Perceived benefits, rationale and preferences of exercises utilized within Pilates group exercise programmes for people with chronic musculoskeletal conditions: A questionnaire of Pilates-trained physiotherapists.
musculoskeletal
physiotherapy
qualitative research
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
19
03
2019
revised:
02
04
2019
accepted:
02
04
2019
pubmed:
28
5
2019
medline:
15
8
2020
entrez:
25
5
2019
Statut:
ppublish
Résumé
An estimated 29% of the population, around 17.8 million people, live with a musculoskeletal condition in the UK. Pilates exercise has positive benefits, including reducing pain and disability for people with musculoskeletal conditions. The aim of the present study was to explore the views of Pilates-trained physiotherapists in relation to the perceived benefits of, and clinical reasoning for, exercise prescription in Pilates classes. A qualitative approach was taken to both data collection and analysis, using a thematic framework. Data were collected via electronic questionnaires using open-ended questions. Participants included 15 Pilates-trained physiotherapists who regularly ran Pilates exercise classes within seven private physiotherapy clinics for people with a range of chronic musculoskeletal conditions. The results were organized into six main themes: Perceived benefits 1: Improved function and increased levels of activity. Perceived benefits 2: Improved ability to manage their musculoskeletal condition autonomously; Efficacy of group Pilates exercise; Optimum combination of exercises used within a class; Physiotherapist rationale for the most effective exercises; Precautions with specific exercises. The study was the first to investigate perceived benefits, rationale and preference for choice of exercise among Pilates-trained physiotherapists. Physiotherapists felt that the Pilates classes facilitated an active lifestyle and self-management approach. They used a combination of exercises in each class to address all the main muscle groups, but some had specific exercise preferences related to the patients' needs. Exercises were linked to evidence around neuromuscular control, direction preference and biomechanical principles.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
206-214Informations de copyright
© 2019 John Wiley & Sons, Ltd.
Références
Aladro-Gonzalvo, A. R., Araya-Vargas, G. A., Machado-Diaz, M., & Salazar-Rojas, W. (2012). Pilates-based exercise for persistent, non-specific low back pain and associated functional disability: A meta-analysis with meta-regression. Journal of Bodywork and Movement Therapies, 7, 125-136. https://doi.org/10.2522/ptj.20150404
Arthritis Research UK. (2013). Osteoarthritis in general practice. Retrieved from https://www.arthritisresearchuk.org/arthritis-information/data-and-statistics/state-of-musculoskeletal-health.aspx
Arthritis Research UK. (2017). Providing physical activity interventions for people with musculoskeletal conditions. Arthritis Research UK: Department of Health. Public Health England.
Bradbury, K., Bishop, F., & Yardley, L. (2012). Patients' appraisals of public and private healthcare: A qualitative study of physiotherapy and osteopathy. Journal of Health Psychology, 18, 1307-1318. https://doi.org/10.1177/1359105312465101
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 79.
Brooks, C., Kennedy, S., & Marshall, P. W. (2012). Specific trunk and general exercise elicit similar changes in anticipatory postural adjustments in patients with chronic low back pain: A randomized controlled trial. Spine, 37, 543-550. https://doi.org/doi:10.1097/BRS.0b013e31826feac0
Burr, J., Shephard, R., Cornish, S., Vatanparast, H., & Chilibeck, P. (2012). Arthritis, osteoporosis and low back pain: Evidence-based clinical risk assessment for physical activity and exercise clearance. Canadian Family Physician, 58, 59-62. PMCID: PMC3264014PMID: 22267624
Byrnes, K., Wu, P. J., & Whillier, S. (2018). Is Pilates an effective rehabilitation tool? A systematic review. Journal of Bodywork and Movement Therapies, 22, 192-202. https://doi.org/10.1016/j.jbmt.2017.04.008
Choi, B., & Pak, A. (2005). A catalogue of biases in questionnaires. Preventing Chronic Disease, 2, A13. Retrieved from http://www.cdc.gov/pcd/issues/2005/jan/04_0050.htm
Dankaerts, W., & O'Sullivan, P. (2011). The validity of O'Sullivan's classification system for a subgroup of motor control impairment (MCI). Overview of a series of studies and review of literature. Manual Therapy, 16, 9-14. https://doi.org/10.1186/s12891-016-0986-y
Darlow, B., Fullen, B. D., Dean, S., Hurlwy, S., Baxter, G., & Dowell, A. (2012). The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management and outcomes of patients with low back pain: A systematic review. European Journal of Pain, 16, 3-17. https://doi.org/10.1016/j.ejpain.2011.06.006
Department of Health. (2011). UK physical activity guidelines. Adults 10-64. GOV.UK. https://doi.org/10.3390/healthcare5040085
Gardner, T., Refshauge, K., Smith, L., McAuley, J., Hubscher, M., & Goodall, S. (2017). Physiotherapists' beliefs and attitudes influence clinical practice in chronic low back pain: A systematic review of quantitative and qualitative studies. Journal of Physiotherapy, 63, 32-143. https://doi.org/10.1016/j.jphys.2017.05.01
Gaskell, L., & Williams, A. E. (2018). A qualitative study of the experiences and perceptions of adults with chronic musculoskeletal conditions following a 12-week Pilates exercise programme. Musculoskeletal Care, 9, 1-9. https://doi.org/10.1002/msc.1365
Global Burden of Disease Study GBD Data Resources (2016). Incidence prevalence and years lived with disability 1990-2016. Seattle, WA: Health Metrics and Evaluation ghdx.healthdata.org/gbd.
