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Phys Ther. 2016 Mar;96(3):382-9. doi: 10.2522/ptj.20150404. Epub 2015 Aug 20.

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

Author information

1
G.C. Miyamoto, PT, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
2
K.F. Moura, PT, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo.
3
Y.R.S. Franco, PT, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo.
4
N.T.B. Oliveira, PT, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo.
5
D.D.V. Amaral, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo.
6
A.N.C. Branco, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo.
7
M.L. Silva, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo.
8
C. Lin, PT, PhD, Sydney Medical School, The University of Sydney, New South Wales, Australia.
9
C.M.N. Cabral, PT, PhD, Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 475, Tatuapé, São Paulo, Brazil, CEP 03071-000. cristina.cabral@unicid.edu.br.

Abstract

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 São 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.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT02241538.

PMID:
26294680
DOI:
10.2522/ptj.20150404
[Indexed for MEDLINE]

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