【論文摘要】Effects of a Tailored Pilates Exercises on Lumbo-Pelvic Alignment in Nonspecific Low Back Pain Patients: A Radiographic Investigation

【論文摘要】探討客製化彼拉提斯運動對非特異性下背痛患者腰椎骨盆排列之影響－以放射線影像為例

黃晴(Ching Huang) ； 謝悅齡(Yueh-Ling Hsieh) ； 周立偉(Li-Wei Chou) ； 簡温原(Andy Chien)

《物理治療》 43卷4期 (2018/12) Pp. 297-298

https://doi.org/10.6215/FJPT.201812.O04

摘要

Background and Purpose: Pilates exercise is becoming a popular choice of intervention for nonspecific low back pain (NSLBP) patients due to its claimed long-term benefits in improving postural alignment and spinal stability. However, the true efficacy of Pilates remained controversial due to the lack of empirical evidence. Current study therefore aims to examine the effects of a tailored Pilates exercise on radiographically determined spino-pelvic alignment as well as its correlational relationship with spinal range of motion and patient self-reported outcomes. Methods: A total of 15 NSLBP patients, aged 20-65 years, were recruited and each receiving 6-8 weeks of symptom-tailored Pilates exercise. All participants were evaluated at pre- and immediately post-intervention and followed up again at 6-month. At each of the assessment point, participants were asked to complete the Roland-Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI) questionnaire. Dynamic X-rays were also taken in order to radiographically determine the global and segmental lumbar range of motion as well as a comprehensive battery of lumbo-pelvic parameters including lumbar lordosis (LL), pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), lumbosacral angle (LSA), sacral inclination (SI), and sacral table angle (STA). Results: No significant differences was found for any of the radiographic parameters, however, both RMDQ and ODI revealed significant improvements immediately post-intervention and at the 6-month follow-up. Conclusion: Patient perceived long-term benefits of Pilates exercises failed to be translated to radiographic outcome measures. Clinical Relevance: Results indicated that contrary to previous anecdotal evidence, patient perceived benefits of Pilates exercises does not necessary correspond to a change in their lumbo-pelvic alignment and an ongoing study assessing other possible underlying mechanisms is currently underway.