The Effects of Manipulation on Pain, Quality of Life, and Functional Activity in People Who Practice Pilates.

REFORMER YAPAN NON-SPESİFİK OMURGA PROBLEMLİ OLGULARDA MANİPÜLASYONUN ETKİSİNİN DEĞERLENDİRİLMESİ

Participants were randomly divided into two groups: a Pilates group (n=20) and a Pilates and spine-total body manipulation group (n=20). Both groups received a total of 8 sessions, 2 days a week, for 50 minutes each; one group received only Pilates, while the other group received Pilates combined with spine-total body manipulation.

A study is planned at the LoveYour Body Healthy Living Center in Gaziantep, involving 20 clients with spinal problems who will receive 8 sessions of reformer pilates alone (2 days a week, 50 minutes each) and another 20 clients who will receive 8 sessions of reformer pilates and spinal-total body manipulation (2 days a week, 50 minutes each). The sample size was determined through a power analysis using a 5% significance level (α = 0.05), a moderate effect size (effect size = 0.5), and 80% test power (power = 0.80). The analysis, conducted using the G*Power program, calculated that a minimum of 35 participants is required. Participation in the study was voluntary, and initial assessments were conducted on the same day. Participants were defined as being over 18 years of age, volunteering to participate, and experiencing at least one of the following symptoms for at least 4 weeks: non-specific mechanical lower back pain, non-specific mechanical neck pain, non-specific spinal problems, or pain in the neck and shoulder girdle region, or diagnosed with myofascial pain syndrome. Exclusion included pregnant women, those with acute lower back and neck pain, those who had recently undergone surgery, those with idiopathic scoliosis, vertigo, or bone disease, those with a positive vertebral artery test, those using cortisone, and those who had been practicing Pilates for more than 3 months. Assessments were conducted on the day participants began and the day the program ended.

Inclusion Criteria:

• Ability to communicate in Turkish
• Willingness to participate in the study
• Non-specific mechanical lower back pain
• Non-specific mechanical neck pain
• Non-specific spinal problems
• Pain in the neck and shoulder girdle area
• Myofascial pain syndrome -having been doing Pilates for at least 4 weeks

Exclusion Criteria:

• Pregnancy
• Acute lower back pain
• Acute neck pain
• Recent surgery
• Idiopathic scoliosis
• Positive vertebral artery test
• Vertigo
• Bone disease
• Cortisone use
• Having done Pilates for more than 3 months