Influence of pilates method on the treatment of nonspecific chronic low back pain: a protocol study for a randomized, controlled, blind trial
Bianca Martins de Souza, Daiane Oliveira da Silva, Lais Paraguai Justo, Leandro Lazzareschi, Daniela Aparecida Biasotto-Gonzalez, Igor Phillip dos Santos Glória
Abstract
Background: Low back pain is one of the most common musculoskeletal problems among workers. Studies estimate that 90% of the adults will suffer at least one episode of low back pain in life that will lead to the temporary interruption of work. A type of exercise that has gained increasing popularity among individuals with low back pain in the last decade is the Pilates method. Objective: Determine the influence of the Pilates method on improvements in pain, kinesiophobia, central sensitization and function in patients with chronic nonspecific low back pain. Methods: Thirty-four male and female volunteers between 18 and 35 years of age with a complaint of nonspecific low back pain for at least three months will be divided into two groups: Pilates method and control group. An evaluation chart created by the authors will be used to collect data on personal information, history of diseases, alcohol use, smoking, pain intensity (visual analog scale) and medications used. The Tampa Scale for Kinesiophobia, Central Sensitization Questionnaire and Oswestry Disability Index will also be administered. Pilates exercises will be performed three time per week for four weeks and administered by a researcher with adequate training in the method. Reevaluations will be performed after the sixth treatment session in the Pilates group, two weeks after the initial evaluation in the control group, after the 12th session in the Pilates group and after four weeks in the control group. Another reevaluation will be performed three months after treatment. Results: The data will be submitted to statistical analysis and the level of significance will be set to 5%. Conclusion: Based on the results analyzed it will be possible to determine the influence of Pilates Method on improvements in pain, kinesiophobia, central sensitization and function in patients with chronic nonspecific low back pain.
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References
1. Valenza MC, Rodriguez-Torres J, Cabrera-Martos I, Diaz-Pelegrina A, Aguilar-Ferrandiz ME, Castellote-Caballero Y. (2016). Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled Trial.
2. NEBLETT R, COHEN H, CHOI Y, HARTZELL MM, WILLIAMS M, MAYER TG, GATCHEL RJ. (2013). The central sensitization inventory (CSI): establishing clinicallysignificant values for identifying central sensitivity syndromes in na outpatient chronic pain sample. J pain; 14 (5): 438-445.
3. SMART KM, BLAKE C, STAINES UM, DOODY C. (2011). Discriminative validity of “nociceptive”, “peripheral neuropathic” and “central sensitization” as mechanisms-based classifications of musculoskeletal pain. Clin J pain; 27:655-663.
4. CARAVIELLO EZ, WASSERSTEIN S, CHAMLIAN TR, MASIERO D. (2005). Avaliação da dor e função de pacientes com lombalgia tratados com um programa de Escola da Coluna. Acta Fisiátrica, v. 12, n. 1, p. 11-14.
5. MATTOS R, SAMANO T. (2005). Intervenção do Pilates na reeducação postural: um estudo de caso. Atelier do Corpo.
6. O’SULLIVAN PB. (2000). Lumbar Segmental instability: clinical presentation and specific stabilizing exercise management. Manual Therapy 5(1).
7. FONSECA JL, MAGINI M, de FREITAS TH. (2009). Laboratory gait analysis in patients with low back pain before and after a Pilates intervention. J Sport Rehabil; 18(2): 269–282.
8. SALTER RB. (2001). Distúrbios e lesões do sistema musculoesquelético. Medsi 3 ed.
9. ALVES A, CHUQUI E, SOUZA C, ROSSI L. (2009). Grau de satisfação com a imagem corporal em praticantes de Pilates. Revista digital – Buenos Aires – Ano 13, n. 128.
10. PIRES DC, DE SÁ CKC. (2005). Pilates: notas sobre aspectos históricos, princípios, técnicas e aplicações. Efdeportes.com 10(91):1-4.
11. SACCO LCN, ANDRADE MS, SOUZA PS, NISIYAMA M, CANTUARIA AL, MAEDA FYI, PIKEL M. (2005). Método Pilates em revista: aspectos biomecânicos de movimentos específicos para reestruturação postural – estudo de caso. Rev. Bras. Ciên. e Mov. 13(4): 65-78.
12. EYIGOR S, KARAPOLAT H, YESIL H, USLU R, DURMAZ B. (2010). Effects of Pilates exercises on functional capacity, flexibility, fatigue, depression and quality of life in female breast câncer patients: a randomized controlled study. Eur J Phys Rehabil Med 46(4): 481-487.
13. KEAYS KS, HARRIS SR, LUCYSHYN JM, MACLNTYRE DL. (2008). Effects of Pilates exercises on shoulder range of motion, pain, mood and upper-extremity function in women living with breast cancer: a pilot study.Phys Ther v. 88, ed. 4, p. 494-510.
14. ALLEN M. (2009). The Power of Pilates. Nursing & Residential Care, v. 11, n. 10.
15. ROBLE JR. (2015). Uma interpretação estética do método Pilates: seus princípios e convergências com a Educação Somática. Rev. Bras. Estud. Presença vol.5 no.1.
16. LIN HT, HUNG WC, HUNG JL, WU PS, LIAW LJ, CHANG JH (2016). Effects of Pilates on patients with chronic non-specific low back pain: a systematic review. J Phys Ther Sci. 28(10: 2961-2969.
17. TURK D, MELZACK R. (1992). Handbook of Pain Assessment. 2nd ed. New York, NY: The Guilford Press.
18. DE SOUZA FS, MARINHO CDA S, SIQUEIRA FB, et al. Psychometric testing confirms that the Brazilian-Portuguese adaptations, the original versions of the Fear-Avoidance Beliefs Questionnaire, and the Tampa Scale of Kinesiophobia have similar measurement properties. Spine (Phila Pa 1976). 2008;33:1028- 1033.
19. MAYER TG, NEBLETT R, COHEN H. et al.(2012). The development and psychometric validation of the central sensitization inventory. Pain Pract, 12(4), 276-285.
20. VIGATTO R, ALEXANDRE NM, CORREA FILHO HR. Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity. Spine (Phila Pa 1976). 2007;32(4):481-6
21. Schulz KF, Altman DG, Mohe D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials CONSORT Statement.
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