Pilates Method as a Physiotherapeutic Intervention in Chronic Low Back Pain in Adults: Integrative Review

Authors

DOI:

https://doi.org/10.62827/fb.v27i3.1171

Keywords:

Chronic Pain; Exercise Movement Techniques; Physiotherapy; Low Back Pain; Adult.

Abstract

Introduction: Chronic low back pain is a disabling and highly prevalent condition, associated with reduced functionality and quality of life. Therefore, the Pilates method has been used in physiotherapy as a strategy to reduce pain and improve function. Objective: This study aimed to analyze the effects of the Pilates method on pain and function in adults with chronic low back pain. Methods: Integrative literature review, conducted according to PRISMA. The search was carried out in the PubMed, Virtual Health Library (VHL), SciELO and Google Scholar databases, with descriptors related to chronic low back pain and Pilates. Studies published between 2021 and 2026, available in full, were included. The selection followed the steps of identification, screening, eligibility and inclusion. Results: The search resulted in 399 studies in the selected databases. After removing duplicates and screening by titles and abstracts, 54 articles were evaluated in full, 4 of which were included in the review. Conclusion: The Pilates method has demonstrated positive effects in reducing pain and improving function in individuals with chronic non-specific low back pain, being a safe and adaptable intervention. However, studies with greater methodological rigor are needed to confirm these findings.

Author Biographies

  • Mariângela Ferraz Rodrigues Araújo, UNA Bom Despacho

    Centro Universitário UNA, Bom Despacho, MG, Brasil

  • Ana Flávia Vieira Silva, UNA Bom Despacho

    Centro Universitário UNA, Bom Despacho, MG, Brasil

  • João Luiz Lemos de Freitas , UNA Bom Despacho

    Centro Universitário UNA, Bom Despacho, MG, Brasil

  • Liriel Natally Gonçalves Nunes, UNA Bom Despacho

    Centro Universitário UNA, Bom Despacho, MG, Brasil

References

Asik HK, Sahbaz T. Preventing chronic low back pain: investigating the role of Pilates in subacute management: a randomized controlled trial. Ir J Med Sci. 2025;194(3):949-56. doi: 10.1007/s11845-025-02617-9. [citado 2026 mar 29]. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC11278085/. doi: 10.1007/s11845-025-02617-9.

De Zoete A, Innocenti T, Petrozzi MJ, van Middelkoop M, Assendelft WJJ, de Boer MR, van Tulder MW, Rubinstein SM. Spinal manipulative therapy for adults with chronic low back pain. Cochrane Database Syst Rev. 2026;1:CD008112. doi:10.1002/14651858.CD008112.pub3.

Farley T, Stokke J, Goyal K, DeMicco R. Chronic low back pain: history, symptoms, pain mechanisms, and treatment. Life (Basel). 2024;14(7):812. doi:10.3390/life14070812.

Cordeiro ALL, Oliveira APS, Cerqueira NS, Santos FAF. Método Pilates para dor em pacientes com lombalgia: revisão sistemática. BrJP. 2022 Jul-Sep;5(3):265-71. doi:10.5935/2595-0118.20220038-pt

Page, M. J. et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ, v. 372, n. 71, 2021. Available from: https://www.bmj.com/content/372/bmj.n160. doi: 10.1136/bmj.n71.

Guo L, et al. Effects of different types of core training on pain and functional status in patients with chronic nonspecific low back pain: a systematic review and meta-analysis. [Journal not informed]. 2025.

Silva HJ, et al. Group-based exercise reduces pain and disability and improves other outcomes in older people with chronic non specific low back pain: the ESCAPE randomised trial. J Physiother. 2025;71(2):108–116.

Lytras D, et al. Effects of a tailored mat Pilates exercise program for older adults on pain, functioning, and balance in women with chronic non specific low back pain: a randomized controlled trial. Aging Clin Exp Res. 2023;35(12):3059–3071.

Vera-Saura P, et al. The importance of mind-body in Pilates method in patients with chronic non-specific low back pain: a randomized controlled trial. J Clin Med. 2024;13(1):e23456. doi: 10.3390/jcm13010234.

Tottoli CR, et al. Effectiveness of Pilates compared with home-based exercises in individuals with chronic non-specific low back pain: randomised controlled trial. Clin Rehabil. 2024;38(5):473-480. [citado 2026 mar 24]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/39275840/

Coelho ACS, Dourado VZ, Lima MA. High-intensity and low-intensity Pilates have similar effects on pain and disability in people with chronic non-specific low back pain: a randomised trial. Clin Rehabil. 2025;39(4):345-352. [citado 2026 mar 24]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/40122758/

Mahajan A, et al. Feasibility of integrating Pilates with conventional kinesiotherapy for managing chronic low back pain: a pilot study. J Pain Res. 2025;18:123-130. [citado 2026 mar 24]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/41281812/

Published

2026-05-27

How to Cite

Pilates Method as a Physiotherapeutic Intervention in Chronic Low Back Pain in Adults: Integrative Review. (2026). Fisioterapia Brasil, 27(3), 3403-3412. https://doi.org/10.62827/fb.v27i3.1171

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