To determine the effects of the Pilates
method for patients with nonspecific acute, subacute, or chronic low back pain
Summary of Background Data.
method is one of the most common forms of intervention based on exercise
used for treating patients with low back pain
. However, its effectiveness is not well established.
We conducted searches on CENTRAL, MEDLINE, EMBASE, CINAHL, PEDro, and SPORTDiscus up to March 2014. We included randomized controlled trials examining the effectiveness of Pilates
in patients with acute, subacute, or chronic nonspecific low back pain
. The outcomes evaluated were pain
, disability, function, and global impression of recovery. Two independent reviewers screened for potentially eligible studies, assessed risk of bias, and extracted the data. We evaluated the overall quality of evidence using the GRADE approach and treatment effect sizes were described using mean differences and 95% confidence intervals.
Searches retrieved 126 trials, of which 10 were included in the review (n = 510 participants). Seven studies were considered to have low risk of bias, and three were considered at high risk of bias. When compared to minimal intervention, Pilates
at short and intermediate term with low- to moderate-quality evidence and medium effect sizes. For disability, there is also a significant difference in favor to Pilates
with low- to moderate-quality evidence and small effect size for short term and medium effect size for intermediate term compared with minimal intervention. It is unclear whether Pilates
is better than other exercises for short-term pain
, but there is low-quality evidence that Pilates
at intermediate term. For disability, there is moderate-quality evidence that there is no significant difference between Pilates
and other exercises in either the short term or the intermediate term.
There is low- to moderate-quality evidence that Pilates
is more effective than minimal intervention with most of the effect sizes being considered medium. However, there is no conclusive evidence that Pilates
is superior to other forms of exercises.
Level of Evidence: 1