Ethics code: IR-KHU.KRC.1000.194
1- Azad University, Karaj
2- Kharazmi University
2- Kharazmi University
Abstract: (694 Views)
Abstract
Background and Objective: Chronic non-specific back pain (CNSLBP) is one of the most common musculoskeletal diseases that can be affected by pain, psychosocial, cognitive, and emotional aspects and cause vulnerability and impairment in a person's ability to manage pain. Moderate-effect size medical evidence suggests that exercise can be an effective treatment for patients with chronic low back pain compared with groups receiving no treatment, or a placebo for pain. Psychosocial factors, especially fear-avoidance beliefs, self-efficacy, and fear of movement, are associated with disability due to CNSLBP. Also, according to the studies, many factors such as disability and psychological factors are effective in the occurrence or treatment of CNSLBP. Also, according to the studies, many factors such as disability and psychological factors are effective in the occurrence or treatment of CNSLBP. In the past decades, many studies have shown the important role of psychological and social factors in creating CNSLBP. Pain self-efficacy, which refers to the assurance of engaging in certain desired behaviors, has been proposed as one of the most important psychological constructs for modeling individual adaptation to chronic pain.
This research aims to compare Pilates exercises and postural restoration exercises on pain, disability, and psychological characteristics in people with CNSLBP.
Methods: The current study was semi-experimental with a pre-test-post-test design. The subjects were 99 men and women suffering from CNSLBP who were randomly selected into 2 experimental groups and a control group (33 people in each group) using available samples. In this research, pain, disability, fear-avoidance beliefs, self-efficacy, and fear of movement, respectively, from the Visual Analogue Scale (VAS) measurement, the Roland Morris questionnaire, and the fear avoidance belief questionnaire main pain self-efficacy questionnaire were evaluated with the intraclass correlation coefficient of 0.88-0.70 and the Tampa scale was 0.90-0.70. In the following, the group of Pilates exercises and postural restoration did their exercises for 8 weeks and 3 sessions weekly; The control group did not receive any intervention and only participated in the pre-test and post-test. After collecting the data, the statistical method of composite covariance analysis with a significant level (α ≤ 0.05) was used to analyze the data.
Results: The findings showed that there is a significant difference between the pre-test and post-test in the exercise groups in reducing pain and improving disability (P<0.001). Also, concerning the inter-group results, according to the obtained results, it can be said with 95% confidence that the effectiveness of Pilates exercises compared to the control group (η=2.883, p=0.000) and postural restoration exercises compared to the control group (η=2.885, p=0.000) has a significant difference in reducing pain and improving disability; Although there is no significant difference between the postural restoration group and the Pilates group (p=1.000).
Also, the findings showed that between the pre-test and post-test in the training groups, a significant difference was observed in the improvement of fear-avoidance beliefs, self-efficacy, and fear of movement (P<0.001). Also, about the inter-group results, according to the obtained results, it can be stated with 95% confidence that the effectiveness of Pilates exercises compared to the control group (η=2.883, p=0.000) and postural restoration exercises compared to the control group (η=2.885, p=0.000) has a significant difference in improving fear-avoidance beliefs, self-efficacy and fear of movement; In the case of the postural restoration group, there is no significant difference compared to the Pilates group (p=1.000).
Conclusion: Considering the effectiveness of both exercise groups, therapists are advised to pay attention to these exercises when compiling exercise programs
Background and Objective: Chronic non-specific back pain (CNSLBP) is one of the most common musculoskeletal diseases that can be affected by pain, psychosocial, cognitive, and emotional aspects and cause vulnerability and impairment in a person's ability to manage pain. Moderate-effect size medical evidence suggests that exercise can be an effective treatment for patients with chronic low back pain compared with groups receiving no treatment, or a placebo for pain. Psychosocial factors, especially fear-avoidance beliefs, self-efficacy, and fear of movement, are associated with disability due to CNSLBP. Also, according to the studies, many factors such as disability and psychological factors are effective in the occurrence or treatment of CNSLBP. Also, according to the studies, many factors such as disability and psychological factors are effective in the occurrence or treatment of CNSLBP. In the past decades, many studies have shown the important role of psychological and social factors in creating CNSLBP. Pain self-efficacy, which refers to the assurance of engaging in certain desired behaviors, has been proposed as one of the most important psychological constructs for modeling individual adaptation to chronic pain.
This research aims to compare Pilates exercises and postural restoration exercises on pain, disability, and psychological characteristics in people with CNSLBP.
Methods: The current study was semi-experimental with a pre-test-post-test design. The subjects were 99 men and women suffering from CNSLBP who were randomly selected into 2 experimental groups and a control group (33 people in each group) using available samples. In this research, pain, disability, fear-avoidance beliefs, self-efficacy, and fear of movement, respectively, from the Visual Analogue Scale (VAS) measurement, the Roland Morris questionnaire, and the fear avoidance belief questionnaire main pain self-efficacy questionnaire were evaluated with the intraclass correlation coefficient of 0.88-0.70 and the Tampa scale was 0.90-0.70. In the following, the group of Pilates exercises and postural restoration did their exercises for 8 weeks and 3 sessions weekly; The control group did not receive any intervention and only participated in the pre-test and post-test. After collecting the data, the statistical method of composite covariance analysis with a significant level (α ≤ 0.05) was used to analyze the data.
Results: The findings showed that there is a significant difference between the pre-test and post-test in the exercise groups in reducing pain and improving disability (P<0.001). Also, concerning the inter-group results, according to the obtained results, it can be said with 95% confidence that the effectiveness of Pilates exercises compared to the control group (η=2.883, p=0.000) and postural restoration exercises compared to the control group (η=2.885, p=0.000) has a significant difference in reducing pain and improving disability; Although there is no significant difference between the postural restoration group and the Pilates group (p=1.000).
Also, the findings showed that between the pre-test and post-test in the training groups, a significant difference was observed in the improvement of fear-avoidance beliefs, self-efficacy, and fear of movement (P<0.001). Also, about the inter-group results, according to the obtained results, it can be stated with 95% confidence that the effectiveness of Pilates exercises compared to the control group (η=2.883, p=0.000) and postural restoration exercises compared to the control group (η=2.885, p=0.000) has a significant difference in improving fear-avoidance beliefs, self-efficacy and fear of movement; In the case of the postural restoration group, there is no significant difference compared to the Pilates group (p=1.000).
Conclusion: Considering the effectiveness of both exercise groups, therapists are advised to pay attention to these exercises when compiling exercise programs
Keywords: Postural Restoration Institute, Pilates Exercises, Pain, Disability, Non-specific chronic Low back pain
Type of Study: Original Research Article |
Subject:
Rehabilitation
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