{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T23:26:49Z","timestamp":1787095609410,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pregnancy leads to biomechanical and postural changes that affect musculoskeletal loading, mobility, gait, alignment, and pain. Although Pilates is commonly used during pregnancy, randomized controlled studies with objective gait assessment remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the effects of an 8-week supervised prenatal Pilates program on spatiotemporal gait parameters, postural alignment, and pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this randomized controlled trial, 53 primiparous women (16\u201320 weeks\u2019 gestation) were allocated to a Pilates group (PG; n\u2009=\u200927) or control group (CG; n\u2009=\u200926). The PG performed supervised 60-min sessions twice weekly for 8 weeks. Gait and pelvic kinematics were assessed using BTS G-Walk, and postural alignment (NYPAM) and pain (VAS) were evaluated at baseline, week 4, and week 8. Mixed-model repeated-measures ANOVA with Bonferroni adjustment was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant group \u00d7 time interactions (\u03b7p\n                      <jats:sup>2<\/jats:sup>\n                      \u2009\u2265\u20090.14) were observed for stride length, stance phase, swing phase, double-support phase, pelvic tilt, pelvic obliquity, pain, and postural alignment. Gait was preserved in the Pilates group, whereas controls deteriorated (all p\u2009&lt;\u20090.05). At week 8, the Pilates group showed more favorable outcomes in stride length (\u0394\u2009=\u20090.14\u2005m), stance phase (\u0394\u2009=\u2009\u22126.22%), pelvic tilt (\u0394\u2009=\u200924.54\u00b0), and pain (\u0394\u2009=\u2009\u22122.43\u2005cm). Postural alignment declined in controls but was preserved in Pilates (\u0394\u2009=\u200915.13; p\u2009=\u20090.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An 8-week supervised prenatal Pilates program may help preserve gait, support postural alignment, and reduce pain during mid-pregnancy. Prenatal Pilates may be a feasible non-pharmacological option in prenatal musculoskeletal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261437856","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T10:57:32Z","timestamp":1775041052000},"page":"1674-1683","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of an 8-week prenatal pilates program on spatiotemporal gait parameters, postural alignment and pain: A dual-center randomized controlled trial"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5923-4720","authenticated-orcid":false,"given":"Merve","family":"Bulguroglu","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6767-7062","authenticated-orcid":false,"given":"Halil Ibrahim","family":"Bulguroglu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baran","family":"Degirmenci","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mugla Training and Research Hospital, Mugla, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0354-8630","authenticated-orcid":false,"given":"Selcan","family":"Suicmez","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cansu Gevrek","family":"Aslan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3079-8688","authenticated-orcid":false,"given":"Serenay Zorlu","family":"Develik","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0467-7310","authenticated-orcid":false,"given":"Nevin Atalay","family":"Guzel","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579420001121"},{"key":"e_1_3_4_3_2","volume-title":"Maternal Physiological Changes in Pregnancy","author":"Vinturache A","year":"2021","unstructured":"Vinturache A, Khalil A. 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