Hayden, J. A., van Tulder, M. W., & Tomlinson, G. (2005). Systematic review: Strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of Internal Medicine, 142, 776-785. https://doi.org/10.7326/0003-4819-142-9-200505030-00014
Hefford, C. (2008). McKenzie classification of mechanical spinal pain: Profile of syndromes and directions of preference. Manual Therapy, 13, 75-81. https://doi.org/10.1016/j.math.2006.08.005
Henschke, N., Maher, C. G., Refshauge, K. M., Herbert, R. D., Cumming, R. G., Bleasel, J., … McAuley, J. H. (2008). Prognosis in patients with recent onset low back pain in Australian primary care: Inception cohort study. BMJ, 337, a171. https://doi.org/10.1136/bmj.a171
Hochberg, M. C., Altman, R. D., Apri, l. K. T., Benkhalti, M., Guyatt, G., McGowan, J., … American College of Rheumatology (2012). American College of Rheumatology recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care and Research, 64, 465-474. https://doi.org/10.1002/acr.21596
Hsu, C., & Sandford, B. A. (2007). The Delphi technique: Making sense of consensus. Practical Assessment, Research & Evaluation, 12, 1-8. Retrieved from https://pareonline.net/getvn.asp?v=12&n=10
Jones, R. (2007). Strength of evidence in qualitative research. Journal of Clinical Epidemiology, 60, 321-323. https://link.springer.com/protocol/10.1007/978-1-59745-385-1_12
Karlsson, L., Gerdle, B., Takala, E. P., Andersson, G., & Larsson, B. (2018). Experiences and attitudes about physical activity and exercise in patients with chronic pain: A qualitative interview study. Journal of Pain Research, 11, 133-144. https://doi.org/10.2147/JPR.S149826
Keeney, S., Hasson, F., & McKenna, H. (2011). The Delphi technique in nursing and health research. Chichester: Wiley-Blackwell.
Legard, R., Keegan, J., & Ward, K. (2003). In-depth interviews. In J. Ritchie, & J. Lewis (Eds.), Qualitative research practice: A guide for social science students and researchers (pp. 139-169). London: Sage.
