Document Detail


Clinical pilates versus general exercise for chronic low back pain: randomized trial.
MedLine Citation:
PMID:  22246216     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This single-assessor-blinded randomized controlled trial aimed to compare the efficacy of physiotherapy-delivered clinical Pilates and general exercise for chronic low back pain.
METHODS: Eighty-seven community volunteers with low back pain for ≥3 months and age 18-70 were randomized to either the Pilates (n = 44) or general exercise (n = 43) group. The primary outcome was pain/disability measured with the Quebec scale. Secondary outcomes included pain on a numeric rating scale, Patient-Specific Functional Scale, Pain Self-efficacy Questionnaire, quality of life, and global perceived effect of treatment. All participants attended 60-min exercise sessions twice weekly for 6 wk supervised by a physiotherapist and performed daily home exercises that were continued during the follow-up. Participants from the clinical Pilates group received an individualized direction-specific exercise program prescribed by the physiotherapist after a clinical examination. The general exercise group received a generic set of exercises that were multidirectional and nonspecific. Outcomes were assessed after 6 wk (primary time point) and at 12 and 24 wk. Differences in mean change were compared between groups using ANCOVA adjusted for baseline values of the outcome.
RESULTS: Eighty-three participants (96%) completed the 6-wk intervention and 60 (69%) completed the 24-wk follow-up. At 6 wk, no difference was found between groups for change in the Quebec scale (3.5, 95% confidence interval = -7.3 to 0.3, P = 0.07); both groups showed significant improvements. Similar results were found at the 12- and 24-wk follow-up and for the secondary outcome measures.
CONCLUSIONS: An individualized clinical Pilates program produced similar beneficial effects on self-reported disability, pain, function and health-related quality of life as a general exercise program in community volunteers with chronic low back pain.
Authors:
Henry Wajswelner; Ben Metcalf; Kim Bennell
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  44     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-06-19     Completed Date:  2012-11-20     Revised Date:  2013-04-02    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1197-205     Citation Subset:  IM; S    
Affiliation:
DMA Physiotherapy and Clinical Pilates, South Yarra, Victoria, Australia. waj5@me.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Chronic Disease
Exercise Movement Techniques / methods*
Exercise Therapy / methods*
Female
Humans
Low Back Pain / physiopathology,  therapy*
Male
Middle Aged
Quebec
Single-Blind Method
Treatment Outcome
Young Adult
Comments/Corrections
Comment In:
Med Sci Sports Exerc. 2013 Mar;45(3):604   [PMID:  23426074 ]
Med Sci Sports Exerc. 2013 Mar;45(3):603   [PMID:  23426073 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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