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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Pilates for low back pain.

Tiê P Yamato, Christopher G Maher, Bruno T Saragiotto

    Sao Paulo Medical Journal = Revista Paulista De Medicina
    |August 25, 2016
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    Summary

    Pilates shows low to moderate evidence for improving pain and disability in non-specific low back pain compared to minimal intervention. However, evidence does not conclusively show Pilates is superior to other exercises.

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    Area of Science:

    • Physical therapy
    • Rehabilitation medicine
    • Exercise science

    Background:

    • Non-specific low back pain is a global health issue.
    • Exercise-based interventions are common treatments.
    • The Pilates method is a popular exercise program.

    Purpose of the Study:

    • To evaluate the effectiveness of the Pilates method for non-specific low back pain (acute, subacute, or chronic).

    Main Methods:

    • Systematic review of randomized controlled trials.
    • Searches conducted across multiple databases (CENTRAL, MEDLINE, EMBASE, CINAHL, PEDro, SPORTDiscus).
    • Inclusion criteria: adults with non-specific low back pain; primary outcomes: pain, disability, recovery, quality of life.

    Main Results:

    • Low to moderate quality evidence suggests Pilates improves pain and disability compared to minimal intervention (short and intermediate-term).
    • Compared to other exercises, a small effect favoring Pilates for function was noted at intermediate-term follow-up.
    • No high-quality evidence was found for any comparison, outcome, or follow-up period.

    Conclusions:

    • Pilates demonstrates effectiveness for low back pain compared to minimal intervention.
    • Evidence does not conclusively support Pilates being superior to other exercise forms.
    • Treatment decisions may involve patient/provider preference and cost considerations.