Predictive factors for progression through the difficulty levels of Pilates exercises in patients with low back pain: a secondary analysis of a randomized controlled trial

Author(s)

Moura Franco, Katherinne Ferro ^[1] ; dos Santos Franco, Yuri Rafael ^[1] ; Bastos de Oliveira, Naiane Teixeira ^[1] ; Padula, Rosimeire Simprini ^[1] ; Nunes Cabral, Cristina Maria ^[1]

Affiliation

^[1] Univ Cidade Sao Paulo UNICID, Masters & Doctoral Program Phys Therapy, Sao Paulo, SP - Brazil

• Document type: Journal article
• Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 22, n. 6, p. 512-518, NOV-DEC 2018.
• Web of Science Citations: 0

Abstract

Background: The progression through the difficulty levels of Pilates exercises is a subjective criterion, that depends on the therapist's experience and ability to identify the best moment to progress to the next level. Objective: To identify the factors that interfere in the progression through the difficulty levels Exercise progression of the Pilates exercises in patients with chronic nonspecific low back pain. Methods: Data from 139 patients with chronic nonspecific low back pain from a randomized controlled trial were used for statistical analysis using binary logistic regression. The dependent variable was the progression through the difficulty levels, and the independent variables were age, gender, educational level, low back pain duration, pain intensity, general disability, kinesiophobia, previous physical activity, and number of absences. Results: The factors that interfered in the progression through the difficulty levels were previous physical inactivity (odds ratio {[}OR] =5.14, 95% confidence interval {[}CI]: 1.53-17.31), low educational level (OR= 2.62, 95% CI: 1.12-6.10), more advanced age (OR =0.95, 95% CI: 0.92-0.98) and more absences (OR = 0.63, 95% CI: 0.50-0.79). These variables explain 41% of the non-progression through the difficulty level of the exercises. Conclusion: Physical inactivity, low educational level, more advanced age and greater number of absences can be interfering factors in the progression through the difficulty levels of the Pilates exercises in patients with chronic nonspecific low back pain. (C) 2018 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved. (AU)

• FAPESP's process: 13/17303-6 - Effectiveness of the addition of the interferential current over the Pilates method in the treatment of patients with chronic nonspecific low back pain: a randomized controlled trial
• Grantee: Cristina Maria Nunes Cabral
• Support Opportunities: Regular Research Grants