None listed
Conditions
Brief summary
The primary purpose of this randomised controlled trial is to investigate the effectiveness of Pilates versus usual care on pain and disability in people with chronic non specific low back pain in short term(6-12 weeks) and long term (26 weeks).The research hypothesis is that the Pilates exercise will show short term and long term effects in decreasing pain and disability in people with chronic non specific low back pain more than usual care.The alternative hypothesis is that there is no difference in pain and disability in participants who undertake Pilates exercise and those that continue usual care.
Interventions
Pilates exercise is a mind-body exercise that focuses on strengthening, stretching, core stability, breathing, and posture. Participants will undertake an individualised and supervised Pilate’s exercise program based on the recommended principles reported in Wells et al (2014).Participants will be required to participate in 2 supervised exercise sessions per week at the New Acton Pilates studio for 12 weeks. These sessions will be of 60 minutes in duration, and will include mat-based exercises and the use of specialised equipment, such as a Reformer, Cadillac, and Ladder Barrel. Pilate’s exercises will be based on the protocol. Exercise sessions will be supervised by trained Pilate’s instructors. Participants will be supervised individually for 3-4 sessions, and then supervised in small groups (with no more than 4 participants per class). A home exercise program will also be provided to participants which will be of 10 – 15 minutes duration. Participants will be requested to complete these exercises 5 days a week (on the days not undertaking supervised sessions at the studio), and report adherence (in a written diary, and to Pilates instructor).
Sponsors
Study design
Eligibility
Inclusion criteria
1.Diagnosed with nonspecific low back pain for more than 12 weeks 2.Aged between 18 and 60 years 3.Willing to participate in the study,including willingness to be randomized to the usual care group 4.Be confident in speaking ,understanding and writing in English
Exclusion criteria
1.Previous lumbar spine surgery 2.Previous Pilates exercise experience 3.Physiotherapy in the last 6 months 4.Presence of red flags indicating significant pathology requiring medical assessment such as recent unexplained weight loss,night pain,high levels of resting pain that is non mechanical in nature,cauda equina symptoms,prolonged use of corticosteroids,morning stiffness for more than an hour 5.Neurological involvement indicated by a presence of radiculopathy or spinal canal stenosis demonstrated as change in strength,reflexes and sensation 6.Any other medical condition precluding involvement in an exercise program such as those listed in the Physical Activity Readiness Questionnaire 7.Participants who are mostly (2/10) or wholly( 1/10)inactive according to University of California Los Angelos Activity Scale