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Physiother Theory Pract. 2018 Jun 26:1-8. doi: 10.1080/09593985.2018.1488905. [Epub ahead of print]

Pilates-based exercise in the treatment of a patient with persistent low back pain following transforaminal lumbar interbody fusion.

Author information

1
a School of Physical Therapy and Rehabilitation Sciences, Morsani College of Medicine , University of South Florida , Tampa , USA.

Abstract

BACKGROUND:

Low back pain (LBP) is the most commonly reported cause of disability in people under the age of 45 and is estimated to occur in 60-70% of the adult population in the industrialized world. This case report describes the use of Pilates-based exercise (PBE) in the physical therapy management of a patient with persistent chronic low back pain (CLBP) following transforaminal lumbar interbody fusion.

CASE DESCRIPTION:

The patient was a 24-year-old female with a 7-year history of LBP presenting 17 months following surgery. The patient remained with constant LBP and right hip pain at 8/10 on the Numeric Pain Rating Scale (NPRS) after completing a course of physical therapy following the lumbar fusion.

OUTCOMES:

The PBE intervention lasted for 22 sessions during which the patient demonstrated complete resolution of right hip pain and remained with intermittent LBP (2/10 NPRS) at discharge. Minimally Clinically Important Difference levels for all self-reported outcome measure instruments were exceeded at discharge. The patient returned to work with lifting restrictions.

DISCUSSION:

Patients following spine surgery are often excluded in studies of spine stabilization and PBE interventions. This case report describes the use of PBE in the treatment of a patient following spine fusion. Research to elucidate the impact of PBE on patients with CLBP is needed.

KEYWORDS:

Low back pain; Lumbar stabilization; Pilates-based exercise

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