Preventing chronic low back pain: investigating the role of Pilates in subacute management—a randomized controlled trial

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dc.contributor.authorAsik, Hatice Kübra
dc.contributor.authorSahbaz, Tu?ba
dc.date.accessioned2026-01-31T15:04:20Z
dc.date.available2026-01-31T15:04:20Z
dc.date.issued2025
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractBackground: Subacute low back pain (LBP) is a critical phase that can determine long-term patient outcomes. Exercise therapy, including Pilates, is widely used to manage LBP, but its effectiveness in the subacute phase remains underexplored. This randomized controlled trial aims to compare the effects of an 8-week Pilates-based intervention versus a home exercise program on pain intensity, functional disability, and quality of life in patients with subacute LBP. Methods: Sixty-six participants with subacute LBP were randomized into two groups: a supervised Pilates group and a home exercise group. Pain intensity (Visual Analog Scale), functional disability (Roland-Morris Disability Questionnaire), and quality of life (Short Form-36) were assessed at baseline, post-intervention, and 3-month follow-up. Results: Both groups exhibited significant improvements in all outcome measures (p < 0.001). However, the Pilates group showed superior reductions in pain intensity (p = 0.010 post-treatment, p = 0.002 at follow-up) and functional disability (p = 0.009 and p = 0.002). Additionally, quality of life scores improved more significantly in the Pilates group, particularly in physical function (p = 0.031 and p = 0.025) and general health (p = 0.005 and p = 0.012). Conclusions: Pilates-based rehabilitation was more effective than a home exercise program in improving pain, disability, and quality of life in patients with subacute LBP. These findings support the inclusion of Pilates in early-stage rehabilitation to prevent chronicity. Trial registration: Clinical Trials Number: NCT06699511. © The Author(s) 2025.
dc.description.sponsorshipTürkiye Bilimsel ve Teknolojik Araştırma Kurumu, TUBITAK
dc.identifier.doi10.1007/s11845-025-03939-y
dc.identifier.endpage956
dc.identifier.issn0021-1265
dc.identifier.issue3
dc.identifier.pmid40183915
dc.identifier.scopus2-s2.0-105001996317
dc.identifier.scopusqualityQ1
dc.identifier.startpage949
dc.identifier.urihttps://doi.org/10.1007/s11845-025-03939-y
dc.identifier.urihttps://hdl.handle.net/20.500.12662/10498
dc.identifier.volume194
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofIrish Journal of Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20260128
dc.subjectExercise
dc.subjectLow back pain
dc.subjectQuality of life
dc.titlePreventing chronic low back pain: investigating the role of Pilates in subacute management—a randomized controlled trial
dc.typeArticle

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