Pain Clinical Trial
Official title:
The Effectiveness of Pilates to Treat Low Back Pain: A Randomized Controlled Trial
This is a randomized controlled trial, with blinded assessor to evaluate the effectiveness
of Pilates to treat low back pain.
Hypothesis - the Pilates group will have best results than the control group (usual
medicament treatment).
Background:
Low back pain (LBP) is a common problem among adults. Approximately 70-85% of the adult
population experiences this painful complaint at some point in their lives, making LBP the
second most common reason for a visit to a clinician. Despite the frequency of this
diagnosis, conventional treatment does not always provide patients the desired results of
reduced pain and return of normal function. For these patients, alternative modalities are
available to assist in the control of pain. These options include chiropractic care,
physical therapy, massage therapy, and modalities that fall under the auspices of
complementary and alternative medicine, such as acupuncture. Unfortunately, Clinical trials
evaluating the efficacy of a variety of interventions for chronic non-specific low back pain
indicate limited effectiveness for most commonly applied interventions and approaches.
Objectives:
To evaluate the effectiveness of a mat and studio Pilates program on pain, function, quality
of life and NHAI consumption for chronic non-specific low back pain patients.
Methods:
Eligible patient include: chronic non-specific low back pain; age between 18 and 65 years;
pain ranging from 4 to 8 in a numerical pain scale. Patients with previous surgery, other
causes of low back pain, fibromyalgia, regular physical activity (three or more times per
week for at least three months); labor lawsuit and body mass index more than 30. Sixty
patients were randomized to the Experimental Group (EG) or Control Group (CG). Patients in
EG participated in 90 days of mat and studio Pilates program twice a week (50 minutes per
class) and the CG remained with their usual medicament treatment and were included in a
waiting list for physiotherapy. Assessment for pain (VAS), function (Roland Morris
questionnaire), quality of life (SF-36) and NHAI consumption were done at baseline, after 45
days (T45), after 90 days (T90 - end of the program), after 90 days (T180 - follow up) by a
blinded assessor.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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