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Effects of Pilates Exercise on Center of Pressure and Balance Ability in Patients with Stroke: A Randomized Controlled Trial

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2026, 21(1), pp.29~42
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : September 2, 2025
  • Accepted : November 4, 2025
  • Published : February 28, 2026

So Hee Kim 1 Ki Hyeon Park 2

1대구광역시 달구벌 종합복지관
2동호정형외과의원

Accredited

ABSTRACT

PURPOSE: This study compared the effects of Pilatesand Swiss ball-based trunk stabilization exercises on the balance ability and Center of Pressure (CoP) sway in chronic stroke patients. METHODS: Thirty-one patients were assigned randomly to a Pilates group (n = 15) or a Swiss ball group (n = 16). Both groups trained three times per week for eight weeks, and all participants received concurrent neurorehabilitation. Balance was evaluated using the Berg Balance Scale (BBS) and CoP parameters (anteroposterior, mediolateral, total path length, and sway velocity) measured with the Balancia system. Data were analyzed using two-way repeated-measures ANOVA with Bonferroni correction (α = .05). RESULTS: Both groups showed significant time effects in all CoP parameters and BBS scores (p < .05). The CoP sway distance and velocity decreased, and the BBS scores improved from 43.0 ± 7.2 to 49.15 ± 5.34 in the Pilates group and from 44.83 ± 6.64 to 50.92 ± 4.72 in the Swiss ball group. No significant group-by-time interaction was found (p > .05). CONCLUSION: Pilates and Swiss ball exercises enhanced the postural stability and balance by reducing CoP sway and improving the functional performance. Pilatesbased training can serve as an effective alternative or complementary approach to Swiss ball exercises in stroke rehabilitation.

Citation status

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