Reformer pilates

Reformer pilates has been studied in 3 papers since 2024: 3 trials in people; 2 in the past year. The newest paper, Mar 26, 2026: “The Effects of Three Different Pilates Methods on Pelvic Floor Muscle Function: A Randomized Comparative Interventional Study”.

Intervention

3 papers study it7 findingsUpdated

See all 3 papers on reformer pilates

At a glance

The findings reach people, from one lab or study. 3 independent labs in 3 countries.

“Reformer Pilates demonstrated the greatest gains in PFM strength (Δ = +6.50 mmHg, p < 0.001, η2 = 0.691) and endurance (Δ = +6.00 s, p < 0.001, η2 = 0.540).”
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: a single group. Cells, worms or flies and mice: nothing yet.
  • 3 independent labs in 3 countries
  • Funder: Princess Nourah Bint Abdulrahman University
  • Human trial3

Studies in people

3 studies gave reformer pilates to people and measured what changed.

What changedDesignPeopleSource

up: Improves pelvic floor muscle strength

up: Improves core flexor endurance

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 flexibilityg = 0.24

Randomized trial15 peopleWomen42.2 ± 1.5 yearsMidlife adults; sedentaryHealthcare (Basel, Switzerland), Feb 11, 2026

up: Improves flow-mediated dilationp < 0.05

no change: Has no effect on blood pressure

Randomized trial60 min17 people65 ± 2.76 yearsOlder adultsGerontology, May 7, 2024

What did studies of reformer pilates find?

6

Studies of reformer pilates measured 6 outcomes; the most studied are core flexor endurance (1 study), pelvic floor muscle strength (1) and pelvic floor muscle strength (1).

Core flexor endurance

upin humans1

1 study
  1. Reformer pilates improve core flexor endurance in humans.

    “For core flexor endurance, Reformer (Δ = +16.85 s, p < 0.001, η2 = 0.352) and Mat Pilates (Δ = +8.68 s, p < 0.001) produced greater improvements than Home Exercise.”

    Human trial10-weekfemalesn = 48

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

    Research SquarePreprint

  2. Reformer pilates improve core flexor endurance in humans (healthy) (Δ = +16.85 s, p < 0.001, η2 = 0.352).

    “For core flexor endurance, Reformer (Δ = +16.85 s, p < 0.001, η2 = 0.352) and Mat Pilates (Δ = +8.68 s, p < 0.001) produced greater improvements than Home Exercise.”

    Human trialhealthy10 weeksfemalesn = 14

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

    Research SquarePreprint

More on Core flexor endurance

Pelvic floor muscle strength

upin humans1

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

    “Reformer Pilates demonstrated the greatest gains in PFM strength (Δ = +6.50 mmHg, p < 0.001, η2 = 0.691) and endurance (Δ = +6.00 s, p < 0.001, η2 = 0.540).”

    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. Reformer pilates improve pelvic floor muscle strength in humans (healthy) (Δ = +6.50 mmHg, p < 0.001, η2 = 0.691).

    “Reformer Pilates demonstrated the greatest gains in PFM strength (Δ = +6.50 mmHg, p < 0.001, η2 = 0.691)”

    Human trialhealthy10 weeksfemalesn = 14

    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

Flexibility

upin humans1

1 study
  1. Reformer pilates improve flexibility in humans (sedentary) (g = 0.24).

    “the RF session producing greater immediate improvements in flexibility compared to CD (p = 0.030; g = 0.24) and CH sessions (p = 0.030; g = 0.24).”

    Human trialsedentaryfemalesn = 15

    Acute Effects of Reformer, Cadillac, and Chair Pilates Apparatuses on Cardiac Autonomic Modulation and Flexibility in Sedentary Middle-Aged Women

    Healthcare (Basel, Switzerland)

Blood pressure

no changein humans1

1 study
  1. Reformer pilates showed no clear effect on blood pressure in humans.

    “However, no significant differences were observed in blood pressure or mean arterial pressure in either condition.”

    Human trial60 minn = 17

    Effect of 60-Min Single Bout of Resistance Exercise, Reformer Pilates, on Vascular Function Parameters in Older Adults: A Randomized Crossover Study

    Gerontology

More on Blood pressure

Flow-mediated dilation

upin humans1

1 study
  1. Reformer pilates improve flow-mediated dilation in humans (p < 0.05).

    “RP showed improved FMD at 0, 10, and 30 min compared with that in the control condition (p < 0.05).”

    Human trial60 minn = 17

    Effect of 60-Min Single Bout of Resistance Exercise, Reformer Pilates, on Vascular Function Parameters in Older Adults: A Randomized Crossover Study

    Gerontology

More on Flow-mediated dilation

Latest

Dec 2025: 0Jan 2026: 0Feb 2026: 1Mar 2026: 1Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0Sep 2026: 0Oct 2026: 0Nov 2026: 02 papers in 12 months