Article

Pilates exercise is recommended for people with chronic low back pain
(CLBP). In the literature, however, Pilates exercise is described and applied
differently to treat people with CLBP. These differences in the definition and
application of Pilates exercise make it difficult to evaluate its effectiveness.
The aim of this study was to establish consensus regarding the
definition and application of Pilates exercise to treat people with CLBP.
METHODS: A panel of Australian physical therapists who are experienced in
treating people with CLBP using Pilates exercise were surveyed using the Delphi
technique. Three electronic questionnaires were used to collect the respondents'
opinions. Answers to open-ended questions were analyzed thematically, combined
with systematic literature review findings, and translated into statements about
Pilates exercise for people with CLBP. Participants then rated their level of
agreement with these statements using a 6-point Likert scale. Consensus was
achieved when 70% of the panel members strongly agreed, agreed, or somewhat
agreed (or strongly disagreed, disagreed, or somewhat disagreed) with an item.
RESULTS: Thirty physical therapists completed all 3 questionnaires and reached
consensus on the majority of items. Participants agreed that Pilates exercise
requires body awareness, breathing, movement control, posture, and education. It
was recommended that people with CLBP should undertake supervised sessions for 30
to 60 minutes, twice per week, for 3 to 6 months. Participants also suggested
that people with CLBP would benefit from individualized assessment and exercise
prescription, supervision and functional integration of exercises, and use of
specialized equipment. LIMITATIONS: Item consensus does not guarantee the
accuracy of findings. This survey reflects the opinion of only 30 physical
therapists and requires validation in future trials. CONCLUSION: These findings
contribute to a better understanding of Pilates exercise and how it is utilized
by physical therapists to treat people with CLBP. This information provides
direction for future research into Pilates exercise, but findings need to be
interpreted within the context of study limitations.
CI - (c) 2014 American Physical Therapy Association.

Langue : ANGLAIS