Effects of feedback-based balance and core resistance training vs.
Pilates training on balance and muscle function in older women : A randomized-controlled trial
Goran Markovic a,b,*, Nejc Sarabon c,d, Zrinka Greblo e, Valerija Krizanic
Background: Aging is associated with decline in physical function that could result in the development of
physical impairment and disability. Hence, interventions that simultaneously challenge balance ability,
trunk (core) and extremity strength of older adults could be particularly effective in preserving and
enhancing these physical functions.
Objective: The purpose of this study was to compare the effects of feedback-based balance and core
resistance training utilizing the a special computer-controlled device (Huber1) with the conventional
Pilates training on balance ability, neuromuscular function and body composition of healthy older
Methods: Thirty-four older women (age: 70 4 years) were randomly assigned to a Huber group (n = 17)
or Pilates group (n = 17). Both groups trained for 8 weeks, 3 times a week. Maximal isometric strength of
the trunk flexors, extensors, and lateral flexors, leg power, upper-body strength, single- and dual-task
static balance, and body composition were measured before and after the intervention programs.
Results: Significant group time interactions and main effects of time (p < 0.05) were found for body
composition, balance ability in standard and dual-task conditions, all trunk muscle strength variables,
and leg power in favor of the Huber group. The observed improvements in balance ability under both
standard and dual-task conditions in the Huber group were mainly the result of enhanced postural
control in medial-lateral direction (p < 0.05).
Conclusion: Feedback-based balance and core resistance training proved to be more effective in
improving single- and dual-task balance ability, trunk muscle strength, leg power, and body composition
of healthy older women than the traditional Pilates training.