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ORIGINAL ARTICLE
Year : 2019  |  Volume : 1  |  Issue : 2  |  Page : 79-88

Comparative effect of mat pilates and egoscue exercises in asymptomatic individuals with lumbar hyperlordosis: A randomized controlled trial


Department of Orthopedic Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India

Correspondence Address:
Dr. Peeyoosha Gurudut
KAHER Institute of Physiotherapy, Belagavi, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijptr.ijptr_38_19

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Context: Correcting lumbar hyperlordosis, a main cause of back pain, will reduce the stress on the lumbar spine thereby preventing future problems in back and lower limb. Clinical trials are lacking where mat Pilates, Egoscue exercises and lumbar stabilization exercises are compared for their effect on spinal malalignment. Aims: This study aims to compare the effectiveness of Pilates, Egoscue, and lumbar stabilization exercises for reducing hyperlordosis angle in asymptomatic individuals with lumbar hyperlordosis. Settings and Study Design: A randomized controlled trial conducted on volunteer participants from Health Science University of Belagavi. Materials and Methods: Asymptomatic individuals with lumbar hyperlordosis (n = 51) were randomly allocated to Pilates, Egoscue and Lumbar stabilization groups. Outcomes assessed were index of lumbar lordosis, pelvic tilt, and tolerance to exercise performance which was measured at baseline and after 4 weeks. Results: There was significant reduction in the hyperlordosis score (P < 0.001) in the three study groups when compared for pre-and post-intervention scores. However, more reduction was seen in the Pilates and Egoscue groups compared to the lumbar stabilization. Pilates and Egoscue groups were equally effective in Lumbar lordosis angle (P = 0.68) and pelvic tilt (P = 0.51). Participants of Pilates group graded the exercises with superior tolerance to performance (P < 0.0006) than Egoscue and Lumbar stabilization. Conclusion: Pilates group and Egoscue group were equally effective and superior to lumbar stabilization group in correction of hyperlordosis. Further, ease of performance of exercise was rated high for Pilates than the Egoscue exercise. These exercises should be included by the clinicians in preventive or corrective rehabilitation towards spinal posture malalignments.


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