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Original Articles

Effectiveness and cost-effectiveness of Pilates versus home-based exercises in individuals with chronic non-specific low back pain: randomised controlled trial protocol

ORCID Icon, ORCID Icon, ORCID Icon, , ORCID Icon & ORCID Icon
Pages 95-101 | Received 12 Mar 2019, Accepted 13 Jul 2019, Published online: 23 Dec 2019
 

Abstract

Background

The use of exercise in primary healthcare is recommended for the management of chronic non-specific low back pain (CNLBP). Home-based exercises are effective and widely adopted in this setting. Pilates may be useful as primary care strategy; however, evidence is controversial.

Study design

Randomised controlled trial with economic evaluation, conducted in a clinical setting.

Objective

To compare the effectiveness and cost-effectiveness of Pilates versus home-based exercises in individuals with CNLBP.

Methods

One hundred and forty-four participants (aged 18–50 years and with CNLBP >12 consecutive weeks previous to the study) will be recruited, enrolled and randomly allocated to one of two groups: (1) Pilates (n = 72) or (2) home-based exercises (n = 72). The Pilates group will receive mat-based exercises and the Home-Based Exercise group will receive a prescription of strength, stretching and postural exercises. The intervention will last six weeks (twice-weekly sessions). Assessments will be performed at baseline, at the end of the intervention (6 weeks) and after six months follow-up. Primary outcomes: pain intensity and disability; secondary outcomes: static balance, quality of life and perception of recovery.

Conclusions

This RCT may yield results applicable to the decision-making of health system managers.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work is supported by the Federal District Research Foundation (FAPDF) [grant no. 16697.78.27797.24042017].

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