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The methodological quality was assessed via the PEDro scale, and the certainty of evidence via the GRADE system. The meta\u2010analysis was conducted using the standardised mean difference (SMD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen studies were included in the systematic review. Eight studies had a low risk of bias. In children and adolescents, there was moderate certainty of evidence that Pilates improves postural alignment of the thoracic angle (SMD\u00a0=\u00a0\u22120.45 [0.67, \u22120.23]) and lumbar angle (SMD\u00a0=\u00a0\u22120.29 [\u20130.50, \u22120.07]) compared with inactive controls, whereas there was very low certainty of evidence that the Schroth technique is superior to Pilates for scoliosis (SMD\u00a0=\u00a00.98 [0.32, 1.65]). In adults, very low\u2010 to low\u2010certainty evidence has indicated that Pilates improves postural alignment of the shoulder angle (SMD\u00a0=\u00a0\u22120.78 [\u20131.23, \u22120.33]), scoliosis (SMD\u00a0=\u00a0\u22120.52 [\u20131.01, \u22120.04]) and lumbar lordosis (SMD\u00a0=\u00a0\u22120.40 [0.72, \u22120.08]) compared with inactive controls and improve the craniovertebral angle (SMD\u00a0=\u00a0\u22121.24 [\u20132.85, \u22120.38]) compared with stretching and strengthening exercises.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pilates has some potential for improving postural misalignment of the thoracic and lumbar angles in children and adolescents. However, for other body segments, due to the low certainty of the evidence, further studies are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70009","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T05:15:18Z","timestamp":1732079718000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Are Pilates Exercises Effective in Improving Postural Misalignment? 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