Improving muscle function and quality of life in women with chronic low back pain through combined self-myofascial release and Pilates: A randomized clinical trial (CONSORT)

BACKGROUND: Chronic low back pain (CLBP) is a common condition causing discomfort in daily life, emphasizing the need for effective therapeutic interventions. Pilates exercises reduce low back pain and improve muscle function, making them a safe and more effective approach to rehabilitation when combined with myofascial release. This study examines the combined impact of self-myofascial release and Pilates exercises on pain, muscle function, and quality of life in women with CLBP. METHODS: This study design is a single-blind, randomized, 2-arm, parallel clinical trial. The study recruited 32 women with CLBP and randomly assigned to combination group and Pilates group, which involved only Pilates exercises. Over a period of 6 weeks, both groups engaged in their respective exercise programs under professional supervision, with a home-based exercise routine. RESULTS: Results from the study indicate that both exercise interventions significantly reduced pain, and improved muscle function and quality of life. Especially, the self-myofascial release and Pilates group exhibited more pronounced improvements in pain reduction and muscle stiffness, likely due to the combined effect of myofascial release and Pilates exercises. CONCLUSION: These findings suggest that incorporating the self-myofascial release with Pilates may enhance the therapeutic benefits for individuals with CLBP. The use of both targeted myofascial release and structured exercise regimens could be considered a viable strategy for the rehabilitation of CLBP.