Machine-Based Pilates on Quality of Life and Low Back Pain in Older Adults (Pilates-LBP)
Feasibility and Preliminary Outcomes of a Machine-Based Pilates Program on Quality of Life and Low Back Pain in Aged Adults: A Mixed-Methods Approach
調査の概要
詳細な説明
The study is designed as an exploratory, quasi-experimental, single-arm pilot study. Participants presenting with moderate disability caused by low back pain (Oswestry Disability Index = 21% to 40%) will undergo a structured exercise protocol utilizing the Classical Pilates method on machines in a one-on-one setting. The intervention spans 12 weeks, consisting of two individual 50-minute sessions per week.
The pedagogical structure is divided into two distinct Classical approach components: the "Skeleton" (core base exercises on the Reformer and Mat) and the "System" (adaptations and specific exercises on auxiliary equipment like the Wunda Chair, Cadillac, and Barrels). Exercise progression is individualized based on biomechanical control, absence of pain, and ability to maintain a neutral lumbopelvic position. Resistance is modified primarily via adjustable springs on the equipment. Exercise intensity is strictly monitored using the Talk Test to ensure a light-to-moderate exertion level suitable for the geriatric demographic.
Assessments are conducted at baseline and post-intervention (12 weeks) using the WHOQOL-Bref for quality of life and the Oswestry Disability Index Version 2.0 for low back pain disability. Additionally, a qualitative focus group will be conducted post-intervention with a subsample of participants to capture contextual insights regarding mobility, psychosocial benefits, and daily habit integration.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
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Leiria District
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Leiria、Leiria District、ポルトガル、2411-901
- Instituto Politécnico de Leiria
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Aged between 55 and 75 years.
- Physically active in daily routines.
- No previous experience with machine-based Pilates.
- Presenting with moderate disability (Oswestry Disability Index = 21% to 40%) caused by low back pain.
Exclusion Criteria:
- Absolute contraindications to physical exercise.
- Severe spinal pathologies (e.g., hernias requiring surgery, severe osteoporosis, idiopathic scoliosis).
- Previous or scheduled spinal surgeries.
- Severe disability (Oswestry Disability Index > 41%).
- Chronic obstructive pulmonary disease.
- Recent stroke or myocardial infarction.
- Uncontrolled hypertension.
- Active oncological treatment.
- Physical therapy treatment for low back pain within the six months prior to the study.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Machine-Based Pilates Group
A 12-week program consisting of two individual 50-minute sessions per week.
The protocol integrates "Skeleton" exercises (Mat and Reformer) and "System" exercises (auxiliary equipment).
The periodization varies the positional stimulus (starting on Mat for the first 6 weeks, and starting on Reformer for the final 6 weeks).
Intensity is maintained at a light-to-moderate level, monitored continuously via the Talk Test.
|
A 12-week program consisting of two individual 50-minute sessions per week.
The protocol integrates "Skeleton" exercises (Mat and Reformer) and "System" exercises (auxiliary equipment).
The periodization varies the positional stimulus (starting on Mat for the first 6 weeks, and starting on Reformer for the final 6 weeks).
Intensity is maintained at a light-to-moderate level, monitored continuously via the Talk Test.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Quality of Life
時間枠：Baseline (Week 0) and Post-Intervention (Week 13).
|
Assessed using the World Health Organization Quality of Life Brief (WHOQOL-Bref) questionnaire.
It evaluates four domains: physical, psychological, social relationships, and environment.
Responses for each item are recorded on a five-point scale ranging from 1 (minimum) to 5 (maximum), and the total domain scores are transformed to a 0 to 100 scale, where 0 is the minimum possible score and 100 is the maximum possible score.
Higher scores indicate a better perceived quality of life.
|
Baseline (Week 0) and Post-Intervention (Week 13).
|
協力者と研究者
捜査官
- スタディディレクター：José Carlos Laranjo Marques、ESECS
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- CE/IPLEIRIA/62/2023
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
IPD 共有時間枠
IPD 共有アクセス基準
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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