Shortwave Diathermy and Pilates Exercises in Patients With Chronic Non-specific Low Back

University of Sao Paulo General Hospital

Status: Completed

Conditions: Low Back Pain

Treatments: Device: Pilates and Shortwave active; Device: Pilates and Shortwave placebo

Study type: Interventional

Funder types: Other

Identifiers

NCT04048902

48391615.9.0000.0065

Details and patient eligibility

About

The aim of this study is to verify the effectiveness of the association of Shortwave Diathermy and Pilates exercises in patients with chronic non-specific low back pain, on the reduction of pain, functional disability and improvement of the quality of life.

Full description

The drawing of the study will be a prospective, randomized controlled trial and double-blind with quantitative approach. Study participants 36 subjects diagnosed with non-specific chronic low back pain, which will be divided in two groups with 18 subjects in each: experimental group, which will be submitted to placebo + exercise shortwave diathermy and the control group to do active + exercise shortwave diathermy. There will be 12 one-hour sessions twice a week. The subjects will apply Shortwave Diathermy for 20 minutes, followed by Pilates mat.

Enrollment: 36 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• individuals diagnosed with chronic non-specific low back pain for a period of more than 3 months, without irradiation for lower limbs;
• who present pain intensity greater than 3 points in the Numerical Pain Scale;
• to sign the Free and Informed Consent Form.

Exclusion criteria

• BMI> 30;
• previous surgeries in the spine;
• severe spinal affection (tumors, infection, unconsolidated or vicious consolidation fractures, inflammatory diseases);
• rheumatic disease;
• contraindication to performing the exercises according to the American College of Sports Medicine Guidelines;
• degenerative or inflammatory joint and other body segments;
• patients who are in labor litigation;
• pregnancy;
• patients who are undergoing other type of physiotherapeutic or drug treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups, including a placebo group

Pilates and Shortwave placebo

Placebo Comparator group

Description:

In this group the patients will receive 20 minutes of short wave placebo application. The equipment will keep the timer on and the intensity will remain at zero. The patient will be informed that the dose is subsensory and therefore there will be no perception of the passage of the short waves through the body.The application will be performed with two coplanar plates in parallel, arranged on the right and left side of the lumbar region, maintaining a distance of 5 to 10 cm between them, with the patient lying in the dorsal decubitus position

Treatment:

Device: Pilates and Shortwave placebo

Pilates and Shortwave active

Active Comparator group

Description:

In this group the patients will receive 20 minutes of application of the Shortwave Active continuous mode (thermal effect), with vigorous local thermal sensation.The application will be performed with two coplanar plates in parallel, arranged on the right and left side of the lumbar region, maintaining a distance of 5 to 10 cm between them, with the patient lying in the dorsal decubitus position

Treatment:

Device: Pilates and Shortwave active