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- Title
Can clinical pilates decrease pain and improve function in people complaining of non-specific chronic low back pain? A pilot study.
- Authors
Taylor, Lee-Anne; Hay-Smith, E. Jean C.; Dean, Sarah
- Abstract
The aims of this pilot study were to: (a) investigate the outcomes of a six week, physiotherapist prescribed and supervised, Clinical Pilates intervention in a sample of New Zealanders complaining of non-specific chronic low back pain; (b) measure the longer term outcomes (six and 26 weeks after treatment completion) and (c) explore the feasibility of the intervention and study procedures to underpin the planning of a clinical trial if indicated by the pilot data. A prospective study of 15 participants collected measures before and after the intervention, then at six weeks and 26 weeks following the completion of the intervention. The measures were the Oswestry Disability Index (ODI); Visual analogue pain scale (VAS); and Short-Form36 version 2 (SF-36v2) general health questionnaire. At completion of the intervention statistically significant differences were found in function measured by the ODI (Mean difference (MD) 11.5, 95% Confidence Interval (CI) -7.5 to -15.4, p<0.001) and SF-36v2 physical functioning (MD 5.7, 95% CI -8.6 to -2.9, p<0.001), role physical (MD 6.5, 95% CI -11.1 to -2.0, p=0.008) and physical health component summary (MD 6.6, 95% CI -9.6 to -3.7, p<0.001). The difference in function measured by the ODI was clinically meaningful. Pain measured by the VAS was reduced at the end of the intervention (MD 1.9, 95% CI -0.5 to -2.7, p=O.022) with similar results for the bodily pain sub-domain of the SF36v2 (MD 8.4, 95% CI -12.0 to -4.9, p<0.001). SF-36v2 sub-domains general health (p=0.003), mental health (p=0.022) and vitality (p=0.019) showed statistically significant differences following the intervention. There were no statistically significant differences between post completion measures (ODI, VAS and SF-36v2 scores) and the same measures repeated six weeks and 26 weeks later. This suggested the intervention outcomes were maintained during follow up.. Pilot data were sufficiently promising that an investigation into the effectiveness of physiotherapy prescribed Clinical Pilates as an exercise intervention to treat non-specific chronic low back pain in the New Zealand setting is warranted. The feasibility of the intervention and study procedures was established.
- Publication
New Zealand Journal of Physiotherapy, 2011, Vol 39, Issue 1, p30
- ISSN
0303-7193
- Publication type
Journal Article