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.
journal_name
Phys Therjournal_title
Physical therapyauthors
Miyamoto GC,Moura KF,Franco YR,Oliveira NT,Amaral DD,Branco AN,Silva ML,Lin C,Cabral CMdoi
10.2522/ptj.20150404subject
Has Abstractpub_date
2016-03-01 00:00:00pages
382-9issue
3eissn
0031-9023issn
1538-6724pii
ptj.20150404journal_volume
96pub_type
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