Effectiveness of Pilates-Based Exercises in Reducing Pain and Disability in Individuals with Nonspecific Chronic Low Back Pain

Exploring the Therapeutic Impact of Pilates in Musculoskeletal Rehabilitation

Abstract

Background:
Chronic low back pain (CLBP) is a widespread musculoskeletal condition that often lacks a clear pathological diagnosis, making effective treatment challenging. Pilates-based exercises have emerged as a promising therapeutic approach, focusing on core stability, posture, and pain relief.

Objectives:
This study aims to evaluate physical therapists’ perceptions of the efficacy of Pilates-based exercises in managing non-specific CLBP. By collecting insights from experienced practitioners, the study seeks to strengthen the evidence base for Pilates as a rehabilitative intervention.

Methods:
A cross-sectional survey was conducted among licensed physical therapists experienced in using Pilates for CLBP. Using purposive sampling, 184 participants were selected. The survey assessed perceived outcomes of Pilates interventions, and data were analyzed using paired t-tests to determine the significance of reported improvements.

Results:
Of the 184 participants, 50% were aged 21–30 years, with a near-equal gender distribution (52.7% female, 47.3% male). Most respondents (54.8%) had 0–5 years of physiotherapy experience. Statistical analysis revealed significant improvements (p < 0.05) associated with Pilates interventions, including reductions in pain, enhanced core strength, flexibility, functional mobility, and postural alignment. These findings reflect a positive consensus among physical therapists regarding Pilates' role in CLBP management.

Conclusion:
Physical therapists perceive Pilates-based exercises as an effective treatment for non-specific CLBP. The reported improvements support the integration of Pilates into clinical protocols, emphasizing its value in enhancing patient outcomes. This study contributes to evidence-based practice by highlighting the therapeutic benefits of Pilates from the viewpoint of practicing clinicians.

Keywords:
Chronic low back pain, Pilates-based exercises, physical therapy, perceived effectiveness, pain management.