Comparative effects of 12 weeks of equipment based and mat Pilates in patients with Chronic Low Back Pain on pain,function and transversus abdominis activation. A randomized controlled trial |
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| Affiliation: | 1. Department of Health Sciences, Faculty of Health Sciences, University of Jaén, E-23071 Jaén, Spain;2. Sport and Exercise Medicine Division, Department of Medicine, University of Padova Palazzina ex Semeiotica Medica, Via Ospedale Civile, 105 - 35128 Padova, Italy;1. Laboratory of Biomechanics and Clinical Epidemiology, Universidade Estadual de Londrina, Londrina, Brazil;2. Faculdade Interamericana de Porto Velho, Porto Velho, Brazil;3. University of Central Lancashire, Preston, United Kingdom;4. Universidade Tiradentes, Aracaju, Brazil;5. Sports Science Department, Universidade Estadual de Londrina, Londrina, Brazil;6. Electrical Engineering Department, Universidade Estadual de Londrina, Londrina, Brazil;7. Physical Therapy, Movement and Rehabilitation Sciences Department, Northeastern University, Boston, USA;8. Coordinator of the Laboratory of Biomechanics and Clinical Epidemiology, Universidade Estadual de Londrina, Londrina, Brazil;1. Osteopathy, Unitec Institute of Technology, Auckland, New Zealand;2. School of Nursing, University of Auckland, Auckland, New Zealand;1. Master''s and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo SP, Brazil;2. Department of Physical Therapy, Universidade Paulista, São Paulo SP, Brazil;1. Master''s and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil;2. Physical Therapy Department, Universidade Cidade de São Paulo, São Paulo, Brazil;1. Department of Physical Activity and Sport Sciences, Universidad Católica San Antonio de Murcia, Campus de los Jerónimos, 30107, Guadalupe, Murcia, Spain;2. Department of Education, Research Center in Health and Public Administration, Universidad de Almería, Carretera Sacramento s/n, 04120, La Cañada de San Urbano, Almería, Spain |
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| Abstract: | BackgroundPilates method has been recommended for patients with chronic low back pain (CLBP) and the activation of transversus abdominis has been deemed to play an important role in the improvement of these patients. Nevertheless, the evidence of the activation of TrA in Pilates practitioners remains unclear.ObjectiveTo assess the effectiveness of 12 weeks of Pilates practice in disability, pain, kinesiophobia and transversus abdominis activation in patients with chronic nonspecific Low Back Pain.DesignA randomized controlled trial was carried out.MethodsA single-blind randomized controlled trial with repeated measures at 6 and 12 weeks was carried out. A total of ninety eight patients with low back pain were included and randomly allocated to a Pilates Mat group (PMG) equipment based with apparatus Pilates (PAG) or control group (CG). Roland Morris Disability Questionnaire (RMDQ), visual analog scale (VAS) Tampa Scale of Kinesiophobia (TSK), and transversus abdominis (TrA) activation assessed by real time ultrasound measurement (US) were assessed as outcome measures.ResultsImprovement were observed in both intervention groups in all the included variables at 6 and 12 weeks (p < 0.001). Faster enhancement was observed in the equipment based Pilates group (p = 0.007).ConclusionsEquipment based and mat Pilates modalities are both effective in the improvement of TaA activation in patients with CLBP with associate improvement on pain, function and kinesiophobia. Significant differences were observed after 12 weeks of intervention in PMG and PAG with faster improvement in PAG suggesting that, feedback provided by equipment could help in the interiorization of Pilates principles. |
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| Keywords: | Pilates Chronic low back pain Real time ultrasound measurement Transversus abdominis |
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