Effectiveness and cost-effectiveness of Pilates versus home-based exercises in individuals with chronic non-specific low back pain: randomised controlled trial protocol. (4th March 2021)

• Record Type: Journal Article
• Authors: Tottoli, Caroline Ribeiro; van Tulder, Maurits; Silva, Everton Nunes da; Marques, Yara Andrade; Martins, Wagner Rodrigues; Luiz Carregaro, Rodrigo
• Is Part Of: European journal of physiotherapy. Volume 23:Number 2(2021)
• Page Start: 95
• Page End: 101
• Publication Date: 2021-03-04
• Subjects: Physical therapy -- costs and cost analysis -- treatment outcome -- low back pain -- quality of life; Therapeutics, Physiological -- Periodicals; Physical therapy -- Periodicals; 615.8205
• DOI: 10.1080/21679169.2019.1645883
• Languages: English
• ISSNs: 2167-9169

Abstract

Abstract: Background: The use of exercise in primary healthcare is recommended for the management of chronic non-specific low back pain (CNLBP). Home-based exercises are effective and widely adopted in this setting. Pilates may be useful as primary care strategy; however, evidence is controversial. Study design: Randomised controlled trial with economic evaluation, conducted in a clinical setting. Objective: To compare the effectiveness and cost-effectiveness of Pilates versus home-based exercises in individuals with CNLBP. Methods: One hundred and forty-four participants (aged 18–50 years and with CNLBP >12 consecutive weeks previous to the study) will be recruited, enrolled and randomly allocated to one of two groups: (1) Pilates ( n = 72) or (2) home-based exercises ( n = 72). The Pilates group will receive mat-based exercises and the Home-Based Exercise group will receive a prescription of strength, stretching and postural exercises. The intervention will last six weeks (twice-weekly sessions). Assessments will be performed at baseline, at the end of the intervention (6 weeks) and after six months follow-up. Primary outcomes: pain intensity and disability; secondary outcomes: static balance, quality of life and perception of recovery. Conclusions: This RCT may yield results applicable to the decision-making of health system managers.