Effect of Pilates’ mat exercise program on pain, disability and lumbo-pelvic stability in patients with mechanical low back pain

Vol 4 | Issue 2 | July-Dec 2019 | page:2-6  | Shweta Ratnaparkhi, Shaila Sabnis, Nilima Bedekar, Ashok Shyam, Parag Sancheti


Authors: Shweta Ratnaparkhi [1], Shaila Sabnis [1], Nilima Bedekar [1], Ashok Shyam [1], Parag Sancheti [1].

[1] Department of Physiotherapy, Sancheti Institute, College of Physiotherapy, Pune, Maharashtra, India.
[2] Department of Orthopaedics, Sancheti Institute & Hospital Pune, Maharashtra, India.

Address of Correspondenc
Dr. Nilima Bedekar,
Sancheti Institute, College of Physiotherapy, Pune, Maharashtra, India.
E-mail: doc.ashokshyam@gmail.com


Abstract

Background and purpose: To compare the effect of Pilates’ mat exercises with Conventional spinal exercises on pain, disability and lumbo-pelvic stability in Mechanical Low Back Pain (MLBP) patients.
Methods: Thirty six patients divided into two groups by random allocation. One group received Pilates’ Training Program (Group A), and the other, received Conventional program (Group B). Fourteen participants in Group A and 17 in Group B completed the study. Both groups attended a 30 minute therapist supervised session, 5 days a week, for 4 weeks and outcomes were measured in terms of Pain, Disability, Core muscle endurance & Lumbo-pelvic stability.
Results: All the participants showed significant improvement (p<0.05) in pain, disability and core muscle endurance. On comparing groups no significant difference was found with respect to pain, disability and lumbo-pelvic stability. However, core muscle endurance improved significantly (p=0.02) in Group A as hold time increased by 2.941±1.71 seconds as measured at end of week 4.
Conclusion: It was concluded that Pilates’ mat exercises as well as Conventional Spinal exercises are equally effective in the rehabilitation of patients with MLBP. However Pilates exercises lead to better improvement in the core muscle endurance.
Keywords: Pilates’, Mechanical low back pain, exercise.


