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The effects of supervised versus non-supervised pilates mat exercises on non-specific chronic lower back pai

Not Applicable
Recruiting
Conditions
Musculoskeletal Diseases
non-specific lower back pain
Registration Number
PACTR201211000443397
Lead Sponsor
cathy chambers Physio and Pilates
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Female
Target Recruitment
30
Inclusion Criteria

Participants will be eligible for the study if they are females between 20 and 55 years old, who have experienced LBP for longer than six weeks at the time of recruitment. Such pain must originate from the back, more specifically in an area bounded by the 12th thoracic vertebra and the 12th ribs superiorly, the gluteal folds inferiorly and the contours of the trunk laterally.51 Alternatively, it must be recurring LBP of sufficient intensity to restrict functional activity in some manner. Participants must obtain a score of ¿moderate¿ or ¿greater¿ on the questions relating to ¿usual activities¿ and ¿pain/discomfort¿ of the health related quality of life questionnaire (EQ-5D) adapted from Macedo¿s study. Alternatively, they must score 4 or more on the RMDQ at randomization. Back treatment with a therapist registered with the Health Professionals Council of South Africa (HPCSA) or the Allied Health Professionals Council of South Africa (AHPCSA), must have been completed two weeks prior to study inclusion.

Exclusion Criteria

All participants will be screened to identify those who are unsuitable for exercise management of their LBP using a Back Screening Questionnaire and the Patient Activity Readiness Questionnaire (PAR-Q). If exercise management is unsuitable, the participant will be referred on to a medical practitioner/ therapist of their choice for further management. Participants will be excluded from the study if they present with one or more of the following: known or suspected serious spinal pathology; previous spinal surgery; signs and symptoms of a recent episode of acute disc pathology with or without leg pain; leg pain with evidence of nerve root compromise; rheumatic or metabolic disease; co-morbid health condition preventing active participation in an exercise programme; pregnancy; inability to understand spoken English; inability to commit to an eight-week intervention programme or previous participation in a Pilates programme or other regular therapeutic back exercise programme in the last three months.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
function as measured by the Roland Morris Disability Questionnaire
Secondary Outcome Measures
NameTimeMethod
pain intensity as measured by the NRS in the Brief Pain Inventory Questionnaire;Fear Avoidance as measured by the fear avoidance beliefs questionnaire;Confidence to perform certain tasks as measured by the pain self efficacy questionnaire;Quality of life as measured by the EQ-5D health questionnaire;patient satisfaction as measured by an adapted Austin Better Backs Questionnaire;Rating of perceived effect;Trunk flexion;adherence
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