Jad Kevin A. Delgado,
Rysa rhodora M. Ramas,
Mandy Elise D. Romanos,
Henrison V. Seno,
Francesca Nicole V. Solis,
Michael Joseph E. Colcol
The objective of this study was to determine the effects of Mat-Based Pilates and Brief Education on non-specific low back pain (LBP), trunk range of motion (ROM) and muscle strength among non-teaching staff of Cebu Doctors‟ University. This study utilized an experimental two-group pretest and posttest design, assigning respondents to the Mat-Based Pilates Group and Brief Education Group. The study was conducted in the PDR (room 503-504) located on the 5TH floor at Cebu Doctors‟ University. Fifteen (15) respondents (6 males; 9 females) were selected out of a population of 110 non-teaching employees based on the following inclusion criteria: 21-55 years old, normal to overweight body mass index (BMI), LBP four (4) weeks having a pain rating score between three to eight (3 - 8) for pain scale, a muscle grade of three (3) or four (4) and a trunk flexion ROM of less than 6.9 centimeters. Subjects were randomly assigned to the Pilates Group (n=8) or the Brief Education Group (n=7). Numeric Pain Rating Scale (NPRS) ("The Numeric Pain Rating Scale Instructions," n.d.) was used to assess pain; the modified Schober‟s test (Norkin & White, 2009) was used to assess trunk ROM; Manual Muscle Testing of Hislop and Montgomery (2007) was used to assess trunk muscle strength.
The Brief Education Group was given a seminar on LBP only once at the start of the implementation. The Mat-Based Pilates Group had approximately a one-hour treatment for eight treatment sessions, two (2) times per week for four (4) weeks. The Wilcoxon Signed Rank test was used to determine the difference before and after intervention for pain and muscle strength, while trunk Rom used paired T-test. The p-values for the Mat-Based Pilates Group in regards to pain, trunk ROM, and trunk flexion and extension were .020, .041, .009 and .007 respectively. This means that there was a significant difference between the pretest and posttest values. On the other hand, the Brief Education Group had a p-value of .66, .57, .157, and .024 respectively. The p-values of the Brief Education Group were not considered significantly different, except trunk extensor‟s muscle strength.
Mat-Based Pilates showed significant effects on low back pain, trunk ROM and flexor and extensor muscle strength among non-teaching staff of Cebu Doctors‟ University. However, the Brief Education Group showed no significant effect on these variables, except for trunk extensor muscle strength. The researchers recommend to the subjects of the study to continue doing the Mat-Based Pilates and incorporate the measures included Brief Education in daily living activities. Researchers would also recommend to the Physiatrists and Physical therapists to incorporate Mat-Based Pilates as an intervention in addressing LBP, improving flexibility and muscles strength and to Pilates practitioners to broaden their professional viewpoint on the effect of Mat-Based Pilates. For further studies the researchers recommend a study on the equipment-based Pilates and to use a randomized control trial design to verify and strengthen the evidence of the effectiveness of Pilates.
1. Anderson, B. . Pilates rehabilitation. Complementary therapies in rehabilitation: Evidence for efficacy in therapy, prevention, and wellness (3rd edition). New Jersey, New Jersey, USA: SLACK Incorporated., 2009.
2. Barr, K. P. , Harrast, M. A. . Low back pain. Physical medicine and rehabilitation (3rd edition). Philadelphia: Saunders/Elsevier, 2007.
4. Brox, J. I. , Storheim, K. , Grotle, M. , Tveito, T. H. , Indahl, A. , Eriksen, H. R. . "Systematic review of back schools, brief education, and fear-avoidance training for chronic low back pain" The Spine Journal
8(6): 948-958, 2008. Retrieved from: http://doi: http://dx.doi.org/10.1016/j.spinee.2007.07.389
5. Cuthbert, S. C. , Goodheart, G. J. . "On the reliability and validity of manual muscle testing: A literature review." Chiropractic & Osteopathy
15(4): 2007. Retrieved from: http://Doi: doi: 10.1186/1746-1340-15-4
6. De Vasconcellos, M. H. O. , da Silva, R. D. S. , dos Santos, S. M. B. , Merlo, J. R. C. , Conceicao, T. M. A. . "The pilates® method in the treatment of lower back pain." Fisioterapia em Movimento Curitiba
27(3): 459-467, 2014. Retrieved from: http://www.scielo.br/pdf/fm/v27n3/0103-5150-fm-27-03-0459.pdf
7. Delitto , A. , George, S. Z. , Van Dillen, L. , Whitman, J. M. , Sowa, G. , Shekelle, P. , Godges, J. . "Low back pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association." Journal of Orthopaedic & Sports Physical Therapy
42(4): A1-A57, 2012. Retrieved from: http://doi: 10.2519/jospt.2012.42.4.A1
10. Gagnon, L. H. . Efficacy of pilates exercises as therapeutic intervention in treating patients with low back pain. 2005. (MD) University of Tennessee, Knoxville.,
12. Hislop, H. J. , Montgomery, J. . Daniels and Worthinghams’s muscle testing: Techniques of manual examination (8th edition). St. Louis, Missouri: W.B. Saunders., 2007.