References

1. Kumar S. Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: A randomized placebo controlled crossover study. North American Journal of Medical Sciences. 2011:456-461. doi:10.4297/najms.2011.3456.
2. Miyamoto GC, Costa LO, Galvanin T, Cabral CM. The efficacy of the addition of the Pilates method over a minimal intervention in the treatment of chronic nonspecific low back pain: a study protocol of a randomized controlled trial. Journal of Chiropractic Medicine. 2011;10(4):248-254. doi:10.1016/j.jcm.2011.06.007.
3. McKenzie R, May S. The Lumbar Spine. Mechanical Diagnosis & Therapy. Waikanae New Zealand: Spinal Publications; 2003.
4. Manchikanti L, Singh V, Falco F, Hirsch J. Epidemiology of low back pain in adults. Neuromodulation. 2014;17(Suppl2):3-10.
5. Tulder MV, Malmivaara A, Esmail R, Koes B. Exercise Therapy for Low Back Pain. Spine. 2000;25(21):2784-2796. doi:10.1097/00007632-200011010-00011.
6. Mechanical Low Back Pain Clinical Presentation: History, Physical. Mechanical Low Back Pain Clinical Presentation: History, Physical. https://emedicine.medscape.com/article/310353-clinical. Published September 17, 2018.
7. Rydeard R, Leger A, Smith D. Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial. J Orthop Sports Phys Ther. 2006;36(7):472-484.
8. Muscolino JE, Cipriani S. Pilates and the “powerhouse”—II. Journal of Bodywork and Movement Therapies. 2004;8(2):122-130. doi:10.1016/s1360-8592(03)00058-5.
9. Pilates JH, Miller W. Pilates’ Return to Life Through Contrology. 3rd ed. Bodymind Publishing, Inc; 1998.
10. Gladwell V, Head S, Haggar M, Beneke R. Does a Program of Pilates Improve Chronic Non-Specific Low Back Pain? Journal of Sport Rehabilitation. 2006;15(4):338-350. doi:10.1123/jsr.15.4.338.
11. Maher C. Effective physical treatment for chronic low back pain. Orthopedic Clinics of North America. 2004;35(1):57-64. doi:10.1016/s0030-5898(03)00088-9.
12. Anderson B, Spector A. Introduction to Pilates’-Based Rehabilitation. Orthopaedic Physical Therapy Clinics of North America. 2000;9(3):395-410.
13. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87-101. doi:10.1016/0304-3959(83)90088-x.
14. Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Annals of the Rheumatic Diseases. 1978;37(4):378-381. doi:10.1136/ard.37.4.378.
15. Fritz JM, Irrgang JJ. A Comparison of a Modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Physical Therapy. 2001;81(2):776-788. doi:10.1093/ptj/81.2.776.
16. Costa LOP, Costa Lda C, Cançado RL, Oliveira Wde M, Ferreira PH. Short report: intra-tester reliability of two clinical tests of transversus abdominis muscle recruitment. Physiotherapy Research International. 2006;11(1):48-50. doi:10.1002/pri.39.
17. Richardson C, Jull G, Toppenberg R, Comerford M. Techniques for active lumbar stabilisation for spinal protection: A pilot study. Australian Journal of Physiotherapy. 1992;38(2):105-112. doi:10.1016/s0004-9514(14)60555-9.
18. Wohlfahrt D, Jull G, Richardson C. The relationship between the dynamic and static function of abdominal muscles. Australian Journal of Physiotherapy. 1993;39(1):9-13. doi:10.1016/s0004-9514(14)60464-5.
19. Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani W. Muscles: Testing and Function, with Posture and Pain. Wolters Kluwer Health; 2014.
20. Panjabi MM. Clinical spinal instability and low back pain. Journal of Electromyography and Kinesiology. 2003;13(4):371-379. doi:10.1016/s1050-6411(03)00044-0.
21. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Archives of Physical Medicine and Rehabilitation. 1999;80(9):1005-1012. doi:10.1016/s0003-9993(99)90052-7.
22. Hodges PW, Richardson CA. Inefficient Muscular Stabilization of the Lumbar Spine Associated With Low Back Pain. Spine. 1996;21(22):2640-2650. doi:10.1097/00007632-199611150-00014.
23. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C. Exercise as a treatment for chronic low back pain. Spine J . 2004;4(1):106-115.
24. Phrompaet S, Paungmali A, Pirunsan U, Sitilertpisan P. Effects of Pilates Training on Lumbo-Pelvic Stability and Flexibility. Asian Journal of Sports Medicine. 2011;2(1). doi:10.5812/asjsm.34822.
25. França FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics. 2010;65(10):1013-1017. doi:10.1590/s1807-59322010001000015.
26. Rasmussen-Barr E, Äng B, Arvidsson I, Nilsson-Wikmar L. Graded Exercise for Recurrent Low-Back Pain. Spine. 2009;34(3):221-228. doi:10.1097/brs.0b013e318191e7cb.
27. Rydeard R, Leger A, Smith D. Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability: A Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(7):472-484. doi:10.2519/jospt.2006.2144.
28. Hassan E, Amin M. Pilates Exercises influence on the serotonin hormone, some physical variables and the depression degree in battered women. World Journal of Sport Sciences. 2011;5(2):89-100.
29. Norris C. Functional load abdominal training: part 1. Physical Therapy in Sport. 2001;2(1):29-39. doi:10.1054/ptsp.2000.0032.
30. Mcgill SM. Low Back Exercises: Evidence for Improving Exercise Regimens. Physical Therapy. 1998;78(7):754-765. doi:10.1093/ptj/78.7.754.


How to Cite this Article: Ratnaparkhi S, Sabnis S, Bedekar N, Shyam A, Sancheti P.  Effect of Pilates’ mat exercise program on pain, disability and lumbo-pelvic stability in patients with mechanical low back pain. Journal of Orthopaedic and Rehabilitation  2019 July-Dec; 4(2): 02-06.

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