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In this study, the effects of instrumental pilates, mat pilates and general posture exercises on pain, disability, quality of life, flexibility and endurance of trunk extension muscles were researched in women with non-specific low back pain. The aim of this study was to examine the superiority of exercises over each other.
The participants were divided into three groups as reformer pilates group, mat pilates group and control group. Patients were allocated to the groups according to order of arrival starting from the reformer pilates group using a simple basic randomization method. All assessments were performed face to face by the physiotherapist. Exercise follow-up was performed individually. Pain intensity, level of disability, flexibility values, quality of life, and trunk extension endurance times were evaluated before and after treatment. Reformer, mat pilates, and general posture exercise training were performed twice a weekly for 12 weeks. In evaluation, Visual Analog Scale (VAS) was used for pain intensity, Oswestry Low Back Pain Questionnaire for disability, Short Form - 36 Questionnaire (SF-36) for quality of life, Sit-lie test for flexibility, McGill extension test for trunk extension endurance. Demographic information of individuals was recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Instrumental Pilates | Experimental | Instrumental pilates group received reformer Pilates for 12 weeks. |
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| Mat Pilates | Experimental | Mat pilates group received mat Pilates training for 12 weeks. |
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| Posture Exercises | Experimental | The third group received posture exercise training for 12 weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise Training | Other | Reformer, mat pilates, and general posture exercise training were performed twice a weekly for 12 weeks. Before starting pilates training, the key elements of pilates were taught to patients for one session. In evaluation, Visual Analog Scale (VAS) was used for pain intensity, Oswestry Low Back Pain Questionnaire for disability, Short Form - 36 Questionnaire (SF-36) for quality of life, Sit-lie test for flexibility, McGill extension test for trunk extension endurance. Demographic information of individuals was recorded. |
| Measure | Description | Time Frame |
|---|---|---|
| Disability | Oswestry Low Back Pain Questionnaire: There are 10 subheadings in this Questionnaire.There are six options under each heading.In each section, options are scored between 0-5.The lowest score obtained as a result of the survey is "0" and the highest score is "50". The level of functional disability increases with increasing total score. | baseline and after 12 weeks training immediately after the intervention |
| Pain Level | Visual Pain Scale: '0' indicates no pain, '10' indicates severe pain. As the score increases, the level of pain worsens. | baseline and after 12 weeks training immediately after the intervention |
| Flexibility | Sit and Reach test: A test box with a ruler was used. The participants placed their feet on the corners of the box without shoes.The data was recorded in centimetres. The corner of the test box is considered to be 0,Values extending further from the edge of the cube were accepted as positive, while values beyond were accepted as negative . | baseline and after 12 weeks training immediately after the intervention |
| Quality of Life Level | Short Form-36 Questionnaire: It has 8 subscales of health- related quality of life that examine physical functioning (10 items). Each subscale is calculated separately. In the questionnaire, a minimum of 0 and a maximum of 100 points are awarded.. A score of '0' indicates poor health, while a score of '100' indicates good health. | baseline and after 12 weeks training immediately after the intervention |
| Trunk Extension Endurance | The McGill trunk extension test: The time the individuals were able to maintain the position was recorded in seconds.Minimum and maximum values depend on participants. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emine Kübra AY, RA | Ankara Yildirim Beyazıt University | Principal Investigator |
| Bahar ANAFOROĞLU, PROF | Ankara Yildirim Beyazıt University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Yıldırım Beyazıt University | Ankara | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D010146 | Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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This study was designed as a randomised controlled trial. One group received reformer Pilates training, another group received mat Pilates training, and the third group received posture exercises.
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| baseline and after 12 weeks training immediately after the intervention |