• Arun Kumar Tiwari
• Vidhi Singh
• Sonam Rai

ABSTRACT: Background and Purpose- Low back pain (LBP) in older persons is associated with specific age-related vlnerabilities. Among those 60 years of age or older, low back pain (LBP) is a notable health concern that frequently results in impairment. Because of age-related physical and psychological changes, older persons are more vulnerable to the development of specific LBP conditions or chronic LBP, even though the majority of LBP cases in this population lack specific identifiable reasons and tend to resolve on their own. Pain is a common problem in the elderly population and has been identified as a major risk factor for falls in this population. Individuals suffering from Low Back Pain (LBP) experience poor balance, which is an essential component of daily tasks. Therefore, the purpose of this study is to identify the effect of Pilates training on fear of fall, balance and gait speed in older adult with low back pain. Methods- 6O participants were included both male and female between 60 to 75 years of age. Divided into 2 groups, Pilate training group (n-30) and control group ( n- 30). Experimental group will receive the intervention, i.e., the Pilates training in the form of 35-40 minutes of multicomponent exercise programme .The training session will commence with a 5 minutes warm-up session and end with a 5 minutes cool-down session. The total duration of the programme is 45-50 min and given 3 times/week over a period of 6 weeks. The control group receive the ‘Fall Preventive Guidelines’ handouts as control. Outcome measure include BBS, TUG, FES-I , VAS. They were recorded before treatment and 6 weeks after training. Results- The average age of the enrolled participants was (Mean±SD): 66.38±4.16 years with a higher proportion of males, 37(61.70%) than females, 23(38.30%). The average (Mean±SD) body mass index of the participants was 26.62±2.28,(Table 1). The effect of Pilates training significantly improved balance (significant increase in Berg Balance Scale score, p<0.01), gait speed (significant decrease in time up and go rest, p<0.01), and fear of fall (significant decrease in Fall Efficacy Scale score, p<0.01) for both, Group A and Group B. Additionally, the pain assessed using the Visual Analogue Scale score significantly decreased for both groups (Group A and Group B). At the baseline, randomization of the participants to the intervention results in similar (non-significant) balance, gate speed, fear of fall and pain scores. However, a statistically significant increase in balance was observed for those given intervention (Group A, p<0.01), compared to controls (Group B). Moreover, a significant decrease in gait speed, fear of falls and pain was observed among those given Pilates training. Conclusion- This study demonstrates that a 6-week Swiss ball-based Pilates programme improves older individuals' postural stability, gait, balance and pain when compared to a control group. Additionally, this study suggests that for persons over 65, Pilates training may be crucial in reducing the risk of falls and the injuries that follow.

Key word: Older adult ,Pilate training, balance , gait speed, fear of fall, pain

"Effects of Pilates Training on Balance, Gait speed and Fear of Fall in Older Adults with Low Back Pain: A Randomized Controlled Trial ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 5, page no.c561-c569, May-2024, Available :http://www.jetir.org/papers/JETIR2405269.pdf

"Effects of Pilates Training on Balance, Gait speed and Fear of Fall in Older Adults with Low Back Pain: A Randomized Controlled Trial ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 5, page no. ppc561-c569, May-2024, Available at : http://www.jetir.org/papers/JETIR2405269.pdf