14. Kisner, C. , Colby, L. A. . Therapeutic exercise (5th edition). Philadelphia: F. A. Davis Company, 2007.
15. Lim, E. C. , Poh, R. L. , Low, A. Y. , Wong, W. P. . "Effects of pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systematic review with meta-analysis." Journal of Orthopaedic & Sports Physical Therapy
41(2): 70-80, 2011. Retrieved from: http://doi:10.2519/jospt.2011.3393
16. Lis, A. M. , Black, K. M. , Korn, H. , Nordin, M. . "Association between sitting and occupational LBP." European Spine Journal
16(2): 283-298, 2006. Retrieved from: http://doi:10.1007/s00586-006-0143-7
17. McGill, S. . Low back disorders: Evidence-based prevention and rehabilitation. Champaign, IL: Human Kinetics., 2002.
19. Norkin, C. C. , White, D. J. . Measurement of joint motion: A guide to goniometry (4th edition). Philadelphia: F. A. Davis., 2009.
20. O, N. , Hanlon, M. , Meldrum, D. . "Randomised, controlled trial comparing physiotherapy and Pilates in the treatment of ordinary low back pain. " Physical Therapy Reviews 11(3): 224-225, 2006
21. Omokhodion, F. O. , Sanya, A. O. . "Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria." Occupational Medicine
53(4): 287-289, 2003. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/12815127
23. Phrompaet, S. , Paungmali, A. , Pirunsan, U. , Sitilertpisan, P. . "Effects of Pilates training on lumbo-pelvic stability and flexibility." Asian Journal of Sports Medicine
2(1): 16-22, 2011. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3289190/
26. Rydeard, R. , Leger, A. , Smith, D. . "Pilates-based therapeutic exercise: Effect on subjects with nonspecific chronic low back pain and functional disability: A randomized controlled trial" Journal of Orthopaedic & Sports Physical Therapy
36(7): 472-484, 2006. Retrieved from: http://doi:10.2519/jospt.2006.2144
27. Sekendiz, B. , Altun, O. , Korkusuz, F. , Akin, S. . "Effects of Pilates exercise on trunk strength, endurance and flexibility in sedentary adult females." Journal of Bodywork and Movement Therapies
11(4): 318-326, 2006. Retrieved from: http://doi: 10.1016/j.jbmt.2006.12.002
28. Skikic, E. M. , Suad, T. . "The effects of McKenzie exercises for patients with low back pain, our experience." Bosnian Journal of Basic Medical Sciences
3(4): 70-75, 2003. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/16232142
32. Taylor, J. R. , Twomey, L. T. . The natural history of the lumbar spine.. Physical therapy of the low back. New York: Churchille Livingstone., 2000.
33. Wattamwar, R. B. , Nadkami, K. . "Effect of conventional occupational therapy and yoga in chronic low back pain." The Indian Journal of Occupational Therapy
44(2): May 2012-August. Retrieved from: http://medind.nic.in/iba/t13/i3/ibat13i3p13.pdf
35. Yamato, T. P. , Maher, C. G. , Saragiotto, B. T. , Hancock, M. J. , Ostelo, R. W. J. G. , Cabral, C. M. N. , Menezes Costa, L. C. , Costa, L. O. P. . "Pilates for low-back pain (review)." The Cochrane Library
2015(7): 2015. Retrieved from: http://https://www.researchgate.net/publication/ 279534204_Pilates_for_low_back_pain
36. Yaprak, Y. . "The effects of back extension training on back muscle strength and spinal range of motion in young females." Biology of Sport
30(3): 201-206, 2013. Retrieved from: http://doi: 10.5604/20831862.1047500