Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Effect of Six Weeks of Pilate’s Rehabilitation Exercises on Disability, Trunk Flexibility, ‎Core Muscle Strength, and Endurance in Women with Lumber Disc Herniation

Document Type : Original Article

Authors
L Mosavi
H Fatahi
Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sports Sciences, Isfahan Azad University (Khorasgan), Isfahan, Iran
10.22038/jpsr.2023.61881.2330
Abstract
Purpose‌‌‌‌‌:
Low back pain is one of the most common, debilitating, and costly health problems. Repetitive movements, improper lifting of objects, obesity, severe trauma or aging can cause disc herniation. Disc herniation occurs when the disc comes out of place or protrudes and puts pressure on nearby nerves or nerve roots. The present study evaluated the effects of 6 weeks of Pilate’s rehabilitation exercises on disability, flexibility of the trunk, strength, and endurance of the core muscles in women with lumbar disc herniation.
Methods‌‌‌‌‌:
Thirty women with lumbar disc herniation were purposefully and randomly divided into two groups: experimental (n=15, age: 55.6 years; height: 1.61 meters; weight: 66.2 kg) and control (n=15, age: 56/4 years ; height: 1/7 meters ; weight: 67/4 kg). Disability, flexibility of the trunk, strength and endurance of the core muscles, were measured with the oswestery questionnaire, the Schubert test, the Hundred Pilates test, and the Planck McGill test, respectively. The experimental group performed Pilate’s rehabilitation exercises for 6 weeks, 3 sessions per week, and 60 minutes per session. Data were analysed using repeated measures analysis of variance and the Bonferroni post hoc test at a level of 5% error and using SPSS software version 22.
Results‌‌‌‌‌:
Pilates largely avoids high impact, high power output, and heavy muscular and skeletal loading. Pilates largely avoids high impact, high power output, and heavy muscular and skeletal loading.
Conclusion‌‌‌‌‌:
Due to the effective results of Pilates rehabilitation exercises, these exercises can probably be used to improve the symptoms of people with lumbar disc herniation. ‌‌‌‌‌
Keywords
Rehabilitation
Pilates
Disc herniation
Low back Pain ‎
  1. Adriana K, Beatriz C, Claudia M, Natali V. Pilates for rehabilitation in patients with multiple sclerosis: a systematic review of effects on cognitions, health-related physical fitness, general symptoms and quality of life. Journal of Body Work and Movement Therapies 2020: 24(2): 26-36.
  2. Limba da Fonseca J, Magini M, de Freitas T. Laboratory gait analysis in patients with low back pain before and after a Pilates intervention. J Sport Rehabil 2009; 18(2): 269-282.
  3. Machado GC, Maher CG, Ferreira PH, Latimer J, et al. Can recurrence after an acute episode of low back pain be predicted? Physical Therapy 2017; 97(9): 889-895.
  4. Hosseini Sisi Z, Sadeghi H. Anatomy of Pilates: Illustrated Guide to Working on Matt Exercise for Stability and Balance between Bodies, Tehran Publishing: Science and Movement 2014. [Persian]
  5. Paterson J. Teaching Pilates for Postural Faults, Illness and Injury 2009.
  6. Atlas SJ, Keller RB, Robson D, Deyo RA, Singer DE. Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the maine lumbar spine study. Spine 2000; 25(5): 556-562.
  7. Kamali S, Roshan Fekr A. 50 Golden Tips in Preventing and Improving Back Pain, Isfahan University Jihad Industrial Publishing; 2017: 35.  [Persian]
  8. Wellington K, Hsu Tyler J. Jenkins Editors. Spinal Conditions in the Athlete 2020.
  9. Wood S. Pilates for rehabilitation 2019; 229-230.
  10. Wu PJ, Byrnes K, Whillier S. Is Pilates an effective rehabilitation tool? A systematic review, Journal of Bodywork & Movement Therapies 2017; 22)1(: 192-202
  11. Hyun Moon Ji, Seung JP, Yun-A Sh.  The effects of the use of pilates Equipment during Pilates Hundred, Swimming Exercise on the Muscle Activation of Abdominal Muscles, Lumbar Erector Spinae, Gluteus of Lumbar Disc Disease Patients. Journal of Exercise Science 2019; 28(1): 41-48.
  12. Rajabi R, Samadi H. Corrective exercise laboratory 2019; 198-201 [Persian]
  13. Spokesperson, Sadoughi Nourabadi M, Sadoughi Nourabadi N, Hatami M. The effect of Pilates exercises on non-specific chronic low back pain and stable range of motion in women 40 to 60 years 2017; 108(25): 20-30. [Persian]
  14. Drake R, Vogl W, Mitchell A. Gray’s anatomy for students 2020.
  15. Joseph V, Pergolizzi JR, LeQuang JA.  Rehabilitation for low back pain a narrative review for managing pain and improving function in acute and chronic conditions. Pain Ther 2020; 9(1): 83-96.
  16. Eren M, Can F. Investigation of the Effects of Manuel Treatment in Physiotherapy- Rehabilitation of Patients with Chronic Low Back Pain, International Health Administration and Education (Sanitas Magisterium) 2020; 6(1): 24-41.
  17. Thaqala-ul-Islami, Hemmati Afif AS, Iran Doust ST, Taheri M. The effect of a Pilates training course on motor performance indicators and low back pain in elderly women 2018; 13(3):  396-405. [Persian]
  18. Nature J, Araujo Cazotti L, Ribeiro LH, Baptista AS. Pilates improves pain, function and quality of life in patients with chronic low back pain: A randomized controlled trial. Clinical Rehabilitation 2015; 29(1): 59-68.
  19. Oliveira LC, Guedes CA, Jassi FJ, Martini FAN, et al.  Effects of the Pilates method on variables related to functionality of a patient with a traumatic spondylolisthesis at L4-L5: A case study. Journal of Bodywork and Movement Therapies 2016; 20(1): 123-31.
  20. Shahrokhi M. The effect of 6 weeks of Pilates exercises on some factors of people with chronic low back pain caused by disc herniation, Allameh Tabatabai University 2013. 195929 [Persian]
  21. Rydeard R, Leger A, Smith D. Pilates-based therapeutic exercise: Effect on subjects with nonspecific chronic low back pain and functional disability; Arandomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy 2006; 36 )7(: 472-484.
  22. Jamali Brajani S, Rahnama N, Abrisham Kar S. The effect of 8 Pilates exercises on the central muscular endurance of the body and the range of motion of the lumbar spine in patients with spondylolysis. JPSR 2019; 8(1): 7-16. [Persian]
  23. Robinson L, Bradshaw L, Gardener N. The pilates bible. The most comprehensive and: accessible guide to pilates ever 2009.
  24. Shahrokhi M, Ebrahimi H, Baluchi R, Eslami R. The effect of 6 weeks of Pilates exercises on the amount of pain and endurance of the muscles of the abdomen and back of people with chronic low back pain caused by disc herniation, Razi Journal of Medical Sciences 2015; 22(135): 9-17. [Persian]
  25. Herrington L, Davies R. The influence of Pilates training on the ability to contract the transversus abdominis muscle in asymptomatic individuals. Journal of Bodywork and Movement Therapies 2005; 9(1): 52-57.
Journal of Paramedical Sciences & Rehabilitation
Volume 11, Issue 4
Winter 2023
Pages 51-63