Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial
Chronic nonspecific low back pain (CNLBP) is the most common musculoskeletal condition, which can be influenced by nociceptive, psychosocial, cognitive, and affective aspects, causing vulnerabilities and impairing the individual's ability to manage pain. The association of continuous shortwave...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Divulgação Científica
2023-03-01
|
| Series: | Brazilian Journal of Medical and Biological Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2023000100619&tlng=en |
| _version_ | 1797866740193951744 |
|---|---|
| author | S. Amaral A.C. Pássaro R.A. Casarotto |
| author_facet | S. Amaral A.C. Pássaro R.A. Casarotto |
| author_sort | S. Amaral |
| collection | DOAJ |
| description | Chronic nonspecific low back pain (CNLBP) is the most common musculoskeletal condition, which can be influenced by nociceptive, psychosocial, cognitive, and affective aspects, causing vulnerabilities and impairing the individual's ability to manage pain. The association of continuous shortwave diathermy (CSWD) with Pilates-based exercises may contribute to reduce pain, depression, and anxiety in patients with CNLBP. A single-blind randomized clinical trial was performed in which 36 patients with CNLBP were divided into a control group that received placebo CSWD and an intervention group that received active CSWD. Both groups received 12 sessions of Pilates-based exercises. Pain, depression, and anxiety variables were evaluated using the McGill questionnaire, the Beck Depression Inventory, and the Visual Analog Anxiety Scale. Assessments were performed at baseline, after three and six weeks of treatment, and at the three-month follow-up. The Shapiro-Wilk test, Student's t-test, Mann-Whitney U test, chi-squared test, and repeated measures ANOVA, with α=0.05, were used to compare the outcomes, and indicated that active CSWD did not present additional improvement in the assessed variables in CNLBP patients compared to the placebo group. Both groups improved pain and depression at follow-up and reduced anxiety only during Pilates-based exercises. Therefore, only Pilates-based exercises seemed sufficient to manage patients with CNLBP. |
| first_indexed | 2024-04-09T23:29:04Z |
| format | Article |
| id | doaj.art-e2d28141d81747b8b1cc73e8a20bc31c |
| institution | Directory Open Access Journal |
| issn | 1414-431X |
| language | English |
| last_indexed | 2024-04-09T23:29:04Z |
| publishDate | 2023-03-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-e2d28141d81747b8b1cc73e8a20bc31c2023-03-21T07:31:13ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2023-03-015610.1590/1414-431x2023e12338Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trialS. Amaralhttps://orcid.org/0000-0002-0356-1140A.C. Pássarohttps://orcid.org/0000-0001-9345-3284R.A. Casarottohttps://orcid.org/0000-0003-2852-2401Chronic nonspecific low back pain (CNLBP) is the most common musculoskeletal condition, which can be influenced by nociceptive, psychosocial, cognitive, and affective aspects, causing vulnerabilities and impairing the individual's ability to manage pain. The association of continuous shortwave diathermy (CSWD) with Pilates-based exercises may contribute to reduce pain, depression, and anxiety in patients with CNLBP. A single-blind randomized clinical trial was performed in which 36 patients with CNLBP were divided into a control group that received placebo CSWD and an intervention group that received active CSWD. Both groups received 12 sessions of Pilates-based exercises. Pain, depression, and anxiety variables were evaluated using the McGill questionnaire, the Beck Depression Inventory, and the Visual Analog Anxiety Scale. Assessments were performed at baseline, after three and six weeks of treatment, and at the three-month follow-up. The Shapiro-Wilk test, Student's t-test, Mann-Whitney U test, chi-squared test, and repeated measures ANOVA, with α=0.05, were used to compare the outcomes, and indicated that active CSWD did not present additional improvement in the assessed variables in CNLBP patients compared to the placebo group. Both groups improved pain and depression at follow-up and reduced anxiety only during Pilates-based exercises. Therefore, only Pilates-based exercises seemed sufficient to manage patients with CNLBP.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2023000100619&tlng=enShortwave therapyExercise and movement techniquesBackacheRandomized controlled clinical trialPhysiotherapy |
| spellingShingle | S. Amaral A.C. Pássaro R.A. Casarotto Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial Brazilian Journal of Medical and Biological Research Shortwave therapy Exercise and movement techniques Backache Randomized controlled clinical trial Physiotherapy |
| title | Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial |
| title_full | Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial |
| title_fullStr | Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial |
| title_full_unstemmed | Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial |
| title_short | Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial |
| title_sort | effect of the association of continuous shortwave diathermy and pilates based exercises on pain depression and anxiety in chronic non specific low back pain a randomized clinical trial |
| topic | Shortwave therapy Exercise and movement techniques Backache Randomized controlled clinical trial Physiotherapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2023000100619&tlng=en |
| work_keys_str_mv | AT samaral effectoftheassociationofcontinuousshortwavediathermyandpilatesbasedexercisesonpaindepressionandanxietyinchronicnonspecificlowbackpainarandomizedclinicaltrial AT acpassaro effectoftheassociationofcontinuousshortwavediathermyandpilatesbasedexercisesonpaindepressionandanxietyinchronicnonspecificlowbackpainarandomizedclinicaltrial AT racasarotto effectoftheassociationofcontinuousshortwavediathermyandpilatesbasedexercisesonpaindepressionandanxietyinchronicnonspecificlowbackpainarandomizedclinicaltrial |