Mechanical Low Back Pain
Conditions
Keywords
Spinal alignment, Kinematics, Pilates, Physical Therapy
Brief summary
An assessment of the effectiveness of Pilates based physical therapy exercises for patients with low back pain (LBP) and its influence on spinal movement and patient reported functional disability.
Detailed description
Low back pain (LBP) is becoming a major public health problem associated with enormous economic burden on the modern society. Despite conservative interventions such as Pilates back exercises are routinely prescribed in clinical practice, most studies to date have only assessed its efficacy based on subjective patient reported outcomes with limited objective data available to clearly demonstrate the benefit of Pilates exercise on spinal alignment and mobility. Furthermore, patient adherence has been well identified to be an obstacle for effective home exercise program and the most cost-effective strategy to improve patient compliance remain unknown. Current study therefore aims to fulfil this gap in our knowledge by assessing the change of spinal alignment and kinematics utilizing dynamic radiographs performed pre- and post- a 6-week Pilates based physical therapy exercise program compare to a more generic hospital based back care exercise program. Furthermore, the effectiveness of conducing weekly phone reminders for 6 weeks on improving short (6-month) and long (12-month) term functional outcomes and patient compliance will also be assessed.
Interventions
OTHERPilates Exercises
Pilates method based stability exercise intervention
Sponsors
China Medical University, China
China Medical University Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1\. Predominant LBP for a minimum of three consecutive months as diagnosed by a rehabilitation physician
Exclusion criteria
1. . Radicular neurological signs, 2. . Trauma induced LBP, 3. . Diagnosis of spinal deformity such as scoliosis or spondylolisthesis, 4. . Spinal infection or tumor, 5. . Rheumatologic conditions, 6. . Previous spinal surgery, 7. . History of hip or pelvic disorder that required treatment, 8. . Contradiction for radiographic exposure such as pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic Spino-pelvic Alignment Parameters | 12-month | Thoroaco-lumbo-pelvic dynamic radiographs taken for both maximum flexion and extension will be analysed to determine parameters such as 1. Pelvic incidence angle, 2. Pelvic tilt angle, 3. Sacral slope angle, 4. Lumbosacral angle, 5. Lumbar lordosis angle and 6. |
| Radiographic Lumbar Spine Segmental and Global Range of Motion | 12-month | Thoroaco-lumbo-pelvic dynamic radiographs taken for both maximum flexion and extension will be analysed to determine the lumbar spine segmental and its contribution to the global range of motion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Oswestry Disability Index | 12-month | Questionnaires to determine patients' self-reported pain and functional disabilities |
| Roland Morris Disability Questionnaire | 12-month | Questionnaires to determine patients' self-reported pain and functional disabilities |
| Short Form-36 | 12-month | Questionnaires to determine patients' self-reported pain and functional disabilities |
Countries
Taiwan
Contacts
Primary ContactAndy Chien, PhD
Outcome results
None listed