| Clinical pilates versus general exercise for chronic low back pain: randomized trial. | |
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MedLine Citation:
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PMID: 22246216 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Henry Wajswelner; Ben Metcalf; Kim Bennell |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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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:
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Created Date: 2012-06-19 Completed Date: 2012-11-20 Revised Date: 2013-04-02 |
Medline Journal Info:
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Nlm Unique ID: 8005433 Medline TA: Med Sci Sports Exerc Country: United States |
Other Details:
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Languages: eng Pagination: 1197-205 Citation Subset: IM; S |
Affiliation:
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DMA Physiotherapy and Clinical Pilates, South Yarra, Victoria, Australia. waj5@me.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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