Efeitos do método pilates na lombalgia crônica: uma revisão de literatura
Data
2023-01-16
Autores
Loterio, Giovanna Lima [UNIFESP]
Orientadores
Lombardi Júnior, Imperio [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Lombalgia crônica é o termo utilizado para dor lombar persistente por pelo menos 12 semanas e é uma das maiores causas de incapacidade funcional e afastamento do trabalho, podendo atingir até 65% das pessoas anualmente e até 84% dos indivíduos pelo menos uma vez na vida. Dentre os tratamentos para essa doença, estão os farmacológicos e não farmacológicos, como os exercícios terapêuticos. O método Pilates tem se mostrado na literatura como intervenção eficaz por fortalecer e ativar músculos do Power House (assoalho pélvico, transverso do abdômen e multífidos), trabalhando princípios de centralização, controle e respiração. O objetivo do estudo foi revisar em ensaios clínicos, os efeitos do método Pilates em pacientes com lombalgia crônica. Como metodologia, trata-se de uma revisão de literatura com abordagem qualitativa, em que foram utilizadas as bases de dados MedLine, PubMed e PEDro. Os critérios de inclusão foram: ensaios clínicos que apresentassem no título as palavras “Pilates” e “Lombalgia crônica”/ “Low Back Pain”; artigos publicados em língua portuguesa ou inglesa, com notas maiores ou igual a 6 e ensaios clínicos publicados nos últimos 5 anos. Foram encontrados 217 artigos e aqueles que não estavam de acordo com os critérios de elegibilidade foram excluídos, totalizando 8 artigos incluídos na revisão. Os grupos avaliados, que realizaram intervenção do método Pilates, obtiveram melhora na dor, funcionalidade, equilíbrio, cinesiofobia e estabilização lombopélvica, ocasionando uma melhora progressiva na autopercepção de saúde desta população e, consequentemente, da qualidade de vida. Todavia, o número de artigos incluídos e o tamanho das amostras impactam na validação real dos resultados, embora comprovem a necessidade de novos estudos sobre a temática. Foi possível estabelecer nesta revisão de literatura, uma relação entre diminuição da dor e cinesiofobia, aumento da funcionalidade e maior ativação dos músculos estabilizadores do tronco e pelve com o método Pilates, demonstrando-se como potencial agente não farmacológico no tratamento de pacientes com lombalgia crônica.
Chronic low back pain is the term used for persistent low back pain for at least 12 weeks and is one of the biggest causes of functional disability and absence from work, and can reach up to 65% of people annually and up to 84% of individuals at least once in their lives. Among the treatments for this disease are pharmacological and non-pharmacological, such as therapeutic exercises. The Pilates method has been shown in the literature as an effective intervention by strengthening and activating Power House muscles (pelvic floor, transverse abdomen, and multifidus), working principles of centralization, control, and breathing. The study aimed to review clinical trials within the discussion of the effects of the Pilates method in patients with chronic low back pain. As a methodology, it is a literature review with a qualitative approach, in which were used the databases of MedLine, PubMed, and PEDro. The inclusion criteria were: clinical trials that presented in the title the words "Pilates'' and "Chronic Low Back Pain" / "Low Back Pain"; articles published in Portuguese or English, with grades greater than or equal to 6 and published clinical trials in the last five years. Were found 217 articles, and those that did not meet the eligibility criteria were excluded, totaling eight articles incorporated in the review. The evaluated groups, who performed intervention of the Pilates method, obtained improvement in pain, functionality, balance, kinesiophobia, and lumbopelvic stabilization, causing a progressive improvement in the self-perception of the health of this population and, consequently, of the quality of life. However, the number of articles included and the size of the samples impact the actual validation of the results, although they prove the need for new studies on the subject. It was established, within this literature review, a relationship between decreased pain and kinesiophobia, increased functionality, and greater activation of the stabilizing muscles of the trunk and pelvis with the Pilates method, demonstrating as a potential non-pharmacological agent in the treatment of patients with chronic low back pain.
Chronic low back pain is the term used for persistent low back pain for at least 12 weeks and is one of the biggest causes of functional disability and absence from work, and can reach up to 65% of people annually and up to 84% of individuals at least once in their lives. Among the treatments for this disease are pharmacological and non-pharmacological, such as therapeutic exercises. The Pilates method has been shown in the literature as an effective intervention by strengthening and activating Power House muscles (pelvic floor, transverse abdomen, and multifidus), working principles of centralization, control, and breathing. The study aimed to review clinical trials within the discussion of the effects of the Pilates method in patients with chronic low back pain. As a methodology, it is a literature review with a qualitative approach, in which were used the databases of MedLine, PubMed, and PEDro. The inclusion criteria were: clinical trials that presented in the title the words "Pilates'' and "Chronic Low Back Pain" / "Low Back Pain"; articles published in Portuguese or English, with grades greater than or equal to 6 and published clinical trials in the last five years. Were found 217 articles, and those that did not meet the eligibility criteria were excluded, totaling eight articles incorporated in the review. The evaluated groups, who performed intervention of the Pilates method, obtained improvement in pain, functionality, balance, kinesiophobia, and lumbopelvic stabilization, causing a progressive improvement in the self-perception of the health of this population and, consequently, of the quality of life. However, the number of articles included and the size of the samples impact the actual validation of the results, although they prove the need for new studies on the subject. It was established, within this literature review, a relationship between decreased pain and kinesiophobia, increased functionality, and greater activation of the stabilizing muscles of the trunk and pelvis with the Pilates method, demonstrating as a potential non-pharmacological agent in the treatment of patients with chronic low back pain.
Descrição
Citação
LOTERIO, Giovanna Lima. Efeitos do método pilates na lombalgia crônica: uma revisão de literatura. 2023. 33 f. Trabalho de conclusão de curso (Graduação em Educação Física) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2023.