An assessment of the effectiveness of Pilates based physical therapy exercises for patients with low back pain (LBP) and its influence on spinal movement and patient reported functional disability.
Low back pain (LBP) is becoming a major public health problem associated with enormous economic burden on the modern society. Despite conservative interventions such as Pilates back exercises are routinely prescribed in clinical practice, most studies to date have only assessed its efficacy based on subjective patient reported outcomes with limited objective data available to clearly demonstrate the benefit of Pilates exercise on spinal alignment and mobility. Furthermore, patient adherence has been well identified to be an obstacle for effective home exercise program and the most cost-effective strategy to improve patient compliance remain unknown. Current study therefore aims to fulfil this gap in our knowledge by assessing the change of spinal alignment and kinematics utilizing dynamic radiographs performed pre- and post- a 6-week Pilates based physical therapy exercise program compare to a more generic hospital based back care exercise program. Furthermore, the effectiveness of conducing weekly phone reminders for 6 weeks on improving short (6-month) and long (12-month) term functional outcomes and patient compliance will also be assessed.
Study Type
OBSERVATIONAL
Enrollment
100
Pilates method based stability exercise intervention
China Medical University Hospital
Taichung, Taiwan
RECRUITINGRadiographic Spino-pelvic Alignment Parameters
Thoroaco-lumbo-pelvic dynamic radiographs taken for both maximum flexion and extension will be analysed to determine parameters such as 1. Pelvic incidence angle, 2. Pelvic tilt angle, 3. Sacral slope angle, 4. Lumbosacral angle, 5. Lumbar lordosis angle and 6.
Time frame: 12-month
Radiographic Lumbar Spine Segmental and Global Range of Motion
Thoroaco-lumbo-pelvic dynamic radiographs taken for both maximum flexion and extension will be analysed to determine the lumbar spine segmental and its contribution to the global range of motion
Time frame: 12-month
Modified Oswestry Disability Index
Questionnaires to determine patients' self-reported pain and functional disabilities
Time frame: 12-month
Roland Morris Disability Questionnaire
Questionnaires to determine patients' self-reported pain and functional disabilities
Time frame: 12-month
Short Form-36
Questionnaires to determine patients' self-reported pain and functional disabilities
Time frame: 12-month
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