Effects of a six-week Pilates intervention on balance and fear of falling in women aged over 65 with chronic low-back pain: A randomized controlled trial

David Cruz-Díaz; Antonio Martínez-Amat; Manuel J De la Torre-Cruz; Rafael A Casuso; Nicolás Mendoza Ladrón de Guevara; Fidel Hita-Contreras

doi:10.1016/j.maturitas.2015.07.022

Effects of a six-week Pilates intervention on balance and fear of falling in women aged over 65 with chronic low-back pain: A randomized controlled trial

Maturitas. 2015 Dec;82(4):371-6. doi: 10.1016/j.maturitas.2015.07.022. Epub 2015 Aug 3.

Authors

David Cruz-Díaz¹, Antonio Martínez-Amat¹, Manuel J De la Torre-Cruz², Rafael A Casuso¹, Nicolás Mendoza Ladrón de Guevara³, Fidel Hita-Contreras⁴

Affiliations

¹ Department of Health Sciences, Faculty of Health Sciences, University of Jaén, E-23071 Jaén, Spain.
² Department of Psychology, University of Jaén, E-23071 Jaén, Spain.
³ Department of Obstetrics and Gynecology, Faculty of Medicine, University of Granada, 18071 Granada, Spain.
⁴ Department of Health Sciences, Faculty of Health Sciences, University of Jaén, E-23071 Jaén, Spain. Electronic address: fhita@ujaen.es.

PMID: 26277254
DOI: 10.1016/j.maturitas.2015.07.022

Abstract

Objective: The purpose of our study was to evaluate the effects of six weeks of Pilates regarding functional balance, fear of falling and pain in community living women older than 65 years old with chronic low-back pain.

Study design: A single blind controlled randomized trial of six weeks of Pilates in addition to physiotherapy treatment (n=50) vs. physiotherapy treatment alone (n=47) was conducted on 97 community living women (71.14 ± 3.30 years) with chronic low-back pain (CLBP).

Main outcome measures: Main outcome measures were fear of falling (FoF), assessed by the Falls Efficacy Scale-international; functional mobility and balance, measured with the Timed up and Go Test; and pain, evaluated using the numeric rating scale.

Results: Only the Pilates group showed improvement in FoF (ES; d=.68) and functional mobility and balance (ES; d=1.12) after treatment, and also had better results in pain (ES; d=1.46) than the physiotherapy-only group.

Conclusions: Six weeks of Pilates exercises may be effective in fall prevention through the improvement of FoF, functional balance, and pain in Spanish women over 65 years old with CLBP.

Keywords: Balance; Chronic low back pain; Fall prevention; Fear of falling; Older; Pilates.

Publication types

Randomized Controlled Trial

MeSH terms

Accidental Falls / prevention & control
Aged
Chronic Pain / therapy*
Exercise Movement Techniques* / methods
Exercise Movement Techniques* / psychology
Exercise Test
Exercise Therapy / methods*
Exercise Therapy / psychology
Fear
Female
Humans
Low Back Pain / therapy*
Pain Measurement
Postural Balance*
Single-Blind Method