Efficacyof Pilates Exercises in Lowback Pain
Condition: Low Back Pain; Physical Therapy; Pilates
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

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.
    

Intervention name(s): pilates mat exercises and home exercises
Intervention type(s): Other
Intervention description(s): Patients with low back pain were randomized into pilates (group 1) or home exercise group (group 2) 3 times/week for 8 weeks. Pilates mat exercise program comprised three sessions a week for 8 weeks (Monday, Wednesday, and Friday), with each session being scheduled for 1 h (5-min warm-up, 50-min exercise, and 5-min cooling) and each set comprising 10 repetitions. The home 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.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Prospective, randomized-single blinded study
Masking: None (Open Label)
Primary purpose: Screening
Keywords: Abdominal Muscles; Exercise Therapy; Low back pain; Paraspinal Muscles