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The aim of the study was to compare the effects of reformer pilates and mat exercise on pain, quality of life and kinesiophobia in female patients with lumbar disc herniation.
The study began with patients diagnosed with lumbar disc herniation. Individuals were invited to participate based on inclusion criteria. Exclusion criteria were used to exclude individuals. Individuals were evaluated twice in this study. Treatment methods were applied. Mat Pilates was applied to one of the diagnosed groups, and reformer Pilates was applied to the other. Twenty participants were assigned to the mat Pilates group and 20 to the equipment Pilates group. A total of 40 patients participated. Pre- and post-treatment assessments were conducted using the Tampa Kinesiophobia Scale, Short Form Quality of Life Scale, and Visual Analog Scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mat exercise group | Experimental | mat pilates exercise |
|
| reformer exercise group | Experimental | reformer pilates exercise |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mat pilates | Other | The mat pilates group was given an exercise program consisting of 16 sessions, 2 days a week, for 8 weeks. All exercises were performed as one set of 15 repetitions for the first 2 weeks, 15 repetitions for the 3rd and 4th weeks, and 15 repetitions for the 5th and 6th weeks, with 20 repetitions for the final 2 weeks. Exercise intensity (number of repetitions and level of movement) was gradually increased. Priority was given to core muscles when selecting exercises. The aim was to work the transversus abdominis, multifidus, and gluteus muscles both eccentrically and concentrically, while maintaining spinal stabilization and fostering awareness during movement. The exercise protocol was performed twice a week for 8 weeks, with each session lasting 45 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| quality of life scale short form | The scale assessing quality of life consists of 36 questions. It rates health on a scale of 0 to 100, with 0 indicating poor health and 100 indicating good health. | 10 weeks |
| Tampa Kinesiophobia Scale | The scale consists of 17 questions. It includes parameters for injury/re-injury and fear-avoidance in work-related activities. Each question is scored using a 4-point Likert scale (1 = strongly disagree, 4 = strongly agree). A total score is calculated by reverse-scoring questions 4, 8, 12, and 16. A higher score is interpreted as indicating a higher level of kinesiophobia. | 10 weeks |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Ayça Bilgi | Uskudar University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fone Physio Healthy Living Center | Istanbul | Kadıköy | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37239690 | Background | Franks J, Thwaites C, Morris ME. Pilates to Improve Core Muscle Activation in Chronic Low Back Pain: A Systematic Review. Healthcare (Basel). 2023 May 12;11(10):1404. doi: 10.3390/healthcare11101404. | |
| 38035307 | Background | Li Y, Yan L, Hou L, Zhang X, Zhao H, Yan C, Li X, Li Y, Chen X, Ding X. Exercise intervention for patients with chronic low back pain: a systematic review and network meta-analysis. Front Public Health. 2023 Nov 17;11:1155225. doi: 10.3389/fpubh.2023.1155225. eCollection 2023. |
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| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| D000092442 | Kinesiophobia |
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
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|
| reformer pilates | Other | The Reformer Pilates group was assigned an exercise program consisting of 16 sessions, 2 days a week, for 8 weeks. All exercises were performed as one set of 15 repetitions for the first 2 weeks, 15 repetitions for the 3rd and 4th weeks, and 20 repetitions for the 5th and 6th weeks. Exercise intensity (number of repetitions and level of movement) was gradually increased. Priority was given to core muscles when selecting exercises. The aim was to work the transversus abdominis, multifidus, and gluteus muscles both eccentrically and concentrically, while maintaining spinal stabilization and fostering awareness during movement. The exercise protocol consisted of 45-minute sessions, 2 days a week, for 8 weeks. |
|
| 35722759 | Background | Fernandez-Rodriguez R, Alvarez-Bueno C, Cavero-Redondo I, Torres-Costoso A, Pozuelo-Carrascosa DP, Reina-Gutierrez S, Pascual-Morena C, Martinez-Vizcaino V. Best Exercise Options for Reducing Pain and Disability in Adults With Chronic Low Back Pain: Pilates, Strength, Core-Based, and Mind-Body. A Network Meta-analysis. J Orthop Sports Phys Ther. 2022 Aug;52(8):505-521. doi: 10.2519/jospt.2022.10671. Epub 2022 Jun 19. |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |