Effectiveness of the Pilates method versus aerobic exercises in the treatment of older adults with chronic low back pain: a randomized controlled trial protocol

Autor(es)

Bastos de Oliveira, Naiane Teixeira ^[1] ; Ricci, Natalia Aquaroni ^[1] ; dos Santos Franco, Yuri Rafael ^[1] ; Espirito Santo Salvador, Evany Maira ^[1] ; Barboza Almeida, Isabella Cristina ^[2] ; Nunes Cabral, Cristina Maria ^[1]

Afiliação do(s) autor(es)

^[1] Univ Cidade Sao Paulo, Masters & Doctoral Programs Phys Therapy, Rua Cesario Galeno 475, BR-03071000 Tatuape, SP - Brazil

^[2] Univ Cidade Sao Paulo, Dept Phys Therapy, Rua Cesario Galeno 475, BR-03071000 Tatuape, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BMC MUSCULOSKELETAL DISORDERS; v. 20, MAY 24 2019.
• Citações Web of Science: 0

Resumo

BackgroundChronic low back pain is potentially disabling for older adults, and exercise is considered the best treatment. The Pilates method and aerobic exercises have been proven to be effective in pain and function improvement in patients with low back pain, but evidence in the treatment of older adults with low back pain is scarce. Therefore, the objective of this study is to investigate the effectiveness of the Pilates method compared to aerobic exercises in the treatment of older adults with chronic nonspecific low back pain.MethodsThis is a randomized controlled trial with blinded assessor, to be held in a physical therapy clinic in Sao Paulo, Brazil. Seventy four patients aged 65 to 85years with chronic nonspecific pain will be randomized into Pilates Group (n=37) with exercises based on the Pilates method and Aerobic Group (n=37) with treadmill aerobic exercise. The primary outcomes will be pain intensity and general disability, assessed eight weeks after randomization. The secondary outcomes will be: pain intensity and general disability, assessed six months after randomization; and global perceived improvement, specific disability, dynamic balance, muscle strength (gluteus maximus, gluteus medius, and lateral hip rotators), and pressure pain threshold, assessed eight weeks and six months after randomization. Therapists and patients will not be blinded.DiscussionThis study has the potential to reduce pain and, consequently, improve balance and function of older adults with chronic low back pain with both therapies. However, Pilates may be more effective because the exercises are more targeted to the trunk stabilization muscles. The results of this study may provide valuable information on the effects of Pilates and aerobic exercise in older adults with chronic low back pain and contribute to a better selection of the treatment program according to the patient preference.Trial registrationClinicalTrials.gov NCT02729779, April 6, 2016. (AU)

• Processo FAPESP: 16/12962-0 - Efetividade do método Pilates modificado versus exercício aeróbico no tratamento de pacientes com dor crônica: estudo controlado aleatorizado
• Beneficiário: Cristina Maria Nunes Cabral
• Modalidade de apoio: Auxílio à Pesquisa - Regular