بررسي اثر تمرينات پيلاتز بر درد و كنترل ثبات كمر در كمردرد مزمن غير اختصاصي

Evaluation of Effectiveness the Pilates Exercise on Pain and Iumbopelvic Stability in Non Specific Chronic LBP

The role of trunk muscles especially Transverses abdominis and Multifidus in lumbar spinal stability has been discovered. The Spinal column is a basement for limbs that are inherently unstable and muscular partnership dependent. This partnership depends on the existence of one efficient movement control system that has the potency for precise appointment of spine stability condition and subsequently reactions movement control system. Any changes in this system may cause a LBP in person and vice versa. Therefore it is important that an efficient exercise regimen instruct to train these muscles and improvement function of control system. The purpose of this of single blind randomized controlled trial study is to investigate the efficacy of a specific therapeutic exercise approach based on Pilates exercise on pain and stability of lumbopelvic. 32 nurses between with the non specific chronic low back pain were randomly entered into control group and Pilates group. The exercise- training group undertook six week program of exercises. The quality and perceived intensity of pain were assessed using the visual analogue scales (VAS), McGill Pain Questionnaire (MPQ) and pressure biofeedback to assess stability of lumbopelvic. Data analysis was performed using paired T-Test, Independent T- Test. A significant reduction in pain intensity (P=.0001) and Improved stability (P=.0001) was seen in the training group. The control group showed no significant differences in the same measures post intervention. Between the Pilates and Control groups has significantly difference in pain intensity (P=.0001) and in Improved stability (P=.0001). These data suggest that Pilatesʹ specific core stability exercise with multiaspect benefits can used as a complement method in non-specific chronic low back pain.