Last update:

   13-Jan-2026
 

Arch Hellen Med, 43(2), March-April 2026, 212-220

ORIGINAL PAPER

Investigation of the application of the Pilates method in the rehabilitation of Achilles tendinopathy

A.P. Sivrika,1 P. Sivrika,2 D. Lamnisos,3 G. Georgoudis,1 D. Stasinopoulos1
1Department of Physiotherapy, University of West Attica, Athens
2Freelancer Physiotherapist, Athens, Greece
3Department of Health Sciences, European University Cyprus, Nicosia, Cyprus

OBJECTIVE To investigate the application of clinical Pilates in daily clinical practice and to determine the intensity, frequency and dosage of execution in Achilles tendinopathy (AT).

METHOD A cross-sectional study that followed the quantitative approach was carried out by administering an improvised questionnaire to a sample of physical therapists in Greece in order to collect and analyze data on the use of the Pilates method in rehabilitation and to investigate its use in AT as well as to determine the exercise regimen, the intensity and frequency of execution, as well as the dosage.

RESULTS Out of the 45 physiotherapists who responded to the questionnaire, the majority (75.6%) were aware of the method. A percentage of 41.2% applied it in daily clinical practice, 78.6% had received relevant training and only nine of them applied it in AT rehabilitation. The majority of them performed two sessions per week for 3–6 weeks, 10 exercises of 10 repetitions in repeated sets with a break. 100% performed reformer exercises, used resistance bands, and selected pain and range of motion as outcome measures.

CONCLUSIONS Pilates, although a popular exercise method, does not seem to be recommended for AT rehabilitation. Given that exercise is the most effective intervention and that the holistic and individualized approach to rehabilitation is proposed, well-designed studies could set the principles for the utilization of another popular and accessible exercise approach.

Key words: Achilles tendon, Pilates, Tendinopathy.


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