Vpliv pilates vadbe pri osebah s kronično nespecifično bolečino v spodnjem delu hrbta – pregled literature : diplomsko delo

Kodrnja, Natalija (author), Palma, Polona (mentor), Hiti, Nina (reviewer)

Uvod: Kronična nespecifična bolečina v spodnjem delu hrbta predstavlja drugi najpogostejši vzrok invalidnosti. To je bolečina , ki traja 12 tednov ali več, brez znanega patoanatomskega vzroka. Pri posameznikih s kronično nespecifično bolečino v spodnjem delu hrbta so mišice trupa manj zmogljive, zmanjšana je tudi gibljivost hrbtenice, kar lahko vodi do večje odsotnosti na delovnem mestu. Pilates vadba ponovno okrepi mišice jedra, izboljša zmogljivost mišic trupa ter zagotavlja večjo stabilizacijo ledvenega dela hrbtenice, kar pozitivno vpliva na zmanjšanje bolečin. Namen: Namen diplomskega dela je bil na podlagi pregleda znanstvene in strokovne literature ugotoviti učinke pilates vadbe na zmanjšanje bolečine in izboljšanje kvalitete življenja pri posameznikih s kronično nespecifično bolečino v spodnjem delu hrbta. Metode dela: Uporabljena je bila deskriptivna metoda dela. Iskanje literature je potekalo v podatkovnih zbirkah PubMed in ScienceDirect. Uporabljene so bile naslednje ključne besede in besedne zveze v angleškem jeziku: pilates, quality of life, low back pain, chronic low back pain. Rezultati: V pregled literature je bilo vključenih 7 raziskav, v katerih je skupno sodelovalo 425 preiskovancev s potrjeno kronično nespecifično bolečino v spodnjem delu hrbta, ki je trajala tri mesece ali več. Vadbeni programi so trajali od 6 do 8 tednov. V eksperimentalni skupini se je bolečina statistično pomembno zmanjšala v šestih raziskavah, v treh raziskavah so ugotovili statistično pomembno zmanjšanje bolečine med skupinama. Pri ocenjevanju kvalitete življenja so v treh raziskavah ugotovili statistično pomembne razlike med skupinama v izboljšanju kvalitete življenja, v eni raziskavi se je kvaliteta življenja pomembno izboljšala v obeh skupinah. Statistično pomembno izboljšanje ravnotežja med skupinama so ugotovili v dveh raziskavah, medtem ko je v eni raziskavi prišlo do statistično pomembnega izboljšanja statičnega ravnotežja v kontrolni skupini. Razprava in zaključek: Pregled randomiziranih kontroliranih raziskav je pokazal, da pilates vadba učinkovito zmanjša bolečino in invalidnost ter izboljša ravnotežje pri posameznikih s kronično nespecifično bolečino v spodnjem delu hrbta. Rezultati potrjujejo, da je pilates vadba varna in učinkovita metoda, ki jo lahko uporabljamo kot dopolnilo pri fizioterapevtski obravnavi posameznikov s kronično nespecifično bolečino v spodnjem delu hrbta.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, pilates, kvaliteta življenja, kronična bolečina v spodnjem delu hrbtenice
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [N. Kodrnja]
• Year: 2025
• Number of pages: 30 str.
• PID: 20.500.12556/RUL-170995
• UDC: 615.8
• COBISS.SI-ID: 243970819
• Publication date in RUL: 25.07.2025

Secondary language

• Language: English
• Title: The effect of pilates exercises on people with chronic non-specific low back pain - literature review : diploma work

Abstract

Introduction: Chronic non-specific low back pain is the second most common cause of disability. Chronic non-specific pain lasting for 12 weeks or longer without a known pathoanatomical cause. Individuals with chronic non-specific low back pain have reduced trunk muscle capacity and limited spinal mobility, which can lead to increased absenteeism from work. Pilates exercises strengthen the core muscles, improve core muscle performance and provide better stabilization of the lumbar spine, which has a positive effect on pain relief. Purpose: The aim of the diploma thesis was to determine the effects of Pilates exercises on pain reduction and quality of life improvement in individuals with chronic non-specific low back pain based on a review of the scientific and professional literature. Methods: A descriptive research method was used. The literature search was conducted in electronic databases such as PubMed and ScienceDirect. The following keywords and terms in English were used: pilates, quality of life, low back pain, chronic low back pain. Results: Seven studies were included in the literature review, involving 425 subjects with chronic non-specific low back pain lasting more than three months. The studies investigated the effects of Pilates exercises on chronic, non-specific low back pain. The exercise programs lasted between 6 and 8 weeks. In the experimental group, there was a statistically significant reduction in pain in six studies, and in three studies there was a statistically significant reduction in pain between the two groups. In the assessment of quality of life, statistically significant differences in the improvement of quality of life between the groups were found in three studies. In one study, the quality of life improved significantly in both groups. Statistically significant improvements in balance between the groups were found in two studies, while in one study there was a statistically significant improvement in static balance in the control group. Discussion and conclusion: A review of randomized controlled trials found that Pilates exercise is effective in reducing pain and disability and improving balance in people with chronic non-specific low back pain. The results confirm that Pilates exercise is a safe and effective method that can be used as an adjunct to physiotherapy treatment for people with chronic non-specific low back pain.

• Keywords: diploma theses, physiotherapy, pilates, quality of life, chronic low back pain