Effects of a tailored mat-Pilates exercise program for older adults on pain, functioning, and balance in women with chronic non-specific low back pain: a randomized controlled trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2024;12(10):36 Aging Clin Exp Res . 2023 Dec;35(12):3059-3071.What this means for my practice?
Overall, a 10-week mat-Pilates program significantly reduces pain and improves disability in older women with chronic NSLBP, with effects lasting up to 6 months. This intervention can be a valuable addition to non-pharmacological treatment strategies for this population. However, the program does not significantly improve balance, indicating the need for additional or alternative exercises to address this aspect. Limitations include the study's sample size and its restriction to relatively active older adults, which may affect the generalizability of the findings.
Resumen del estudio
Sixty-three patients with chronic non-specific low back pain were randomized to receive either a tailored mat-Pilates program (n=32) or a home-based general exercise program (n=31). The primary outcomes of interest were pain reduction as measured by the Visual Analog Scale (VAS), Roland-Morris Disability Questionnaire (RMDQ), Timed Up and Go (TUG) test, and the Berg Balance Scale (BBS). Secondary outcomes of interest included the number of analgesics taken and adherence to the intervention. Outcomes were assessed at baseline, 10 weeks, and 6 months post-intervention. Overall, the results of the study revealed significant improvements in pain and disability in the Pilates group compared to the control group, which persisted at 6 months. However, there were no significant improvements in balance. This suggests that mat-Pilates is effective for pain and disability reduction but not for improving balance in this population.
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