Effects of a Pilates Method Exercise Protocol on Workers with Nonspecific Low Back Pain
Abstract
Introduction: Non-specific low back pain is a global public health problem. From this perspective, the Pilates method allows neuromuscular and myoarticular gains that can help in the management of this condition. Aim: To evaluate the effects of a Pilates exercise protocol on non-specific low back pain, flexibility, and quality of life in university employees. Methodology: This is a longitudinal, single-arm study, carried out at the Biomechanics and Ergonomics Laboratory, at the Universidade do Estado do Amazonas. The intervention had 12 sessions over 4 weeks lasting 40 minutes per class. The SF-36 and Roland Morris questionnaires were applied before and after the intervention to assess quality of life and low back pain, respectively. Manual goniometry was used to evaluate joint angles. To assess flexibility, the 3rd finger to the ground test (T3D), the combined rotation flexion, and the sit and reach test (Wells) were performed. For pre- and post-intervention comparisons, Student's t and Wilcoxon tests were used, adopting a significance level of 5%, with all analyses carried out using SPSS Software version 21. Results: After the intervention, a reduction in low back pain was observed (35%, p=0.007), improvement in quality of life in physical aspects (25.9%, p=0.01), pain and general health status (20.3%. p=0.04), increased range of motion of spinal flexion (12.6%, p=0.001) and hip (5.2%, p=0.03), and gain in flexibility (T3D: 39.4%, p=0.005; Wells: 16.4%; p=0.003). Conclusion: The protocol proposed here provided neuromuscular and myoarticular improvements in university employees.
References
Albino, N.T., Menezes, F.S. de, Koerich, M.H.A. da L., Nunes, G.S., e Souza, P.V. de (2011). Pilates e lombalgia: efetividade do transverso abdominal, capacidade funcional e qualidade de vida. Fisioterapia Brasil, 12(4). https://pesquisa.bvsalud.org/portal/resource/pt/lil-784754
Alves, M.C., Neto, R.J. de S., Barbosa, R.I., Marcolino, A.M., e Kurikia, H.U. (2020). Effects of a Pilates protocol in individuals with low back pain in compared with health individuals: Clinical and electromyographic analysis. Clinical Biomechanics, 72, 172-178. https://doi.org/10.1016/j.clinbiomech.2019.12.009
Antonelli, B.A., Santos, G.A., Silva, LM.N., Vasconcelos, M.D.A., Angelo, R. di C.O., e Schwingel, P.A. (2021). Avaliação do método Pilates no tratamento de indivíduos com dor lombar crônica inespecífica: ensaio clínico randomizado. Revista Brasileira de Fisiologia do Exercício, 20(1): 38-51. https://doi.org/10.33233/rbfex.v20i1.4426
Bianchi, AB, Antunes, MD, Paes, BJS, Brunetti, RC, Morales, RC, Wittig, DS, e Bertolini, SMG (2016). Estudo comparativo entre os métodos Pilates no solo e Water Pilates na qualidade de vida e dor de pacientes com lombalgia. Revista do Departamento de Educação Física e Saúde e do Mestrado em Promoção da Saúde da Universidade de Santa Cruz do Sul, 17(4). https://doi.org/10.17058/cinergis.v17i3.8065
Campos, RC, Dias, JM, Pereira, LM, Obara, K., Barreto, MS, Silva, MF, Mazuquin, BF, Christofaro, DG, Fernandes, RA, Iversen, MD, e Cardoso, JR (2016). The Effect of the Pilates method on the Physical conditioning of healthy subjects: a systematic review with meta-analysis. The Journal of Sports Medicine and Physical Fitness, 56(7-8), 864-873. https://pubmed.ncbi.nlm.nih.gov/26004043/
Carregaro, R.L., Tottoli, C.R., Rodrigues, D. da S., Bosmans, J.E., Silva, E.N. da, e van Tulder, M. (2020). Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016. PloS One, 15(4): e0230902. https://doi.org/10.1371/journal.pone.0230902
Carvalho, M.I.A. de, e Oliveira, L.C. de (2020). Benefícios e efeitos do método Pilates no tratamento de dor lombar crônica inespecífica: Uma revisão integrativa. Revista Cereus, 12(1). https://doi.org/10.18605/2175-7275/cereus.v12n1p238-252
