ISPInstitute page 6 Pilates Exercise or Stationary Cycling for Chronic Nonspecific Low Back Pain: Does it Matter? A Ran- domized Controlled Trial With 6 - If a patient with low back pain adheres to either specific trunk exercises or stationary cycling, they should show improvements. Specific core exercise showed better results in the first 8 wks! Month Follow-up Spine; 01 July 2013 Volume 38 Issue 15 p E952–E959 Objective . This is the companion study to a previous publication that presented 8 week pain, disability, and trunk muscle motor control results. The objective of this study was to compare the effect of 8 weeks of specific trunk exercises and stationary cycling on outcomes measures of catastrophizing and fear avoidance beliefs (FAB) in patients with chronic nonspecific low back pain, and provide 6 month outcome data for all self report measures. It is thought that any form of moderate to vigorous physical activity is sufficient to address catastrophizing and FAB, and concomitant levels of pain and disability. Methods. Sixty-four patients with low back pain were randomly assigned to 8 weeks of specific trunk exer- cise group (SEG), or stationary cycling group (CEG). Self rated pain, disability, catastrophizing and FAB scores were collected before, immediately after (8 wk), and 6 months after the training program. Clinically meaningful improvements were defined as greater than a 30% reduction from baseline in pain and disability scores. ―Intention to treat principles were used for missing data. Per protocol analysis was performed on participants who attended at least two thirds of the exercise sessions. Results . At 8 weeks, disability was significantly lower in the SEG compared with the CEG (d= 0.62,P 0.018). Pain was reduced from baseline in both the groups after training (P< 0.05), but was lower for the SEG ( P< 0.05). FAB scores were reduced in the SEG at 8 weeks, and in the CEG at 6 months. No between group differences in FAB scores were observed. Similar re- ductions in catastrophizing in each group were ob- served at each time point. At 6 months, the overall data pattern suggested no longterm difference between groups. Per protocol analysis of clinically meaningful improvements suggests no between group differences for how many patients are likely to report improvement. Conclusion. Inferential statistics suggest greater im- provements at 8 weeks, but not 6 months, for the SEG. Inspection of clinically meaningful changes based on a minimum level of adherence suggests no between- group differences. If a patient with low back pain ad- heres to either specific trunk exercises or stationary cycling, it is reasonable to think that similar improve- ments will be achieved.
Posted on: Sun, 18 Aug 2013 03:32:30 +0000
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