Effectiveness of Mat Pilates Exercises in Individuals With Chronic Nonspecific Low Back Pain

NCT02922322 | Completed DMC

• 1 other identifier: CAAE: 51317315.2.0000.5188
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

To analyze the effectiveness of mat Pilates compared to no intervention in individuals with chronic nonspecific low back pain.

Conditions

Nonspecific Chronic Low Back Pain; Chronic Low Back Pain

Keywords

Mat Pilates; Chronic Nonspecific low back pain; Quality of life; Disability; transverse abdominal muscle

Outcome Measures

Primary Outcomes (1)

• Questionnaire on Pain Intensity

  The pain intensity was evaluated using an 11-point pain numerical rating scale.

  8 weeks

Secondary Outcomes (3)

• Questionnaire on Quality of Life

  8 weeks

• Questionnaire on Disability

  8 weeks

• Questionnaire on Pain Describers

  8 weeks

Study Arms (2)

Pilates Group

ACTIVE COMPARATOR

The Pilates Group was composed by 15 participants evaluated before and after 16 sessions of intervention with mat Pilates exercises.

Other: Pilates Group

Control Group

NO INTERVENTION

The control group was composed by 15 participants that received no intervention

Interventions

Pilates Group OTHER

The Pilates group program (PG) was composed of 16 sessions, 2x per week, 60 minute session each for 8 weeks. The intervention was based on 20 out of the 34 original mat exercises proposed by the Pilates method, classified into basic, intermediate or advanced levels divided into 4 cycles of 5 exercises each. The exercises were performed during two series of 10 repetitions respecting the patients skills.

Pilates Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Complaining of non-specific low back pain for more than three months without radicular symptoms for a period exceeding 12 months.
• Pain intensity equal to or more than 3 points evaluated by the Pain Numerical Rating Scale in the last seven days.
• Eligibility to practice physical activity responding to the Physical Activity Readiness Questionnaire - PAR-Q

You may not qualify if:

• Degenerative or inflammatory pathologies of the spine,
• Acute crisis of pain in the shoulders, knees, ankles and spine
• Spinal tumors
• Recent surgery on the spine, lower and upper limbs
• Herniated disc
• Spondylolysis or spondylolisthesis
• Rheumatologic diseases
• Patients who are in labor dispute
• In treatment involving Pilates, physiotherapy or medication.
• Do not understand the writing and speaking Portuguese.

Sponsors & Collaborators

• Federal University of Paraíba: lead

Related Publications (13)

• Pereira LM, Obara K, Dias JM, Menacho MO, Guariglia DA, Schiavoni D, Pereira HM, Cardoso JR. Comparing the Pilates method with no exercise or lumbar stabilization for pain and functionality in patients with chronic low back pain: systematic review and meta-analysis. Clin Rehabil. 2012 Jan;26(1):10-20. doi: 10.1177/0269215511411113. Epub 2011 Aug 19.

  PMID: 21856719 BACKGROUND

• Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine (Phila Pa 1976). 1996 Nov 15;21(22):2640-50. doi: 10.1097/00007632-199611150-00014.

  PMID: 8961451 BACKGROUND

• Miyamoto GC, Costa LO, Cabral CM. Efficacy of the Pilates method for pain and disability in patients with chronic nonspecific low back pain: a systematic review with meta-analysis. Braz J Phys Ther. 2013 Nov-Dec;17(6):517-32. doi: 10.1590/S1413-35552012005000127.

  PMID: 24346291 BACKGROUND

• Franco YR, Liebano RE, Moura KF, de Oliveira NT, Miyamoto GC, Santos MO, Cabral CM. Efficacy of the addition of interferential current to Pilates method in patients with low back pain: a protocol of a randomized controlled trial. BMC Musculoskelet Disord. 2014 Dec 10;15:420. doi: 10.1186/1471-2474-15-420.

