To Assess the Effect of Modified Pilates Compared to Conventional Core Stabilization Exercises on Pain and Disability in Chronic Non-specific Low Back Pain- Randomized Controlled Trial

Introduction: Spinal Stabilization exercises are found to be very effective in the management of Low Back Pain (LBP). Pilates, a mind body conditioning exercise, is one kind of spinal Stabilization exercise.

Objectives: To compare the effectiveness of Modified Pilates with Conventional Core Stabilization exercises in chronic non-specific low back pain (CNSLBP)

Materials and Method: A total of 33 subjects with CNSLBP were randomly allocated to 2 study groups. The experimental group received Modified Pilates and Hot Moist Pack (HMP), the Control group received Conventional Core exercises and HMP for a period of 2 weeks, both of which were supervised. The outcome measures were assessed in terms of Roland Morris Disability Questionnaire and Visual Analouge Scale pre and post intervention. Patients were also given instructions to tuck in their abdominals while doing their daily functional activities in order to maintain a neutral spine position.

Result: The study showed significant change in the intensity of Pain (Experimental Z=3.30; Control Z=3.58, p<0.001) and between group comparison (U=4.22, p<0.001). There was a significant improvement of disability in within group (Experimental Z=3.52; Control Z=3.52, p<0.001) and between group comparison (U=4.46, p<0.001).

Conclusion: Modified Pilates group showed much more improvement in pain and faster recovery than the conventional core group.