Effect of Pilates Exercise and Core Stabilization as an Exercise on Non-Specific Sub Acute Low Back Pain- Target the Disabled Living in the Coast – A Randomized Trial

Main Article Content

Abitha T.
Murugaraj T.
Shanmungananth E.

Abstract

Background: Many people experience low back discomfort during their lives. —between 60% and 80% of people—making it the most common reason for healthcare visits. Exercise is crucial for the treatment of back pain. The goal of this exercise with Pilates is to improve physical strength, posture, and awareness through a set of exercises that must be performed with specialist tools and require specialised training. In the coastal city of Pondicherry, the study's goal is to find out how Pilates exercise with or without  core stability exercise will decrease non-specific subacute low back pain.


Methods: In the Mahatma Gandhi Medical College and Research Institute, Pondicherry, a quasi-experimental study was carried out. Through convenient sampling, 30 people between the ages of 19 and 35 years were chosen. There were two groups made up of the subjects. Pilates exercises were given to Group A, and core stabilisation work out  were given to Group B. The Oswestry questionnaire approved for low back disability and visual analogue scoring on a scale were used as the end measures.


Results: The data demonstrated that pilates exercise was much more beneficial than core stabilisation exercise in lowering pain and functional handicap. The difference which we saw between the two groups was significant (p 0.05).


Conclusion: This study demonstrates that, when managing non-specific (NS) subacute low back pain, exercise as core stability performed less than pilates exercise regarding pain reduction and functional disablement.

Article Details

How to Cite
T., A. ., T., M. ., & E., S. . (2023). Effect of Pilates Exercise and Core Stabilization as an Exercise on Non-Specific Sub Acute Low Back Pain- Target the Disabled Living in the Coast – A Randomized Trial . Journal of Coastal Life Medicine, 11(1), 2399–2408. Retrieved from https://www.jclmm.com/index.php/journal/article/view/698
Section
Articles

References

Balagué, Federico, et al. "Non-specific low back pain." The Lancet 379.9814 (2012): 482-491. Level of evidence 1A

Burton AK, Tillotson KM, Main CJ, Hollis S. Psychosocial predictors of outcome in acute and subchronic low back trouble. Spine (Phila Pa 1976). 1995 Mar 15;20(6):722-8.Level of evidence 3C

Prabhu, L. V., et al. "Vertebral body integrity: a review of various anatomical factors involved in the lumbar region." Osteoporosis international 18.7 (2007): 891-903. Level of evidence 2A

Fortin, Maryse, and Luciana Gazzi Macedo. "Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding." Physical therapy (2013). Level of evidence 2A

Burton AK, Tillotson KM, Main CJ, Hollis S. Psychosocial predictors of outcome in acute and subchronic low back trouble. Spine (Phila Pa 1976). 1995 Mar 15;20(6):722-8. Level of evidence 3C

Truchon M. Determinants of chronic disability related to low back pain: towards an integrative biopsychosocial model. Disabil Rehabil. 2001 Nov 20;23(17):758-67.Level of evidence 2B

Damian Hoy, Lyn March, Peter Brooks, Fiona Blyth, Anthony Woolf, Christopher Bain, Gail Williams, Emma Smith, Theo Vos, Jan Barendregt, Chris Murray11, Roy Burstein11, Rachelle Buchbinder. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014;73:968-974. Level of evidence 2A

David Health Solutions Ltd. “Non-specific Low Back Pain – Diagnosis and Treatment – Pain Relief.” David, davidhealth.com/patient-information-for-pain-relief/back-or-neck-pain-diagnosis-and-treatment/acute-low-back-pain. Accessed 15 Mar. 2023.

Dagenais S, Tricco AC, Haldeman S. Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. Spine J 2010; 10: 514–29.

Chou R. Pharmacological management of low back pain. Drugs 2010; 70: 387–402.

McCarberg BH. Acute back pain: benefi ts and risks of current treatments. Curr Med Res Opin 2010; 26: 179–90.

Dagenais S, Tricco AC, Haldeman S. Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. Spine J 2010; 10: 514–29.

