Effectiveness and Cost-Effectiveness of Different Weekly Frequencies of Pilates for Chronic Low Back Pain: Randomized Controlled Trial

Autor(es)

Miyamoto, Gisela Cristiane ^[1] ; Moura, Katherinne Ferro ^[1] ; 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] ; Lin, Christine ^[2] ; Nunes Cabral, Cristina Maria ^[3]

Afiliação do(s) autor(es)

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

^[2] Univ Sydney, Sydney Med Sch, Sydney, NSW 2006 - Australia

^[3] Univ Cidade Sao Paulo, Masters & Doctoral Program Phys Therapy, Rua Cesario Galeno 475, BR-03071000 Tatuape, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PHYSICAL THERAPY; v. 96, n. 3, p. 382-389, MAR 2016.
• Citações Web of Science: 4

Resumo

Background. The Pilates method has been recommended to patients with low back pain, but the evidence on effectiveness is inconclusive. In addition, there is still no evidence for the cost-effectiveness of this method or for the ideal number of sessions to achieve the highest effectiveness. Objective. The aim of this study will be to investigate the effectiveness and cost-effectiveness Of the Pilates method with different weekly frequencies in the treatment of patients with nonspecific, low back pain. Design. This is a randomized controlled trial with blinded assessor. Setting. This study will be conducted at a physical therapy clinic in sao Paulo, Brazil. Participants. Two hundred ninety-six patients with nonspecific low back pain between the ages of 18 and 80 years will be assessed and randomly allocated to 4 groups (n=74 patients per group). Intervention. All groups will receive an educational booklet. The booklet group will not receive additional exercises. Pilates group 1 will follow a Pilates-based program once a week, Pilates group 2 will follow the same program twice a week, and Pilates group 3 will follow the same program 3 times a week. The intervention will last 6 weeks. Measurements. A blinded assessor will evaluate pain, quality-adjusted life-years, general and specific disability, kinesiophobia, pain catastrophizing, and global perceived effect 6 weeks, 6 months, and 12 months after randomization. Limitations. Therapists and patients will not be blinded. Conclusions. This will be the first study to investigate different weekly frequencies of treatment sessions for nonspecific low back pain. The results of this study will contribute to a better definition of treatment programs for this population. (AU)

• Processo FAPESP: 13/26321-8 - Efetividade de diferentes frequências semanais de sessões do Método Pilates modificado no tratamento da dor lombar crônica não específica: estudo controlado aleatorizado
• Beneficiário: Gisela Cristiane Miyamoto
• Modalidade de apoio: Bolsas no Brasil - Doutorado