Comparison of Lumbo-pelvic Mobilization and Stabilization Exercises With Pilates Method in Non-specific Chronic Low Back Pain and Movement Functionality
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 28
- 试验地点
- 2
- 主要终点
- The change in Oswestry Low Back Disability Questionnaire
研究概览
简要总结
Lumbar pain is one of the most common injuries being the cause of morbidity in the individual generating occupational disability with strong personal, social and economic impact. As one of the methods of treatment, Pilates is a method that has good results for the management of this dysfunction. However, it is not known exactly which approach Pilates can bring better results for this population. Therefore, the purpose of this study is to compare the effects of two types of Pilates method interventions on non-specific chronic low back pain.
A blinded randomized clinical trial, will be held. 28 patients divided randomly into two groups will be assessed, the Mobilization Pilates (MP) and the Stabilization Pilates (SP). Both groups will be formed by individuals of both sexes and aged 21 to 41 years with chronic low back pain. Both groups will receive 10 sessions of Pilates Methods twice a week, with each session taking an average of 50 minutes, therefore the MP will focus on a lumbo-pelvic mobilization exercises approach and the SP will focus on lumbo-pelvic stabilization exercises approach. At the beginning and end of the 5 weeks the individuals are evaluated to verify the presence of pain and disability with VAS of pain and Oswestry Questionnaire, and also with the Functional Movement Screen. Data will be analyzed statistically.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals of both sexes aged between 21 and 40 years;
- •Self-reported low back pain for at least 3 months;
- •Disability Oswestry Index greater than 10%.
排除标准
- •Diagnosis of pathognomonic low back pain caused by disc herniation with root involvement, inflammatory disorders, infections, osteoporosis, rheumatoid arthritis, fracture or tumor;
- •Medical contraindication to the practice of Pilates;
- •Childbirth or gestation in the last 6 months;
- •Be performing any type of treatment for low back pain is medicated, physiotherapeutic or alternative during the period of intervention;
- •Change the level of physical or sports activity during the intervention period;
- •Participants who miss two sessions in a row or four sessions alternately without retrieving them in the same week will automatically be excluded from the survey; Or do not attend pre and post-test evaluation events.
研究组 & 干预措施
Stabilization
This group will undergo 10 Pilates sessions with a focus on lumbo-pelvic stabilization exercises approach.
Intervention administered: Exercise Movement Techniques (Pilates Exercise) based on stabilization
干预措施: Exercise Movement Techniques based on stabilization (Other)
Mobilization
This group will undergo 10 Pilates sessions with a focus on lumbo-pelvic mobilization exercises approach.
Intervention administered: Exercise Movement Techniques (Pilates Exercise) based on mobilization
干预措施: Exercise Movement Techniques based on mobilization (Other)
结局指标
主要结局
The change in Oswestry Low Back Disability Questionnaire
时间窗: At the first session and 5 weeks after the intervention
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools. The oswestry questionarie will be evaluated in the first session and after 5 weeks of Pilates training. So, the primary outcome is the change in the Oswestry score from baseline to 5 weeks.
次要结局
- The change in Visual Analog Scale for Pain (VAS)(At the first session and 5 weeks after the intervention)
- The change in The Functional Movement Screen (FMS)(At the first session and 5 weeks after the intervention)
研究者
Jefferson Fagundes Loss
Doctor
Federal University of Rio Grande do Sul