The effect of supporting clinical Pilates exercises with passive physiotherapy methods on biopsychosocial status is still unknown. The objective was to investigate the effects of conventional treatment (CT) in addition to clinical Pilates on pain levels, physical condition, functional status, and psychosocial status in individuals with chronic neck pain. Fifty women were randomly divided into 2groups, the clinical Pilates group (Pilates, n= 25), and the group receiving CT in addition to clinical Pilates (Pilates-CT, n= 25). Both groups received treatment 3days a week for 6weeks. The CT program involved the implementation of hot pack (HP) application, Transcutaneous Electrical Nerve Stimulation (TENS), and therapeutic ultrasound (US) to the cervical area. CT in addition to Pilates was more effective in reducing the Visual Analog Scale (at rest and during activity), Neck Disability Index, Fear-Avoidance Beliefs Questionnaire, NeckPix Scale, Hospital Anxiety and Depression Scale-depression, and Cognitive Exercise Therapy Approach-Biopsychosocial questionnaire scores (p< 0.05) and in increasing the degree of change in the extension range of motion (ROM) and cervical flexor endurance values and scores in the energy parameter of Short Form-36 (p< 0.05). CT provided in addition to Pilates was more effective in reducing pain levels, disability, fear of movement, depression levels, and negative biopsychosocial status and improving extension ROM and cervical flexor endurance, neck awareness, and the energy/vitality parameter of quality of life in individuals with chronic neck pain.

Effects of Pilates compared to whole-body vibration on range of motion in postmenopausal women.: A randomized controlled trial

Background: Postmenopause is marked by a sudden drop in hormone levels, leading to several physical, psychological, and functional changes. Thus, range of motion (ROM), an important component for maintaining functionality, is also affected. One way to improve ROM is by using the Pilates method, which has already proven effective for this component. Another intervention option is whole-body vibration (WBV), however, little is known about the effectiveness of this therapy in ROM. Objective: To compare the effects of Pilates vs. WBV on ROM in postmenopausal women. Methods: Randomized, single-blind, controlled study with 51 postmenopausal women. Pilates and WBV were performed three times a week for six months, totaling 78 sessions. The control group maintained their usual routine. ROM was assessed in trunk flexion and extension movements using a fleximeter. Results: Post-intervention, no difference (p &gt; 0.05) was observed between Pilates and WBV (trunk flexion: 4.9º [95% CI, -0.4 to 10.2] p=0.247, d=0.62; trunk extension: 1.9º [-0.2 to 4.0] p=0.262, d=0.62). Compared with the control group, only Pilates was significantly superior for trunk flexion (8.8º [95% CI, 3.4 to 14.3] p=0.009, d=1.09) and extension (3.2º [95% CI, 0.8 to 5.6] p=0.024, d=0.90), with a large effect size (d &gt; 0.80). Conclusions: Pilates and WBV did not differ significantly for ROM, either in trunk flexion or extension in postmenopausal women. However, only Pilates was superior to the control group, which maintained the usual routine.

O IMPACTO DO PILATES NO TRATAMENTO DA FIBROMIALGIA

Fibromyalgia is a chronic syndrome that causes diffuse muscle pain and increased sensitivity in specific points on the body. It mainly affects women between the ages of 30 and 60, but can occur in men and at younger ages. Symptoms include chronic pain, fatigue, sleep disturbances and cognitive difficulties. Pilates is adaptable to different populations and health conditions and can be customized to meet individual needs. This adaptability makes Pilates a versatile and inclusive therapeutic option, suitable for rehabilitation and health promotion programs. The objective, therefore, was to investigate the impact of the Pilates method in the treatment of fibromyalgia, evaluating its effects on reducing pain, improving physical function and quality of life for patients. Methodologically, a systematic review of the literature was incorporated, with a search for articles carried out in the PubMed and Google Scholar databases, starting from a period of 5 years (2019-2024). It was concluded, based on the available evidence, that Pilates can be considered as a complementary treatment option for patients with fibromyalgia. It is recommended that healthcare professionals consider including Pilates in multidisciplinary treatment programs for fibromyalgia, adapting intervention protocols as necessary to meet each patient’s specific needs. Even more so, the implementation of Pilates programs supervised by qualified professionals can guarantee the safety and effectiveness of this therapeutic intervention for patients with fibromyalgia.

