Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20220038-en
Brazilian Journal of Pain
Review Article

Pilates method on pain in patients with low back pain: systematic review

Método Pilates para dor em pacientes com lombalgia: revisão sistemática

André Luiz Lisboa Cordeiro; Ana Paula Silva Oliveira; Natale Sena Cerqueira; Fernanda Aparecida Ferreira Santos; Alberto Manoel Sarkis Oliveira

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Abstract

BACKGROUND AND OBJECTIVES: The weakness of the trunk extensors is one of the main causes in the development of low back pain in a large part of the population. Low back pain is a disabling condition and due to the pain many people have difficulty performing activities of daily life. Thus, Pilates becomes one of the methods of choice in the treatment of low back pain because it brings muscle strengthening exercises that positively impact the stabilization of the spine. The objective of this study was to review the impact of the Pilates method on pain in patients with low back pain.

METHODS: This is a systematic review, with search for data in the Scielo, OVID, Lilacs, Pubmed and PEDro databases, which included randomized clinical trials that addressed the Pilates method in patients with low back pain. The following search descriptors were used: low back pain, Pilates method, exercise movement techniques. The Boolean operators were: “and” and “or”.

RESULTS: Of the 8 selected studies, all obtained positive results in the reduction of low back pain, each using a different protocol associated with physical therapy treatment. Of the eight studies considered eligible, only seven were included. For the study of this comparison, a random model was used (I2=92%, df=6, p=0.01), in which there was a statistically significant diference between the Pilates and control groups (95% CI -1.79, -0.19).

CONCLUSION: It was possible to conclude that the Pilates method he was effective in the treatment of low back pain.

HIGHLIGHTS

  • The study reinforces the importance of the Pilates method for patients with low back pain, focusing on pain reduction, but with an impact on functionality and quality of life.
  • The role of Pilates as an integral part of a care protocol is also reinforced, not as the only tool for physical therapy care.
  • The application of Pilates method should begin with exercises of mild to moderate difficulty and, with functional gain, progress to high complexity.

Keywords

Exercise movement techniques, Low back pain, Pain

Resumo

JUSTIFICATIVA E OBJETIVOS: A fraqueza dos extensores de tronco é uma das principais causas no desenvolvimento de lombalgia em grande parte da população. A dor lombar é uma condição incapacitante e, devido à dor, muitas pessoas têm dificuldade para realizar as atividades de vida diária. Assim, o Pilates passa a ser um dos métodos de escolha para tratamento de pacientes com lombalgia, pois traz exercícios de fortalecimento muscular que promovem estabilização da coluna vertebral. O objetivo deste estudo foi analisar o impacto do método Pilates na dor de pacientes com lombalgia crônica.

METODOS: Trata-se de uma revisão sistemática com busca de estudos nas bases de dados Scielo, OVID, Lilacs, Pubmed e PEDro incluindo ensaios clínicos randomizados que abordaram o método Pilates em pacientes com lombalgia crônica inespecífica. Os descritores de busca utilizados foram low back pain, Pilates method, exercise movement techniques, somados aos operadores booleanos: “e” e “ou”. O risco de viés dos estudos foi avaliado de acordo com os critérios da escala PEDro.

RESULTADOS: Dos 8 estudos selecionados, todos obtiveram resultados positivos na redução da dor lombar, cada um utilizando um protocolo diferente associado ao tratamento de fisioterapia. Dos oito estudos considerados elegíveis, apenas sete foram incluídos na meta-análise. Para a meta-análise desta comparação, foi utilizado um modelo randomizado (I2=92%, df=6, p=0,01), no qual houve uma diferença estatisticamente significativa entre os grupos Pilates e grupo controle (95% CI -1,79, -0,19).

CONCLUSÃO: Foi possível concluir que o método Pilates foi eficaz no tratamento de dores lombares.

DESTAQUES

  • O estudo reforça a importância do método Pilates para pacientes com dor lombar, concentrando-se na redução da dor, mas com um impacto na funcionalidade e qualidade de vida.
  • O papel do Pilates como parte integrante de um protocolo de tratamento também é reforçado, não sendo a única ferramenta para o tratamento fisioterápico.
  • A aplicação do método Pilates deve começar com exercícios de dificuldade leve a moderada e, após o ganho funcional, progredir para alta complexidade.

Palavras-chave

Dor, Dor lombar, Técnicas de exercício e de movimento

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Submitted date:
12/20/2021

Accepted date:
08/27/2022

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