Effectiveness of Pilates on Sagittal Spine Posture, Flexibility, Back Pain, Quality of Life and Anthropometrics Variables on Adolescents: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 286
- 主要终点
- Change Sagittal spinal curvature
研究概览
简要总结
Several research show a high prevalence of spinal misalignments and a lack of stability of the spine in the adolescent population. In addition, back pain in adolescents is correlated with a longer time spent in sedentary activities, less time of physical activity, higher BMI, body fat percentage and / or the waist-hip index.
Therefore, the main aim of this project were assess the effect of a 10-minute Pilates program carried out in the final part of the Physical Education sessions for 4.5 months and 9 months on back pain, quality of life, sagittal spine curvature, hamstring extensibility, BMI, body fat percentage and the waist-hip index.
The present research will be elaborated by a quasi-experimental design, with experimental group (GE) and control group (CG); with pre-test, intermediate and post-test.
The inclusion criteria will be: a) being in Compulsory Secondary Education; b) not present any musculoskeletal, neurological, cardiological, metabolic, rheumatic or previous history of spinal pathologies or with previous treatment; c) be active in the sessions of Physical Education.
It was assessed back pain with Back Pain Survey in adolescents. Quality of life was assessed through the Kidscreen-27 questionnaire. To assess the sagittal spinal curvatura (in several positions) the Spinal Mouse System (Idiag, Fehraltdorf, Switzerland) was used.
The extensibility of hamstring muscle was assessed with seat and reach test, toe touch test and active and passive straight leg raising test.
The sedentary lifestyle as well as the level of physical activity will be evaluated through the Adolescent International Physical Activity Questionnaire (IPAQ).
The body mass index will be obtained by recording weight and height (BMI = Weight (kg) / height (cm) 2).
The waist-hip ratio is the quotient between waist and hip circumferences, which is an indirect marker of intra-abdominal obesity.
The intervention program consisted on performance of exercises of the Pilates Method during the sessions of Physical Education, 32 weeks, two weekly sessions, 10 minutes.
详细描述
A history of back pain during adulthood is related to a history of back pain during adolescence. Therefore, preventing back pain in adolescents helps to prevent their appearance in adulthood. Sagittal spinal misalignments and stability of the spine are in connection with back pain in adolescents. In addition, they influence on several spinal pathologies and decrease the functional capacity and quality of life of adolescents.
Therefore, the objectives of the following project were: a) assess back pain in schoolchildren and check their relationship with quality of life, sagittal spine curvature, extensibility of the hamstring muscles, sedentary lifestyle, physical activity, BMI , percentage of body fat and the waist-hip index; b) measure the sagittal spinal curvature of the schoolchildren, the quality of life and the prevalence of physical activity among adolescents and check their relationship with the hamstring extensibility, sedentary lifestyle, the BMI , percentage of body fat and the waist-hip index; c) analyze the effect of a 10-minute Pilates program carried out in the final part of the Physical Education sessions for 4.5 months and 9 months on back pain, quality of life, sagittal spinal curvatures, the hamstring flexibility, the BMI, the percentage of body fat and the waist-hip index.
The present investigation will be elaborated by a quasi-experimental design, with experimental group (GE) and control group (CG); with pre-test, intermediate and post-test, with analysis of intra-group and inter-group measurements for each of the dependent variables selected in the study.
The inclusion criteria will be: a) being in Compulsory Secondary Education; b) not present any musculoskeletal, neurological, cardiological, metabolic, rheumatic or previous history of spinal pathologies or with previous treatment; c) be active in the sessions of Physical Education.
It was assessed back pain with Back Pain Survey in adolescents. Quality of life was assessed through the Kidscreen-27 questionnaire. To assess the sagittal spinal curvatura (in several position) the Spinal Mouse System (Idiag, Fehraltdorf, Switzerland) was used.
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
- None
入排标准
- 年龄范围
- 11 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •be enrolled in Compulsory Secondary Education
- •be active in the sessions of Physical Education.
排除标准
- •presenting any musculoskeletal, neurological, cardiological, metabolic or rheumatic alteration
- •missing more than one session of the programme (91.66% attendance)
研究组 & 干预措施
Pilates
This group is the experimental group. The intervention program consisted on performance Pilates method exercise program during the sessions of Physical Education.
干预措施: Pilates (Other)
Control
Adolescents assigned to the CG did not receive any structured exercise programme; they just attended their usual Physical Education sessions.
结局指标
主要结局
Change Sagittal spinal curvature
时间窗: Change from Baseline Sagittal spinal curvature at 4,5 month and at 9 month
Sagittal spinal curvature is assess with the Spinal Mouse System. It is measure: angle of the dorsal and lumbar curve and pelvic tilt when standing, in self-correcting standing, in asthenic sitting, in maximum trunk flexion. knees flexed and extended; and maximum trunk flexion from standing. This is noninvasive technique. The result is register in grades.
Change Hamstring extensibility - active straight leg raising test.
时间窗: Change from Baseline hamstring extensibility at 4,5 month and at 9 month
The hamstring extensibility is assessed by active straight leg raising test. This is noninvasive technique. The result is register in grades. Higher values represent a better outcome. The range could be between 0 to 180º. Normal values: between 75 to 180º; Shortness type I: between 61 to 74º; and shortness type II; less than 60º. Shortness is mean that the subject have less hamstring extensibility than the normal.
Change Hamstring extensibility - passive straight leg raising test.
时间窗: Change from Baseline Hamstring extensibility at 4,5 month and at 9 month
The hamstring extensibility is assessed by passive straight leg raising test. This is noninvasive technique. The result is register in grades. Higher values represent a better outcome.
次要结局
- Change Body mass index(Change from Baseline Body mass index at 4,5 month and at 9 month)
- Change Waist-hip ratio(Change from Baseline Waist-hip ratio at 4,5 month and at 9 month)
- Change Hamstring extensibility Seat and Reach test(Change from Baseline Hamstring extensibility at 4,5 month and at 9 month)
- Change Back pain, physical activity and sedentary behaviour (questionnaire)(Change from Baseline Sagittal spinal curvature at 4,5 month and at 9 month)
- Change Quality of life: Kindscreem 27 questionnaire(Change from Baseline Back pain, physical activity and sedentary behaviour at 4,5 month and at 9 month)
- Change Hamstring extensibility Toe touch test(Change from Baseline Hamstring extensibility at 4,5 month and at 9 month)
- Change Level of physical activity - Adolescent International Physical Activity Questionnaire (IPAQ).(Change from Baseline Level of physical activity at 4,5 month and at 9 month)
研究者
Noelia González-Gálvez
PhD. Noelia González Gálvez
Universidad Católica San Antonio de Murcia