Mat pilates

Mat pilates has been studied in 10 papers since 2017: 9 trials in people, 1 review; 5 in the past year. The newest paper, Sep 16, 2026: “The Effect of Mat Pilates vs Mat Pilates with a Resistance Band on Muscle Strength and Flexibility in Postmenopausal Women”.

Intervention

10 papers study it18 findingsUpdated

See all 10 papers on mat pilates

At a glance

Independent labs found the same change in people. 10 independent labs in 4 countries.

“Mat Pilates also improved PFM strength (Δ = +3.63 mmHg, p < 0.001, η2 = 0.406) and endurance (Δ = +2.65 s, p < 0.001).”
The Effects of Three Different Pilates Methods on Pelvic Floor Muscle Function: A Randomized Comparative Interventional StudyResearch Square2026doi:10.21203/rs.3.rs-8920061/v1

None of its findings points the other way.

Humans: replicated by independent labs. Cells, worms or flies and mice: nothing yet.
  • 10 independent labs in 4 countries
  • Funders: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior and 3 more
  • Human trial9

9 studies gave mat pilates to people and measured what changed.

What changedDesignPeopleSource

up: Improves muscle strength

up: Improves flexibility

Randomized trial4 weeks62 peopleWomen50-65 yearsOlder adults; Midlife adults; Postmenopausal womenInternational Journal of Drug Delivery Technology, Sep 16, 2026

up: Improves physical function

down: Decreases frailty

Randomized trial24 weeks26 peopleolder adultsOlder adults; frail institutionalized older adultsDerecho y cambio social., Aug 11, 2026

no change: Has no effect on handgrip strength

no change: Has no effect on braking reaction time0.90 ± 0.11s at M1 to 0.83 ± 0.15s at M3

Trial30 sessions16 peopleolderOlder adults; older professional driversPhysiotherapy research international : the journal for researchers and clinicians in physical therapy, Aug 2, 2026

up: Improves pelvic floor muscle strength

Randomized trial10-week48 peoplefemale participantsbetween the ages of 18 and 45Female participants between the ages of 18 and 45 who were healthy in terms of pelvic floor functionResearch Square, Mar 26, 2026

up: Improves pain severityΔ = -5.5; d = 0.50; p = 0.031

no change: Has no effect on depressive symptoms

Randomized trial24 weeks43 peopleWomen55.2 ± 7.6 yearsMidlife adults; breast cancer survivors undergoing hormone therapyEuropean journal of oncology nursing : the official journal of European Oncology Nursing Society, Jan 12, 2026

What did studies of mat pilates find?

17

Studies of mat pilates measured 17 outcomes; the most studied are functional capacity (2 studies), flexibility (1) and muscle strength (1).

Functional capacity

upin humans2

2 studies
  1. Mat pilates improve functional capacity in humans (knee osteoarthritis) (SF-36 from 33.12 ± 22.03 to 69.37 ± 22.43, WOMAC from 29.75 ± 6.92 to 9.75 ± 9.35, p < 0.05).

    “The Mat Pilates group significantly improved the functional capacity assessed by SF-36 (33.12 ± 22.03 to 69.37 ± 22.43, p < 0.05), and by WOMAC (29.75 ± 6.92 to 9.75 ± 9.35, p < 0.05).”

    Human trialknee osteoarthritis60 min, twice a weekfemalesn = 41

    Effects of mat Pilates on older adult women with knee osteoarthritis: A randomized controlled trial

    Journal of bodywork and movement therapies

  2. Mat pilates improve functional capacity in humans (p < 0.05).

    “During the intervention, the results showed significant improvements in functional capacity tests (time up and go, time up stairs, time down stairs, and chair sit-and-reach), rate of torque development, and impulse (p < 0.05).”

    Human trial12 weeksfemalesn = 10

    Effects of 6-weeks of detraining on functional capacity and rapid torque production in older women

    Journal of bodywork and movement therapies

Flexibility

upin humans1

1 study
  1. Mat pilates improve flexibility in humans.

