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Vol. 22. Num. 6.01 November 2018
Pages 435-526
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Vol. 22. Num. 6.01 November 2018
Pages 435-526
Original Research
DOI: 10.1016/j.bjpt.2018.04.004
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
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Katherinne Ferro Moura Franco
Corresponding author
katherinneferro@gmail.com

Corresponding author at: Katherinne Ferro Moura Franco, Rua Cesário Galeno 475, Tatuapé, CEP: 03071-000, São Paulo, SP, Brazil.
, Yuri Rafael dos Santos Franco, Naiane Teixeira Bastos de Oliveira, Rosimeire Simprini Padula, Cristina Maria Nunes Cabral
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil
Highlights

  • Progression through the difficulty levels of Pilates exercises is empirically guided by the therapist.

  • It is important to identify which factors may slow or improve this progression.

  • Factors such as pain and disability do not slow the progression of exercise.

  • Previous physical activity, educational level, age and number of absences slow the progression.

  • Therapists should use this information when progressing exercises.

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Tables (2)
Table 1. Characteristics of participants at baseline (n=139).
Table 2. Predictive factors that influenced the progression through the difficulty levels of Pilates exercises.
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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.

Keywords:
Exercise movement techniques
Chronic low back pain
Exercise progression

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