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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

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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Autor(es):
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]
Número total de Autores: 8
Afiliação do(s) autor(es):
[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
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY; v. 50, n. 4, p. 189-197, APR 2020.
Citações Web of Science: 1
Resumo

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)

Processo FAPESP: 15/18974-7 - Identificação de subgrupos de pacientes com dor lombar crônica não específica suscetíveis a benefícios pelo tratamento baseado no método Pilates
Beneficiário:Diego Diulgeroglo Vicco Amaral
Modalidade de apoio: Bolsas no Brasil - Iniciação Científica
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