3 years ago

Predictive factors for progression through the difficulty levels of Pilates exercises in patients with low back pain: a secondary analysis of a randomized controlled trial

Katherinne Ferro Moura Franco, Yuri Rafael Dos Santos Franco, Naiane Teixeira Bastos De Oliveira, Rosimeire Simprini Padula, Cristina Maria Nunes Cabral

Publication date: Available online 17 April 2018

Source: Brazilian Journal of Physical Therapy

Author(s): Katherinne Ferro Moura Franco, Yuri Rafael dos Santos Franco, Naiane Teixeira Bastos de Oliveira, Rosimeire Simprini Padula, Cristina Maria Nunes Cabral

Abstract
Background

The progression through the difficulty levels of Pilates exercises is a subjective criterion, that depends on the therapist's experience and ability to identify the best moment to progress to the next level.

Objective

To identify the factors that interfere in the progression through the difficulty levels of the Pilates exercises in patients with chronic nonspecific low back pain.

Methods

Data from 139 patients with chronic nonspecific low back pain from a randomized controlled trial were used for statistical analysis using binary logistic regression. The dependent variable was the progression through the difficulty levels, and the independent variables were age, gender, educational level, low back pain duration, pain intensity, general disability, kinesiophobia, previous physical activity, and number of absences.

Results

The factors that interfered in the progression through the difficulty levels were previous physical inactivity (odds ratio [OR] = 5.14, 95% confidence interval [CI]: 1.53–17.31), low educational level (OR = 2.62, 95% CI: 1.12–6.10), more advanced age (OR = 0.95, 95% CI: 0.92–0.98) and more absences (OR = 0.63, 95% CI: 0.50–0.79). These variables explain 41% of the non-progression through the difficulty level of the exercises.

Conclusion

Physical inactivity, low educational level, more advanced age and greater number of absences can be interfering factors in the progression through the difficulty levels of the Pilates exercises in patients with chronic nonspecific low back pain.

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