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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.)

Examination of a Subgroup of Patients With Chronic Low Back Pain Likely to Benefit More From Pilates-Based Exercises to an Educational Booklet

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Vicco Amaral, Diego Diulgeroglo [1] ; Miyamoto, Gisela Cristiane [1, 2] ; Moura Franco, Katherinne Ferro [1] ; Dos Santos Franco, Yuri Rafael [1] ; Bastos De Oliveira, Naiane Teixeira [1] ; Hancock, Mark Jonathan [3] ; Van Tulder, Maurits W. [2] ; Nunes Cabral, Cristina Maria [1]
Total Authors: 8
[1] Univ Cidade Sao Paulo, Programs Phys Therapy, Sao Paulo - Brazil
[2] Vrije Univ Amsterdam & Amsterdam Movement Sci, Fac Sci, Dept Hlth Sci, Amsterdam - Netherlands
[3] Macquarie Univ, Fac Med & Hlth Sci, Dept Hlth Profess, Macquarie Pk - Australia
Total Affiliations: 3
Document type: Journal article
Source: JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY; v. 50, n. 4, p. 189-197, APR 2020.
Web of Science Citations: 1

OBJECTIVE: To investigate whether 2 previously published classification approaches, the updated treatment-based classification system and a Pilates subgroup defined by a preliminary clinical prediction rule, could identify patients with chronic low back pain who would benefit more from Pilates exercises compared to an educational booklet. DESIGN: Secondary analysis of a randomized controlled trial. METHODS: Two hundred twenty-two patients received advice and were randomly allocated to a group that received an educational booklet with no additional treatment (n = 74) or a group that received Pilates-based exercise treatment (n = 148) 2 or 3 times a week. At baseline, using a treatment-based classification system, patients were classified as having a good prognosis (positive movement control) or a poor prognosis. Similarly, using the Pilates clinical prediction rule, patients were classified as having a good prognosis (positive) or a poor prognosis (negative). The analysis was conducted using linear regression models to analyze the interaction between subgroup characteristics and treatment effect size, with changes in pain and disability from baseline to 6 weeks after randomization as dependent variables. RESULTS: None of the interaction terms for pain and disability were statistically significant. The treatment effect of Pilates versus an educational booklet was similar in all subgroups. CONCLUSION: The treatment-based classification system and the Pilates clinical prediction rule did not differentiate subgroups of patients with chronic low back pain who were more or less likely to benefit more from Pilates compared to an educational booklet. (AU)

FAPESP's process: 15/18974-7 - Identification of patients subgroups with non-specific chronic low back pain which respond better with method Pilates
Grantee:Diego Diulgeroglo Vicco Amaral
Support Opportunities: Scholarships in Brazil - Scientific Initiation
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