Online Pilates in Individuals With Chronic Low Back Pain

Universidade Federal do Rio Grande do Norte

Status: Not yet enrolling

Conditions: Chronic Pain; Low Back Pain

Treatments: Other: Pain education; Other: Pilates method

Study type: Interventional

Funder types: Other

Identifiers

NCT05578365

LBPOP22-2

Details and patient eligibility

About

The purpose of this study is to evaluate the effects of the Pilates method, performed online, in individuals with chronic low back pain. This is a randomized controlled trial consisting of two arms.

Full description

Low back pain is one of the main causes of disability in the world, and physical inactivity is associated with its development. In this sense, Pilates can be used both in the treatment and preventively for this symptomatology. Thus, the aim of this study is to evaluate the effects of the Pilates method, performed online, in individuals with chronic low back pain. This is a randomized controlled trial involving men and women between 18 and 60 years of age with a history of non-specific chronic low back pain and a minimum pain intensity equal to 3 points on the numeric pain scale. Research participants will perform a pre-intervention (EV1) and post-intervention (EV2) assessment, both online. Pain sensation, functional performance, kinesiophobia and perception of global change will be the outcomes evaluated through the following instruments: Numerical Pain Scale, Roland Morris Questionnaire, Tampa Scale for kinesiophobia and Patient Global Impression of Change Scale. Participants included in the study will be randomized into two groups with separate interventions, both lasting eight weeks: online Pilates group and control group. The control group will receive information about self-management of low back pain, pain education, and changes in lifestyle habits; the Pilates group, besides having access to the same information as the control group, will undergo 16 Pilates sessions performed online (2 times/week). The statistical analysis will be done through the independent t test and the Mann-whitney test to investigate the differences between the groups (Pilates online x control), while the paired t test and the Wilcoxon test will be applied to evaluate the effect of the time variable (Pre x Post), considering a significance level of 5%.

Enrollment: 78 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Men and women with a history of chronic nonspecific low back pain (for more than 12 weeks) and minimum pain intensity of 3 on numerical pain rating scale.

Exclusion criteria

• Symptoms related to serious pathologies (such as fever, changes in sensibility, weight loss, constant pain);
• Recent history of spinal fracture, cancer, inflammatory diseases, nerve root involvement, spinal pathologies (such as ankylosing spondylitis, herniated disc with radiculopathy, advanced osteoporosis, spondylolysis, spondylolisthesis);
• Central neurological diseases (such as Parkinson's and stroke), psychiatric (such as depression or schizophrenia);
• Autoimmune diseases;
• Orthopedic surgery in the last year;
• Severe cardiovascular diseases;
• Decompensated metabolic diseases;
• Pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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78 participants in 2 patient groups

Pilates Group

Experimental group

Description:

Pilates method exercise program, performed online, 8 weeks long, twice a week + information on self-management and pain education once a week.

Treatment:

Other: Pilates method

Control Group

Active Comparator group

Description:

Information on self-management of low back pain, pain education, and changes in lifestyle habits once a week during 8 weeks.

Treatment:

Other: Pain education