Pilates for low back pain

Yamato, Tiê Parma; Maher, Christopher G.; Saragiotto, Bruno Tirotti; Hancock, Mark J.; Ostelo, Raymond; Cabral, Cristina Maria Nunes; Costa, Lucíola da Cunha Menezes

doi:10.1002/14651858.cd010265.pub2

Cited by 103 publications

(87 citation statements)

References 54 publications

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“…The physiotherapists recommended that Pilates should be performed twice a week during 3 and 6 months. The results of the present study showed that Pilates had small to moderate effects16 for patients with NSCLBP. However, treatment twice a week for 6 weeks seems to be somewhat more effective than Pilates exercises once a week.…”

Section: Discussionsupporting

confidence: 46%

“…A Cochrane review16 evaluated 10 studies on the effects of Pilates in the treatment of patients with non-specific low back pain. The authors found that Pilates was more effective than minimal intervention for pain intensity and disability, with moderate effects at short term and small effects at intermediate term for chronic low back pain.…”

Section: Discussionmentioning

confidence: 99%

“…The powerhouse is a central concept within Pilates and includes mainly the isometric contraction of deep muscles (ie, multifidus, transversus, pelvic floor and diaphragm) 15. A Cochrane review16 shows that there is low-quality to moderate-quality evidence that Pilates is more effective than a minimal intervention for pain and disability in patients with chronic low back pain, with moderate effects at short term and small effects at intermediate term, but there is no difference compared with other types of exercise. However, there is still no evidence for the effectiveness of Pilates at long term or the optimum dose of treatment.…”

Section: Introductionmentioning

confidence: 99%

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Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation

et al. 2018

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation

et al. 2018

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“…Following abstract and full paper assessment, 21 reviews fulfilled the inclusion criteria: four in rheumatoid arthritis (Cramp 2013; Han 2004; Hurkmans 2009; Silva 2010), four in osteoarthritis (Bartels 2007; Fransen 2014; Fransen 2015; Regnaux 2015), three in fibromyalgia (Bidonde 2014; Busch 2007; Busch 2013), three in low back pain (Hayden 2005; Saragiotto 2016; Yamato 2015), two in intermittent claudication (Lane 2014; Lauret 2014), one in dysmenorrhoea (Brown 2010), one in mechanical neck disorder (Gross 2015a), one in spinal cord injury (Boldt 2014), one in postpolio syndrome (Koopman 2015), and one in patellofemoral pain (van der Heijden 2015). None of the included reviews assessed 'chronic pain' or 'chronic widespread pain' as a general term or specific condition.…”

Section: Resultsmentioning

confidence: 99%

“…The 21 included reviews were published by five different Cochrane Review groups: 11 from the Cochrane Musculoskeletal Group (Bartels 2007; Bidonde 2014; Busch 2007; Busch 2013; Cramp 2013; Fransen 2014; Fransen 2015; Han 2004; Hurkmans 2009; Regnaux 2015; Silva 2010); four from the Cochrane Neck and Back Group previously the Cochrane Back Group) (Gross 2015a; Hayden 2005; Saragiotto 2016; Yamato 2015); two from the Cochrane Peripheral Vascular Diseases Group (Lane 2014; Lauret 2014); one from the Cochrane Menstrual Disorders and Subfertility Group (Brown 2010); one from the Cochrane Injuries Group (Boldt 2014); one from the Cochrane Neuromuscular Group (Koopman 2015); and one from the Cochrane Bone, Joint and Muscle Trauma Group (van der Heijden 2015). …”

Section: Resultsmentioning

confidence: 99%

Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews

Geneen

Moore²,

Clarke

et al. 2017

Cochrane Database of Systematic Reviews

535

274

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BackgroundChronic pain is defined as pain lasting beyond normal tissue healing time, generally taken to be 12 weeks. It contributes to disability, anxiety, depression, sleep disturbances, poor quality of life, and healthcare costs. Chronic pain has a weighted mean prevalence in adults of 20%.For many years, the treatment choice for chronic pain included recommendations for rest and inactivity. However, exercise may have specific benefits in reducing the severity of chronic pain, as well as more general benefits associated with improved overall physical and mental health, and physical functioning.Physical activity and exercise programmes are increasingly being promoted and offered in various healthcare systems, and for a variety of chronic pain conditions. It is therefore important at this stage to establish the efficacy and safety of these programmes, and furthermore to address the critical factors that determine their success or failure.ObjectivesTo provide an overview of Cochrane Reviews of adults with chronic pain to determine (1) the effectiveness of different physical activity and exercise interventions in reducing pain severity and its impact on function, quality of life, and healthcare use; and (2) the evidence for any adverse effects or harm associated with physical activity and exercise interventions.MethodsWe searched theCochrane Database of Systematic Reviews (CDSR) on the Cochrane Library (CDSR 2016, Issue 1) for systematic reviews of randomised controlled trials (RCTs), after which we tracked any included reviews for updates, and tracked protocols in case of full review publication until an arbitrary cut-off date of 21 March 2016 (CDSR 2016, Issue 3). We assessed the methodological quality of the reviews using the AMSTAR tool, and also planned to analyse data for each painful condition based on quality of the evidence.We extracted data for (1) self-reported pain severity, (2) physical function (objectively or subjectively measured), (3) psychological function, (4) quality of life, (5) adherence to the prescribed intervention, (6) healthcare use/attendance, (7) adverse events, and (8) death.Due to the limited data available, we were unable to directly compare and analyse interventions, and have instead reported the evidence qualitatively.Main resultsWe included 21 reviews with 381 included studies and 37,143 participants. Of these, 264 studies (19,642 participants) examined exercise versus no exercise/minimal intervention in adults with chronic pain and were used in the qualitative analysis.Pain conditions included rheumatoid arthritis, osteoarthritis, fibromyalgia, low back pain, intermittent claudication, dysmenorrhoea, mechanical neck disorder, spinal cord injury, postpolio syndrome, and patellofemoral pain. None of the reviews assessed 'chronic pain' or 'chronic widespread pain' as a general term or specific condition. Interventions included aerobic, strength, flexibility, range of motion, and core or balance training programmes, as well as yoga, Pilates, and tai chi.Reviews were well performed an...

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