Effect of Pilates exercise on spinal stabilization in sedentary subjects with subacute non-specific low back pain
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Abstract
Background: Modern lifestyle in both young and older people is increasingly sedentary with less demand for physical activity and inadequate active exercise. Fewer bodily movements and static posture, mainly sitting, results in a prolonged back muscle contraction which is a cause of back pain.
Objectives: To investigate the effects of Pilates exercise on spinal stabilization in sedentary subjects with subacute non-specific low back pain.
Materials and methods: Forty-two volunteers aged 18-23 years with sedentary lifestyle and subacute non-specific low back pain, were recruited. Subjects were divided into experimental (N=21) and control (N=21) groups. Subjects in experimental group performed Pilates exercise program which consisted of five movements, approximately 45 minutes/day, 4 days/week, for 4 consecutive weeks. Subjects in control group continued their normal daily activity without performing the exercise program. Outcome variables of the study were lumbopelvic stability measured by lumbopelvic stability test (LPST) and pain level measured by visual analogue scale (VAS).
Results: At the end of the study, experimental group showed an increase in lumbopelvic stability (pre-test: max=3 and min=1, post-test: max=4 and min=2, p<0.001) and a decrease in level of low back pain (pre-test 5.07±1.80, post-test 1.53±1.30, p<0.001) compared to control group, with statistical significance.
Conclusion: Results showed that Pilates exercise was effective in increasing spinal stability and decreasing pain level in sedentary subjects with subacute non-specific low back pain.
Journal of Associated Medical Sciences 2017; 50(1): 114-122. Doi: 10.14456/jams.2017.10
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Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
References
2. Sedentary lifestyle. Available from: https://en.wikipedia.org/wiki/Sedentary_lifestyle.
3. Chen SM, Liu MF, Cook J, Bass S, Lo SK. Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ Health 2009; 82(7): 797-806. doi: 10.1007/s00420-009-0410-0.
4. Hakala PT, Rimpela AH, Saarni LA, Salminen JJ. Frequent computer-related activities increase the risk of neck-shoulder and low back pain in adolescents. Eur J Public Health 2006; 16(5): 536-41.
5. Waddell G. Clinical assessment of lumbar impairment. Clin Orthop Relat Res 1987; 221: 110-20.
6. Panjabi MM. The stabilizing system of the spine. part I. function, dysfunction, adaptation, and enhancement. J Spinal Disord 1992; 5: 383-9.
7. Di Lorenzo CE. Pilates: What is it? Should it be done in rehabilitation. Sports Health 2011; 3(4): 352–61. doi: 10.1177/1941738111410285.
8. Hardy LL, Booth ML, Okely AD. The reliability of the Adolescent Sedentary Activity Questionnaire (ASAQ). Prev Med 2007; 45(1): 71-4.
9. Matthews CE, George SM, Moore SC, Bowles HR, Blair A, Park Y, et al. Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr 2012; 95(2): 437-45. doi: 10.3945/ajcn.111.019620.
10. Nimanussornkul T. Reliability of Oswestry Disability Index (version 1) Thai version for chronic low back pain with radiculopathy. Buddhachinaraj Medical Journal 2008; Suppl 2: 337-46 (in Thai)
11. Hagins M, Adler K, Cash M, Daugherty J, Mitrani G. Effects of Practice on the Ability to Perform Lumbar Stabilization Exercises. J Orthop Sports Phys Ther 1999; 29(9): 546-55.
12. Scott J, Huskisson EC. Vertical or horizontal visual analogue scales. Ann Rheum Dis 1979; 38(6): 560.
13. Phrompaet S, Paungmali A, Pirunsan U, Sitilertpisan P. Effects of Pilates training on lumbo-pelvic stability and flexibility. Asian J Sports Med 2011; 2(1): 16–22.
14. Muscolino JE, Cipriani S. Pilates and the “powerhouse”: I. J Bodyw Mov Ther 2004; 8(1): 15-24. doi: http://dx.doi.org/10.1016/S1360-8592(03)00057-3.
15. Leopoldino AA, Avelar NC, Passos GB Jr, Santana NA Jr, Teixeira VP Jr, de Lima VP, et al. Effect of Pilates on sleep quality and quality of life of sedentary population. J Bodyw Mov Ther 2013; 17(1): 5-10. doi: 10.1016/j.jbmt.2012.10.001.
16. Borges J, Baptista AF, Santana N, Souza I, Kruschewsky RA, Galvao-Castro B, et al. Pilates exercises improve low back pain and quality of life in patients with HTLV-1 virus: a randomized crossover clinical trial. J Bodyw Mov Ther 2014; 18(1): 68-74. doi: 10.1016/j.jbmt.2013.05.010.
17. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther 1997; 77(2): 132-42; discussion 142-4.
18. van Dieen JH, Jaap H, Moseley GL, and Hodges PW. Motor control changes and low back pain: cause or effect?. In: Hodges PW, Cholewicki J, van Dieen JH, eidtor. Spinal control: the rehabilitation of back pain. UK: Elsevier, 2013; 207-17. doi: 10.1016/B978-0-7020-4356-7.00018-5.
19. Dsa CF, Rengaramanujam K, Kudchadkar MS. To assess the effect of modified Pilates compared to conventional core stabilization exercises on pain and disability in chronic nonspecific low back pain-randomized controlled trial. Indian J Physiother Occup Ther 2014; 8(3): 202-7. doi: 10.5958/0973-5674.2014.00382.7.
20. Tsao H, Hodges PW. Immediate changes in feedforward postural adjustments following voluntary motor training. Exp Brain Res 2007; 181(4): 537-46.