Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis
Chronic low back pain (CLBP) is a common health problem. Pilates is a unique exercise therapy. This meta-analysis aims to evaluate the efficacy of Pilates on pain, functional disorders, and quality of life in patients with chronic low back pain (CLBP). PubMed, Web of Science, CNKI, VIP, Wanfang Data...
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| Veröffentlicht in: | International journal of environmental research and public health 2023-02, Vol.20 (4), p.2850 |
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| creator | Yu, Zhengze Yin, Yikun Wang, Jialin Zhang, Xingxing Cai, Hejia Peng, Fenglin |
| description | Chronic low back pain (CLBP) is a common health problem. Pilates is a unique exercise therapy. This meta-analysis aims to evaluate the efficacy of Pilates on pain, functional disorders, and quality of life in patients with chronic low back pain (CLBP).
PubMed, Web of Science, CNKI, VIP, Wanfang Data, CBM, EBSCO, and Embase were searched. Randomized controlled trials of Pilates in the treatment of CLBP were collected based on the inclusion and exclusion criteria. The meta-analysis was performed using RevMan 5.4 and Stata 12.2.
19 randomized controlled trials with a total of 1108 patients were included. Compared with the controls, the results showed the following values: Pain Scale [standard mean difference; SMD = -1.31, 95%CI (-1.80, -0.83),
< 0.00001], Oswestry Disability Index (ODI) [mean difference; MD = -4.35, 95%CI (-5.77, -2.94),
< 0.00001], Roland-Morris Disability Questionnaire (RMDQ) [MD = -2.26, 95%CI (-4.45, -0.08),
= 0.04], 36-item Short-Form (SF-36) (Physical Function (PF) [MD = 5.09, 95%CI (0.20, 9.99),
= 0.04], Role Physical (RP) [MD = 5.02, 95%CI (-1.03, 11.06),
= 0.10], Bodily Pain (BP) [MD = 8.79, 95%CI (-1.57, 19.16),
= 0.10], General Health (GH) [MD = 8.45, 95%CI (-5.61, 22.51),
= 0.24], Vitality (VT) [MD = 8.20, 95%CI(-2.30, 18.71),
= 0.13], Social Functioning (SF) [MD = -1.11, 95%CI (-7.70, 5.48),
= 0.74], Role Emotional (RE) [MD = 0.86, 95%CI (-5.53, 7.25),
= 0.79], Mental Health (MH) [MD = 11.04, 95%CI (-12.51, 34.59),
= 0.36]), Quebec Back in Disability Scale (QBPDS) [MD = -5.51, 95%CI (-23.84, 12.81),
= 0.56], and the sit-and-reach test [MD = 1.81, 95%CI (-0.25, 3.88),
= 0.09].
This meta-analysis reveals that Pilates may have positive efficacy for pain relief and the improvement of functional disorders in CLBP patients, but the improvement in quality of life seems to be less obvious.
PROSPERO CRD42022348173. |
| doi_str_mv | 10.3390/ijerph20042850 |
| format | Article |
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PubMed, Web of Science, CNKI, VIP, Wanfang Data, CBM, EBSCO, and Embase were searched. Randomized controlled trials of Pilates in the treatment of CLBP were collected based on the inclusion and exclusion criteria. The meta-analysis was performed using RevMan 5.4 and Stata 12.2.
19 randomized controlled trials with a total of 1108 patients were included. Compared with the controls, the results showed the following values: Pain Scale [standard mean difference; SMD = -1.31, 95%CI (-1.80, -0.83),
< 0.00001], Oswestry Disability Index (ODI) [mean difference; MD = -4.35, 95%CI (-5.77, -2.94),
< 0.00001], Roland-Morris Disability Questionnaire (RMDQ) [MD = -2.26, 95%CI (-4.45, -0.08),
= 0.04], 36-item Short-Form (SF-36) (Physical Function (PF) [MD = 5.09, 95%CI (0.20, 9.99),
= 0.04], Role Physical (RP) [MD = 5.02, 95%CI (-1.03, 11.06),
= 0.10], Bodily Pain (BP) [MD = 8.79, 95%CI (-1.57, 19.16),
= 0.10], General Health (GH) [MD = 8.45, 95%CI (-5.61, 22.51),
= 0.24], Vitality (VT) [MD = 8.20, 95%CI(-2.30, 18.71),
= 0.13], Social Functioning (SF) [MD = -1.11, 95%CI (-7.70, 5.48),
= 0.74], Role Emotional (RE) [MD = 0.86, 95%CI (-5.53, 7.25),
= 0.79], Mental Health (MH) [MD = 11.04, 95%CI (-12.51, 34.59),
= 0.36]), Quebec Back in Disability Scale (QBPDS) [MD = -5.51, 95%CI (-23.84, 12.81),
= 0.56], and the sit-and-reach test [MD = 1.81, 95%CI (-0.25, 3.88),
= 0.09].
This meta-analysis reveals that Pilates may have positive efficacy for pain relief and the improvement of functional disorders in CLBP patients, but the improvement in quality of life seems to be less obvious.
