Document Type : Literature Reviews

Authors

Department of Sport Sciences, School of Humanitis Sciences, University of Kashan, Kashan, Iran

Abstract

Background: The aim of this meta-analysis review study was to examine and summarize the benefits of Pilate's exercises on disability in patients with low back pain (LBP).
Methods: Research was conducted from March 2005 to December 2018. Patients with chronic low back pain formed the statistical population of this study. The keywords were Pilates together with low back pain, chronic low back pain, and back pain. The Medline, Embase, Pubmed, Google Scholar, Scopus, and SID databases were searched for relevant literature.
Results: Nineteen papers, including 15 high quality and 4 poor quality papers, were assessed. The results showed that Pilates exercises had a significant and high effect size (p =0.000) on disability in comparison with the control group (Hedges g=1.183) as well as a significant (p =0.000) and medium effect size compared with the exercise group (Hedges g=0.526). When the durability of the Pilates exercise effect was assessed in the follow-up period, a significant and low effect size (p =0.017) was found in the Pilates group compared with the control group (Hedges g=0.488).
Conclusion
Pilates exercises improved the stability of patients with LBP compared to the control group. The effect of Pilates exercises decreased during follow-up after 13 weeks of inactivity. Pilates exercises are more effective than other types of exercise. Equipment Pilates exercises have a greater effect than mat Pilates on disability improvement during the follow-up periods; thus, it is advisable for therapists to use Pilates-based equipment exercises to increase the stability of patients with LBP.

Keywords

  1. 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.
    2. Aladro-Gonzalvo AR, Araya-Vargas GA, Machado-Díaz M,
    Salazar-Rojas W. Pilates-based exercise for persistent, nonspecific
    low back pain and associated functional disability: a
    meta-analysis with meta-regression. J Bodywork Move Therap.
    2013;17(1):125-36.
    3. Lin H-T, Hung W-C, Hung J-L, Wu P-S, Liaw L-J, Chang J-H.
    Effects of Pilates on patients with chronic non-specific low back
    pain: a systematic review. J Phys Therap Sci. 2016;28(10):2961-9.
    4. Lim ECW, Poh RLC, Low AY, Wong WP. Effects of Pilates-based
    exercises on pain and disability in individuals with persistent
    nonspecific low back pain: a systematic review with meta-analysis.
    J Orthop Sport Phys. 2011;41(2):70-80.
    5. Posadzki P, Lizis P, Hagner-Derengowska M. Pilates for low back
    pain: a systematic review. Complement Ther Clin. 2011;17(2):85-9.
    6. Mostagi FQRC, Dias JM, Pereira LM, Obara K, Mazuquin BF,
    Silva MF, et al. Pilates versus general exercise effectiveness on
    pain and functionality in non-specific chronic low back pain
    subjects. J Bodywork Move Therap. 2015;19(4):636-45.
    7. Natour J, Cazotti LdA, Ribeiro LH, Baptista AS, Jones A.
    Pilates improves pain, function and quality of life in patients
    with chronic low back pain: a randomized controlled trial. Clin
    Rehabil. 2015;29(1):59-68.
    8. Miyamoto GC, Costa LOP, Galvanin T, Cabral CMN. Efficacy of
    the addition of modified Pilates exercises to a minimal intervention
    in patients with chronic low back pain: a randomized controlled
    trial. Phys Ther. 2013;93(3):310-20.                                                                                                                                  9. Silva PHBd, Silva DFd, Oliveira JKdS, Oliveira FBd. The effect
    of the Pilates method on the treatment of chronic low back pain:
    a clinical, randomized, controlled study. BrJP. 2018;1(1):21-8.
    10. Knox MF, Chipchase LS, Schabrun SM, Marshall PW. Improved
    compensatory postural adjustments of the deep abdominals
    following exercise in people with chronic low back pain. J
    Electromyogr Kines. 2017;37:117-24.
    11. Gladwell V, Head S, Haggar M, Beneke R. Does a program of
    Pilates improve chronic non-specific low back pain? J sport rehab.
    2006;15(4):338-50.
    12. 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. J Orthop
    Sport Phys Ther Clin. 2006;36(7):472-84.
    13. Mazloum V, Sahebozamani M, Barati A, Nakhaee N, Rabiei P.
    The effects of selective Pilates versus extension-based exercises
    on rehabilitation of low back pain. J bodywork mov ther.
    2018;22(4):999-1003.
    14. Nezhad Roomezi S, Rahnama N, Habibi A, Negahban H. The
    effect of core stability training on pain and performance in women
    patients with non-specific chronic low back pain. J Res Rehabil
    Sci. 2012;8(1):59-60.
    15. Llewellyn H, Konstantaki M, Johnson M, Francis P. The effect of
    a Pilates exercise programme on perceived functional disability
    and pain associated with non-specific chronic low back pain. MOJ
    Yoga & Physl Ther. 2017;2(1):1-6.
    16. Marshall PW, Kennedy S, Brooks C, Lonsdale C. Pilates exercise
    or stationary cycling for chronic nonspecific low back pain: does
    it matter? a randomized controlled trial with 6-month follow-up.
    Spine. 2013;38(15):E952-E9.
    17. Borges J, Baptista AF, Santana N, Souza I, Kruschewsky
    RA, Galvão-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 . J Bodywork Move Therap..
    2014;18(1):68-74.
    18. Miyamoto GC, Costa LO, Cabral C. Efficacy of the Pilates method
    for pain and disability in patients with chronic nonspecific low
    back pain: a systematic review with meta-analysis. Braz J Phys
    Ther. 2013;17(6):517-32.
    19. da Luz Jr MA, Costa LOP, Fuhro FF, Manzoni ACT, Oliveira NTB,
    Cabral CMN. Effectiveness of mat Pilates or equipment-based
    Pilates exercises in patients with chronic nonspecific low back
    pain: a randomized controlled trial. Phys ther. 2014;94(5):623-31.
    20. Wajswelner H, Metcalf B, Bennell K. Clinical Pilates versus
    general exercise for chronic low back pain: randomized trial.
    Med Sci Sport Exer. 2012;44(7):1197-205.
    21. Gagnon LH. Efficacy of Pilates exercises as therapeutic
    intervention in treating patients with low back pain. 2005.
    22. Bhadauria EA, Gurudut P. Comparative effectiveness of lumbar
    stabilization, dynamic strengthening, and Pilates on chronic low
    back pain: randomized clinical trial. J exer rehab. 2017;13(4):477.
    23. Brooks C, Kennedy S, Marshall PW. Specific trunk and general
    exercise elicit similar changes in anticipatory postural adjustments
    in patients with chronic low back pain: a randomized controlled
    trial. Spine. 2012;37(25):E1543-E50.
    24. Lopes S, Correia C, Félix G, Lopes M, Cruz A, Ribeiro F.
    Immediate effects of Pilates based therapeutic exercise on
    postural control of young individuals with non-specific low back
    pain: A randomized controlled trial. Complement Ther Clin.
    2017;34:104-10.
    25. Rossi DM, Morcelli MH, Marques NR, Hallal CZ, Gonçalves M,
    LaRoche DP, et al. Antagonist coactivation of trunk stabilizer
    muscles during Pilates exercises. . J Bodywork Move Therap.
    2014;18(1):34-41