Indications, Benefits, and Risks of Pilates Exercise for People With Chronic Low Back Pain: A Delphi Survey of Pilates-Trained Physical Therapists

Cherie WELLS, Gregory Kolt, Paul Marshall, Andrea Bialocerkowski

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    Background. The effectiveness of Pilates exercise for treating people with chronic low back pain (CLBP) is yet to be established. Understanding how to identify people with CLBP who may benefit, or not benefit, from Pilates exercise and the benefits and risks of Pilates exercise will assist in trial design. Objectives. The purpose of this study was to establish a consensus regarding the indications, contraindications, and precautions of Pilates exercise and the potential benefits and risks of Pilates exercise for people with CLBP. Methods. A panel of 30 Australian physical therapists experienced in the use of Pilates exercise were surveyed using the Delphi technique. Three electronic questionnaires were used to collect participant opinions. Answers to open-ended questions were analyzed thematically, combined with research findings, and translated into statements about Pilates exercise. Participants then rated their level of agreement with statements using a 6-point Likert scale. Consensus was achieved when 70% of panel members agreed or disagreed with an item. Results. Thirty physical therapists completed the 3 questionnaires. Consensus was reached on 100% of items related to the benefits, indications, and precautions of Pilates exercise, on 50% of items related to risks, and on 56% of items related to contraindications. Participants agreed that people who have poor body awareness and maladaptive movement patterns may benefit from Pilates exercise, whereas those with pre-eclampsia, unstable spondylolisthesis, or a fracture may not benefit. Participants also agreed that Pilates exercise may improve functional ability, movement confidence, body awareness, posture, and movement control. Limitations. The findings reflect the opinions of only 30 Australian physical therapists and not all health professionals nationally or internationally. These findings, therefore, need to be verified in future research trials. Conclusions. These findings contribute to a better understanding of the indications, contraindications, and precautions of Pilates exercise and the benefits and risks of Pilates exercise for people with CLBP. This information can assist in design of future trials examining the effectiveness of Pilates exercise.
    Original languageEnglish
    Pages (from-to)806-817
    Number of pages12
    JournalPhysical Therapy
    Volume94
    Issue number6
    DOIs
    Publication statusPublished - 2014

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    Physical Therapists
    Low Back Pain
    Exercise
    Surveys and Questionnaires
    Delphi Technique
    Spondylolisthesis
    Pre-Eclampsia
    Posture

    Cite this

    WELLS, Cherie ; Kolt, Gregory ; Marshall, Paul ; Bialocerkowski, Andrea. / Indications, Benefits, and Risks of Pilates Exercise for People With Chronic Low Back Pain: A Delphi Survey of Pilates-Trained Physical Therapists. In: Physical Therapy. 2014 ; Vol. 94, No. 6. pp. 806-817.
    @article{99e570ae60834fee947988486f78915f,
    title = "Indications, Benefits, and Risks of Pilates Exercise for People With Chronic Low Back Pain: A Delphi Survey of Pilates-Trained Physical Therapists",
    abstract = "Background. The effectiveness of Pilates exercise for treating people with chronic low back pain (CLBP) is yet to be established. Understanding how to identify people with CLBP who may benefit, or not benefit, from Pilates exercise and the benefits and risks of Pilates exercise will assist in trial design. Objectives. The purpose of this study was to establish a consensus regarding the indications, contraindications, and precautions of Pilates exercise and the potential benefits and risks of Pilates exercise for people with CLBP. Methods. A panel of 30 Australian physical therapists experienced in the use of Pilates exercise were surveyed using the Delphi technique. Three electronic questionnaires were used to collect participant opinions. Answers to open-ended questions were analyzed thematically, combined with research findings, and translated into statements about Pilates exercise. Participants then rated their level of agreement with statements using a 6-point Likert scale. Consensus was achieved when 70{\%} of panel members agreed or disagreed with an item. Results. Thirty physical therapists completed the 3 questionnaires. Consensus was reached on 100{\%} of items related to the benefits, indications, and precautions of Pilates exercise, on 50{\%} of items related to risks, and on 56{\%} of items related to contraindications. Participants agreed that people who have poor body awareness and maladaptive movement patterns may benefit from Pilates exercise, whereas those with pre-eclampsia, unstable spondylolisthesis, or a fracture may not benefit. Participants also agreed that Pilates exercise may improve functional ability, movement confidence, body awareness, posture, and movement control. Limitations. The findings reflect the opinions of only 30 Australian physical therapists and not all health professionals nationally or internationally. These findings, therefore, need to be verified in future research trials. Conclusions. These findings contribute to a better understanding of the indications, contraindications, and precautions of Pilates exercise and the benefits and risks of Pilates exercise for people with CLBP. This information can assist in design of future trials examining the effectiveness of Pilates exercise.",
    keywords = "EMTREE medical terms: adult, article, Australia, female, health survey, human, kinesiotherapy, low back pain, male, methodology, middle aged, physiotherapist, questionnaire, risk assessment, treatment outcome, MeSH: Adult, Exercise Movement Techniques, Female, Health Surveys, Humans, Low Back Pain, Male, Middle Aged, Physical Therapists, Questionnaires, Risk Assessment, Treatment Outcome, Medline is the source for the MeSH terms of this document.",
    author = "Cherie WELLS and Gregory Kolt and Paul Marshall and Andrea Bialocerkowski",
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    Indications, Benefits, and Risks of Pilates Exercise for People With Chronic Low Back Pain: A Delphi Survey of Pilates-Trained Physical Therapists. / WELLS, Cherie; Kolt, Gregory; Marshall, Paul; Bialocerkowski, Andrea.

