J Back Musculoskelet Rehabil. 2016 Feb 16. [Epub ahead of print]
Effects of Pilates and trunk strengthening exercises on health-related quality of life in women with chronic low back pain.
Kofotolis N1, Kellis E1, Vlachopoulos SP2, Gouitas I1, Theodorakis Y3.
Author information
1Laboratory of Neuromechanics, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Greece.
2Laboratory of Social Research on Physical Activity, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloniki, Greece.
3Laboratory of Exercise Psychology and Quality of Life, Department of Physical Education and Sport Science, University of Thessaly, Greece.
Abstract
BACKGROUND:
Pilates programs are widely used as a form of regular exercise in a broad range of populations investigating their effectiveness for chronic low back pain (CLBP) treatment.
OBJECTIVE:
The aim of this study was to compare the effects of a Pilates program and a trunk strengthening exercise program on functional disability and health-related quality of life (HRQOL) in women with nonspecific CLBP.
METHODS:
A total of 101 volunteer women with CLBP provided data with a 3-month follow-up. They were randomized to either a Pilates (n= 37), trunk strengthening exercise (n= 36) or a control group (n= 28), exercising for a period of 8 weeks, three times a week. Data were collected on HRQOL using the Short-Form 36 Health Survey (SF-36v2), and functional disability using the Roland Morris Disability Questionnaire prior to program initiation, mid-intervention, immediately after program termination, and three months post-intervention.
RESULTS:
The Pilates participants reported greater improvements on self-reported functional disability and HRQOL compared with participants in the trunk strengthening exercise and control groups (p < 0.05). The effects were retained for a period of three months after program termination for the Pilates group and to a lesser extent for the trunk strengthening exercise group.
CONCLUSIONS:
An 8-week Pilates program improved HRQOL and reduced functional disability more than either a trunk strengthening exercise program or controls among women with CLBP.
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