Improvements in Adolescents With Back Pain After Pilates (PilatesBack)
Primary Purpose
Back Pain
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Pilates
Sponsored by
About this trial
This is an interventional treatment trial for Back Pain focused on measuring trunk flexor endurance, trunk extensor endurance, hamstring extensibility
Eligibility Criteria
Inclusion Criteria:
- having had a history of back pain last year
- being physically active in school physical education sessions
Exclusion Criteria:
- presenting any musculoskeletal, neurological, cardiological, metabolic or rheumatic alteration
- missing more than one session of the programme (91.66% attendance)
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Pilates
Control
Arm Description
The Pilates exercise programme was implemented over 6 weeks, with 2 sessions/week (55 minutes/session).
Adolescents assigned to the CG did not receive any structured exercise programme; they just attended their usual Physical Education sessions.
Outcomes
Primary Outcome Measures
Trunk flexor endurance
The bench trunk curl (BTC) test was used to evaluate trunk flexor endurance. The result is register in repetitions numbers. Higher values represent a better outcome.
Isometric trunk extension
Isometric trunk extension endurance was measured using the Sorensen (SOR) test. The result is register in seconds. Higher values represent a better outcome.
Hamstring extensibility
The toe touch (TT) test was used to evaluate hamstring extensibility. The result is register in centimeters. Higher values represent a better outcome.
Secondary Outcome Measures
Weight
Weight was measured using a SECA 762 scale (SECA, Germany) in kilograms.
Height
Height was measured using a GPM anthropometer (Siber-Hegner, Switzerland) in meters.
Full Information
NCT ID
NCT03609554
First Posted
July 4, 2018
Last Updated
July 23, 2018
Sponsor
Universidad Católica San Antonio de Murcia
1. Study Identification
Unique Protocol Identification Number
NCT03609554
Brief Title
Improvements in Adolescents With Back Pain After Pilates
Acronym
PilatesBack
Official Title
Improvement in Adolescents With a History of Back Pain After Pilates
Study Type
Interventional
2. Study Status
Record Verification Date
July 2018
Overall Recruitment Status
Completed
Study Start Date
January 16, 2016 (Actual)
Primary Completion Date
February 28, 2017 (Actual)
Study Completion Date
March 2, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidad Católica San Antonio de Murcia
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The main physical condition factor related to back pain and mobility among adolescents are trunk endurance and hamstring extensibility. The Pilates Method (PM) can be used as a specific exercise technique to train trunk endurance and hamstring extensibility, but there is little evidence regarding its effect in adolescents with a history of back pain. The objective of this study is to determine whether Pilates is effective for improving the trunk endurance and hamstring extensibility of adolescents with a history of back pain and to determine the differences between the sexes. The sample was composed of 52 students with a mean age of 14.44 ± 0.7 years who had suffered back pain during the past year. They were distributed into the Pilates Exercise Group (PEG, n = 26) and the Control Group (CG, n = 26). The Pilates programme was conducted over 6 weeks. For measuring trunk flexion and extension endurance, the bench trunk curl (BTC) test and the Sorensen (SOR) test were used, respectively. Hamstring extensibility was measured with the toe touch (TT) test. After the Pilates intervention, either the whole sample or males and females separately improved significantly (p ≤ 0.05) in the BTC, SOR or TT test.
Detailed Description
Back pain during the adolescent years is a precursor to chronic back pain in adulthood. The prevalence of back pain among schoolchildren is growing across the world, and it is similar to that of the adult population. Back pain is the first cause of disability in the world.
The main physical condition factor related to back pain and mobility among adolescents are trunk endurance and hamstring extensibility. The Pilates Method (PM) can be used as a specific exercise technique to train trunk endurance and hamstring extensibility, but there is little evidence regarding its effect in adolescents with a history of back pain.
The objectives of this study was: a) to analyse the effect of a Pilates programme on trunk endurance and extensibility in adolescents with a history of back pain and b) to determine the differences between the sexes.
The present research was a 6-week randomised controlled trial in which adolescents with a history of back pain were randomly assigned to a Pilates-based exercise group (PEG; n = 26) and a control group (CG; n = 26).
The sample was composed of 52 students with a mean age of 14.44 ± 0.7 years who had suffered back pain during the past year. They were distributed into the Pilates Exercise Group (PEG, n = 26) and the Control Group (CG, n = 26).
The Pilates exercise programme was implemented over 6 weeks, with 2 sessions/week (55 minutes/session). Adolescents assigned to the CG did not receive any structured exercise programme; they just attended their usual Physical Education sessions.
The Pilates programme was conducted by the Physical Education teacher, who was certified in Pilates training. The Pilates programme began at the basic level, incorporating more difficult principles and exercises gradually.
