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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation

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Miyamoto, Gisela Cristiane [1, 2] ; Moura Franco, Katherinne Ferro [1] ; van Dongen, Johanna M. [2] ; dos Santos Franco, Yuri Rafael [1] ; Bastos de Oliveira, Naiane Teixeira [1] ; Vicco Amaral, Diego Diulgeroglo [1] ; Castelo Branco, Amanda Nery [1] ; da Silva, Maria Liliane [1] ; van Tulder, Maurits W. [2] ; Nunes Cabral, Cristina Maria [1]
Total Authors: 10
[1] Univ Cidade Sao Paulo, Masters & Doctoral Program Phys Therapy, BR-03071000 Sao Paulo - Brazil
[2] Vrije Univ Amsterdam, Dept Hlth Sci, Fac Sci, Amsterdam - Netherlands
Total Affiliations: 2
Document type: Journal article
Source: BRITISH JOURNAL OF SPORTS MEDICINE; v. 52, n. 13, p. 859-868, JUL 2018.
Web of Science Citations: 4

Objectives To evaluate the effectiveness and costutility of the addition of different doses of Pilates to an advice for non-specific chronic low back pain (NSCLBP) from a societal perspective. Design Randomised controlled trial with economic evaluation. Setting Physiotherapy clinic in Sao Paulo, Brazil. Participants 296 patients with NSCLBP. Interventions All patients received advice and were randomly allocated to four groups (n=74 per group): booklet group (BG), Pilates once a week (Pilates group 1, PG1), Pilates twice a week (Pilates group 2, PG2) and Pilates three times a week (Pilates group 3, PG3). Main outcome measures Primary outcomes were pain and disability at 6-week follow-up. Results Compared with the BG, all Pilates groups showed significant improvements in pain (PG1, mean difference (MD)=-1.2, 95% CI - 2.2 to -0.3; PG2, MD=-2.3, 95% CI - 3.2 to -1.4; PG3, MD=-2.1, 95% CI - 3.0 to -1.1) and disability (PG1, MD=-1.9, 95% CI - 3.6 to -0.1; PG2, MD=-4.7, 95% CI - 6.4 to -3.0; PG3, MD=-3.3, 95% CI - 5.0 to -1.6). Among the different doses, PG2 showed significant improvements in comparison with PG1 for pain (MD=-1.1, 95% CI - 2.0 to -0.1) and disability (MD=-2.8, 95% CI - 4.5 to -1.1). The cost-utility analysis showed that PG3 had a 0.78 probability of being cost-effective at a willingness-to-pay of 20 pound 000 per quality-adjusted life-year gained. Conclusions Adding two sessions of Pilates exercises to advice provided better outcomes in pain and disability than advice alone for patients with NSCLBP; non-specific elements such as greater attention or expectation might be part of this effect. The cost-utility analysis showed that Pilates three times a week was the preferred option. (AU)

FAPESP's process: 13/26321-8 - Effectiveness of different weekly frequency of modified Pilates Method in the treatment of chronic nonspecific low back pain: a randomized controlled trial
Grantee:Gisela Cristiane Miyamoto
Support Opportunities: Scholarships in Brazil - Doctorate
FAPESP's process: 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
Grantee:Gisela Cristiane Miyamoto
Support Opportunities: Scholarships abroad - Research Internship - Doctorate