Different weekly frequencies of Pilates did not accelerate pain improvement in patients with chronic low back pain

Author(s)

da Silva, Maria Liliane ^[1] ; Miyamoto, Gisela Cristiane ^[1] ; Moura Franco, Katherinne Ferro ^[1] ; dos Santos Franco, Yuri Rafael ^[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. 24, n. 3, p. 287-292, MAY-JUN 2020.
• Web of Science Citations: 0

Abstract

Background: Recent evidence recommends Pilates for the treatment of chronic low back pain. However, it is still unknown if different weekly frequencies of Pilates can accelerate the improvement of symptoms in patients with chronic low back pain verified by a daily pain assessment. Objective: To analyze whether different weekly frequencies of Pilates can accelerate pain reduction by 30%, 50%, and 100% in patients with non-specific chronic low back pain and the necessary number of weeks to reach these improvements. Methods: Two hundred and twenty-two patients were randomized into three groups: Pilates group 1 received treatment once a week, Pilates group 2 received treatment twice a week, and Pilates group 3 received treatment three times a week. All groups received Pilates for six weeks. Pain intensity was measured daily before and after each intervention session using the Pain Numerical Rating Scale. The assessor was not blind. Results: The survival analysis showed that all Pilates groups had a pain reduction of 30%, 50%, and 100% at the same speed during treatment. There was no difference between the different weekly frequencies of Pilates for any of the comparisons (p > 0.05). After the first week of treatment, 44.6% of the patients in Pilates group 3 showed complete pain improvement, followed by 37.8% of the patients in Pilates group 2 and 29.7% in Pilates group 1. After the last week, 71.6% (Pilates group 1), 77% (Pilates group 2), and 78.4% (Pilates group 3) of the patients reported complete improvement of symptoms. Conclusion: Different weekly frequencies of Pilates did not accelerate pain improvement in patients with non-specific chronic low back pain. (C) 2019 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved.y (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