Effects of Online Pilates and Face-To-Face Pilates on Healthy Individuals
Condition: Healthy Lifestyle; Health Behavior
Study type: Interventional

Summary: 
      Many studies on pilates have shown that these exercises positively affect the endurance of
      core muscles, mental health, and quality of life in healthy individuals when applied
      face-to-face.

      In a few recent studies, the effects of online pilates training have been examined and shown
      to be effective on core endurance, depression, and quality of life. In the results of these
      studies, it has been emphasized that it is necessary to compare whether online pilates
      training is as practical as face-to-face pilates training. For this reason, the investigators
      thought that randomized controlled studies investigating the effects of online and
      face-to-face pilates methods in healthy individuals are needed. The investigators planned a
      randomized controlled study investigating the impact of online pilates and face-to-face
      pilates methods. The study aims to examine and compare the effects of online pilates and
      face-to-face pilates methods on core muscle endurance, depression, and quality of life in
      healthy individuals.
    

Detailed description: 
      An experienced physiotherapist blind will evaluate participants by randomization at the start
      of the study and eight weeks later. The group participants belong to will not be disclosed to
      the participants until the end of the first assessment. Individuals who complete the initial
      evaluation will be randomly assigned to the online pilates group (OPG) or face-to-face
      pilates group (FPG) using a computer program. Both online and face-to-face applications will
      be carried out under the supervision of a physiotherapist with 11 years of experience.

      Participants included in the study will be evaluated with data collection forms filled twice,
      before and after the training programs. The participants' demographic information (age, body
      weight, height, body mass index) will be recorded.

      Statistical analysis will be performed using SPSS software, version 21 (SPSS Inc. Chicago,
      IL, USA). The normal distribution of the variables will be determined using histograms,
      probability plots, and the Shapiro-Wilk test. Due to the abnormal distribution, the median
      and interquartile range (IQR) will be used for descriptive statistics. A Mann-Whitney U test
      will be used to compare baseline and vary values between groups. The Wilcoxon test will
      compare baseline values within the group to values after six weeks. The significance level
      will be set-top < 0.05 for all analyses. Effect sizes will be evaluated according to Cohen's
      d standards within pre-post differences. Effect size results will be interpreted as small (≥
      0.2), moderate (≥ 0.5), or large (≥ 0.8) according to the guidelines.
    

Intervention name(s): Online and Face-to-face Pilates trainings
Intervention type(s): Other
Intervention description(s): Key elements of Pilates, including breathing, focusing, rib cage position, shoulder position, and head and neck positions, will be taught in both groups on the first day. Individuals will be asked to maintain the smoothness of these critical elements throughout the exercises. Different imagery techniques will be used in the exercises, and the exercises will be combined with breathing exercises. The intensity of the exercises will be increased by using different positions and elastic bands (Theraband Elastic Band Hygienic Corporation, Akron, Ohio). Band Resistances will be increased in biweekly periods. Stretching and posture exercises will be used during the cool-down period. The subjects in pilates group will be informed about the side effects such as shortness of breath, dizziness, headache, and muscle pain. Participants will be asked to stop the exercise in case of any side effects.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Using a computer program, the investigators randomly placed individuals who completed the initial assessment into the online pilates group (OPG) or face-to-face pilates group (FPG).
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Online pilates; Quality of life; Depression; Core; Pilates exercises