Low Back Pain, Physical Therapy, Pilates
Conditions
Keywords
Abdominal Muscles, Exercise Therapy, Low back pain, Paraspinal Muscles
Brief summary
OBJECTIVE: To investigate the effects of pilates exercise by training the muscles responsible for core stabilization in patients with chronic non-specific low back pain (CNLPB); considering pain, functional level, depression, quality of life, and muscle thickness measured by Ultrasound Imaging and to compare it with home based exercise. MATERIAL AND METHODS: A prospective, randomized-single blinded study included 60 female patients with CNLBP aged 18-60 years. Patients were randomized into 2 groups. The first group (n=30) performed pilates 3 days/week for 8 weeks. Sessions lasted about one hour and supervised by a pilates trainer. The second group (n=30) was given home exercise program 3 times/week for 8 weeks, each session lasting one hour. The evaluations were made both at the beginning and end of the treatment. Evaluation parameters included VAS (visual analogue scale), Oswestry Disability Index, Qubec Disability Scale, Short Form-36 (SF-36), Beck Depression Questionnaire, sit and reach test, Modified Schöber test, sit up test. Multifidus and abdominal muscle thickness were measured by Ultrasonographic Imaging.
Detailed description
A prospective, randomized-single blinded study included 60 female patients with CNLBP aged 18-60 years. Patients were randomized into 2 groups. The first group (n=30) performed pilates 3 days/week for 8 weeks. Sessions lasted about one hour and supervised by a pilates trainer. The second group (n=30) was given home exercise program 3 times/week for 8 weeks, each session lasting one hour. The evaluations were made both at the beginning and end of the treatment. Evaluation parameters included VAS (visual analogue scale), Oswestry Disability Index, Qubec Disability Scale, Short Form-36 (SF-36), Beck Depression Questionnaire, sit and reach test, Modified Schöber test, sit up test. Multifidus and abdominal muscle thickness were measured by Ultrasonographic Imaging.
Interventions
OTHERpilates mat exercises and home exercises
Patients with low back pain were randomized into pilates (group 1) or home exercise group (group 2) 3 times/week for 8 weeks. Pilates mat exercise program comprised three sessions a week for 8 weeks (Monday, Wednesday, and Friday), with each session being scheduled for 1 h (5-min warm-up, 50-min exercise, and 5-min cooling) and each set comprising 10 repetitions. The home exercise program included the pelvic tilt in the supine position, hamstring stretch, hip flexors and lumbar extensor stretch, bridge, strengthening the abdominal muscles, cat/camel exercises in the crawl position, leaning on the forearms in the prone position, strengthening the back extensors, and crossed-arms/legs lift exercises.
Sponsors
Haydarpasa Numune Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Masking description
chronic low back pain patients, which has home exercises or pilates
Intervention model description
Prospective, randomized-single blinded study
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* chronic non-specific low back pain for \>3 months, * visual analog scale (VAS) score of 3-6 * female patients aged 18-60 years, * body mass index (BMI) within normal limits (18.5-24.9 kg/m²) * ability to continue the program.
Exclusion criteria
* Malignancies, * infections * inflammatory diseases * severe osteoporosis, * arthritis * metabolic bone diseases * pregnancy * cardiovascular diseases that limit effort capacity * other musculoskeletal conditions that may impede attaining positions required in exercises * a history of spinal surgery * cognitive impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Beck Depression Questionnaire | 6 months | depression The minimum score is 0 and maximum score is 63. Higher scores indicate greater symptom severity. |
| Sit and reach test | 6 months | flexibility |
| Modified Schöber and sit up tests | 6 months | flexibility and endurance |
| VISUAL ANALOGUE SCALE (VAS) for pain | 6 months | pain (min-max:0-10) Higher scores correlate to higher intensity of pain |
| The Oswestry Disability Index | 6 months | lowback functional disability The minimum score is 0% and the maximum score is 100%. Higher scores correlate to greater disability. |
| The Quebec Back Pain Disability Scale | 6 months | low back pain The minimum score is 20 and the maximum score is 100. Higher scores correlate to greater disability. |
| Short Form-36 | 6 months | (quality of life) questionnaire that covers eight health domains;Scores for each domain range from 0 to 100, with a higher score defining a more favorable health state. |
Countries
Turkey (Türkiye)
Outcome results
None listed