Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 475, Tatuapé, São Paulo, CEP, 03071-000, Brazil.
Department of Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno 475, Tatuapé, São Paulo, 03071-000, Brazil.
BMC Musculoskelet Disord. 2019 May 24;20(1):250. doi: 10.1186/s12891-019-2642-9.
Chronic low back pain is potentially disabling for older adults, and exercise is considered the best treatment. The Pilates method and aerobic exercises have been proven to be effective in pain and function improvement in patients with low back pain, but evidence in the treatment of older adults with low back pain is scarce. Therefore, the objective of this study is to investigate the effectiveness of the Pilates method compared to aerobic exercises in the treatment of older adults with chronic nonspecific low back pain.
This is a randomized controlled trial with blinded assessor, to be held in a physical therapy clinic in Sao Paulo, Brazil. Seventy four patients aged 65 to 85 years with chronic nonspecific pain will be randomized into Pilates Group (n = 37) with exercises based on the Pilates method and Aerobic Group (n = 37) with treadmill aerobic exercise. The primary outcomes will be pain intensity and general disability, assessed eight weeks after randomization. The secondary outcomes will be: pain intensity and general disability, assessed six months after randomization; and global perceived improvement, specific disability, dynamic balance, muscle strength (gluteus maximus, gluteus medius, and lateral hip rotators), and pressure pain threshold, assessed eight weeks and six months after randomization. Therapists and patients will not be blinded.
This study has the potential to reduce pain and, consequently, improve balance and function of older adults with chronic low back pain with both therapies. However, Pilates may be more effective because the exercises are more targeted to the trunk stabilization muscles. The results of this study may provide valuable information on the effects of Pilates and aerobic exercise in older adults with chronic low back pain and contribute to a better selection of the treatment program according to the patient preference.
ClinicalTrials.gov NCT02729779 , April 6, 2016.
慢性下腰痛可能会使老年人丧失活动能力，而运动被认为是最佳治疗方法。普拉提方法和有氧运动已被证明可有效改善腰痛患者的疼痛和功能，但针对老年腰痛患者的治疗证据却很少。因此，本研究的目的是比较普拉提方法与有氧运动对慢性非特异性下腰痛老年患者的治疗效果。
这是一项在巴西圣保罗的物理治疗诊所进行的随机对照试验，设盲评估员。将 74 名 65 至 85 岁的慢性非特异性疼痛患者随机分为普拉提组（n=37），进行基于普拉提方法的运动；有氧运动组（n=37），进行跑步机有氧运动。主要结局指标为随机分组 8 周后的疼痛强度和总体残疾程度。次要结局指标为：随机分组 6 个月后的疼痛强度和总体残疾程度；以及总体改善感知、特定残疾、动态平衡、肌肉力量（臀大肌、臀中肌和髋外侧旋转肌）和压力疼痛阈值，在随机分组 8 周和 6 个月后评估。治疗师和患者将不设盲。
这两种治疗方法都有可能减轻疼痛，从而改善慢性下腰痛老年患者的平衡和功能。然而，普拉提可能更有效，因为其运动更针对躯干稳定肌肉。该研究的结果可能为普拉提和有氧运动对慢性下腰痛老年患者的影响提供有价值的信息，并有助于根据患者的喜好更好地选择治疗方案。
ClinicalTrials.gov NCT02729779，2016 年 4 月 6 日。