    In: Physical Therapy, Vol. 94, No. 6, 2014, p. 806-817.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Indications, Benefits, and Risks of Pilates Exercise for People With Chronic Low Back Pain: A Delphi Survey of Pilates-Trained Physical Therapists

    AU - WELLS, Cherie

    AU - Kolt, Gregory

    AU - Marshall, Paul

    AU - Bialocerkowski, Andrea

    PY - 2014

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    N2 - Background. The effectiveness of Pilates exercise for treating people with chronic low back pain (CLBP) is yet to be established. Understanding how to identify people with CLBP who may benefit, or not benefit, from Pilates exercise and the benefits and risks of Pilates exercise will assist in trial design. Objectives. The purpose of this study was to establish a consensus regarding the indications, contraindications, and precautions of Pilates exercise and the potential benefits and risks of Pilates exercise for people with CLBP. Methods. A panel of 30 Australian physical therapists experienced in the use of Pilates exercise were surveyed using the Delphi technique. Three electronic questionnaires were used to collect participant opinions. Answers to open-ended questions were analyzed thematically, combined with research findings, and translated into statements about Pilates exercise. Participants then rated their level of agreement with statements using a 6-point Likert scale. Consensus was achieved when 70% of panel members agreed or disagreed with an item. Results. Thirty physical therapists completed the 3 questionnaires. Consensus was reached on 100% of items related to the benefits, indications, and precautions of Pilates exercise, on 50% of items related to risks, and on 56% of items related to contraindications. Participants agreed that people who have poor body awareness and maladaptive movement patterns may benefit from Pilates exercise, whereas those with pre-eclampsia, unstable spondylolisthesis, or a fracture may not benefit. Participants also agreed that Pilates exercise may improve functional ability, movement confidence, body awareness, posture, and movement control. Limitations. The findings reflect the opinions of only 30 Australian physical therapists and not all health professionals nationally or internationally. These findings, therefore, need to be verified in future research trials. Conclusions. These findings contribute to a better understanding of the indications, contraindications, and precautions of Pilates exercise and the benefits and risks of Pilates exercise for people with CLBP. This information can assist in design of future trials examining the effectiveness of Pilates exercise.

    AB - Background. The effectiveness of Pilates exercise for treating people with chronic low back pain (CLBP) is yet to be established. Understanding how to identify people with CLBP who may benefit, or not benefit, from Pilates exercise and the benefits and risks of Pilates exercise will assist in trial design. Objectives. The purpose of this study was to establish a consensus regarding the indications, contraindications, and precautions of Pilates exercise and the potential benefits and risks of Pilates exercise for people with CLBP. Methods. A panel of 30 Australian physical therapists experienced in the use of Pilates exercise were surveyed using the Delphi technique. Three electronic questionnaires were used to collect participant opinions. Answers to open-ended questions were analyzed thematically, combined with research findings, and translated into statements about Pilates exercise. Participants then rated their level of agreement with statements using a 6-point Likert scale. Consensus was achieved when 70% of panel members agreed or disagreed with an item. Results. Thirty physical therapists completed the 3 questionnaires. Consensus was reached on 100% of items related to the benefits, indications, and precautions of Pilates exercise, on 50% of items related to risks, and on 56% of items related to contraindications. Participants agreed that people who have poor body awareness and maladaptive movement patterns may benefit from Pilates exercise, whereas those with pre-eclampsia, unstable spondylolisthesis, or a fracture may not benefit. Participants also agreed that Pilates exercise may improve functional ability, movement confidence, body awareness, posture, and movement control. Limitations. The findings reflect the opinions of only 30 Australian physical therapists and not all health professionals nationally or internationally. These findings, therefore, need to be verified in future research trials. Conclusions. These findings contribute to a better understanding of the indications, contraindications, and precautions of Pilates exercise and the benefits and risks of Pilates exercise for people with CLBP. This information can assist in design of future trials examining the effectiveness of Pilates exercise.

    KW - EMTREE medical terms: adult

    KW - article

    KW - Australia

    KW - female

    KW - health survey

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    KW - kinesiotherapy

    KW - low back pain

    KW - male

    KW - methodology

    KW - middle aged

    KW - physiotherapist

    KW - questionnaire

    KW - risk assessment

    KW - treatment outcome

    KW - MeSH: Adult

    KW - Exercise Movement Techniques

    KW - Female

    KW - Health Surveys

    KW - Humans

    KW - Low Back Pain

    KW - Male

    KW - Middle Aged

    KW - Physical Therapists

    KW - Questionnaires

    KW - Risk Assessment

    KW - Treatment Outcome

    KW - Medline is the source for the MeSH terms of this document.

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    JO - Journal of the American Physical Therapy Association

    JF - Journal of the American Physical Therapy Association

    SN - 0031-9023

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