Effectiveness and Cost-Effectiveness of Different Weekly Frequencies of Pilates for Chronic Low Back Pain: Randomized Controlled Trial
Autor: | Maria Liliane da Silva, Christine Lin, Amanda Nery Castelo Branco, Diego Diulgeroglo Vicco Amaral, Cristina Maria Nunes Cabral, Naiane Teixeira Bastos de Oliveira, Katherinne Ferro Moura, Yuri Rafael dos Santos Franco, Gisela Cristiane Miyamoto |
---|---|
Rok vydání: | 2015 |
Předmět: |
Adult
medicine.medical_specialty Randomization Adolescent Kinesiophobia Cost effectiveness Cost-Benefit Analysis Population Physical Therapy Sports Therapy and Rehabilitation law.invention 03 medical and health sciences Disability Evaluation 0302 clinical medicine Randomized controlled trial law Medicine Humans education Aged Pain Measurement Aged 80 and over education.field_of_study business.industry Catastrophization 030229 sport sciences Middle Aged Low back pain Chronic low back pain Treatment Outcome Physical therapy Exercise Movement Techniques Pain catastrophizing Female Quality-Adjusted Life Years medicine.symptom Chronic Pain business Low Back Pain 030217 neurology & neurosurgery Brazil |
Zdroj: | Physical therapy. 96(3) |
ISSN: | 1538-6724 |
Popis: | 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. 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. Design This is a randomized controlled trial with blinded assessor. Setting This study will be conducted at a physical therapy clinic in São Paulo, Brazil. 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). 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. 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. Limitations Therapists and patients will not be blinded. 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. |
Databáze: | OpenAIRE |
Externí odkaz: |