Pilates hat ähnliche Effekte wie allgemeines Trainingsprogramm bei Menschen mit Rückenschmerzen

Abstract

PURPOSE:

This single assessor-blinded randomised controlled trial aimed to compare the efficacy of physiotherapy-delivered Clinical Pilates and general exercise for chronic low back pain.

METHODS:

87 community volunteers with low back pain for ≥3 months and aged 18-70 were randomised to either the Pilates (n=44) or general exercise (n=43) group. The primary outcome was pain/disability measured with the Quebec scale. Secondary outcomes included pain on a numeric rating scale, patient specific functional scale, pain self-efficacy, quality of life and global perceived effect of treatment. All participants attended 60-minute exercise sessions twice weekly for 6 weeks supervised by a physiotherapist and performed daily home exercises that were continued during the follow up. Clinical Pilates group participants received an individualised direction-specific exercise program prescribed by the physiotherapist following a clinical examination. The general exercise group received a generic set of exercises that were multi-directional and non-specific. Outcomes were assessed after 6 weeks (primary time point) and at 12 and 24 weeks. Differences in mean change were compared between groups using analysis of covariance adjusted for baseline values of the outcome.

RESULTS:

83 participants (96%) completed the 6-week intervention and 60 (69%) completed the 24 week follow up. At 6 weeks no difference was found between groups for change in the Quebec scale (3.5, 95% confidence interval -7.3 to 0.3, p=0.07); both groups showed significant improvements. Similar results were found at the 12- and 24-week follow up and for the secondary outcome measures.

CONCLUSION:

An individualized Clinical Pilates program produced similar beneficial effects on self-reported disability, pain, function and health-related quality of life as a general exercise program in community volunteers with chronic low back pain.