Doctoral Program in Physical Education, Universidade de Brasília (UnB), Brasília, Brazil.
Master in Rehabilitation Sciences, Universidade de Brasília (UnB), Campus UnB Ceilândia, Brasília, Brazil.
Clin Rehabil. 2024 Nov;38(11):1495-1505. doi: 10.1177/02692155241277041. Epub 2024 Sep 13.
To investigate the effectiveness of a Pilates exercise program compared with home-based exercises in individuals with chronic non-specific low back pain.
A randomised controlled trial with a six-month follow-up.
Rehabilitation clinic.
One hundred and forty-five individuals (18-50 years of age) with low back pain for ≥ 12 consecutive weeks were enrolled and randomly allocated to either Pilates ( = 72) or home-based exercise groups ( = 73).
Method Pilates (Mat Pilates exercises using accessories) versus home-based exercise (postural exercises, muscle stretching and strengthening, and spine stabilisation/mobilisation), twice a week, for 6 weeks.
Assessments were performed at baseline, post-intervention, and six months follow-up. Outcomes were pain intensity, disability, and health-related quality of life.
At post-intervention, the Pilates group had significantly lower pain intensity (mean difference = -1.14; 95% CI -2.05; -0.23), less disability (mean difference = -6.7; 95% CI -11.3; -2.0), and higher health-related quality of life (mean difference = 0.102; 95% CI 0.054; 0151) compared to the home-based exercise group. At follow-up, the Pilates group had a significantly higher health-related quality of life (mean difference = 0.055; 95% CI 0.003; 0.106) compared with the home-based exercise group but there were no significant differences in pain and disability. A significant overall effect of Pilates compared to home-based exercise was found for disability (mean difference = -4.4; 95% CI -7.6; -1.1), and health-related quality of life (mean difference = 0.049; 95% CI 0.022; 0.076), but not for pain.
Although Pilates was significantly superior to home exercise for pain and disability, the differences were not considered clinically relevant. However, Pilates did provide significant and clinically relevant differences in utility.
研究普拉提运动方案与家庭运动方案相比，对慢性非特异性下腰痛患者的疗效。
一项为期 6 个月随访的随机对照试验。
康复诊所。
145 名（18-50 岁）下腰痛持续 12 周以上的患者纳入研究，并随机分配至普拉提组（ = 72）或家庭运动组（ = 73）。
普拉提组（使用辅助器材的垫上普拉提练习）与家庭运动组（姿势练习、肌肉拉伸和强化、脊柱稳定/活动），每周 2 次，共 6 周。
在基线、干预后和 6 个月随访时进行评估。结局指标为疼痛强度、残疾和健康相关生活质量。
干预后，普拉提组的疼痛强度显著降低（平均差值 = -1.14；95%可信区间-2.05；-0.23），残疾程度显著降低（平均差值 = -6.7；95%可信区间-11.3；-2.0），健康相关生活质量显著提高（平均差值 = 0.102；95%可信区间 0.054；0151），与家庭运动组相比。随访时，普拉提组的健康相关生活质量明显高于家庭运动组（平均差值 = 0.055；95%可信区间 0.003；0.106），但疼痛和残疾程度无显著差异。与家庭运动相比，普拉提的总体效果在残疾（平均差值 = -4.4；95%可信区间-7.6；-1.1）和健康相关生活质量（平均差值 = 0.049；95%可信区间 0.022；0.076）方面有显著优势，但在疼痛方面没有显著差异。
虽然普拉提在疼痛和残疾方面明显优于家庭运动，但差异无临床意义。然而，普拉提在效用方面确实有显著且具有临床意义的差异。
