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Effectiveness of different weekly frequency of modified Pilates Method in the treatment of chronic nonspecific low back pain: a randomized controlled trial

Grant number: 13/26321-8
Support type:Scholarships in Brazil - Doctorate
Effective date (Start): October 01, 2014
Effective date (End): September 30, 2017
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Cooperation agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
Principal researcher:Cristina Maria Nunes Cabral
Grantee:Gisela Cristiane Miyamoto
Home Institution: Pró-Reitoria de Pós-Graduação, Pesquisa e Extensão. Universidade Cidade de São Paulo (UNICID). São Paulo , SP, Brazil
Associated scholarship(s):16/07915-2 - Economic evaluation in the treatment of chronic non-specific low back pain: economic evaluation of a randomized controlled trial and systematic review on economic evaluation, BE.EP.DR

Abstract

Low back pain is a major cause of disability and absenteeism and the supervised exercise is a recommended treatment by the guidelines and has been cost-effective. Currently, the Pilates method has shown to be effective in improving pain and disability in patients with chronic low back pain (CLBP). However, there is still no evidence about the ideal number of sessions for the treatment and the interval between sessions to better efficacy of this method for these patients. Thus, the aim of this study is to investigate the effectiveness of the Pilates method with different weekly frequency of sessions in the treatment of patients with nonspecific CLBP. We will assess 222 patients of both genders, with nonspecific CLBP lasting more than three months and between 18 and 80 years. Participants will be randomly divided into three groups (n = 74 patients per group): Group Pilates 1 will receive a program of exercises based on Pilates method once a week for six weeks, Group Pilates 2 will receive the same program of exercises twice a week for six weeks and Group Pilates 3 will receive the same program of exercises three times a week for six weeks. The outcomes overall disability (Roland Morris questionnaire), specific disability (Patient specific functional scale), kinesiophobia (Tampa scale for kinesiophobia), pain intensity (Pain numerical rating scale) and global perceived effect (Global perceived effect scale) will be assessed by a blinded assessor before, six weeks, six and 12 months after randomization. We expect the largest number of weekly sessions of Pilates method may influence the results in all analyzes (short, medium and long term), since there is a relationship between frequency of exercises and size of the treatment effect. (AU)

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Scientific publications (5)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
DA SILVA, MARIA LILIANE; MIYAMOTO, GISELA CRISTIANE; MOURA FRANCO, KATHERINNE FERRO; DOS SANTOS FRANCO, YURI RAFAEL; NUNES CABRAL, CRISTINA MARIA. Different weekly frequencies of Pilates did not accelerate pain improvement in patients with chronic low back pain. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 24, n. 3, p. 287-292, MAY-JUN 2020. Web of Science Citations: 0.
VICCO AMARAL, DIEGO DIULGEROGLO; MIYAMOTO, GISELA CRISTIANE; MOURA FRANCO, KATHERINNE FERRO; DOS SANTOS FRANCO, YURI RAFAEL; BASTOS DE OLIVEIRA, NAIANE TEIXEIRA; HANCOCK, MARK JONATHAN; VAN TULDER, MAURITS W.; NUNES CABRAL, CRISTINA MARIA. Examination of a Subgroup of Patients With Chronic Low Back Pain Likely to Benefit More From Pilates-Based Exercises to an Educational Booklet. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, v. 50, n. 4, p. 189-197, APR 2020. Web of Science Citations: 1.
MIYAMOTO, GISELA CRISTIANE; LIN, CHUNG-WEI CHRISTINE; CABRAL, CRISTINA MARIA NUNES; VAN DONGEN, JOHANNA M.; VAN TULDER, MAURITS W. Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: a systematic review with meta-analysis. BRITISH JOURNAL OF SPORTS MEDICINE, v. 53, n. 3, p. 172+, FEB 2019. Web of Science Citations: 5.
MIYAMOTO, GISELA CRISTIANE; MOURA FRANCO, KATHERINNE FERRO; VAN DONGEN, JOHANNA M.; DOS SANTOS FRANCO, YURI RAFAEL; BASTOS DE OLIVEIRA, NAIANE TEIXEIRA; VICCO AMARAL, DIEGO DIULGEROGLO; CASTELO BRANCO, AMANDA NERY; DA SILVA, MARIA LILIANE; VAN TULDER, MAURITS W.; NUNES CABRAL, CRISTINA MARIA. Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation. BRITISH JOURNAL OF SPORTS MEDICINE, v. 52, n. 13, p. 859-868, JUL 2018. Web of Science Citations: 4.
MIYAMOTO, GISELA CRISTIANE; MOURA, KATHERINNE FERRO; DOS SANTOS FRANCO, YURI RAFAEL; BASTOS DE OLIVEIRA, NAIANE TEIXEIRA; VICCO AMARAL, DIEGO DIULGEROGLO; CASTELO BRANCO, AMANDA NERY; DA SILVA, MARIA LILIANE; LIN, CHRISTINE; NUNES CABRAL, CRISTINA MARIA. Effectiveness and Cost-Effectiveness of Different Weekly Frequencies of Pilates for Chronic Low Back Pain: Randomized Controlled Trial. PHYSICAL THERAPY, v. 96, n. 3, p. 382-389, MAR 2016. Web of Science Citations: 4.

Please report errors in scientific publications list by writing to: cdi@fapesp.br.