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Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability: A Randomized Controlled Trial Authors: Rochenda Rydeard, PT, MSc1, Andrew Leger, PT, PhD2, Drew Smith, PhD3 Affiliations: 1 Graduate student (at time of study), School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. 2 Educational Developer, Centre for Teaching and Learning, Queen's University, Canada; Assistant Professor (at time of study), School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. 3 Senior Lecturer, Department of Sport and Exercise Science, The University of Auckland, Auckland, New Zealand; Assistant Professor (at time of study), Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China. Published: Journal of Orthopaedic & Sports Physical Therapy, 2006 Volume:36 Issue:7 Pages:472–484 DOI: 10.2519/jospt.2006.2144

A Comparison of the Effects of Pilates and McKenzie Training on Pain and General Health in Men with Chronic Low Back Pain: A Randomized Trial. Hasanpour-Dehkordi A1, Dehghani A2, Solati K3. Indian J Palliat Care. 2017 Jan-Mar;23(1):36-40. doi: 10.4103/0973-1075.197945. Abstract BACKGROUND: Today, chronic low back pain is one of the special challenges in healthcare. There is no unique approach to treat chronic low back pain. A variety of methods are used for the treatment of low back pain, but the effects of these methods have not yet been investigated adequately. AIM: The aim of this study was to compare the effects of Pilates and McKenzie training on pain and general health of men with chronic low back pain. MATERIALS AND METHODS: Thirty-six patients with chronic low back pain were chosen voluntarily and assigned to three groups of 12 each: McKenzie group, Pilates group, and control group. The Pilates group participated in 1-h exercise sessions, three sessions a week for 6 weeks. McKenzie group performed workouts 1 h a day for 20 days. The control group underwent no treatment. The general health of all participants was measured by the General Health Questionnaire 28 and pain by the McGill Pain Questionnaire. RESULTS: After therapeutic exercises, there was no significant difference between Pilates and McKenzie groups in pain relief (P = 0.327). Neither of the two methods was superior over the other for pain relief. However, there was a significant difference in general health indexes between Pilates and McKenzie groups. CONCLUSION: Pilates and McKenzie training reduced pain in patients with chronic low back pain, but the Pilates training was more effective to improve general health. KEYWORDS: Chronic back pain; Mckenzie training; Pilates training; general health; pain

Trunk Muscle EMG During Intermediate Pilates Mat Exercises in Beginner Healthy and Chronic Low Back Pain Individuals. Pereira ILR1, Queiroz B1, Loss J2, Amorim C3, Sacco ICN4. J Manipulative Physiol Ther. 2017 Apr 13. pii: S0161-4754(17)30055-6. doi: 10.1016/j.jmpt.2017.02.010. [Epub ahead of print] Abstract OBJECTIVE: The purpose of this study was to compare the electromyographic pattern of core muscles during intermediate Pilates mat exercises between healthy people and those with low back pain. METHODS: We evaluated healthy participants (n = 19; mean ± standard deviation [SD]: age 28 ± 8 years, body mass 65 ± 10 kg, height 160.0 ± 9.1 cm) and a low back pain group (n = 13; mean ± SD: age 30 ± 9 years, body mass 67 ± 12 kg, height 170.0 ± 6.6 cm). Electromyographic analysis assessed the multifidus, external oblique, internal oblique, and rectus abdominis muscles during classical Pilates exercises (single leg stretch, criss-cross, and dead bug). We calculated the root mean square normalized by maximum voluntary contraction, and the time of peak activation was provided by a linear envelope and normalized by the total movement cycle. RESULTS: The criss-cross exercise presented the highest values of root mean square for trunk flexors (rectus abdominis and oblique) compared with the other exercises, followed by the single leg stretch and the dead bug, which had similar muscle activation. The single leg stretch presented more activation of the rectus abdominis and oblique, whereas the criss-cross and dead bug created more activation of the oblique compared with the multifidus and rectus. CONCLUSIONS: The Pilates exercises presented different muscle recruitment patterns, and allowed the activation of the lumbopelvic stabilizing muscles even in the first session for healthy individuals and those with chronic low back pain. Copyright © 2017. Published by Elsevier Inc. KEYWORDS: Electromyography; Exercise Therapy; Low Back Pain; Pilates-Based Exercises; Rehabilitation