Efficacyof Pilates Exercises in Lowback Pain
- Conditions
- Low Back PainPhysical TherapyPilates
- Interventions
- Other: pilates mat exercises and home exercises
- Registration Number
- NCT04135131
- Lead Sponsor
- Haydarpasa Numune Training and Research Hospital
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 60
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description PILATES MAT EXERCISE EFFECT ON LOW BACK PAIN pilates mat exercises and home exercises Patients were randomized into pilates (group 1) or home exercise group (group 2) 3 times/week for 8 weeks. The evaluations were made at the beginning and end of the treatment. Outcome parameters were VAS, Oswestry Disability Index, Qubec Disability Scale, Short Form-36, Beck Depression Questionnaire, sit and reach, Modified Schöber and sit up tests. Multifidus and abdominal muscle thickness were measured by ultrasound image HOME EXERCISE pilates mat exercises and home exercises The 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. Patients were asked to perform three sets of exercises (10 repetitions) for three times a week for 8 weeks. Exercise training was provided by a physiotherapist. Patients were also provided an illustrated exercise brochure along with an exercise diary to record the number of days on which exercise was performed. They were followed up by phone calls every 2 weeks
- Primary Outcome Measures
Name Time Method 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.
VISUAL ANALOGUE SCALE (VAS) for pain 6 months pain (min-max:0-10) Higher scores correlate to higher intensity of pain
Sit and reach test 6 months flexibility
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.
Modified Schöber and sit up tests 6 months flexibility and endurance
Beck Depression Questionnaire 6 months depression The minimum score is 0 and maximum score is 63. Higher scores indicate greater symptom severity.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Haydarpaşa Numune Education and Research Hospital
🇹🇷Istanbul, Turkey