Purpose of the study: the analysis of meta-analyses and systematic reviews published in the Pubmed database since 2000, which assessed the impact of Pilates classes on the body of physically active, healthy members of the general population.

Methods: all meta-analyses and systematic reviews with the key word “pilates” were selected in the Pubmed database. After finalizing the list of meta-analyses and systematic reviews that correspond to the purpose of the study, a table was compiled in which the key parameters of each of them were indicated.

Results: the final analysis demonstrated that regular Pilates classes can safely and significantly improve body posture and dynamic balance, flexibility of the tendons of the posterior thigh and back muscles, endurance of the abdominal muscles and quality of life. But at the same time, it probably does not have a significant effect on body composition.

Conclusion: Pilates classes can be considered as an effective and safe method of improving body posture and flexibility in physically healthy members of the general population. At the same time, the lack of high-level methodological data does not allow us to recommend Pilates training as a method of injury prevention and performance improvement in groups of high-level athletes.

Purpose of the study: to develop a consensus statement, based on the Delphi protocol methodology, regarding the key principles of postoperative rehabilitation for physically active individuals from the general population following primary isolated ACL reconstruction.

Materials and methods: A two‑round Delphi study was conducted to develop the consensus statement. The working group formulated a list of questions divided into three categories: core rehabilitation principles, criteria for return to activity, and paramedical aspects of care. Twenty‑three rehabilitation experts participated, meeting strict criteria: higher medical or pedagogical education, at least 10 years of professional experience, and management of at least 100 patients after ACL reconstruction within the five years preceding the study. Consensus was defined as 70 % agreement among experts.

Results: Consensus was achieved on all 42 items. Key findings include the necessity of early rehabilitation initiation (within the first week), emphasis on therapeutic exercise, a staged approach to recovery, and clear criteria for return to physical activity. Experts noted that instrumental physiotherapy, intra‑articular injections, and frequent online consultations are not mandatory. The optimal duration of rehabilitation is 6–9 months with 5–6 training sessions per week. Critical success factors include patient motivation, continuity between surgeon and rehabilitation specialist, and accessibility of the rehabilitation plan.

Conclusion: This consensus statement represents the first document of its kind within the Russian professional rehabilitation community. It provides orthopedic surgeons and specialists in physical and rehabilitation medicine with an opportunity to optimize management of patients with isolated ACL ruptures. Optimization can be achieved by improving continuity and applying unified approaches at different stages of the rehabilitation process, which will reduce complication risks, accelerate return to an active lifestyle, and improve quality of life after ACL reconstruction.