Effects of pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systematic review with meta-analysis

Lim, Edwin Choon Wyn, Poh, Ruby Lee Choo, Low, Ai Ying and Wong, Wai Pong (2011) Effects of pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 41 2: 70-79. doi:10.2519/jospt.2011.3393


Author Lim, Edwin Choon Wyn
Poh, Ruby Lee Choo
Low, Ai Ying
Wong, Wai Pong
Title Effects of pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systematic review with meta-analysis
Journal name Journal of Orthopaedic & Sports Physical Therapy   Check publisher's open access policy
ISSN 0190-6011
1938-1344
Publication date 2011-02
Sub-type Article (original research)
DOI 10.2519/jospt.2011.3393
Volume 41
Issue 2
Start page 70
End page 79
Total pages 10
Place of publication Alexandria, VA, U.S.A.
Publisher American Physical Therapy Association: Orthopedic Section
Collection year 2012
Language eng
Formatted abstract
STUDY DESIGN: A systematic review with meta-analysis.

OBJECTIVES:
To compare pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to minimal or other interventions.

METHODS:
Searches of Medline, CINAHL, Embase, Cochrane library, PEDro, and ProQuest Dissertations and Thesis databases were conducted. Randomized controlled trials (RCTs) were selected and reviewed if they compared pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to other treatment approaches. Quality of the trials was evaluated. Data for pain and disability scores were extracted. Narrative synthesis plus meta-analyses were performed, with either a fixed-effects or random-effects model, standardized mean differences (SMDs), and tests for heterogeneity.

RESULTS:
Seven RCTs were identified and included in the meta-analyses. Data pooling was performed using RevMan 5. When compared to minimal intervention, Pilates-based exercise provided superior pain relief (pooled SMD, –2.72; 95% CI: –5.33, –0.11; P = .04) but the pooled disability scores were not significantly different (pooled SMD, –0.74; 95% CI: –1.81, 0.33;P = .17). No significant differences were found when comparing Pilates-based exercise to other forms of exercise for pain (pooled SMD, 0.03; 95% CI: –0.52, 0.58; P = .92) or disability scores (pooled SMD, –0.41; 95% CI: –0.96, 0.14; P = .14).

CONCLUSION: Pilates-based exercises are superior to minimal intervention for pain relief. Existing evidence does not establish superiority of Pilates-based exercise to other forms of exercise to reduce pain and disability for patients with persistent nonspecific low back pain. However, the relatively low quality of existing studies and the heterogeneity of pooled studies in this systematic review combine to suggest that these results should be interpreted with caution.

LEVEL OF EVIDENCE: Therapy, level 1a–.
Keyword Exercise therapy
Lumbar spine
Rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Sun, 06 Mar 2011, 00:08:29 EST