Document Type : Research Paper



The aim of this study was to investigate the effect of Pilates exercises on disability and abdominal and back muscle strength in patients with chronic low back pain caused by disc herniation. 30 male and female patients with chronic low back pain due to disc herniation were divided into experimental and control groups. The experimental group underwent six weeks pilates exercises; whereas the control group received conventional treatment at the same time. Questionnaire Oswestry,Straight leg raising test and Dynamometer test were used to assess variables disability, abdominal muscle endurance and back muscle endurance, respectively Analysis of covariance test was used to analyze the data. Results showed that the pilates exercises for six weeks caused a significant reduction in disability and a significant increase in abdominal muscle strength and back muscles strength the experimental group than the control group. Hence, cautious prescription of pilates exercises for these patients would be beneficial.


1. Ahmadi-Pour, M. (2008). The Effect of Isometric Exercise on Increases Strength Muscles Flexor and Extensor Spine with Students with Low Back Pain. Master Thesis. Kharazmi University. In Persian
2. Anderson, B. D. (2005). Randomized Clinical Trial Comparing Active Versus Passive Approaches to the Treatment of Recurrent and Chronic Low Back Pain. Master Thesis. University of Miami.
3. Anderson, B. D. Spector, A. (2000). Introduction to Pilates-based Rehabilitation. Orthopaedic Physical Therapy Clinics of North America. 9 (3): 395-410
4. Atri, B. Shafie, M. (2007). Pilates exercises (based on Science Contrology). First Edition .Publications of Taliya.148. In Persian
5. Banigol, F. (2008). Comparison of Two Methods Pilates and Williams Exercise on Chronic Low Back Pain. Master Thesis. Tehran University. In Persian
6. Bejdi, F. (2002). Comparison of Average Abdominal Muscles During Exercise in Healthy Subjects and Patients with Chronic Low Back Pain. Master Thesis. University of Social Welfare and Rehabilitation Sciences. In Persian
7. Campbell, C. Muncer, S. J. (2005). The Causes of Low Back Pain:a Network Analysis. Social Science & Medicine. 60 (2):409- 419.
8. Eyigor, S. Sertpoyraz, S. (2009). Comparison of Isokinetic Exercise Versus Standard Exercise Training in Patients With Chronic Low Back Pain: a Randomized Controlled Study. Clinical Rehabilitation. 23:238-247.
9. Frahpour, N. Marvi-Esfahani, M. (2004). Effect of the Exercise Therapy on Performance of the Proprioceptive System in Patients with Chronic Low Back Pain. Journal of Mazandaran University of Medical Sciences. 14 (42):51-61. In Persian
10. Gard, G. Gille, K. A. Grahn, B. (2000). Functional Activities and Psychosocial Factors in the Rehabilitation of Patients with Low Back Pain. Scandinavian Journal of Caring Sciences. 14(2): 75- 81.
11. Ghaderi, F. (2001). Effects of Active Spinal Stablizition Exercises on Lumbar Muscle Performace in Sagital Plane in Healthy Subjects. Master Thesis. Faculty of Rehabilitation Iran University of Medical Sciences. In Persian
12. Golpaygani, M. Mahdavi, S. Moradi, L. (2013). The Effects of a Pilates Training Program on the Function and Pain of Patients with Disc Herniation with Lumbosciatalgia. Sport Medicine. 10:41-53. In Persian
13. Kameli-Pour, Z. (2011). The Relationship between Muscle Strength and Endurance of Trunk Extensor with Chronic Low Back Pain and Compare them in Healthy Women and Patients with Chronic Low Back Pain. Master Thesis. University of Tehran. In Persian
14. Krause, D. A. Youdas, J. W. Hollman J. H. Smith, J. (2005). Abdominal Muscle Performance as Measured by the Double Leg-lowering Test. Archives of Physical Medicine and Rehabilitation. 86:1345-1348.
15. Limburg, P. J. Sinaki, M. Rogers, J. W. Caskey, P. E. Pierskalla, B. K. (1991). A Useful Technique for Measurement of Back Strength in Osteoporotic and Elderly Patients. Mayo Clinic Proceedings. 66(1):39-44.
16. Mannion, A. F. Adams, M. A. Cooper, R. G. Dolan, P. (1999). Prediction of Maximal Back Muscle Strength From Indices of Body Mass and Fat-free Body Mass. Rheumatology. 38:652-655.
17. Maul, I. Doumas, M. Praamstra, P. Wing, A. M. (2005). Long Term Effects of Supervised Physical Training in Secondary Prevention of Low Back Pain. European Spine Journal. 14:599-611.
18. Maul, I. Laubli, T. Klipstein, A. Kraeger, H. (2003). Course of Low Back Pain Among Nurses: a Longitudinal Study Across Eight Years. Occupational and Environmental Medicine London Journal. 60 (7): 497-503.
19. Moffett, J. K. Newbronner, E. Waddell, G. Croucher, K. Spear, S. (2000). Public Perceptions a Bout Low Back Pain and its Manage Men: a Gap between Expectations and Reality. Health Expectations. 3 (3):161-169.
20. Moradi, L. (2010) .The Impact of a Short Period of Pilates Exercise on Pain and Function in Patients Herniated Disc with Lumbociatalgia symptoms. Master Thesis. Arak University. In Persian
21. Nachemson, A. Waddell, G. Norlund, A. l. (2000). Epidemiology of Neck and Low Back Pain. Neck and Back Pain: the Scientific Evidence of Causes, Diagnosis and Treatment. Philadelphia: Lippincott Williams & Wilkins. 165.
22. Panahi, S. (1990). Study of 2500 Cases of Herniated Disc Operated in Tabriz. Medical Journal of Tabriz University of Medical Sciences. 12 (24):11-23. In Persian
23. Plastanga, N. Field, D. Soames, R. (1998). Anatomy & Human Movement: Stracture and Function. 3th ed. Oxford. Butterworth- Heinemann. 189-201.
24. Rydeard, R. Leger, A. Smith, D. (2006). Pilates–based Therapeutic Exercise: Effect on Subjects with Nonspecific Chronic Low Back Pain and Functional Disability a Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy. 36:472-84.
25. Samadi, H. Rajabi, R. Minoonejad, H. Shahi, Y. Samadi, F. (2011). Comparison of pain, disability and psychological effects of chronic low back pain in women before and after a period of stabilization exercise. Olympic. 18(2):125-134. In Persian
26. Searle, S. Meeus, C. (2001). Secrets of Pilates. 2th ed. Great Britain. 224.
27. Sekendiza, B. Altuma, O. Korkusuza, F. (2007). Effects of Pilates Exercise on Trunk Strength, Endurance and Flexibility in Sedentary Adult Females. Journal of Bodywork and Movement Therapies. 11:318-326.
28. Sorosky, S. Stilp, S. Akuthota, V. (2008). Yoga and Pilates in the Management of Low Back Pain. Movement Therapies. 2(1):39-47.
29. Spengler, DM. (2000). Lumbar Disc Herniation. Campbell's Orthopaedic Surgery. 3nd ed. Philadelphia: Lippincott Williams & Wilkins. 2(9):365-74.
30. Tsauo, J. Y. Chen, W. H. Liang, H. W. Jang, Y. (2009). The Effectiveness of a Functional Training Programme for Patients With Chronic Low Back Pain - a Pilot Study. Disability and Rehabilitation. 31(13):1100-1106.
31. Wilson, T. Evans, L. (2004). At the Core, Pilates Exercise Can Help Eliminate Back Pain. Advance for Directors in Rehabilitation. 3(2):45-59