Effects of a Pilates protocol in individuals with non-specific low back pain compared with healthy individuals: Clinical and electromyographic analysis |
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| Affiliation: | 1. Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Brazil;2. Department of Physical Therapy, Florida International University, Miami, USA;3. Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil;4. Department of Physical Therapy, University Institute of Gran Rosario, Rosario, Argentina;1. Department of Education Science, Kaunas University of Technology, Kaunas, Lithuania;2. Department of Applied Biology and Rehabilitation, Lithuanian Sports University, Kaunas, Lithuania;3. Department of Health Psychology, Lithuanian University of Health Sciences, Kaunas, Lithuania;4. Department of Mechanical Engineering, Kaunas University of Technology, Kaunas, Lithuania;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. Department of Physical Education and Physiotherapy, Catholic University of Brasilia, Brazil;2. School of Arts, Sciences and Humanities, University of São Paulo, Brazil;3. Department of Physical Education, Catholic University of Brasilia, Brazil;1. Faculty of Medicine, Department of Physical Therapy and Rehabilitation, Division of Rheumatology, Gazi University, Ankara, Turkey;2. Haydarpaşa Numune Education and Research Hospital, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey |
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| Abstract: | BackgroundElectromyography may be useful for assessing and understanding trunk muscle activation, and Pilates is commonly used as a treatment for low back pain. The objective of this study was to verify electromyography of trunk muscles after a Pilates protocol in individuals with non-specific low back pain and in healthy individuals.MethodsVolunteers were divided into two groups: non-specific low back pain (n = 19) and clinically healthy (n = 16) groups. Clinical assessments, classification of patients into subgroups, electromyography evaluations of the right lumbar extensor and right transverse abdominal/internal oblique muscle of the abdomen were performed before and after an 8-week Pilates protocol.FindingsComparisons were made before and after the protocol and with the control group. There was significant improvement in pain, flexibility, resistance and strength of trunk muscles. In addition, after the Pilates, there was a decrease in the time elapsed between the onset and peak of lumbar muscle activation during the evaluation of trunk extension in the low back pain group, coming closer to the time of the abdominal muscle, as it also occurred in the control group.InterpretationPilates caused clinical improvement and balanced trunk muscle activation in the low back group, becoming similar to that of the control group. Furthermore, the effects of the proposed protocol were the same between the groups. Thus, Pilates may be indicated for management of non-specific low back pain. |
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