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Comparing the Pilates method with no exercise or lumbar stabilization for pain and functionality in patients with chronic low back pain

PEREIRA LM; OBARA K; DIAS JM; MENACHO MO; GUARIGLIA DA; SCHIAVONI D; PEREIRA HM; CARDOSO JR
CLIN REHABIL , 2012, vol. 26, n° 1, p. 10-20
Doc n°: 155870
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215511411113
Descripteurs : CE51 - LOMBALGIE

OBJECTIVE: To perform a systematic review with meta-analyses that evaluates the
effectiveness of the Pilates method on the pain and functionality outcome in
adults with non-specific chronic low back pain. DATA SOURCES: The search was
performed in the following databases: Medline, Embase, AMED, Cinahl, Lilacs,
Scielo, SportDiscus, ProQuest, Web of Science, PEDro, Academic Search Premier and
the Cochrane Central Register of Controlled Trials from 1950 to 2011; the
following keywords were used: 'Pilates', 'Pilates-based', 'back exercises',
'exercise therapy', 'low back pain', 'back pain' and 'backache'. REVIEW METHODS:
The inclusion criteria were studies that assessed the effects of the Pilates
method on patients with chronic low back pain. RESULTS: Five studies met the
inclusion criteria. The total number of patients was 71 in the Pilates group and
68 in the control group. Pilates exercise did not improve functionality
(standardized mean difference (SMD = -1.34; 95% confidence interval (CI) -2.80,
0.11; P = 0.07) or pain between Pilates and control groups (SMD = -1.99; 95% CI
-4.35, 0.37; P = 0.10). Pilates and lumbar stabilization exercises presented no
significant difference in functionality (mean difference (MD) = -0.31; 95% CI
-1.02, 0.40; P = 0.39) or pain (MD = -0.31; 95% CI -1.02, 0.40; P = 0.39).
CONCLUSION: The Pilates method did not improve functionality and pain in patients
who have low back pain when compared with control and lumbar stabilization exercise groups.

Langue : ANGLAIS

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