Changes in Sagittal Spine Posture and Flexibility on Adolescents

NCT03831867 | Completed

• 1 other identifier: NGonzalez
• Study Type: interventional
• Target: 286
• Locations: 0 countries
• Sites: N/A

Brief Summary

Several research show a high prevalence of spinal misalignments and a lack of stability of the spine in the adolescent population. In addition, back pain in adolescents is correlated with a longer time spent in sedentary activities, less time of physical activity, higher BMI, body fat percentage and / or the waist-hip index. Therefore, the main aim of this project were assess the effect of a 10-minute Pilates program carried out in the final part of the Physical Education sessions for 4.5 months and 9 months on back pain, quality of life, sagittal spine curvature, hamstring extensibility, BMI, body fat percentage and the waist-hip index. The present research will be elaborated by a quasi-experimental design, with experimental group (GE) and control group (CG); with pre-test, intermediate and post-test. The inclusion criteria will be: a) being in Compulsory Secondary Education; b) not present any musculoskeletal, neurological, cardiological, metabolic, rheumatic or previous history of spinal pathologies or with previous treatment; c) be active in the sessions of Physical Education. It was assessed back pain with Back Pain Survey in adolescents. Quality of life was assessed through the Kidscreen-27 questionnaire. To assess the sagittal spinal curvatura (in several positions) the Spinal Mouse System (Idiag, Fehraltdorf, Switzerland) was used. The extensibility of hamstring muscle was assessed with seat and reach test, toe touch test and active and passive straight leg raising test. The sedentary lifestyle as well as the level of physical activity will be evaluated through the Adolescent International Physical Activity Questionnaire (IPAQ). The body mass index will be obtained by recording weight and height (BMI = Weight (kg) / height (cm) 2). The waist-hip ratio is the quotient between waist and hip circumferences, which is an indirect marker of intra-abdominal obesity. The intervention program consisted on performance of exercises of the Pilates Method during the sessions of Physical Education, 32 weeks, two weekly sessions, 10 minutes.

Conditions

Adolescent Behavior

Keywords

spine; extensibility; children; health; pilates; exercise; physical activity; physical education

Outcome Measures

Primary Outcomes (3)

• Change Sagittal spinal curvature

  Sagittal spinal curvature is assess with the Spinal Mouse System. It is measure: angle of the dorsal and lumbar curve and pelvic tilt when standing, in self-correcting standing, in asthenic sitting, in maximum trunk flexion. knees flexed and extended; and maximum trunk flexion from standing. This is noninvasive technique. The result is register in grades.

  Change from Baseline Sagittal spinal curvature at 4,5 month and at 9 month

• Change Hamstring extensibility - active straight leg raising test.

  The hamstring extensibility is assessed by active straight leg raising test. This is noninvasive technique. The result is register in grades. Higher values represent a better outcome. The range could be between 0 to 180º. Normal values: between 75 to 180º; Shortness type I: between 61 to 74º; and shortness type II; less than 60º. Shortness is mean that the subject have less hamstring extensibility than the normal.

  Change from Baseline hamstring extensibility at 4,5 month and at 9 month

• Change Hamstring extensibility - passive straight leg raising test.

  The hamstring extensibility is assessed by passive straight leg raising test. This is noninvasive technique. The result is register in grades. Higher values represent a better outcome.

  Change from Baseline Hamstring extensibility at 4,5 month and at 9 month

Secondary Outcomes (7)

• Change Back pain, physical activity and sedentary behaviour (questionnaire)

  Change from Baseline Sagittal spinal curvature at 4,5 month and at 9 month

• Change Quality of life: Kindscreem 27 questionnaire

  Change from Baseline Back pain, physical activity and sedentary behaviour at 4,5 month and at 9 month

• Change Body mass index

  Change from Baseline Body mass index at 4,5 month and at 9 month

• Change Waist-hip ratio

  Change from Baseline Waist-hip ratio at 4,5 month and at 9 month

• Change Hamstring extensibility Seat and Reach test

  Change from Baseline Hamstring extensibility at 4,5 month and at 9 month

Study Arms (2)

Pilates

EXPERIMENTAL

This group is the experimental group. The intervention program consisted on performance Pilates method exercise program during the sessions of Physical Education.

