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Effectiveness and Cost-Effectiveness of Different Weekly Frequencies of Pilates for Chronic Low Back Pain: Randomized Controlled Trial.
- Source :
-
Physical therapy [Phys Ther] 2016 Mar; Vol. 96 (3), pp. 382-9. Date of Electronic Publication: 2015 Aug 20. - Publication Year :
- 2016
-
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.<br />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.<br />Design: This is a randomized controlled trial with blinded assessor.<br />Setting: This study will be conducted at a physical therapy clinic in São Paulo, Brazil.<br />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).<br />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.<br />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.<br />Limitations: Therapists and patients will not be blinded.<br />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.<br /> (© 2016 American Physical Therapy Association.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Brazil
Catastrophization
Cost-Benefit Analysis
Disability Evaluation
Female
Humans
Middle Aged
Pain Measurement
Quality-Adjusted Life Years
Treatment Outcome
Chronic Pain therapy
Exercise Movement Techniques economics
Exercise Movement Techniques methods
Low Back Pain rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1538-6724
- Volume :
- 96
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Physical therapy
- Publication Type :
- Academic Journal
- Accession number :
- 26294680
- Full Text :
- https://doi.org/10.2522/ptj.20150404