    “Both Mat Pilates and Mat Pilates with TheraBand are effective in improving muscle strength and flexibility in postmenopausal women”

    Human trial4 weeksfemalesn = 62

    The Effect of Mat Pilates vs Mat Pilates with a Resistance Band on Muscle Strength and Flexibility in Postmenopausal Women

    International Journal of Drug Delivery Technology

Muscle strength

upin humans1

1 study
  1. Mat pilates improve muscle strength in humans.

    “Both Mat Pilates and Mat Pilates with TheraBand are effective in improving muscle strength and flexibility in postmenopausal women”

    Human trial4 weeksfemalesn = 62

    The Effect of Mat Pilates vs Mat Pilates with a Resistance Band on Muscle Strength and Flexibility in Postmenopausal Women

    International Journal of Drug Delivery Technology

Frailty

downin humans1

1 study
  1. Mat pilates decrease frailty in humans (frail institutionalized older adults).

    “the Pilates group showed significant improvements in all outcomes assessed, including increased handgrip strength, improved lower-limb functional performance, and a reduction in the frailty index.”

    Human trialfrail institutionalized older adultstwice a week, lasting 50 minutes24 weeks

    Effects of a Mat Pilates program on physical function and mobility in frail institutionalized older adults

    Derecho y cambio social.

Physical function

upin humans1

1 study
  1. Mat pilates improve physical function in humans (frail institutionalized older adults).

    “the Pilates group showed significant improvements in all outcomes assessed, including increased handgrip strength, improved lower-limb functional performance, and a reduction in the frailty index.”

    Human trialfrail institutionalized older adultstwice a week, lasting 50 minutes24 weeks

    Effects of a Mat Pilates program on physical function and mobility in frail institutionalized older adults

    Derecho y cambio social.

Braking reaction time

no changein humans1

1 study
  1. Mat pilates showed no clear effect on braking reaction time in humans (older professional drivers) (0.90 ± 0.11s at M1 to 0.83 ± 0.15s at M3).

    “Braking reaction time showed a non-significant numerical reduction from 0.90 ± 0.11s at M1 to 0.83 ± 0.15s at M3 (p = 0.098).”

    Human trialolder professional driversforce-vector-oriented Mat Pilates programone 50-min session per week30 sessionsn = 16

    Force-Vector Pilates Exercises on Functional Performance and Braking Reaction Time in Older Professional Drivers: An Exploratory Feasibility Study

    Physiotherapy research international : the journal for researchers and clinicians in physical therapy

More on Braking reaction time

Handgrip strength

no changein humans1

1 study
  1. Mat pilates showed no clear effect on handgrip strength in humans (older professional drivers).

    “Handgrip strength showed no significant change.”

    Human trialolder professional driversforce-vector-oriented Mat Pilates programone 50-min session per week30 sessionsn = 16

    Force-Vector Pilates Exercises on Functional Performance and Braking Reaction Time in Older Professional Drivers: An Exploratory Feasibility Study

    Physiotherapy research international : the journal for researchers and clinicians in physical therapy

More on Handgrip strength

Pelvic floor muscle strength

upin humans1

1 study
  1. Mat pilates improve pelvic floor muscle strength in humans.

    “Mat Pilates also improved PFM strength (Δ = +3.63 mmHg, p < 0.001, η2 = 0.406) and endurance (Δ = +2.65 s, p < 0.001).”

    Human trial10-weekfemalesn = 48

    The Effects of Three Different Pilates Methods on Pelvic Floor Muscle Function: A Randomized Comparative Interventional Study

    Research SquarePreprint

Pelvic floor muscle strength

upin humans1

1 study
  1. Mat pilates improve pelvic floor muscle strength in humans (healthy) (Δ = +3.63 mmHg, p < 0.001, η2 = 0.406).