Other: Pilates

Control

NO INTERVENTION

Adolescents assigned to the CG did not receive any structured exercise programme; they just attended their usual Physical Education sessions.

Interventions

Pilates OTHER

The intervention program consisted in the realization of exercises of the Pilates Method. The duration of the program was 32 weeks, with a frequency of two weekly sessions and a duration per intervention of 10 minutes. During this time the experimental group developed the intervention program with the Pilates Method.

Pilates

Eligibility Criteria

• Age: 11 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• be enrolled in Compulsory Secondary Education
• be active in the sessions of Physical Education.

You may not qualify if:

• presenting any musculoskeletal, neurological, cardiological, metabolic or rheumatic alteration
• missing more than one session of the programme (91.66% attendance)

Sponsors & Collaborators

• Universidad Católica San Antonio de Murcia: lead

Related Publications (8)

• Peterson L, Haladay DE. Pilates-based exercise in the treatment of a patient with persistent low back pain following transforaminal lumbar interbody fusion. Physiother Theory Pract. 2020 Apr;36(4):542-549. doi: 10.1080/09593985.2018.1488905. Epub 2018 Jun 26.

  PMID: 29944036 BACKGROUND

• Cruz-Diaz D, Romeu M, Velasco-Gonzalez C, Martinez-Amat A, Hita-Contreras F. The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2018 Sep;32(9):1249-1257. doi: 10.1177/0269215518768393. Epub 2018 Apr 13.

  PMID: 29651872 BACKGROUND

• Miyamoto GC, Franco KFM, van Dongen JM, Franco YRDS, de Oliveira NTB, Amaral DDV, Branco ANC, da Silva ML, van Tulder MW, Cabral CMN. Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation. Br J Sports Med. 2018 Jul;52(13):859-868. doi: 10.1136/bjsports-2017-098825. Epub 2018 Mar 10.

  PMID: 29525763 BACKGROUND

• Kibar S, Yardimci FO, Evcik D, Ay S, Alhan A, Manco M, Ergin ES. Can a pilates exercise program be effective on balance, flexibility and muscle endurance? A randomized controlled trial. J Sports Med Phys Fitness. 2016 Oct;56(10):1139-1146. Epub 2015 Oct 16.

  PMID: 26473443 BACKGROUND

• Vaquero-Cristobal R, Lopez-Minarro PA, Alacid Carceles F, Esparza-Ros F. [THE EFFECTS OF THE PILATES METHOD ON HAMSTRING EXTENSIBILITY, PELVIC TILT AND TRUNK FLEXION]. Nutr Hosp. 2015 Nov 1;32(5):1967-86. doi: 10.3305/nh.2015.32.5.9678. Spanish.

  PMID: 26545650 BACKGROUND

• Miranda IF, Souza C, Schneider AT, Chagas LC, Loss JF. Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A study protocol of a randomized controlled trial. Complement Ther Clin Pract. 2018 May;31:360-368. doi: 10.1016/j.ctcp.2017.12.005. Epub 2017 Dec 8.

  PMID: 29248397 BACKGROUND

• Gonzalez-Galvez N, Marcos-Pardo PJ, Carrasco-Poyatos M. Functional improvements after a pilates program in adolescents with a history of back pain: A randomised controlled trial. Complement Ther Clin Pract. 2019 May;35:1-7. doi: 10.1016/j.ctcp.2019.01.006. Epub 2019 Jan 10.

  PMID: 31003644 BACKGROUND

• Gonzalez-Galvez N, Marcos-Pardo PJ, Albaladejo-Saura M, Lopez-Vivancos A, Vaquero-Cristobal R. Effects of a Pilates programme in spinal curvatures and hamstring extensibility in adolescents with thoracic hyperkyphosis: a randomised controlled trial. Postgrad Med J. 2023 Jun 8;99(1171):433-441. doi: 10.1136/postgradmedj-2021-140901.

  PMID: 37294727 DERIVED

MeSH Terms

Conditions

Adolescent Behavior; Motor Activity

Interventions

Exercise Movement Techniques

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• Noelia G Gálvez, PhD.

  UCAM

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD. Noelia González Gálvez

Study Record Dates

• First Submitted: January 30, 2019
• First Posted: February 6, 2019
• Study Start: September 15, 2016
• Primary Completion: October 1, 2016
• Study Completion: June 30, 2017
• Last Updated: February 6, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share