Influence of Pilates Method on Nonspecific Lumbar Pain

Abstract

Low back pain is defined as pain located between the lower rib cage and the gluteal folds, and its etiology is multifactorial, considerably affecting quality of life. The aim of this literature review was to analyze the influence of the Pilates method on the symptoms of patients with nonspecific low back pain, which is considered a promising treatment for this type of pathology. A narrative review of the literature was carried out using the PubMed, Pedro, Scopus and Scielo databases. To perform the search, Pilates AND Low back nonspecific AND Pain were used as keywords. Articles published in the last 5 years, randomized clinical trials that verified the influence of the Pilates method in adult individuals with unspecified low back pain and full text in English were included. Of the 77 articles identified, 7 articles met the inclusion criteria, 7 analyzed the primary outcomes of pain intensity and disability, 5 articles compared Pilates with other rehabilitation techniques and 2 studies compared the effectiveness of Pilates solo with Pilates apparatus. It was concluded that all the techniques that were compared with Pilates are effective, being difficult to affirm the superiority of Pilates over them in relation to the reduction of pain and disability and improvement of quality of life. However, the Pilates method has shown good results in pain perception and intensity, functional capacity, fear of movement and the idea that movement can worsen your condition, muscle strength, range of motion and flexibility.

Resumo

A lombalgia é definida como dor localizada entre caixa torácica inferior e as pregas glúteas, e sua etiologia é multifatorial, afetando consideravelmente a qualidade de vida. O objetivo da presente revisão de literatura foi analisar a influência do método Pilates na sintomatologia de pacientes com dor lombar não específica, sendo este considerado um tratamento promissor para este tipo de patologia. Foi realizado uma revisão narrativa da literatura utilizando as bases de dados PubMed, Pedro, Scopus e Scielo. Para realizar a busca, foram utilizadas como palavras-chave Pilates AND Low back nonspecific AND Pain. Foram incluídos artigos publicados nos últimos 5 anos, ensaios clínicos randomizados que verificaram a influência do método Pilates em indivíduos adultos com dor lombar não especifica e texto completo em inglês. Dos 77 artigos identificados, 7 artigos satisfizeram os critérios de inclusão, os 7 analisaram os desfechos primários de intensidade da dor e incapacidade, 5 artigos compararam o Pilates com outras técnicas de reabilitação e 2 estudos compararam a efetividade do Pilates solo com o Pilates aparelho. Concluí-se que todas as técnicas que foram comparadas com o Pilates são eficazes, sendo difícil afirmar a superioridade do Pilates sobre elas em relação à redução da dor e incapacidade e melhoria da qualidade de vida. Contudo, o método Pilates tem demonstrado bons resultados na percepção e intensidade de dor, na capacidade funcional, no medo do movimento e na ideia de que o movimento pode piorar o seu quadro, na força muscular, amplitude de movimento e flexibilidade.

Keywords

pilates - low back pain - physiotherapy

Palavras-chave

pilates - dor lombar - fisioterapia

Publikationsverlauf

Eingereicht: 30. März 2020

Angenommen: 07. Juli 2020

Artikel online veröffentlicht:
30. September 2020

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