Effect of home based tele pilates on pelvic girdle pain and lumbo pelvic stability among pregnant women – A randomized controlled trial

Introduction. Pelvic girdle pain is one of the common musculoskeletal problems in pregnancy, resulting from hormonal variations and biomechanical alterations in the muscles that support lumbo-pelvic stability. The Pilates method, which includes mind-body approaches and focuses on core strength, provides relief from pelvic pain. In recent years, tele-rehabilitation has emerged as one of the most popular solutions in clinical practice. Aim. To find out the effect of home-based Tele Pilates on pelvic girdle pain and lumbo-pelvic stability among pregnant women. Materials and methods. A randomized controlled trial was conducted in Sri Ramachandra Hospital, Chennai, from January 2023 to June 2023. Pregnant women with pelvic girdle pain from 20-30 weeks of gestation were screened and randomly divided into a Pilates exercise group (n = 19) and a control group (n = 19). Subjects in the Pilates group followed the exercise thrice a week for eight weeks. Subjects in the control group followed standardized antenatal exercises and education. The outcome measures used were Visual Analogue Scale (VAS) for pain level, Pelvic Girdle Questionnaire (PGQ) for functional disability, and Pressure Biofeedback for lumbo-pelvic stability. Mann-Whitney test, Wilcoxon signed rank test, and ‘t’ test were performed to examine the pain score, Pelvic Girdle Questionnaire, and the lumbo-pelvic stability. Results. Baseline parameters are similar and comparable. (p &lt; 0.05). Between-group analysis revealed that the experimental group showed improvement in the pain and disability with a significant difference (p ≤ 0.001). Both groups showed significant improvement in lumbo-pelvic stability in the within-group analysis (p &lt; 0.001). Conclusion. Home-based tele Pilates (HTPE) can be recommended as an effective and safe method for decreasing pain levels and improving lumbo-pelvic stability among pregnant women with pelvic girdle pain.

Microplastic biofilms promote the horizontal transfer of antibiotic resistance genes in estuarine environments

As emerging pollutants, microplastics can aggregate microorganisms on their surfaces and form biofilms, enriching antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs). Consequently, microplastic biofilms have become a focal point of research. Horizontal gene transfer is one of the primary mechanisms by which bacteria acquire antibiotic resistance, with much of the research focusing on suspended bacteria. However, microplastic biofilms, as hotspots for horizontal gene transfer, also merit significant investigation. This study primarily explored and compared the frequency of ARG conjugative transfer between suspended bacteria and microplastic biofilms. The results demonstrated that, compared to suspended bacteria, microplastic biofilms enhanced the frequency of ARG conjugative transfer by 7.2–19.6 times. Among them, biofilms on polyethylene microplastics showed the strongest promotion of conjugation. After the formation of microplastic biofilms, there was a significant increase in bacterial density within the biofilms, which raised the collision frequency of donor and recipient bacteria. Then microplastic biofilms facilitated the gene expression levels of outer membrane proteins, enhanced bacterial gene transfer capabilities, promoted the synthesis of conjugative pili, accelerated the formation of conjugative pairing systems, and elevated the expression levels of genes related to DNA replication and transfer systems, thereby enhancing the conjugative transfer of ARGs within microplastic biofilms. Among different types of microplastic biofilms, polyethylene biofilms exhibited the highest bacterial density, thus showing the highest frequency of ARG conjugation. This study highlights the risks associated with ARG conjugative transfer following the formation of microplastic biofilms and provides insights into the risks of microplastic and antibiotic resistance propagation in estuarine environments.

The Effects of cervical mobilization and clinical pilates exercises in cervicogenic headache: randomized controlled trial.

To investigate the effects of Cervical Mobilization (CM) and Clinical Pilates Exercises (CPE) in Cervigogenic Headache (CHA). The 37 patients were randomized into the 3 groups. The CM for 1st group, CPE for 2nd group and CM+CPE for 3rd group were applied 3 days/a week for 6 weeks. Pain frequency, pain intensity, number of analgesic, were recorded. The posture was measured by Posture Screen application, the cervical range of motion by the CROM device, deep neck flexor muscle endurance by the pressurized biofeedback device. Evaluations were applied 2 times as pre-post treatment. In within-group comparison a decrease in pain parameters, neck-shoulder postural deviation and an increase DNFE and CROM were observed in all groups (p<0.05). In between-group comparison pain frequency, intensity and number of analgesics were significant changes in the CM and CM+CPE groups according to CPE (respectively p<0,001, p=0,001, p=0,018). Head and shoulder angulation were significant in the CPE and CM+CPE groups according to CM (respectively p=0.009, p=0,011). It was determined that the cervical right lateral flexion range of motion and right rotation were significant changes in the CM and CM+CPE groups according to CPE (respectively p=0,026, p=0,040). DNFE were significantly increased in CM+CPE according to CM and CPE (p=0.001). This study suggests that it would be beneficial to add CM and CPE to the treatment plans of patients with CHA.