Lim, E. C. W., Poh, R. L. C., Low, A. Y., & Wong, W. P. (2011). Effects of Pilates-based exercises on pain and disability in individuals with persistent nonspecific low back pain: A systematic review with meta-analysis. Journal of Orthopaedic and Sports Physical Therapy, 41, 70-80. https://doi.org/10.1371/journal.pone.0100402
Littlewood, C., Mawson, S., May, S., & Walters, S. (2015). Understanding the barriers and enablers to implementation of a self-managed exercise intervention: A qualitative study. Physiotherapy, 101, 279-285. https://doi.org/10.1016/j.physio.2015.01.001
Lokman, M. (2006). E-mail interviewing in qualitative research: A methodological discussion. Journal of the Association for Information Science and Technology, 57, 1284-1295. https://doi.org/10.1002/asi.20416
Macedo, L. G., Latimer, J., Maher, C. G., Hodges, P. W., McAuley, J. H., Nicholas, M. K., … Stafford, R. (2012). Effect of motor control exercises versus graded activity in patients with chronic nonspecific low back pain: A randomized control trial. Physical Therapy, 92, 363-377. https://doi.org/10.2522/ptj.20110290
Metcalfe, C., Lewin, R., Wisher, S., Perry, S., Bannigan, K., & Moffett, J. K. (2001). Barriers to implementing the evidence base in four NHS therapies: Dietitians, occupational therapists, physiotherapists, speech and language therapists. Physiotherapy, 87, 433-441. https://doi.org/10.1016/S0031-9406(05)65462-4
O'Sullivan, P. (2005). Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism. Manual Therapy, 10, 242-255. https://www.ncbi.nlm.nih.gov/pubmed/16154380. https://doi.org/10.1016/j.math.2005.07.001
Portney, L., & Watkins, M. P. (2009). Foundations of clinical research: Applications to practice (3rd ed.). Upper Saddle River, NJ: Pearson Education.
Slade, S., Patel, S., Underwood, M., & Keating, J. (2015). What are patient beliefs and perceptions about exercise for non-specific chronic low back pain: A systematic review of qualitative research. Physiotherapy, 101, 1407. https://doi.org/10.1016/j.physio.2015.03.1359
Smith, J., & Osborn, M. (2015). Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain. British Journal of Pain, 9(1), 41-42. https://doi.org/10.1177/2049463714541642
Smyth, J. D., Dillman, D., Christian, L. M., & McBride, M. (2009). Open-ended questions in web surveys: Can increasing the size of answer boxes and providing extra verbal instructions improve response quality? Public Opinion Quarterly, 73, 325-337. https://doi.org/10.1371/journal.pone.0123483
Stenner, R., Swinkels, A., Mitchell, T., & Palmer, S. (2016). Exercise prescription for patients with non-specific chronic low back pain: A qualitative exploration of decision making in physiotherapy practice. Physiotherapy, 102, 332-338. https://doi.org/10.1016/j.physio.2015.05.004
von Korff, M., & Miglioretti, D. L. (2005). A prognostic approach to defining chronic pain. Pain, 117, 304-313. https://doi.org/10.1016/j.pain.2005.06.017
Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., … Murray, C. J. L. (2010). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: A systematic analysis for the Global Burden of Disease Study. Lancet, 380(9859), 2163-2196. https://doi.org/10.1016/S0140-6736(12)61729-2
Wang, X. Q., Zheng, J. J., Yu, Z. W., Bi, X., Lou, S. J., Liu, J., … Chen, P. J. (2012). A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS ONE, 7, e52082. https://doi.org/10.1371/journal.pone.0052082
Wells, C., Kolt, G. S., Marshall, P., & Bialocenkowski, A. (2014a). Indications, benefits, and risks of Pilates exercise for people with chronic low back pain: A Delphi survey of Pilates-trained physical therapists. Physical Therapy, 94, 806-817. https://doi.org/10.2522/ptj.20130568
Wells, C., Kolt, G. S., Marshall, P., & Bialocerkowski, A. (2014b). The definition and application of Pilates exercise to treat people with chronic low back pain: A Delphi survey of Australian physical therapists. Physical Therapy, 94, 792-805. https://doi.org/10.1371/journal.pone.0100402
Wells, C., Kolt, G. S., Marshall, P., Hill, B., & Bialocerkowski, A. (2013). Effectiveness of Pilates exercise in treating people with chronic low back pain: A systematic review of systematic reviews. BMC Medical Research Methodology, 13, 7. https://doi.org/10.1371/journal.pone.0100402
World Confederation for Physical Therapy. (2012). Physical therapy, physical activity and health. Retrieved from Source: www.cmaj.ca/cgi/content/full/174/6/801
World Health Organization (2009). Global health risks: Mortality and burden of disease attributable to selected major risks. Bulletin of the World Health Organization, 87, 646.
Yamato, T., Maher, C. G., Saragiotto, B. T., Hancock, M. J., Ostelo, R. W., Cabral, C. M., … Costa, L. O. (2015). Pilates for low back pain. Cochrane Collaboration, (7), 1-72. https://doi.org/10.1002/14651858.CD010265.pub2