  PMID: 25492853 BACKGROUND

• Miyamoto GC, Costa LO, Galvanin T, Cabral CM. The efficacy of the addition of the Pilates method over a minimal intervention in the treatment of chronic nonspecific low back pain: a study protocol of a randomized controlled trial. J Chiropr Med. 2011 Dec;10(4):248-54. doi: 10.1016/j.jcm.2011.06.007.

  PMID: 22654682 BACKGROUND

• Kamioka H, Tsutani K, Katsumata Y, Yoshizaki T, Okuizumi H, Okada S, Park SJ, Kitayuguchi J, Abe T, Mutoh Y. Effectiveness of Pilates exercise: A quality evaluation and summary of systematic reviews based on randomized controlled trials. Complement Ther Med. 2016 Apr;25:1-19. doi: 10.1016/j.ctim.2015.12.018. Epub 2016 Jan 4.

  PMID: 27062942 BACKGROUND

• La Touche R, Escalante K, Linares MT. Treating non-specific chronic low back pain through the Pilates Method. J Bodyw Mov Ther. 2008 Oct;12(4):364-70. doi: 10.1016/j.jbmt.2007.11.004. Epub 2008 Feb 1.

  PMID: 19083695 BACKGROUND

• Rydeard R, Leger A, Smith D. Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial. J Orthop Sports Phys Ther. 2006 Jul;36(7):472-84. doi: 10.2519/jospt.2006.2144.

  PMID: 16881464 BACKGROUND

• Lim EC, Poh RL, Low AY, Wong WP. Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2011 Feb;41(2):70-80. doi: 10.2519/jospt.2011.3393. Epub 2010 Oct 22.

  PMID: 20972339 BACKGROUND

• da Luz MA Jr, Costa LO, Fuhro FF, Manzoni AC, de Oliveira NT, Cabral CM. Effectiveness of mat Pilates or equipment-based Pilates in patients with chronic non-specific low back pain: a protocol of a randomised controlled trial. BMC Musculoskelet Disord. 2013 Jan 9;14:16. doi: 10.1186/1471-2474-14-16.

  PMID: 23298183 BACKGROUND

• da Luz MA Jr, Costa LO, Fuhro FF, Manzoni AC, Oliveira NT, Cabral CM. Effectiveness of mat Pilates or equipment-based Pilates exercises in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther. 2014 May;94(5):623-31. doi: 10.2522/ptj.20130277. Epub 2014 Jan 16.

  PMID: 24435105 BACKGROUND

• Wajswelner H, Metcalf B, Bennell K. Clinical pilates versus general exercise for chronic low back pain: randomized trial. Med Sci Sports Exerc. 2012 Jul;44(7):1197-205. doi: 10.1249/MSS.0b013e318248f665.

  PMID: 22246216 BACKGROUND

• Turner L, Shamseer L, Altman DG, Weeks L, Peters J, Kober T, Dias S, Schulz KF, Plint AC, Moher D. Consolidated standards of reporting trials (CONSORT) and the completeness of reporting of randomised controlled trials (RCTs) published in medical journals. Cochrane Database Syst Rev. 2012 Nov 14;11(11):MR000030. doi: 10.1002/14651858.MR000030.pub2.

  PMID: 23152285 BACKGROUND

Study Officials

• IDEMAR R DOS SANTOS JUNIOR, BPhty

  Federal University of Paraíba

  PRINCIPAL INVESTIGATOR

• CARINA CC COUTINHO, MD

  FEDERAL UNIVERSITY OF PARAIBA

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Adjunct Professor, Head of the Federal University of Paraiba Clinical School of Physical Therapy

Study Record Dates

• First Submitted: June 5, 2016
• First Posted: October 4, 2016
• Study Start: February 1, 2016
• Primary Completion: May 1, 2016
• Study Completion: May 1, 2016
• Last Updated: October 4, 2016

Record last verified: 2016-09

Data Sharing

• IPD Sharing: Will not share