The hypothesis is that the prior use of interferential current may improve exercise performance and collaborate with better clinical results, since patients with chronic low back pain have more difficulty performing the exercises due to pain and fear of a new, painful experience. The secondary objective will be to evaluate if the treatment changes specific disability, kinesiophobia and global perceived effect in the short- and medium-term, and pain and disability in the medium-term. Therefore, the primary objective of this study will be to evaluate whether the association of interferential current with Pilates exercises changes pain and disability in patients with nonspecific chronic low back pain in the short-term. However, current evidence on the efficacy of the association of interferential current therapy and supervised exercise, such as the Pilates method, are lacking. Studies have shown that analgesic electrical currents, whether of low or medium frequency, may reduce pain in patients with chronic low back pain in the short-term. This theory suggests that stimulation of afferent fibers of large diameter (Aβ) promotes the activation of local inhibitory circuits of the dorsal horn of the spinal cord and thus, prevents the pain impulses carried by small diameter fibers (C and Aδ) to reach higher centers. Currently, there is a lack of studies investigating the mechanisms of analgesic action of interferential current, but the theory most often cited to explain the modulation of pain by interferential current is the gate control theory. The interferential current is an alternating electric current of medium frequency and with amplitude-modulated at a low frequency. However, the Pilates method showed an equal effect compared to other forms of exercise and massage therapy, although these results are still conflicting.Īnother resource widely used in clinical practice, as an adjunct in the treatment of low back pain, is the interferential current. The review concluded that Pilates method exercises show a statistically significant improvement in pain and disability in the short-term and a clinically significant improvement in pain compared to usual care and physical activities.
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A recent systematic review aimed to provide an update on the effectiveness of the Pilates method in the treatment of patients with chronic low back pain, as several relevant clinical trials were published in the last months. There are several systematic reviews on the use of the Pilates method in the treatment of low back pain, however the results on the effects of this technique are still conflicting. The Pilates method of exercise is among the array of exercises available for the physical therapy practice. However, the most effective type of exercise is still unclear. Supervised exercise therapy has been recommended by clinical practice guidelines as an effective intervention for the treatment of people with chronic low back pain. In the United States, it is estimated that the direct and indirect costs for treating this condition is about 84.1 to 624.8 billion dollars therefore, it is a disease of great socioeconomic impact and the search for the most effective treatment is essential. In addition to the global prevalence estimated in 31%, low back pain is one of the four most common diseases around the world and is the leading cause of years lived with disability in developed countries. It is known that the shorter the period of chronicity of the low back pain, the greater the patient’s improvement regarding pain and disability. The prognosis is considered moderately favorable, since 41% of the patients will be recovered by the end of the 12 months. Hollie, who runs a London Pilates Studio and also provides home training and hosts the Bun in The Oven podcast, reccomended assisted roll downs to help soothe a headache.Nonspecific low back pain is characterized by a mechanical pain of musculoskeletal origin, which lasts more than 12 weeks with no defined cause. “It’s important we find a balance between strengthening the muscles that are weak in the neck and shoulders (that just don’t show up to help support you) and relax and calm down the muscles that end up showing up too much (this should help reduce aches and pains).” Hollie, who also detailed “one of the best” exercises to soothe back pain, went on: “We know that our sedentary lives have a lot to answer for when it comes to posture, and sitting at desks, looking down at phones, and generally spending too much time inactive, does not go hand in hand with a strong body. “They have also found that Pilates really helps reduce the severity or regularity of them.” “Anecdotally, however, I train many clients who feel that tension in their neck and shoulders, or poor posture when sat at their desks, can lead to, or exacerbate their headaches.
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