Feasibility of a Novel Movement Preference Approach to Classify Case Complexity for Adults with Non-Specific Chronic Low Back Pain

The non-specific nature of low back pain (LBP) poses challenges in its diagnosis and clinical management. Classifying case complexity with an exercise method may help overcome these challenges. The present study proposed a movement-based classification system based on Dance Medicine Australia (DMA) Clinical Pilates for patients with non-specific chronic LBP. To test the feasibility of the proposed system, 40 adults with non-specific chronic LBP were assessed on their movement preference (i.e., movement directions that can relieve pain or are pain-free) through the DMA Clinical Pilates method. The movement preferences could be a combination of each of the following movement directions: (1) flexion or extension, (2) left or right lateral flexion and/or (3) left or right rotation. For cases that had central or bilateral pain, the number of movement preferences identified was used to guide the classification. Using the proposed system, all 40 (100%) LBP cases were successfully classified into basic (n = 8, 20%), intermediate (n = 17, 42.5%), advanced (n = 8, 20%) or expert (n = 7, 17.5%) levels of complexity. In conclusion, this study has demonstrated that the proposed movement-based classification system was a feasible method for classifying case complexity in adults with non-specific chronic LBP. Future clinical intervention studies are needed to confirm if this classification system can enhance therapeutic outcomes in patients.

BENEFÍCIOS DO PILATES NA DOR LOMAR.

Low back pain, also called as lumbago, often causes functional disability. It is estimated that 80 to 84% of the world´s population will, suffer an episode of low back pain at some point in their lives. It can be related to pathologies such as infection, tumor, arthritis, fracture, cauda equina syndrome, disc herniation, and lifestyle factors; smoking, diet, sedentary lifestyle, and occupation; heavy physical work, repetitive movements. Pilates is an important treatment option for people with low back pain. Created by Joseph Humbertus Pilates, Pilates is a physical exercise method that makes it possible to condition the body and mind, correct muscle imbalances, improve posture, and tone the body. The objective of this work is to evaluate the effectiveness of the Pilates method in people with low back pain. This is a literature review based on the database pedro.org.au, which offers a specialized approach to physiotherapy research. The included studies cover, individuals aged 18 and over, ensuring the sample is composed of adults; all genders were considered in the study selection, ensuring representativity and inclusion of diverse populations.

Identifying the Problem Side with Single-Leg Squat and Hamstrings Flexibility for Non-Specific Chronic Low Back Pain.

Background and Objectives: In patients with non-specific chronic low back pain (LBP), their pain and problem sides can differ. Clinical Pilates assessment provides an approach to identify the problem side, but this approach requires experience and can be subjective. This study aimed to investigate if objective measures of single-leg squat postural control and hamstrings flexibility could identify the problem side in adults with non-specific chronic LBP. Materials and Methods: Forty adults with non-specific chronic LBP were tested on single-leg squat postural control and hamstrings flexibility. The problem side of participants was assessed with the Clinical Pilates method. Paired t-tests were used to compare the postural sway parameters of the single-leg squat and hamstrings flexibility between the problem and non-problem sides. Cohen's kappa was then used to assess the agreement of postural sway and flexibility measures with the Clinical Pilates method. Results: The problem side showed smaller vertical force variance, larger sway path distances, lower peak vertical force, smaller terminal knee flexion angle, longer time to complete the five single-leg squats, and tighter hamstrings as compared to the non-problem side. However, only the overall and anteroposterior sway path distances, terminal knee flexion angle, total squat duration, and hamstrings flexibility yielded moderate to strong agreement with the Clinical Pilates method. Conclusions: Single-leg squat postural sway parameters and hamstrings flexibility can objectively identify the problem side in adults with non-specific chronic LBP.

