Reformer Pilates vs Conventional Physiotherapy in Chronic Low Back Pain
Comparison of Reformer Pilates Exercises and Conventional Physiotherapy on Pain, Disability and Quality of Life in Individuals With Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial
Uskudar University
36 participants
Feb 28, 2026
INTERVENTIONAL
Conditions
Summary
Non-specific chronic low back pain is one of the most prevalent musculoskeletal disorders worldwide and is associated with functional limitations and reduced quality of life. Exercise-based physiotherapy approaches are strongly recommended in clinical guidelines. Pilates exercises are frequently used due to their potential effects on core stability and movement control, while conventional physiotherapy remains a commonly applied treatment method. However, randomized controlled trials directly comparing these interventions are limited. This study aims to compare the short-term effects of reformer Pilates exercises and conventional physiotherapy on pain intensity, functional disability and health-related quality of life in individuals with non-specific chronic low back pain.
Eligibility
Inclusion Criteria5
- Individuals aged between 18 and 65 years
- Diagnosis of non-specific chronic low back pain lasting at least 12 weeks
- Average low back pain intensity ≥3 on the Numeric Rating Scale (NRS) during the last week
- Ability to participate in exercise sessions three times per week
- Providing written informed consent
Exclusion Criteria8
- Specific causes of low back pain (tumor, infection, inflammatory rheumatic disease, vertebral fracture)
- Radiculopathy or significant neurological deficits (progressive motor loss, severe sensory deficit, cauda equina syndrome)
- History of lumbar spine surgery within the past 6 months or current surgical indication
- Participation in regular Pilates or structured exercise programs within the last 3 months
- Severe cardiopulmonary disease or uncontrolled hypertension contraindicating exercise
- Pregnancy or early postpartum period
- Severe psychiatric or cognitive disorders affecting study compliance
- Participation in another physiotherapy or rehabilitation program during the study period
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Interventions
focusing on core stabilization, flexibility, posture, and muscle strength
Participants in the conventional physiotherapy group will receive a structured physiotherapy program consisting of electrotherapy modalities and therapeutic exercises. The treatment program will include superficial heat therapy, transcutaneous electrical nerve stimulation (TENS), and therapeutic ultrasound based on individual clinical needs. This will be followed by supervised stretching, strengthening, and lumbar stabilization exercises designed to improve trunk control and functional performance.
Locations(1)
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NCT07543952