Evidence map›Paper›PMID 42067815›Full record

Trial reportBMC pregnancy and childbirth2026

Effect of continued prenatal Pilates until childbirth on postpartum ligamentous recovery: a longitudinal follow-up of a randomized controlled trial.

Halil Ibrahim Bulguroglu, Merve Bulguroglu, Baran Degirmenci, Selcan Suicmez, Cansu Gevrek Aslan, Serenay Zorlu Develik, Nevin Atalay Guzel

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07344857 (Impact of a Prenatal Pilates Program Continued Until Childbirth on Postpartum Ligamentous Recovery), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07344857 completednot on this map

Impact of a Prenatal Pilates Program Continued Until Childbirth on Postpartum Ligamentous Recovery: a Longitudinal Follow-up of a Randomized Controlled Trial

TypeobservationalSponsorAnkara Medipol UniversityRan2025 to 2026Enrolled42ConditionsLaxity of Ligament, Pregnancy, Pilates Exercise
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Halil Ibrahim BulgurogluDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, 06050, Turkey. fztibrahim@hotmail.com.ORCID http://orcid.org/0000-0002-6767-7062
Merve BulgurogluDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, 06050, Turkey.ORCID http://orcid.org/0000-0002-5923-4720
Baran DegirmenciDepartment of Family Medicine, Mugla Training and Research Hospital, Mugla, Turkey.ORCID http://orcid.org/0000-0002-5543-1487
Selcan SuicmezDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, 06050, Turkey.ORCID http://orcid.org/0009-0009-0354-8630
Cansu Gevrek AslanDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, 06050, Turkey.ORCID http://orcid.org/0000-0003-0750-3033
Serenay Zorlu DevelikDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, 06050, Turkey.ORCID http://orcid.org/0000-0002-3079-8688
Nevin Atalay GuzelDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-0467-7310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy-related hormonal and biomechanical adaptations increase ligamentous laxity and joint mobility, which may persist into the postpartum period and contribute to pain and functional limitations. Although prenatal Pilates attenuates ligamentous laxity during pregnancy, its effects on early postpartum recovery remain unclear. This study aimed to investigate whether continuation of a structured prenatal Pilates program until childbirth facilitates ligamentous recovery and improves functional outcomes at six weeks postpartum.

methodsThis dual-center, parallel-group randomized controlled trial included 42 primiparous women with singleton pregnancies randomized to a prenatal Pilates group or a control group receiving standard prenatal care. Assessments were conducted at baseline (14-16 weeks of gestation), late pregnancy (32 weeks of gestation), and six weeks postpartum. Outcome measures included anterior cruciate ligament (ACL) laxity assessed using a GNRB

resultsLinear mixed-effects model analyses revealed significant group × time interactions for ACL laxity at 134 N (p = 0.011) and 200 N (p = 0.008), as well as for Beighton scores (p = 0.012). Ligamentous laxity and generalized joint hypermobility remained stable during pregnancy and returned toward baseline at six weeks postpartum in the Pilates group, whereas pregnancy-related increases persisted in the control group. Significant group × time interactions were also observed for pelvic girdle pain-related disability (p = 0.022) and daily step count (p = 0.027). Pelvic girdle pain decreased more markedly in the Pilates group, while physical activity levels increased substantially compared to the control group. All findings remained statistically significant after adjustment for mode of delivery.

conclusionsContinuation of a structured prenatal Pilates program until childbirth is associated with improved ligamentous recovery, reduced generalized joint hypermobility, lower pelvic girdle pain-related disability, and higher physical activity levels in the early postpartum period, supporting its role as a feasible pre-rehabilitative strategy during pregnancy.

trial registrationClinicalTrials.gov Identifier: NCT07344857 ( https://clinicaltrials.gov/study/NCT07344857 ).Registration Date:01/08/2026.

Indexed as

Exercise Movement TechniquesJoint InstabilityPostpartum PeriodPrenatal CareAdultAnterior Cruciate LigamentFemaleFollow-Up StudiesHumansLongitudinal StudiesPelvic Girdle PainPregnancyRecovery of FunctionArthrometryLaxityPilates trainingPostpartum periodPregnancy

Identifiers

PMID42067815
PMCPMC13281616

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.