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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Pilates-based exercise for persistent, non-specific low back pain and associated functional disability: a
Arián R Aladro-Gonzalvo1, Gerardo A Araya-Vargas, Míriam Machado-Díaz
1School of Physical Education and Sports, University of Costa Rica, San José, Costa Rica. aladro80@fastmail.es
Journal of Bodywork and Movement Therapies
|January 9, 2013
Summary
Pilates exercise moderately improved disability for low back pain compared to other physiotherapy, but did not significantly relieve pain. Further research is needed due to study limitations.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Clinical Exercise Physiology
Background:
- Persistent, non-specific low back pain is a common cause of disability.
- Evidence for the effectiveness of specific exercise interventions like Pilates is continually evolving.
- Systematic reviews and meta-analyses are crucial for synthesizing research findings.
Purpose of the Study:
- To systematically review and analyze randomized controlled trials (RCTs) on Pilates for low back pain.
- To evaluate the impact of Pilates on pain and functional disability in individuals with persistent low back pain.
- To apply regression analysis to identify factors influencing Pilates' effectiveness.
Main Methods:
- A comprehensive search of electronic databases was conducted from January 1950 to March 2011.
- Included studies were RCTs comparing Pilates exercise against placebo, minimal intervention, or alternative physiotherapy.
- Regression analysis was employed to examine potential predictor variables.
Main Results:
- Nine trials met the inclusion criteria.
- Pilates showed moderate superiority in reducing disability compared to alternative physiotherapy treatments (ES = -0.55).
- Pilates provided moderate to superior pain relief compared to minimal intervention (ES = -0.44) and similar disability reduction.
Conclusions:
- Pilates exercise appears beneficial for functional disability in low back pain patients.
- The effectiveness of Pilates for pain relief is more evident when compared to minimal interventions.
- Conclusions must be drawn cautiously due to co-interventions and methodological limitations in the included studies.
