Document Type: Original Articles
School of Rehabilitation Sciences of Shiraz University of Medical Sciences
Background: Chronic non-specific low back pain is a common disorder that often has no clear mechanism. Exercise therapy is an effective and safe method for treatment of chronic musculoskeletal disorders such as back pain. Pilate’s and Williams’ exercises are two types of distinct exercises used for the treatment of back pain, but there is no evidence for the advantage of these two exercises in literature. Therefore, the aim of this study was to investigate and compare the effects of selective Pilate’s and Williams’ exercises on the back flexibility and back pain in men with chronic non-specific low back pain.Methods: Forty men with chronic non-specific low back pain were divided into two equal groups who participated in 10 sessions (during two weeks) of treatment program. Patients in group 1 received an electrotherapy treatment followed by selective Pilate’s exercises. Patients in group 2 received Williams’ exercises after the same electrotherapy treatment. Back flexibility and pain level were measured before and after the interventions. Also, a pain follow up was done four weeks later. Statistical analysis was done using Mann-Whitney, Wilcoxon, mixed ANOVA and Friedman tests.Results: The results showed that the back flexibility increased and pain decreased in both groups (P = 0.001). Selective Pilate’s exercises were more effective in enhancing the back flexibility and reducing back pain (P = 0.001).Conclusion: Comparison of these two types of therapeutic exercises showed that selective Pilate’s exercises are more effective in treatment of patients with chronic non-specific low back pain.
- Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. The Lancet. 2012;379(9814):482-91.
- Ivanova JI, Birnbaum HG, Schiller M, Kantor E, Johnstone BM, Swindle RW. Real-world practice patterns, health-care utilization, and costs in patients with low back pain: the long road to guideline-concordant care. The Spine Journal. 2011;11(7):622-32.
- Borges J, Baptista AF, Santana N, Souza I, Kruschewsky RA, GalvÃ£o-Castro B, et al. Pilates exercises improve low back pain and quality of life in patients with HTLV-1 virus: A randomized crossover clinical trial. Journal of bodywork and movement therapies. 2014;18(1):68-74.
- Mistry GS, Vyas NJ, Sheth MS. Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. Journal of Clinical & Experimental Researchâ January-April. 2014;2(1):85.
- Khalid MU, Rafiq M, Zehra N. Effectiveness of William's flexion exercises in management of low back pain. Pakistan Journal of Medicine and Dentistry. 2012;1(01):21-33.
- Van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain. The Cochrane Database of Systematic Reviews. 2000(2):CD000335.
- Gladwell V, Head S, Haggar M, Beneke R. Does a program of Pilates improve chronic non-specific low back pain? Journal of sport rehabilitation. 2006;15(4):338.
- Kibar S, Yardimci F, Evcik D, Ay S, Alhan A, ManÃ§o M, et al. Is pilates exercise program effective on balance, flexibility and muscle endurance? Randomized, controlled study. The Journal of sports medicine and physical fitness. 2015.
- Chinnavan E, Gopaladhas S, Kaikondan P. Effectiveness of pilates training in improving hamstring flexibility of football players. Bangladesh Journal of Medical Science. 2015;14(3):265-9.
- Bolsanello DP. Is Pilates a Somatic Education Method? Revista Brasileira de Estudos da PresenÃ§a. 2015;5(1):101-26.
- Rydeard R, Leger A, Smith D. Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(7):472-84.
- Hooper P. Whatever happened to Williams' flexion exercises. Dynamic chiropractic. 1999;17(1):26-30.
- Ghiasi f, Akbari a, Sangtarash f. The effect of stabilization method and william's exercise on improvement of functions in patients with mechanical chronic low back pain. Shahrekord university of medical sciences journal. 2007;8(4):21-8.
- Patti A, Bianco A, Paoli A, Messina G, Montalto MA, Bellafiore M, et al. Effects of Pilates Exercise Programs in People With Chronic Low Back Pain: A Systematic Review. Medicine. 2015;94(4):e383.
- Sekendiz B, Altun Ã, Korkusuz F, AkÄ±n S. Effects of Pilates exercise on trunk strength, endurance and flexibility in sedentary adult females. Journal of bodywork and movement therapies. 2007;11(4):318-26.
- Phrompaet S, Paungmali A, Pirunsan U, Sitilertpisan P. Effects of Pilates training on lumbo-pelvic stability and flexibility. Asian journal of sports medicine. 2011;2(1).
- Curnow D, Cobbin D, Wyndham J, Boris Choy S. Altered motor control, posture and the Pilates method of exercise prescription. Journal of bodywork and movement therapies. 2009;13(1):104-11.
- Miyamoto GC, Costa LO, Galvanin T, Cabral C. The efficacy of the addition of the Pilates method over a minimal intervention in the treatment of chronic nonspecific low back pain: a study protocol of a randomized controlled trial. Journal of chiropractic medicine. 2011;10(4):248-54.
- Zehra N. Effectiveness of William's flexion exercises in management of low back pain. Pakistan Journal of Medicine and Dentistry. 2013;1(01):21-33.
- Ghiasi F, Mehraeen M. The effect of William's exercise on non-specific and chronic referral low back pain. Journal of Kermanshah University of Medical Sciences. 2009;12(4).
- Wells C, Kolt GS, Marshall P, Hill B, Bialocerkowski A. The effectiveness of Pilates exercise in people with chronic low back pain: A systematic review. Plos one. 2014;9(7):e100402.
- Tashani O, Johnson M. Transcutaneous Electrical Nerve Stimulation (TENS). A Possible Aid for Pain Relief in Developing Countries? Libyan Journal of Medicine. 2009;4(2).
- Ansari N, Ebadi S, Talebian S, Naghdi S, Mazaheri H, Olyaei G, et al. A randomized, single blind placebo controlled clinical trial on the effect of continuous ultrasound on low back pain. Electromyography and clinical neurophysiology. 2006;46(6):329-36.
- Umlah S. Pilates for Hip and Knee Syndromes and Arthroplasties: Case Scenarios Help Instructors Prescribe Pilates Routines. 2011.
- Liemohn W, Conrad R. Exercise prescription and the back: mcgraw-Hill, Medical Pub. Division; 2001.
- Von Sperling de Souza M, Brum Vieira C. Who are the people looking for the Pilates method? Journal of bodywork and movement therapies. 2006;10(4):328-34.
- Jafari M, Ghasemi G, Motififard M, Zolaktaf V, Rahimi N. The Effect of Pilates Exercises on Pain, Outcomes, and Quality of Life of the Patients with Total Knee Replacement. Sadra Medical Sciences Journal. 2015;3(1 Jan).
- Roble OJ. An Aesthetic Interpretation of the Pilates Method: its principles and convergences with somatic education. Revista Brasileira de Estudos da PresenÃ§a. 2015;5(1):169-90.
- Bullo V, Bergamin M, Gobbo S, Sieverdes J, Zaccaria M, Neunhaeuserer D, et al. The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: A systematic review for future exercise prescription. Preventive medicine. 2015;75:1-11.