Effects of Pilates Exercises as a Treatment Approach in Patients with Non-Specific Low Back Pain
DOI:
https://doi.org/10.61919/jhrr.v4i1.551Keywords:
Non-specific low back pain, Pilates exercises, pain management, lumbar range of motion, randomized controlled trial, core muscle strengthAbstract
Background: Chronic non-specific low back pain (NSLBP) poses significant challenges to healthcare systems worldwide, primarily due to its prevalence and the complexity of its management. Core muscle weakness and impaired motor control are commonly associated with NSLBP, affecting functional capacity and quality of life. Pilates, an exercise regimen emphasizing core strength, flexibility, and mindful movement, has been proposed as a therapeutic intervention to address these underlying issues.
Objective: This study aimed to evaluate the effectiveness of a Pilates exercise program in improving pain intensity and lumbar range of motion in individuals with NSLBP.
Methods: A randomized controlled trial was conducted at the Outpatient Departments of Madinah Teaching Hospital and Allied Hospital, Faisalabad. Thirty participants aged 30-50 years with NSLBP were randomly assigned to either an experimental group receiving Pilates exercises plus baseline hot pack treatments or a control group receiving only hot pack treatments. The intervention lasted four weeks, with assessments of pain intensity using the Numeric Pain Rating Scale (NPRS) and lumbar range of motion using the Modified Schober’s Test conducted pre- and post-intervention. Statistical analysis involved Wilcoxon tests, paired and independent sample t-tests, and Mann-Whitney U tests, as appropriate, using SPSS version 25.
Results: The experimental group demonstrated significant improvements post-treatment, with NPRS scores reducing from a mean of 4.73 (SD=1.033) to 2.93 (SD=0.594) (p<0.001), and lumbar flexion and extension increasing (pre-test lumbar flexion: mean 5.76, SD=1.487 to post-test: mean 6.01, SD=1.368, p=0.002; pre-test lumbar extension: mean 2.56, SD=0.405 to post-test: mean 2.75, SD=0.360, p=0.001). The control group showed no significant changes in NPRS scores or lumbar range of motion. Between-group analyses confirmed the superior effectiveness of the Pilates intervention in improving pain and functional outcomes.
Conclusion: Pilates exercises significantly improved pain intensity and lumbar range of motion in patients with NSLBP compared to a control treatment, suggesting that Pilates can be an effective, non-invasive treatment option for managing NSLBP.
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References
Valenza M, Rodríguez-Torres J, Cabrera-Martos I, Díaz-Pelegrina A, Aguilar-Ferrándiz M, Castellote-Caballero YJCr. Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled trial. 2017;31(6):753-60.
Hoy D, Brooks P, Blyth F, Buchbinder RJBp, rheumatology rC. The epidemiology of low back pain. 2010;24(6):769-81.
Will JS, Bury DC, Miller JAJAfp. Mechanical low back pain. 2018;98(7):421-8.
Balagué F, Mannion AF, Pellisé F, Cedraschi CJTl. Non-specific low back pain. 2012;379(9814):482-91.
Shivakumar M, Welsh V, Bajpai R, Helliwell T, Mallen C, Robinson M, et al. Musculoskeletal disorders and pain in agricultural workers in Low-and Middle-Income Countries: a systematic review and meta-analysis. 2024;44(2):235-47.
Maher C, Underwood M, Buchbinder RJTL. Non-specific low back pain. 2017;389(10070):736-47.
Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. 2012;42(4):A1-A57.
Pierobon A, Policastro PO, Soliño S, Darlow B, Andreu M, Novoa GA, et al. Spanish translation, cross-cultural adaptation and validation of the Argentine version of the Back Pain Attitudes Questionnaire. 2020;46:102125.
Alghadir AH, Anwer S, Iqbal A, Iqbal ZAJJopr. Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. 2018:851-6.
Malik K, Sahay P, Saha S, Das RKJIJoHS, Research. Normative values of modified-modified Schober test in measuring lumbar flexion and extension: a cross-sectional study. 2016;6:177-87.
Weiss PF, Colbert RA, Xiao R, Feudtner C, Beukelman T, DeWitt EM, et al. Development and retrospective validation of the juvenile spondyloarthritis disease activity index. 2014;66(12):1775-82.
Ijaz A, Liaqat A, Rauf A, ul Abideen Z, Zahoor A, Amjad S, et al. Effects of Core Stability Exercise Training Using Pilates on Lower Extremity Strength and Postural Stability in Sedentary Population: Core Stability Exercise Training Using Pilates. 2024;4(1):892-900.
Bird M-L, Hill KD, Fell JWJAopm, rehabilitation. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. 2012;93(1):43-9.
Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, et al. Mechanisms of low back pain: a guide for diagnosis and therapy. 2016;5.
Isacowitz R. Pilates: Human Kinetics; 2022.
SHAHROKHI M, EBRAHIMI H, BALOUCHI R, ESLAMI R. Effect of 6-week Pilates exercises on low back pain, abdominal and back muscle endurance in patients with chronic low back pain due to disc herniation. 2015.
Eliks M, Zgorzalewicz-Stachowiak M, Zeńczak-Praga KJPmj. Application of Pilates-based exercises in the treatment of chronic non-specific low back pain: state of the art. 2019;95(1119):41-5.
Patti A, Bianco A, Paoli A, Messina G, Montalto MA, Bellafiore M, et al. Pain perception and stabilometric parameters in people with chronic low back pain after a pilates exercise program: a randomized controlled trial. 2016;95(2).
Miyamoto GC, Costa LOP, Galvanin T, Cabral CMNJPt. Efficacy of the addition of modified Pilates exercises to a minimal intervention in patients with chronic low back pain: a randomized controlled trial. 2013;93(3):310-20.
Wong AY, Parent EC, Funabashi M, Kawchuk GNJTjop. Do changes in transversus abdominis and lumbar multifidus during conservative treatment explain changes in clinical outcomes related to nonspecific low back pain? A systematic review. 2014;15(4):377. e1-. e35.
Qaseem A, Wilt TJ, McLean RM, Forciea MA, medicine CGCotACoPJAoi. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. 2017;166(7):514-30.
Machado PM, Alves MC, Hendler KG, Benetti VB, Souza RJd, Barbosa RI, et al. Effectiveness of the Pilates method for individuals with nonspecific low back pain: clinical and electromyographic aspects. 2018;23.
de Oliveira NTB, Ricci NA, dos Santos Franco YR, Salvador EMES, Almeida ICB, Cabral CMNJBmd. Effectiveness of the Pilates method versus aerobic exercises in the treatment of older adults with chronic low back pain: a randomized controlled trial protocol. 2019;20:1-7.
Cruz-Díaz D, Romeu M, Velasco-González C, Martínez-Amat A, Hita-Contreras FJCr. The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial. 2018;32(9):1249-57.
Hayden JA, Ellis J, Ogilvie R, Malmivaara A, van Tulder MWJCDoSR. Exercise therapy for chronic low back pain. 2021(9).
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Copyright (c) 2024 Saman Salahuddin, Wardah Jabbar, Namra Tariq, Muhammad Izhar Ahmed, M Adeel Alam Shah, Kanwal Fatima, Muhammad Muaaz, Noor Fatima, Hira Rafique, Intsam Aslam
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