Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation

Autor: Gisela Cristiane Miyamoto, Katherinne Ferro Moura Franco, Johanna M. van Dongen, Maurits W. van Tulder, Maria Liliane da Silva, Yuri Rafael dos Santos Franco, Diego Diulgeroglo Vicco Amaral, Naiane Teixeira Bastos de Oliveira, Amanda Nery Castelo Branco, Cristina Maria Nunes Cabral
Přispěvatelé: Health Economics and Health Technology Assessment, APH - Health Behaviors & Chronic Diseases, Health Sciences, AMS - Ageing and Morbidity, AMS - Sports and Work, APH - Societal Participation & Health, APH - Methodology
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Cost-Benefit Analysis
medicine.medical_treatment
Psychological intervention
Physical Therapy
Sports Therapy and Rehabilitation
Mean difference
Physiotherapy clinic
rehabilitation
law.invention
Disability Evaluation
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
Randomized controlled trial
law
medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Pain Measurement
Rehabilitation
business.industry
Exercise therapy
General Medicine
Middle Aged
Exercise Therapy
Chronic low back pain
exercises
lower back
Economic evaluation
Physical therapy
Exercise Movement Techniques
Female
Quality-Adjusted Life Years
Chronic Pain
business
randomised controlled trial
Low Back Pain
Brazil
030217 neurology & neurosurgery
Zdroj: Miyamoto, G C, Franco, K F M, van Dongen, J M, Franco, Y R D S, de Oliveira, N T B, Amaral, D D V, Branco, A N C, da Silva, M L, van Tulder, M W & Cabral, C M N 2018, ' Different doses of Pilates-based exercise therapy for chronic low back pain : a randomised controlled trial with economic evaluation ', BJSM Online, vol. 52, no. 13, pp. 859-868 . https://doi.org/10.1136/bjsports-2017-098825
BJSM Online, 52(13), 859-868. BMJ Publishing Group
Miyamoto, G C, Franco, K F M, van Dongen, J M, Franco, Y R D S, de Oliveira, N T B, Amaral, D D V, Branco, A N C, da Silva, M L, van Tulder, M W & Cabral, C M N 2018, ' Different doses of Pilates-based exercise therapy for chronic low back pain : a randomised controlled trial with economic evaluation ', British Journal of Sports Medicine, vol. 52, no. 13, pp. 859-868 . https://doi.org/10.1136/bjsports-2017-098825
ISSN: 1473-0480
0306-3674
DOI: 10.1136/bjsports-2017-098825
Popis: ObjectivesTo evaluate the effectiveness and cost-utility of the addition of different doses of Pilates to an advice for non-specific chronic low back pain (NSCLBP) from a societal perspective.DesignRandomised controlled trial with economic evaluation.SettingPhysiotherapy clinic in São Paulo, Brazil.Participants296 patients with NSCLBP.InterventionsAll patients received advice and were randomly allocated to four groups (n=74 per group): booklet group (BG), Pilates once a week (Pilates group 1, PG1), Pilates twice a week (Pilates group 2, PG2) and Pilates three times a week (Pilates group 3, PG3).Main outcome measuresPrimary outcomes were pain and disability at 6-week follow-up.ResultsCompared with the BG, all Pilates groups showed significant improvements in pain (PG1, mean difference (MD)=−1.2, 95% CI −2.2 to −0.3; PG2, MD=−2.3, 95% CI −3.2 to −1.4; PG3, MD=−2.1, 95% CI −3.0 to −1.1) and disability (PG1, MD=−1.9, 95% CI −3.6 to −0.1; PG2, MD=−4.7, 95% CI −6.4 to −3.0; PG3, MD=−3.3, 95% CI −5.0 to −1.6). Among the different doses, PG2 showed significant improvements in comparison with PG1 for pain (MD=−1.1, 95% CI −2.0 to −0.1) and disability (MD=−2.8, 95% CI −4.5 to −1.1). The cost-utility analysis showed that PG3 had a 0.78 probability of being cost-effective at a willingness-to-pay of £20 000 per quality-adjusted life-year gained.ConclusionsAdding two sessions of Pilates exercises to advice provided better outcomes in pain and disability than advice alone for patients with NSCLBP; non-specific elements such as greater attention or expectation might be part of this effect. The cost-utility analysis showed that Pilates three times a week was the preferred option.Trial registration numberNCT02241538, Completed.
Databáze: OpenAIRE
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