Effects of a Mat Pilates Exercise Program on Elderly Women With Chronic Nonspecific Low Back Pain

NCT04752579 | Completed

• 1 other identifier: EC-48/2021
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

The technique of Pilates exercises on a mat has proven to be effective and practically applicable to patients with chronic back pain. However, its application in women over 65 years has not been adequately studied. Objective: This assessor-blind randomized clinical trial aims to study the effect of a mat Pilates exercise program on pain and functional ability of elderly women with chronic nonspecific low back pain. Methods: 60 elderly women with chronic nonspecific low back pain (duration of symptoms more than 12 weeks) are expected to participate in this study. Participants will be divided into two groups of 30 people each; one being intervention and one control. The intervention group will follow a custom mat Pilates program (twice per week) for 10 weeks, while the control group will not follow any treatment. Pain, functionality, balance, the number of painkillers administered, and adherence to exercise will be assessed at the beginning and end of the study and will be re-examined six months later.

Conditions

Low Back Pain

Keywords

Mat-pilates exercises; elderly; chronic low back pain; physical therapy; rehabilitation

Outcome Measures

Primary Outcomes (4)

• Changes in Low back pain intensity with the Visual Analogue Scale (VAS)

  VAS is a card with an uncalibrated scale ranging from 0-100mm on the one side with each millimeter representing one pain level (0 representing no pain and 100 representing the worst pain in life). The patient subjectively estimated their pain level by marking a vertical line on the uncalibrated scale between 0 and 100. Then the exact value of pain intensity could be obtained with a single ruler. Hence, the higher the value, the more intense the pain. VAS is widely used as it is easy to implement and is characterized by good psychometric propert

  pre-treatment, Week: 10, 6-month follow-up

• Changes in Roland Morris Disability Questionnaire

  Disability associated with low back pain in the last 24 hours will be assessed using the Greek version of the Roland Morris Disability Questionnaire (Boscainos et al., 2003). This questionnaire has showed good test -retest reliability with intraclass correlation (ICC) ranging from 0.42 to 0.91 (Macedo et al., 2010), while Boscainos (2003), reports that the internal consistency reliability for the Greek version reached a Cronbach's alpha coefficient of 0.885. This questionnaire consists of 24 items that are related to daily activities which patients often report difficulty performing due to low back pain. Every positive answer earns a point and the final score is calculated by adding all the points. Thus, the higher the score is, the greater the limitation (Stratford, 1996).

  pre-treatment, Week: 10, 6-month follow-up

• Changes in Timed Up and Go (TUG) Test

  The TUG test is a performance-based measure of functional mobility that was initially developed to identify mobility and dynamic balance impairments in older adults (Cameron and Monroe, 2007; Swearingen and Brach, 2001; Podsiadlo and Richardson, 1991). The TUG test has demonstrated high interrater and intrarater reliability when used to examine elderly adults (Cameron and Monroe, 2007; Swearingen and Brach, 2001). The test requires the subject to rise from a chair, walk three meters at a comfortable pace to a mark placed on the floor, turn around, walk back to the starting point, and return to sitting on the chair. The test's score is the time it takes the subject to complete the test.

  pre-treatment, Week: 10, 6-month follow-up

• Changes in Berg Balance Scale

  The Berg balance scale is a tool suggested by Berg (Berg et al., 1989; Berg et al., 1992) to evaluate balance in the elderly. The test involves performing 14 tests of gradually increasing difficulty where in each one, the subject is asked to maintain a given position for a specific time or conduct specific tasks. Each of the 14 tests on the list is graded according to the balancing ability of the examinee from 0 to 4 points (with 0 indicating low balance ability while 4 high). Accord to Berg et al. (1992), a score of 56 indicates functional balance whereas a score lower than 45 indicates notable balance deficits, which have been related to increased fall risk.

  pre-treatment, Week: 10, 6-month follow-up

Secondary Outcomes (2)

• Changes in the number of pills consumed via Pill Consumption Log

  pre-treatment, Month: 1,3,6, post-intervention

• Changes in adherence to exercise via Exercise Diary keeping

  Time Frame: pre-treatment, Month: 1,3,6, post-intervention

Study Arms (2)

Pilates exercise program

EXPERIMENTAL

Participants allocated to this group will receive a 10-week Pilates exercise program with each session having a duration of 45'.

Other: Pilates exercise program

Control

PLACEBO COMPARATOR

Participants allocated to this group received general consulting instructions and a home-based general exercise sheet

Other: Pilates exercise program

Interventions

Pilates exercise program OTHER

The program will be individually supervised and will be conducted twice a week at the physiotherapy center. • Slow execution of 7-10 repetitions of the following Pilates exercises: Pelvic Curl, Pilates Single Legs Lifts \& Leg Change, Twist Supine Pilates exercise, Chest Lifts Pilates Exercise, Chest Lift with Rotation Pilates exercise, 100's Prep Pilates Exercise, Single Leg Stretch Pilates Exercise, Front Support Pilates Exercise and Basic Back Extension Pilates Exercise. After the 6th week, while the person will be familiar with the basic exercises of the Pilates method the following exercises will be added: Leg Pull Front, Side Bend Pilates Exercise, Sphinx - Abdominal Lift Pilates Exercise, Shoulder Bridge Prep Pilates and Shoulder Bridge Pilates Exercise. Each session will be completed with breathing exercises and stretching exercises of the torso and lower limbs for 5 minutes.

Control; Pilates exercise program

Eligibility Criteria

• Age: 65 Years - 85 Years
• Gender Eligibility Details: Female
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Symptoms of chronic back pain lasting more than 12 weeks
• Score on the Visual Analog Scale for pain less than 70mm
• Timed Up and Go test score less than 15sec

You may not qualify if:

• Low back pain due to a serious pathology that refers to a red flag such as malignancy, vertebral fracture, osteomyelitis, rheumatoid arthritis, Cauda Equina Syndrome (CES)
• Participation in another exercise program in the last six months
• Diagnosed with neurodegenerative disease (e.g., Parkinson's disease)
• Recent stroke
• Senile dementia

Sponsors & Collaborators

• Aristotle University Of Thessaloniki: lead

Study Sites (1)

Department of Physical Education and Sports Sciences

Thessaloniki, Thermi, 57001, Greece

Location

Related Publications (1)

• Lytras D, Iakovidis P, Sykaras E, Kottaras A, Kasimis K, Myrogiannis I, Barouxakis A, Tarfali G. Effects of a tailored mat-Pilates exercise program for older adults on pain, functioning, and balance in women with chronic non-specific low back pain: a randomized controlled trial. Aging Clin Exp Res. 2023 Dec;35(12):3059-3071. doi: 10.1007/s40520-023-02604-7. Epub 2023 Nov 7.

  PMID: 37934400 DERIVED

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Evaggelos Sykaras, PhD

  Aristotle University Of Thessaloniki

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: A masked assessor conducted the measurements.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dimitrios Lytras PT, PhD, Postdoctoral Research Fellow Affiliation: Aristotle University of Thessaloniki

Model Details: Parallel Assignment

Study Record Dates

• First Submitted: February 9, 2021
• First Posted: February 12, 2021
• Study Start: January 1, 2021
• Primary Completion: December 30, 2021
• Study Completion: December 30, 2021
• Last Updated: July 20, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

GR (1)