PROSPERO CRD42022348173.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20042850</identifier><identifier>PMID: 36833545</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Back pain ; Backache ; Care and treatment ; Clinical trials ; Collaboration ; Confidence intervals ; Drug therapy ; Exercise ; Low back pain ; Mental health ; Meta-analysis ; Methods ; Pain ; Physical fitness ; Physical therapy ; Pilates ; Quality of life ; Software ; Sports injuries ; Statistical analysis ; Systematic Review ; Vertebrae</subject><ispartof>International journal of environmental research and public health, 2023-02, Vol.20 (4), p.2850</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4000-86cae00039363fbac63842eb6269ec8053b9e4ce504544859031ee4ff50bfe863</citedby><cites>FETCH-LOGICAL-c4000-86cae00039363fbac63842eb6269ec8053b9e4ce504544859031ee4ff50bfe863</cites><orcidid>0000-0002-7708-2089</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9956295/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9956295/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36833545$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Zhengze</creatorcontrib><creatorcontrib>Yin, Yikun</creatorcontrib><creatorcontrib>Wang, Jialin</creatorcontrib><creatorcontrib>Zhang, Xingxing</creatorcontrib><creatorcontrib>Cai, Hejia</creatorcontrib><creatorcontrib>Peng, Fenglin</creatorcontrib><title>Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Chronic low back pain (CLBP) is a common health problem. Pilates is a unique exercise therapy. This meta-analysis aims to evaluate the efficacy of Pilates on pain, functional disorders, and quality of life in patients with chronic low back pain (CLBP).
PubMed, Web of Science, CNKI, VIP, Wanfang Data, CBM, EBSCO, and Embase were searched. Randomized controlled trials of Pilates in the treatment of CLBP were collected based on the inclusion and exclusion criteria. The meta-analysis was performed using RevMan 5.4 and Stata 12.2.
19 randomized controlled trials with a total of 1108 patients were included. Compared with the controls, the results showed the following values: Pain Scale [standard mean difference; SMD = -1.31, 95%CI (-1.80, -0.83),
< 0.00001], Oswestry Disability Index (ODI) [mean difference; MD = -4.35, 95%CI (-5.77, -2.94),
< 0.00001], Roland-Morris Disability Questionnaire (RMDQ) [MD = -2.26, 95%CI (-4.45, -0.08),
= 0.04], 36-item Short-Form (SF-36) (Physical Function (PF) [MD = 5.09, 95%CI (0.20, 9.99),
= 0.04], Role Physical (RP) [MD = 5.02, 95%CI (-1.03, 11.06),
= 0.10], Bodily Pain (BP) [MD = 8.79, 95%CI (-1.57, 19.16),
= 0.10], General Health (GH) [MD = 8.45, 95%CI (-5.61, 22.51),
= 0.24], Vitality (VT) [MD = 8.20, 95%CI(-2.30, 18.71),
= 0.13], Social Functioning (SF) [MD = -1.11, 95%CI (-7.70, 5.48),
= 0.74], Role Emotional (RE) [MD = 0.86, 95%CI (-5.53, 7.25),
= 0.79], Mental Health (MH) [MD = 11.04, 95%CI (-12.51, 34.59),
= 0.36]), Quebec Back in Disability Scale (QBPDS) [MD = -5.51, 95%CI (-23.84, 12.81),
= 0.56], and the sit-and-reach test [MD = 1.81, 95%CI (-0.25, 3.88),
= 0.09].
This meta-analysis reveals that Pilates may have positive efficacy for pain relief and the improvement of functional disorders in CLBP patients, but the improvement in quality of life seems to be less obvious.
PROSPERO CRD42022348173.</description><subject>Back pain</subject><subject>Backache</subject><subject>Care and treatment</subject><subject>Clinical trials</subject><subject>Collaboration</subject><subject>Confidence intervals</subject><subject>Drug therapy</subject><subject>Exercise</subject><subject>Low back pain</subject><subject>Mental health</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Pain</subject><subject>Physical fitness</subject><subject>Physical therapy</subject><subject>Pilates</subject><subject>Quality of life</subject><subject>Software</subject><subject>Sports injuries</subject><subject>Statistical analysis</subject><subject>Systematic Review</subject><subject>Vertebrae</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkktvEzEUhUcIREthyxJZYsOCKZ7xI2MWlUJoASmI8lpbjnPd3DBjB3umUX4HfxhPKKVFlRe-ss_5ro91i-JpRY8ZU_QVriFuVjWlvG4EvVccVlLSkkta3b9RHxSPUlpTyhou1cPigMmGMcHFYfHr1Dm0xu5IcOQcW9NDIsGTc4P-JTkbvO0xeNOSt5hCXEJMxPgl-TyYFvu9aY4OCI6OHsH3iWyxX5HZKgaPlszDlrwx9sce-JpMyddd6qHLWku-wCXCds_7CL0pp7nPLmF6XDxwpk3w5Go_Kr6fnX6bvS_nn959mE3npeWU0rKR1kAumGKSuYWxMserYSFrqcA2VLCFAm5BUC44b4SirALgzgm6cNBIdlSc_OFuhkUHS5tfH02rNxE7E3c6GNS3bzyu9EW41EoJWSuRAS-uADH8HCD1usNkoW2NhzAkXU8aSiVXcpKlz_-TrsMQc-BRNcm8qlHVP9WFaUGjdyH3tSNUTyeiUpVo6Mg6vkOV1xI6tMGDw3x-l8HGkFIEd52xonocI317jLLh2c2fuZb_nRv2G_-HwwI</recordid><startdate>20230206</startdate><enddate>20230206</enddate><creator>Yu, Zhengze</creator><creator>Yin, Yikun</creator><creator>Wang, Jialin</creator><creator>Zhang, Xingxing</creator><creator>Cai, Hejia</creator><creator>Peng, Fenglin</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7708-2089</orcidid></search><sort><creationdate>20230206</creationdate><title>Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis</title><author>Yu, Zhengze ; Yin, Yikun ; Wang, Jialin ; Zhang, Xingxing ; Cai, Hejia ; Peng, Fenglin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4000-86cae00039363fbac63842eb6269ec8053b9e4ce504544859031ee4ff50bfe863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Back pain</topic><topic>Backache</topic><topic>Care and treatment</topic><topic>Clinical trials</topic><topic>Collaboration</topic><topic>Confidence intervals</topic><topic>Drug therapy</topic><topic>Exercise</topic><topic>Low back pain</topic><topic>Mental health</topic><topic>Meta-analysis</topic><topic>Methods</topic><topic>Pain</topic><topic>Physical fitness</topic><topic>Physical therapy</topic><topic>Pilates</topic><topic>Quality of life</topic><topic>Software</topic><topic>Sports injuries</topic><topic>Statistical analysis</topic><topic>Systematic Review</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Zhengze</creatorcontrib><creatorcontrib>Yin, Yikun</creatorcontrib><creatorcontrib>Wang, Jialin</creatorcontrib><creatorcontrib>Zhang, Xingxing</creatorcontrib><creatorcontrib>Cai, Hejia</creatorcontrib><creatorcontrib>Peng, Fenglin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Zhengze</au><au>Yin, Yikun</au><au>Wang, Jialin</au><au>Zhang, Xingxing</au><au>Cai, Hejia</au><au>Peng, Fenglin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2023-02-06</date><risdate>2023</risdate><volume>20</volume><issue>4</issue><spage>2850</spage><pages>2850-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Chronic low back pain (CLBP) is a common health problem. Pilates is a unique exercise therapy. This meta-analysis aims to evaluate the efficacy of Pilates on pain, functional disorders, and quality of life in patients with chronic low back pain (CLBP).
PubMed, Web of Science, CNKI, VIP, Wanfang Data, CBM, EBSCO, and Embase were searched. Randomized controlled trials of Pilates in the treatment of CLBP were collected based on the inclusion and exclusion criteria. The meta-analysis was performed using RevMan 5.4 and Stata 12.2.
19 randomized controlled trials with a total of 1108 patients were included. Compared with the controls, the results showed the following values: Pain Scale [standard mean difference; SMD = -1.31, 95%CI (-1.80, -0.83),
< 0.00001], Oswestry Disability Index (ODI) [mean difference; MD = -4.35, 95%CI (-5.77, -2.94),
< 0.00001], Roland-Morris Disability Questionnaire (RMDQ) [MD = -2.26, 95%CI (-4.45, -0.08),
= 0.04], 36-item Short-Form (SF-36) (Physical Function (PF) [MD = 5.09, 95%CI (0.20, 9.99),
= 0.04], Role Physical (RP) [MD = 5.02, 95%CI (-1.03, 11.06),
= 0.10], Bodily Pain (BP) [MD = 8.79, 95%CI (-1.57, 19.16),
= 0.10], General Health (GH) [MD = 8.45, 95%CI (-5.61, 22.51),
= 0.24], Vitality (VT) [MD = 8.20, 95%CI(-2.30, 18.71),
= 0.13], Social Functioning (SF) [MD = -1.11, 95%CI (-7.70, 5.48),
= 0.74], Role Emotional (RE) [MD = 0.86, 95%CI (-5.53, 7.25),
= 0.79], Mental Health (MH) [MD = 11.04, 95%CI (-12.51, 34.59),
= 0.36]), Quebec Back in Disability Scale (QBPDS) [MD = -5.51, 95%CI (-23.84, 12.81),
= 0.56], and the sit-and-reach test [MD = 1.81, 95%CI (-0.25, 3.88),
= 0.09].
This meta-analysis reveals that Pilates may have positive efficacy for pain relief and the improvement of functional disorders in CLBP patients, but the improvement in quality of life seems to be less obvious.
PROSPERO CRD42022348173.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36833545</pmid><doi>10.3390/ijerph20042850</doi><orcidid>https://orcid.org/0000-0002-7708-2089</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Back pain Backache Care and treatment Clinical trials Collaboration Confidence intervals Drug therapy Exercise Low back pain Mental health Meta-analysis Methods Pain Physical fitness Physical therapy Pilates Quality of life Software Sports injuries Statistical analysis Systematic Review Vertebrae |
| title | Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis |
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