Laser and the Pilates Method for Non-Specific Chronic Lower Back Pain

INTERVENTION: E02.760.169.063.500.387.750 E07.632.490 Procedure/surgery Q65.060 The interventions will last six weeks, totaling 12 sessions, 2 times a week, the sessions will be held twice a week, being for group I, each session lasting 50 minutes; for group II, lasting 30 minutes each and for group III, a session of the Pilates method, 50 minutes and a laser session, 30 minutes. Group I (n.30) ‐ individuals who will perform Pilates exercises: In the first week, patients will be guided on the principles of Pilates, centralization, concentration, control, precision, breathing and fluidity, , contraction of the rectus abdominis, transverse abdomen, multifidus and pelvic floor. The exercises will be performed on the equipment and on the ground, with verbal commands to tactile.  Group II (n.30) ‐ individuals who will receive laser sessions: This group will receive low intensity laser applications of Arsenic Gallium infrared, wavelength 904 nm, pulsatile, with contact area (cm2) of 0.13090, average power of 0, 04 watts (W), peak power of 70 W ± 20%, with pulse duration time 60 nanoseconds, pulsed emission of 9,500 Hz, Ibramed's Leserpulse model. For the application of the low intensity pulsatile laser, the punctual technique will be used, with a dosimetry of 3 J and a final energy density of 18 J and a time of exposure of seventy five seconds in each of the 6 delimited points in the lateral region of the lumbar spine . The volunteers will lie down with a cushion beneath the abdomen, avoiding contraction of the lumbar spine muscles during the procedure. The laser will be applied to the lumbar region where part of the semispihalis muscle, erector of the spine and in the region of mutífidos is located that is below the two muscles, laterally between the processes and transverse processes. Group III (n.30) ‐ individuals who will perform exercises of the Pilates method and laser sessions: This group will receive a treatment protocol with the combination of the two therapeutic modalities described in group I and II, being performed o CONDITION: C23.888.592.612.107.400 Chronic Non‐Specific Lumbar Pain ; C23.888.592.612.107.400 PRIMARY OUTCOME: Assess the effects of laser and the Pilates method on chronic low back pain; specific. SECONDARY OUTCOME: Identify by means of thermographic images the peripheral blood vascularization of the lumbar region ‐ To quantify and analyze the level of functional incapacity of patients with chronic non‐specific low back pain, using the Roland Morris questionnaire ‐ Evaluate patients' quality of life, correlated their respective ; domains with pain ‐ Evaluate the electrical activity of the spinal erector muscles ‐ Compare and correlate the variables mentioned above before and after the application of the protocol of treatment, with laser and Pilates or the combination of both. To assess the level of pain and the multidimensional aspect of pain in patients with ; chronic non‐specific back pain. INCLUSION CRITERIA: Patients with clinical diagnosis of chronic non‐specific low back pain; Age greater than 18 years and less than 40 years; Both sexes; That they do not present another pathology in the vertebral column.