Cueing and Pilates in Low Back Pain

NCT06340191 | Completed

• 1 other identifier: UJAPIlates1
• Study Type: interventional
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

The intervention involved two groups participating in supervised Pilates sessions, twice a week for 8 weeks, featuring a mix of mat and props-based exercises. Group 1 received additional cueing training to enhance alignment, muscle engagement, and movement technique, while Group 2 underwent the same Pilates regimen without this cueing component.

Conditions

Low Back Pain; Pilates Exercise; Pilates, Core Stability; Mind-body Exercise

Keywords

pilates; low back pain; mind-body

Outcome Measures

Primary Outcomes (2)

• Low back pain

  Roland Morris Disability Questionnaire (RMDQ): The RMDQ is a self-reported measure widely used to assess physical disability due to lower back pain. It consists of 24 items that reflect the range of activities that might be affected by back pain. The scoring is simple, with higher scores indicating greater disability. This questionnaire is known for its reliability and validity in measuring disability levels in individuals with back pain

  From baseline to 8 weeks

• Pain report

  Pain was measured using a visual analogue scale (VAS). The VAS consists of a 10-cm line, with the left extremity representing (the absence of pain) and the right extremity indicating (the worse pain devisable). Participants were asked to indicate on the scale their current level of pain being higher values related to more intense pain.

  From baseline to 8 weeks

Secondary Outcomes (5)

• Fear of movement

  From baseline to 8 weeks

• Perceived Stress Scale

  From baseline to 8 weeks

• Pain self-efficacy

  From baseline to 8 weeks

• Patient Impression of Change

  From baseline to 8 weeks

• Body Awareness

  From baseline to 8 weeks

Study Arms (2)

Intervention group

EXPERIMENTAL

Pilates in addition to cueing

Other: Pilates with cueing

Control group

ACTIVE COMPARATOR

Pilates without cueing

Other: Pilates without cueing

Interventions

Pilates with cueing OTHER

The Pilates with a cueing component of the intervention involved a specialized approach to Pilates training. Participants in this group underwent an initial phase of training before the main sessions began, which consisted of two smaller group sessions focused on learning explicit verbal and tactile cues. These cues were designed to assist participants in maintaining proper body alignment, engaging specific muscle groups more effectively, and refining their movement techniques to enhance the overall efficacy of the Pilates exercises. During the actual Pilates sessions, the instructors, who were certified and brought extensive experience to the program, provided real-time feedback to the participants. This feedback was based on the cueing instructions, aiming to optimize the execution of the Pilates exercises.

Intervention group

Pilates without cueing OTHER

The Pilates without cueing portion of the study involved participants following the same comprehensive Pilates program as the Pilates with cueing group, with a significant distinction: they did not receive any additional training on cueing. This group engaged in 60-minute Pilates sessions twice a week for 8 weeks, under the supervision of certified and highly experienced Pilates instructors. The program included a variety of exercises, both mat-based and utilizing props, designed to improve participants\' physical condition and wellness. However, unlike their counterparts in the first group, these participants were not given explicit instructions on how to enhance their body alignment, muscle engagement, or movement techniques through verbal and tactile cues. They performed the Pilates exercises following the standard regimen, without the nuanced guidance and real-time feedback focused on optimizing exercise execution through cueing.

Control 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:

• Individuals aged 18 to 65 years.
• Experiencing chronic non-specific low back pain for a minimum of 3 months.
• Ability to participate in supervised exercise programs.
• Absence of medical contraindications for Pilates practice.

You may not qualify if:

• Vestibular disorders.
• Severe osteoporosis.
• Usual Pilates practitioner.

Sponsors & Collaborators

• University of Jaén: lead

Study Sites (1)

University of Jaen

Jaén, 23071, Spain

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• DAVID CRUZ DIAZ, PhD

  University of Jaén

  PRINCIPAL INVESTIGATOR

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: Principal Investigator

Study Record Dates

• First Submitted: March 25, 2024
• First Posted: April 1, 2024
• Study Start: May 2, 2023
• Primary Completion: February 20, 2024
• Study Completion: February 26, 2024
• Last Updated: April 1, 2024

Record last verified: 2024-03

Locations

ES (1)