The present study is particularly interesting in terms of clinical implications, as it provides evidence of the effects of Pilates exercises on three major fall risk factors among older women. These findings appear to be consistent with previous studies.
Therefore, this intervention should be considered and included in the exercise toolbox available to all clinicians as it could help limiting the risk of falls and reducing the physical, psychological and economical effects of falling.
The authors assessed two major psychological fall risk factors which are the balance confidence and the fear of falling. These are known to be key factors that must be taken into account when thinking about prevention of falls and the present study confirms this fact while adding strong evidence to the few and limited ones existing so far.
Another interesting point is that adherence to the Pilates programme was very good (none of the participants missed more than three consecutive sessions), which is of importance as adherence is essential in any exercise programme.
The quality of the study is very high (PEDro score: 8/10). The authors built a randomised, blinded and controlled trial with strict inclusion and exclusion criteria, including a representative sample with a high level of adherence. Moreover, many details about the programme and exercises performed in the study (fully detailed in a specific Appendix).
It could be interesting to assess in further studies whether the positive effects of Pilates exercises remain after twelve weeks and whether such results could be extended to older adults globally.