For measuring trunk flexion and extension endurance, the bench trunk curl (BTC) test and the Sorensen (SOR) test were used, respectively. Hamstring extensibility was measured with the toe touch (TT) test. After the Pilates intervention, either the whole sample or males and females separately improved significantly (p ≤ 0.05) in the BTC, SOR or TT test.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Back Pain
Keywords
trunk flexor endurance, trunk extensor endurance, hamstring extensibility
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
52 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Pilates
Arm Type
Experimental
Arm Description
The Pilates exercise programme was implemented over 6 weeks, with 2 sessions/week (55 minutes/session).
Arm Title
Control
Arm Type
No Intervention
Arm Description
Adolescents assigned to the CG did not receive any structured exercise programme; they just attended their usual Physical Education sessions.
Intervention Type
Other
Intervention Name(s)
Pilates
Intervention Description
The Pilates exercise programme was implemented over 6 weeks, with 2 sessions/week (55 minutes/session). The Pilates programme was conducted by the Physical Education teacher, who was certified in Pilates training. The Pilates programme began at the basic level, incorporating more difficult principles and exercises gradually. The sessions were divided into the warm-up (7 min), the main part (41 min), and the cool down (7 min). Tt concentrated on basic Pilates exercises involving the principal regions of the body (spine flexions, extensions and rotations; hip flexions, extensions and rotations; and shoulder abductions, adductions and rotations).
Primary Outcome Measure Information:
Title
Trunk flexor endurance
Description
The bench trunk curl (BTC) test was used to evaluate trunk flexor endurance. The result is register in repetitions numbers. Higher values represent a better outcome.
Time Frame
Pre and Post-intervention: change after 6 weeks of intervention
Title
Isometric trunk extension
Description
Isometric trunk extension endurance was measured using the Sorensen (SOR) test. The result is register in seconds. Higher values represent a better outcome.
Time Frame
Pre and Post-intervention: change after 6 weeks of intervention
Title
Hamstring extensibility
Description
The toe touch (TT) test was used to evaluate hamstring extensibility. The result is register in centimeters. Higher values represent a better outcome.
Time Frame
Pre and Post-intervention: change after 6 weeks of intervention
Secondary Outcome Measure Information:
Title
Weight
Description
Weight was measured using a SECA 762 scale (SECA, Germany) in kilograms.
Time Frame
Pre and Post-intervention: change after 6 weeks of intervention
Title
Height
Description
Height was measured using a GPM anthropometer (Siber-Hegner, Switzerland) in meters.
Time Frame
Pre and Post-intervention: change after 6 weeks of intervention
10. Eligibility
Sex
All
Minimum Age & Unit of Time
13 Years
Maximum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
having had a history of back pain last year
being physically active in school physical education sessions
Exclusion Criteria:
presenting any musculoskeletal, neurological, cardiological, metabolic or rheumatic alteration
missing more than one session of the programme (91.66% attendance)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Noelia González, PhD.
Organizational Affiliation
UCAM
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
29944036
Citation
Peterson L, Haladay DE. Pilates-based exercise in the treatment of a patient with persistent low back pain following transforaminal lumbar interbody fusion. Physiother Theory Pract. 2020 Apr;36(4):542-549. doi: 10.1080/09593985.2018.1488905. Epub 2018 Jun 26.
Results Reference
background
PubMed Identifier
29651872
Citation
Cruz-Diaz D, Romeu M, Velasco-Gonzalez C, Martinez-Amat A, Hita-Contreras F. The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2018 Sep;32(9):1249-1257. doi: 10.1177/0269215518768393. Epub 2018 Apr 13.
Results Reference
background
PubMed Identifier
29525763
Citation
Miyamoto GC, Franco KFM, van Dongen JM, Franco YRDS, de Oliveira NTB, Amaral DDV, Branco ANC, da Silva ML, van Tulder MW, Cabral CMN. Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation. Br J Sports Med. 2018 Jul;52(13):859-868. doi: 10.1136/bjsports-2017-098825. Epub 2018 Mar 10.
Results Reference
background
PubMed Identifier
26545650
Citation
Vaquero-Cristobal R, Lopez-Minarro PA, Alacid Carceles F, Esparza-Ros F. [THE EFFECTS OF THE PILATES METHOD ON HAMSTRING EXTENSIBILITY, PELVIC TILT AND TRUNK FLEXION]. Nutr Hosp. 2015 Nov 1;32(5):1967-86. doi: 10.3305/nh.2015.32.5.9678. Spanish.
Results Reference
background
PubMed Identifier
26473443
Citation
Kibar S, Yardimci FO, Evcik D, Ay S, Alhan A, Manco M, Ergin ES. Can a pilates exercise program be effective on balance, flexibility and muscle endurance? A randomized controlled trial. J Sports Med Phys Fitness. 2016 Oct;56(10):1139-1146. Epub 2015 Oct 16.
Results Reference
background
PubMed Identifier
29248397
Citation
Miranda IF, Souza C, Schneider AT, Chagas LC, Loss JF. Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A study protocol of a randomized controlled trial. Complement Ther Clin Pract. 2018 May;31:360-368. doi: 10.1016/j.ctcp.2017.12.005. Epub 2017 Dec 8.
Results Reference
background
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Improvements in Adolescents With Back Pain After Pilates
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