Comparison of The Efficacy of Pilates Exercises and Home Exercise Program on Pain, Functional Level and Thickness of Core Muscles in Patients With Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- The Oswestry Disability Index
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
盲法说明
chronic low back pain patients, which has home exercises or pilates
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
The Oswestry Disability Index
时间窗: 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
时间窗: 6 months
pain (min-max:0-10) Higher scores correlate to higher intensity of pain
Sit and reach test
时间窗: 6 months
flexibility
The Quebec Back Pain Disability Scale
时间窗: 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
时间窗: 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
时间窗: 6 months
flexibility and endurance
Beck Depression Questionnaire
时间窗: 6 months
depression The minimum score is 0 and maximum score is 63. Higher scores indicate greater symptom severity.
次要结局
未报告次要终点
研究者
Duygu Geler Külcü
Clinical Professor, Head of Physical Therapy
Haydarpasa Numune Training and Research Hospital