High-intensity and low-intensity Pilates have similar effects on pain and disability in people with chronic non-specific low back pain: a randomised trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2025;13(11):45 J Physiother. 2025 Apr;71(2):100-107.¿Qué significa esto para mi consulta?
The main takeaway is that high-intensity and low-intensity Pilates exercises provide similar improvements in pain, disability, function, and muscle strength in patients with chronic non-specific low back pain. Clinically, this suggests low-intensity Pilates is a suitable and practical option because it minimizes side effects and is easier to administer in group settings. However, the study’s limitations include inability to blind therapists and reliance on telephone assessments for long-term follow-ups, which may introduce measurement variability.
Resumen del estudio
One hundred and sixty-eight patients with chronic non-specific low back pain were randomised to receive either high-intensity Pilates (n=91) or low-intensity Pilates (n=79), with each group performing one-hour sessions twice weekly for six weeks. The primary outcomes of interest were pain intensity and disability scores at the end of the 6-week intervention. Secondary outcomes included patient-specific functional ability, kinesiophobia, and isometric hip strength at 6 weeks. Outcomes were further assessed at 6 and 12 months. Overall, the results of the study revealed that high- and low-intensity Pilates had similar effects on pain, disability, and other outcomes, with negligible differences between groups throughout the study period. The key finding is that low-intensity Pilates was associated with fewer side effects, suggesting it may be the preferred approach for managing chronic non-specific low back pain.
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