Effectiveness of the Pilates method versus aerobic exercises in the treatment of older adults with chronic low back pain: a randomized controlled trial protocol

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 wit...

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Bibliographic Details
Published in:	BMC musculoskeletal disorders Vol. 20; no. 1; p. 250
Main Authors:	de Oliveira, Naiane Teixeira Bastos, Ricci, Natalia Aquaroni, Dos Santos Franco, Yuri Rafael, Salvador, Evany Maira Espirito Santo, Almeida, Isabella Cristina Barboza, Cabral, Cristina Maria Nunes
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 24-05-2019 BioMed Central BMC
Subjects:	Adults Aerobic exercise Aerobic exercises Aerobics Age Factors Aged Aged, 80 and over Back pain Care and treatment Chronic fatigue syndrome Chronic illnesses Chronic pain Chronic Pain - diagnosis Chronic Pain - therapy Clinical trials Comparative analysis Demographic aspects Elderly Elderly fitness Elderly patients Exercise Exercise - physiology Exercise Movement Techniques - methods Exercise therapy Exercise Therapy - methods Female Gerontology Hip Humans Low back pain Low Back Pain - diagnosis Low Back Pain - therapy Male Medical research Methods Muscle strength Muscles Musculoskeletal diseases Older people Pain management Pain Measurement Patient outcomes Patient Preference Patient Selection Physical fitness Physical therapists Physical therapy Pilates Pilates method Postural Balance - physiology Randomized Controlled Trials as Topic Studies Study Protocol Systematic review Treatment Outcome Brazil Pilates method Elderly Low back pain Aerobic exercise
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Summary:	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.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	1471-2474 1471-2474
DOI:	10.1186/s12891-019-2642-9