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Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis

Author

Listed:
  • Zhengze Yu

    (College of Physical Education and Health, Guangxi Normal University, Guilin 541006, China)

  • Yikun Yin

    (College of Physical Education and Health, Guangxi Normal University, Guilin 541006, China)

  • Jialin Wang

    (College of Physical Education and Health, Geely University of China, Chengdu 641432, China
    Institute of Sports Medicine and Health, Chengdu Sport University, Chengdu 610041, China)

  • Xingxing Zhang

    (College of Physical Education and Health, Guangxi Normal University, Guilin 541006, China)

  • Hejia Cai

    (College of Physical Education and Health, Guangxi Normal University, Guilin 541006, China)

  • Fenglin Peng

    (College of Physical Education and Health, Guangxi Normal University, Guilin 541006, China)

Abstract

Background: 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). Methods: 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. Results: 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), p < 0.00001], Oswestry Disability Index (ODI) [mean difference; MD = −4.35, 95%CI (−5.77, −2.94), p < 0.00001], Roland–Morris Disability Questionnaire (RMDQ) [MD = −2.26, 95%CI (-4.45, −0.08), p = 0.04], 36-item Short-Form (SF-36) (Physical Function (PF) [MD = 5.09, 95%CI (0.20, 9.99), p = 0.04], Role Physical (RP) [MD = 5.02, 95%CI (−1.03, 11.06), p = 0.10], Bodily Pain (BP) [MD = 8.79, 95%CI (−1.57, 19.16), p = 0.10], General Health (GH) [MD = 8.45, 95%CI (−5.61, 22.51), p = 0.24], Vitality (VT) [MD = 8.20, 95%CI(−2.30, 18.71), p = 0.13], Social Functioning (SF) [MD = −1.11, 95%CI (−7.70, 5.48), p = 0.74], Role Emotional (RE) [MD = 0.86, 95%CI (−5.53, 7.25), p = 0.79], Mental Health (MH) [MD = 11.04, 95%CI (−12.51, 34.59), p = 0.36]), Quebec Back in Disability Scale (QBPDS) [MD = −5.51, 95%CI (−23.84, 12.81), p = 0.56], and the sit-and-reach test [MD = 1.81, 95%CI (−0.25, 3.88), p = 0.09]. Conclusions: 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. Registration: PROSPERO CRD42022348173.

Suggested Citation

  • Zhengze Yu & Yikun Yin & Jialin Wang & Xingxing Zhang & Hejia Cai & Fenglin Peng, 2023. "Efficacy of Pilates on Pain, Functional Disorders and Quality of Life in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(4), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:2850-:d:1059223
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    References listed on IDEAS

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    1. Éva Csepregi & Zsuzsanna Gyurcsik & Ilona Veres-Balajti & Attila Csaba Nagy & Zoltán Szekanecz & Sándor Szántó, 2022. "Effects of Classical Breathing Exercises on Posture, Spinal and Chest Mobility among Female University Students Compared to Currently Popular Training Programs," IJERPH, MDPI, vol. 19(6), pages 1-22, March.
    2. M. Cochrane & E. Mitchell & W. Hollingworth & E. Crawley & D. Trépel, 2021. "Cost-effectiveness of Interventions for Chronic Fatigue Syndrome or Myalgic Encephalomyelitis: A Systematic Review of Economic Evaluations," Applied Health Economics and Health Policy, Springer, vol. 19(4), pages 473-486, July.
    3. Dhananjaya Sutanto & Robin S. T. Ho & Eric T. C. Poon & Yijian Yang & Stephen H. S. Wong, 2022. "Effects of Different Trunk Training Methods for Chronic Low Back Pain: A Meta-Analysis," IJERPH, MDPI, vol. 19(5), pages 1-39, March.
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