    “Mat Pilates also improved PFM strength (Δ = +3.63 mmHg, p < 0.001, η2 = 0.406)”

    Human trialhealthy10 weeksfemalesn = 19

    The Effects of Three Different Pilates Methods on Pelvic Floor Muscle Function: A Randomized Comparative Interventional Study

    Research SquarePreprint

More on Pelvic floor muscle strength

Depressive symptoms

no changein humans1

1 study
  1. Mat pilates showed no clear effect on depressive symptoms in humans (breast cancer survivors undergoing hormone therapy).

    “Depressive symptoms did not significantly improve.”

    Human trialbreast cancer survivors undergoing hormone therapy24 weeksfemalesn = 43

    The effects of 24 Weeks of mat pilates on pain, anxiety, and depressive symptoms in breast cancer survivors undergoing hormone therapy: A randomized controlled trial

    European journal of oncology nursing : the official journal of European Oncology Nursing Society

Pain severity

upin humans1

1 study
  1. Mat pilates improve pain severity in humans (breast cancer survivors undergoing hormone therapy) (Δ = -5.5; d = 0.50; p = 0.031).

    “A significant group-time interaction was observed for pain severity (p = 0.031; Δ = -5.5; d = 0.50), with a reduction in the PG”

    Human trialbreast cancer survivors undergoing hormone therapy24 weeksfemalesn = 43

    The effects of 24 Weeks of mat pilates on pain, anxiety, and depressive symptoms in breast cancer survivors undergoing hormone therapy: A randomized controlled trial

    European journal of oncology nursing : the official journal of European Oncology Nursing Society

Depressive symptoms

downin humans1

1 study
  1. Mat pilates decrease depressive symptoms in humans (Parkinson's disease) (p < 0.001).

    “and in depressive symptoms (p < 0.001), anxiety (p = 0.033), happiness (p < 0.001), and loneliness (aging perspective) (p = 0.017) in the short and long term.”

    Human trialParkinson's disease12 wkn = 35

    Functional training and Mat Pilates have a positive effect on non-motor symptoms improving cognition, depressive symptoms, anxiety, and happiness in people with Parkinson's disease: a randomized controlled clinical trial with follow-up

    Aging & mental health

More on Depressive symptoms

Cognitive function

upin humans1

1 study
  1. Mat pilates improve cognitive function in humans (Parkinson's disease) (p = 0.048).

    “For the Mat Pilates group, effects were observed in cognition (p = 0.048) and confusion (p = 0.049) in the short term”

    Human trialParkinson's disease12 wkn = 35

    Functional training and Mat Pilates have a positive effect on non-motor symptoms improving cognition, depressive symptoms, anxiety, and happiness in people with Parkinson's disease: a randomized controlled clinical trial with follow-up

    Aging & mental health

Climacteric symptoms

downin humans1

1 study
  1. Mat pilates decrease climacteric symptoms in humans (Irregularly active, non-obese postmenopausal women with or without hypertension).

    “there was a significant reduction in the scores of the B-K and MRS”

    Human trialIrregularly active, non-obese postmenopausal women with or without hypertension36 sessions on nonconsecutive days12 weeksfemalesn = 47

    Comparison of Mat Pilates training-induced changes on climateric symptoms in hypertensive and normotensive postmenopausal women

    Journal of bodywork and movement therapies

More on Climacteric symptoms

Health status

upin humans1

1 study
  1. Mat pilates improve health status in humans (knee osteoarthritis) (59.44 ± 18.07 to 82.75 ± 12.03, p < 0.05).

    “The total score of WOMAC (41.75 ± 10.39 to 14.25 ± 13.88, p < 0.05), and the general health status assessed by SF-36 (59.44 ± 18.07 to 82.75 ± 12.03, p < 0.05) only improved for Mat Pilates group.”

    Human trialknee osteoarthritis60 min, twice a weekfemalesn = 41

    Effects of mat Pilates on older adult women with knee osteoarthritis: A randomized controlled trial

    Journal of bodywork and movement therapies

All 17

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