Low Back Pain
Conditions
Interventions
The participants in the Pilates Group (GP) consisted of 21 volunteers who received assistance with exercises based on the Pilates method, guided and supervised by a physical therapist qualified with t
b) Intermediate Level (Carrying out weight on the lower limbs
Control the stabilizing muscles of the pelvis and trunk
Stimulate vertebral mobilization)
c) Advanced level (Integrate the upper and lower limbs
Control the stabilizing muscles of the trunk in sedation and in orthostasis
Stabilize a spine, dynamically, in multiple planes
Perform load support in orthostasis). Classes last 50 minutes, 10 minutes of warm-up, 30 minutes of exercise on the floor and on the equipment and 10 minutes of cooling down.
Before the beginning of t
Drug
Other
E02.779.474
Sponsors
Universidade de Pernambuco - UPE
Universidade de Pernambuco - Campus Petrolina
Eligibility
Age
18 Years to 59 Years
Inclusion criteria
Inclusion criteria: The study included individuals aged between 18 and 59 years, of both sexes, presenting symptoms of pain or stiffness in the pelvic loin region with or without symptoms of irradiation to the lower limbs, on most days of the week, for more than three months, in addition to a good understanding of written and spoken Portuguese. Regarding the level of physical activity, irregularly active A and B and sedentary individuals will be included according to the International Classification of Physical Activity Level Assessment. Individuals classified irregularly active perform physical activity, but insufficient to be classified as active, as they do not comply with the recommendations regarding the frequency or duration of physical activity. In order to carry out this classification, the frequency and duration of different types of activities are added, such as moderate and vigorous walking, being divided into two subgroups according to the fulfillment or not of some of the recommendation criteria: Irregularly active A is one that reaches at least least one of the recommendation criteria regarding frequency or duration of activity: Frequency: 5 days a week or lasting 150 min per week. Irregularly active B: one who did not meet any of the recommendation's criteria for frequency or duration. Sedentary: Individuals classified as sedentary include those who have not performed any physical activity for at least 10 continuous minutes during the week. In addition to the criteria described above, individuals with chronic low back pain classified according to the STarT Back Screening Tool Brazil with low and medium risk of poor prognosis for physical therapy treatment due to the influence of psychosocial factors (HILL et al., 2011) were included in the study. Low risk of poor prognosis (between 0-3 points on the total score): presence of minimal physical and psychosocial factors. Medium risk (values ??greater than 3 in the total score and a subscale of 3 points); presence of physical and psychosocial factors, but at lower levels than individuals classified as high risk.
Exclusion criteria
Exclusion criteria: Exclusion criteria consisted of participation in a Pilates exercise program or other therapeutic exercises in the last six months, schedule or history of spinal surgery, unexplained loss of weight or appetite, history of cancer or malignancy, cauda equina injury, loss of bladder or bowel control, saddle paresthesia, pregnancy, spine fractures, rheumatological diseases, inflammatory diseases and; or infectious of the spine, comorbidities that could prevent the practice of exercises, in addition to being classified as high risk for disability prognosis, according to SBST Brasil, and not consenting or signing the Informed Consent Form.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effectiveness of a Pilates Method exercise protocol in reducing pain, functional capacity and quality of life in young adults with chronic non-specific low back pain, divided into subgroups STarT Back Screening Tool - SBST- Brasil. ;Primary outcome 1 - Pain: Evaluated before and after the Pilates Method exercise protocol. For this, the Visual Analogue Scale (EAV) was used in the initial and final evaluation, as well as, before and after each service session. The scale is scored from zero (no pain) to 10 (worst pain imaginable). The intensity of the referred pain will be categorized using the median VAS (5); thus, scores less than or equal to five will be considered as absent or mild pain, while scores greater than five will designate moderate to severe pain (ANGELO et al., 2014). ;Primary outcome 2 - functional capacity: To investigate the perception of pain as a limiting factor in functionality, the Roland-Morris Disability Questionnaire (Roland-Morris Disability Questionnaire RMDQ (ROLAND; MORRIS, 1983), a version validated in the Brazilian population (NUSBAUM et al., 2001) .This questionnaire was applied in the initial evaluation and at the end of the 12 weeks of intervention for all research volunteers. It is a simple application tool, which has 24 items with scores of 0 or 1 (yes or no) with a total score ranging from zero (no disability) to 24 (severe disability) .To obtain the final score, the sum of the items with “yes” answers is performed, the higher the score, the higher will be considered the degree of disability of the individual. ;Primary outcome 3 - Quality of life: In the assessment of general health and quality of life, the Outcomes Study 36-Item Short-Form Health Survey (SF-36) was used (WARE JR; SHERBOURNE, 1992; WARE JR, 2000), in the version validated for the Brazilian population (CICONELLI et al., 1999). The SF-36 is a multidimensional instrument, which evaluates the physical (FC) and mental (CM) components (WARE JR, 2000). T | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome 1: Kinesiophobia. Tampa Scale for Kinesiophobia (TSK) (CROMBEZ, et al., 1999; VLAEYEN et al., 1995) validated in the Brazilian version (SIQUEIRA, SALMELA TEIXEIRA, MAGALHÃES, 2007) was used to assess kinesiophobia. This scale consists of a self-administered questionnaire, composed of 17 questions that address pain and symptom intensity. The scores vary from one to four points (totally disagree, equivalent to one point, partially disagree, two, partially agree, three and totally agree, four points). The final score can be at least 17 and at most 68 points, and the higher the score, the greater the degree of kinesiophobia. TKS will be applied in the initial and final evaluations.;Secondary outcome 2: Nutritional status - categorized BMI. The body mass index (BMI) was obtained by dividing the value of total body mass in kilograms by the value of height squared, in meters.;Secondary outcome 3: Body composition. The subjects were submitted to cineanthropometric exams according to the standardization of the International Society for the Advancement of Kinanthropometry (ISAK) (STEWART et al., 2011) both in the initial evaluation and at the end of the 12 weeks of intervention. Height will be determined using a scientific stadiometer (CESCORF Equipamentos, Porto Alegre, RS, Brazil) affixed to the wall, with an accuracy of 0.1 cm. The total body mass was determined on an electromechanical scale W200 / 5 (Welmy Indústria e Comércio Ltda., Santa Bárbara d'Oeste, SP, Brazil) with a precision of 50 grams, properly calibrated (NBR ISO / IEC 17025: 2005).;Secondary outcome 4: Losses and exclusions. Exclusion losses were assessed individually, with an estimated loss of 30% initially. The reasons found were: unavailability of time, refusal of treatment, number of absences that exceed 75% of the visits, withdrawal without justification, absence of return with the research team, pregnancy occurred during the intervention, performance of another physical activity durin | — |
Countries
Brazil
Contacts
Public ContactBruna Antonelli
Universidade de Pernambuco - Campus Petrolina
Outcome results
None listed