THE EFFECT OF TRUNK STABILITY TRAINING ON UPPER EXTREMITY ENDURANCE, STABILITY AND SHOULDER JOINT PROPRIOCEPTION IN POSTMENOPAUSAL WOMEN

Purpose: The incidence of shoulder pathologies is increasing in postmenopausal women. In this period, there is a need for protective approaches to be applied to prevent shoulder injuries. The aim of this study is to investigate the effects of clinical pilates exercises on upper extremity stability, endurance, function and shoulder joint proprioception in postmenopausal women. Methods: 30 postmenopausal women between the ages of 40-60 were included in our study. Participants were given clinical pilates training for 6 weeks, 3 days a week, 60 minutes by a physiotherapist. Before and after pilates training, dynamic stability of the shoulder was evaluated with Closed Kinetic Chain Upper Extremity Stability Test (CKCUES Test) and Upper Quarter Y Balance Test (UQYBT). Upper extremity muscle endurance was evaluated with the modified push up test. Laser Pointer-Assisted Angle Reproduction Test (LP-ART) was used to evaluate shoulder joint position sense. Results: A statistically significant difference was found in CKCUES Test (p=0.000, r=0.594), UQYBT (p=0.000, r=0.537), modified push up (p=0.000, r=0.594), LP-ART abduction (p=0.000, r= 0.491) and LP-ART flexion (p=0.000, r=0.484) at end of the training compared to the pre-training. The exercise program was found to be highly effective on all parameters. Conclusion: It was concluded that clinical pilates training applied in postmenopausal women increased the dynamic stability of the shoulder, endurance and position sense. Trunk stabilization exercises may be beneficial as a preventive approach in the prevention of shoulder pathologies in postmenopausal women.

Effects of pilates practice during the aging process in women

Population aging is a global phenomenon, with a notable feminization of old age. Consequently, strategies are necessary to mitigate the negative impacts of aging, with the Pilates Method (PM) being an effective physical exercise alternative. This study aimed to examine the effects of PM on variables such as balance, strength, and functional capacity (FC) in female aging, compiling these data in a literature review. An integrative bibliographic review was conducted in the ScienceDirect and MEDLINE/PubMed databases using descriptors and Boolean operators. A total of 682 publications were identified, of which 48 were selected, and 14 were included in this review. The results show that PM significantly improves dynamic balance, muscle strength of the lower and upper limbs, and FC when practiced for a minimum period of 6 to 18 weeks. PM is effective both in the mat and equipment-based modalities. It is concluded that PM is a highly beneficial physical exercise option for elderly women, being recommended to bring benefits during the aging process.

The Importance of Mind-Body in Pilates Method in Patients with Chronic Non-Specific Low Back Pain-A Randomized Controlled Trial.

Background/Objectives: Chronic non-specific low back pain (CNSLBP) is a prevalent condition causing significant distress and healthcare costs globally. Despite various treatments, effective management remains challenging. Pilates, recognized for its focus on core strength and postural alignment, has emerged as a promising intervention. This study investigates the impact of mind-body in Pilates for directing participants on CNSLBP outcomes. Methods: A randomized controlled trial was conducted with 67 participants, aged 18 to 65 years, suffering from CNSLBP. They were allocated into two groups: Pilates with mind-body cueing (n = 34) and Pilates without cueing (n = 33). Both groups underwent 60 min sessions twice weekly for 8 weeks. Outcome measures included pain intensity (Visual Analogue Scale), functional disability (Roland Morris Disability Questionnaire), fear of movement (Tampa Scale of Kinesiophobia), and adherence (percentage of sessions attended). Statistical significance was determined through repeated measures ANOVA. Results: Both groups showed significant improvement in pain reduction, functional ability, and kinesiophobia. However, the mind-body group demonstrated a statistically significant reduction in kinesiophobia compared to the non-cueing group (p = 0.048), indicating the potential additional benefit of mind-body cueing in managing movement-related fear in CNSLBP. Conclusions: This study underscores the effectiveness of an 8-week Pilates intervention in managing CNSLBP, highlighting the added value of mind-body cueing in reducing fear of movement. These findings suggest incorporating mind-body cueing in Pilates could enhance the therapeutic benefits, particularly for patients with high levels of movement-related fear, potentially improving long-term adherence to physical activity and rehabilitation outcomes.