| Texto completo | |
| Autor(es): |
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]
Número total de Autores: 10
|
| Afiliação do(s) autor(es): | [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
Número total de Afiliações: 2
|
| Tipo de documento: | Artigo Científico |
| Fonte: | BRITISH JOURNAL OF SPORTS MEDICINE; v. 52, n. 13, p. 859-868, JUL 2018. |
| Citações Web of Science: | 4 |
| Resumo | |
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) | |
| 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 |
| Processo FAPESP: | 16/07915-2 - Avaliação econômica no tratamento da dor lombar crônica não específica: avaliação econômica de um estudo controlado aleatorizado e revisão sistemática sobre avaliação econômica |
| Beneficiário: | Gisela Cristiane Miyamoto |
| Modalidade de apoio: | Bolsas no Exterior - Estágio de Pesquisa - Doutorado |