Impact of Pilates training on gait performance in individuals with unilateral transtibial amputation.

Abstract

To evaluate the effects of a 3-month Pilates training program on spatiotemporal gait parameters in unilateral transtibial amputees (TTA). Ten TTA (aged 18 to 59 years) participated in a training program consisting of 36 remote, supervised mat-based Pilates sessions, assessed at baseline, pre- and post-training, and at follow-up. Spatiotemporal gait parameters were recorded using an instrumented walkway at self-selected walking speed (SSWS) and fast walking speed (FWS). Functional mobility was assessed using the Timed-up and Go (TUG) test. Statistical analyses included repeated measures ANOVA and effect size calculations. Following training prosthetic limb step length increased (<i>p</i> = 0.015). The intact side also showed increased step length (<i>p</i> = 0.009), while stance time (<i>p</i> = 0.011) and swing time (<i>p</i> = 0.005) decreased post-training. No changes in asymmetry were observed, regardless of walking speed (<i>p</i> > 0.05). Walking speed increased significantly for SSWS (<i>p</i> < 0.001) and FWS (<i>p</i> = 0.002). Performance on the TUG test increased post the training intervention (<i>p</i> < 0.001). The 3-month Pilates program improved gait performance and functional mobility in TTA, suggesting that Pilates may be an effective rehabilitation tool.