Savigny P, Kuntze S, Watson P, et al. Low back pain: early management of persistent non-specifi c low back pain. London: National Collaborating Centre for Primary Care and Royal College of Physicians, 2009. http://www.nice.org.uk/nicemedia/ live/11887/44334/44334.pdf (accessed Oct 18, 2010).

Quentin C, Bagheri R, Ugbolue UC, Coudeyre E, Pélissier C, Descatha A, Menini T, Bouillon-Minois JB, Dutheil F. Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021 Jan;18(16):8430.

Oxford Dictionaries, Definition of Pilates in English. Available from: http://oxforddictionaries.com/definition/english/Pilates (accessed 20 Oct 2013).

Pilates Method Alliance, An Exercise in Balance: The Pilates Phenomenon. Availablefrom: http://www.pilatesmethodalliance.org/i4a/pages/index.cfm?pageid=3277 (accessed 20 Oct 2013).

Di Lorenzo CE. Pilates: what is it? Should it be used in rehabilitation? Sports Health 2011;3(4):352-61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23016028 (accessed 20 Oct 2013).

Giacomini MB, da Silva AM, Weber LM, Monteiro MB. The Pilates Method increases respiratory muscle strength and performance as well as abdominal muscle thickness. Journal of bodywork and movement therapies. 2016 Apr 1;20(2):258-64.

Notarnicola A, Fischetti F, Maccagnano G, Comes R, Tafuri S, Moretti B. Daily pilates exercise or inactivity for patients with low back pain: a clinical prospective observational study. Eur J Phys Rehabil Med 2013. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24104699 (accessed 20 Oct 2013).

Quinn K, Barry S, Barry L. Do patients with chronic low back pain benefit from attending Pilates classes after completing conventional physiotherapy treatment?. Physiotherapy Practice and Research. 2011 Jan 1;32(1):5-12.

Cakmakçi O.The effect of 8 week pilates exercise on body composition in obese women.Coll Antropol 2011;35(4):1045-50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22397236 (accessed 20 Oct 2013).

COMMUNITY EVENTS. “The Importance of Core Stabilization Exercises - Bon Secours InMotion.” Bon Secours InMotion, 5 Aug. 2011, www.bonsecoursinmotion.com/the-importance-of-core-stabilization-exercises.

P. S. Sung, “Disability and back muscle fatigability changes following two therapeutic exercise interventions in participants with recurrent low back pain,” Medical Science Monitor: International Medical Journal of Experimental and Clinical Research,” vol. 19, pp. 40–48, 2013.

Gauri Shankar, Vinod Chaurasia. Comparative Study of Core Stability Exercise with Swiss Ball in Improving Trunk Endurance. Int J Health Sci Res. 2012;2(5):56-63.

Pappas E, Panou H, Souglis A. The effect of a pilates exercise programme using fitball on people suffering from chronic low-back pain in terms of pain reduction and function improvement. J Phys Edu Sport 2013; 13:606–611.

Manikandan et al: Effectiveness of Pilates exercises on non-specific low back pain to determine pain and disability Biomedicine- Vol. 41 No. 4: 2021 https://doi.org/10.51248/.v41i4.1361

da Fonseca JL, Magini M, de Freitas TH. Laboratory gait analysis in patients with low back pain before and after a pilates intervention. J Sport Rehabil 2009; 18:269–282.

Alves de Araujo ME, Bezerra da Silva E, Bragade Mello D, et al. The effectiveness of the Pilates method: reducing the degree of non-structural scoliosis, and improving flexibility and pain in female college students. J Bodyw Mov Ther 2012; 16:191–198.

Belavy DL, Owen PJ, Miller CT, Mundell NL, Tagliaferri SD, Brisby H, et al. Response to discussion:‘Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis’. Br J Sports Med. 2021;55:287-288.

Batıbay S, Külcü DG, Kaleoğlu Ö, Mesci N. Effect of pilates mat exercise and home exercise programs on pain, functional level, and core muscle thickness in women with chronic low back pain. J Orthop Sci. 2020.