The Effect of a Pilates Exercise Programme on Perceived Functional Disability and Pain Associated with Non-Specific Chronic Low Back Pain

Llewellyn, Helen; Konstantaki, Maria; Johnson, Mark and Francis, Peter (2017) The Effect of a Pilates Exercise Programme on Perceived Functional Disability and Pain Associated with Non-Specific Chronic Low Back Pain. MOJ Yoga & Physical Therapy, 2 (1).

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Abstract

Non-specific low back pain (LBP) is a symptom of unknown cause affecting one third of the UK adult population, accounting for more than 15 million lost work days and an estimated annual cost of £12.3 billion. Pilates based exercise is becoming increasingly incorporated in to spinal rehabilitation, yet there is limited evidence on the efficacy of the technique. The aim of this study was to evaluate the effect of a 6-week Pilates based exercise programme on perceived functional disability, pain, local muscular endurance and lumbar range of motion in patients with non-specific chronic low back pain. Participants (n=13) with chronic non-specific LBP (>12-weeks) were recruited to a pre-post intervention trial. All participants were assigned to a 6-week control period. Subsequently, participants undertook one hour of a Pilates based exercise intervention twice per week for 6-weeks. Perceived functional disability and pain were assessed using the Oswestry functional disability questionnaire (ODQ) and visual analogue scale (VAS) respectively. Local muscular endurance (CE) and lumbar range of motion (LF) were assessed using the core endurance test and the fingertip to floor distance (FFD) respectively. Functional disability (ODQ), pain (VAS), local muscular endurance and lumbar flexion (FFD) improved after the intervention period (P<0.05). Improvements in perceived functional disability (ODQ) were associated with an increase in LF (P<0.05) but not VAS or CE (P>0.05). The results of this pre-post intervention trial suggest that Pilates based exercise can be administered safely and is well tolerated by the majority of patients with non-specific chronic LBP.

Item Type: Article
Keywords: Pilates, Low back pain, Exercise, Therapy, Functional disability, Core stability, Core endurance, Lumbar flexion
Members: Bucks New University
Depositing User: RED Unit Admin
Date Deposited: 21 Apr 2017 13:18
Last Modified: 21 Apr 2017 13:18
URI: http://collections.crest.ac.uk/id/eprint/15554

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