Carvalho, R.C. de, Maglioni, C.B., Machado, G.B., Araújo, J.E. de, Silva, J.R.T. da, e Silva, M.L. da (2018). Prevalência e características da dor crônica no Brasil: um estudo nacional baseado em questionário pela internet. Brazilian Journal of Pain, 1(4), 331-8. https://doi.org/10.5935/2595-0118.20180063
Ciconelli, R.M. (1997). Tradução para o português e validação do questionário genérico de avaliação de qualidade de vida “Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)” [Tese, Doutorado em Medicina. Escola Paulista de Medicina, Universidade Federal de São Paulo]. http://repositorio.unifesp.br/handle/11600/15360
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York: Routledge. https://doi.org/10.4324/9780203771587
Cordeiro, A.L.L., Oliveira, A.P.S., Cerqueira, N.S., Santos, F.A.F., e Oliveira, A.M.S. (2022). Método Pilates para dor em pacientes com lombalgia: revisão sistemática. Brazilian Journal of Pain, 5(3), 265-71. https://doi.org/10.5935/2595-0118.20220038-pt
Duarte, A.C.F., Silva, B.A., Avelino, P.R., e Menezes, K.K.P. de (2020). Força de preensão, capacidade functional e qualidade de vida de indivíduos com câncer. Revista Fisioterapia e Pesquisa, 362-369. https://doi.org/10.1590/1809-2950/19039127042020
Faria, M.B.M., e Faria W.C. (2013). O efeito do método Pilates no tratamento da dor lombar crônica inespecífica: uma revisão de literatura. Conexão Cientifica, UNIFOR-MG, Formiga, 8(1), 75-84. https://doi.org/10.24862/cco.v8i1.215
GBD 2021 Low Back Pain Collaborators (2023). Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet Reumatology, 5(6), E316-E329. https://doi.org/10.1016/S2665-9913(23)00098-X
Gonzáles-Gálves, N., Vaquero-Cristóbal, R., e Marcos-Pardo, P.J. (2020). Effect of Pilates Method on muscular trunk endurance and hamstring extensibility in adolescents during twelve weeks training and detraining. Journal of Bodywork and Movement Therapies, 24(2), 11-17. https://doi.org/10.1016/j.jbmt.2020.02.002
Gonzáles-Gálves, N., Marcos-Pardo, P.J., e Carrasco-Poyatos, M. (2019). Functional improvements after a Pilates program in adolescents with a history of back pain: A randomized controlled trial. Complementary Therapies in Clinical Practice, 35, 1-7. https://doi.org/10.1016/j.ctcp.2019.01.006
Hornsby, E., e Johnston, L.M. (2020). Effect of Pilates Intervention on Physical Function of Children and Youth: A Systematic Review. Archives of Physical Medicine and Reabilitation, 101(2), 317-328. https://doi.org/10.1016/j.apmr.2019.05.023
Kuriki, H.U., Chaves, T.C., e Alves, M.C. (2017). A estabilização segmentar por meio do método Pilates no tratamento da dor lombar. Associação Brasileira de Fisioterapia Traumato-Ortopédica; PROFISIO Programa de Atualização em Fisioterapia Traumato-Ortopédica. Ciclo 1. Artmed Panamericana.
Liposcki, D.B., Nagata, I.F. da F., Silvano, G.A, Zanellac, K., e Schneider, R.H. (2019). Influence of Pilates exercise program on the quality of life of sedentary elderly people: A randomized clinical trial. Prevention and Rehabilitation: Randomized clinical trial, 23(2), 390-393. https://doi.org/10.1016/j.jbmt.2018.02.007
Lopes, T. de M., e Casa Júnior, A.J. (2014). Avaliação da capacidade funcional e qualidade de vida de indivíduos com dor lombar inespecífica. Estudos, Revista de Ciências Ambientais e Saúde, Goiânia, 41(2), 223-235. https://seer.pucgoias.edu.br/index.php/estudos/article/view/3380
Machado, E., Caetano, C.B., Freitas, L.M. de, Souza, C.H. de, e Santos, M.M. dos (2021). A efetividade do Método Pilates no tratamento da dor lombar crônica inespecífica: Ensaio clínico randomizado. Acta Fisiátrica, 28(4), 214-220. https://www.researchgate.net/publication/359128498
Machado, PM, Alves, MC, Hendler, KG, Benetti, VB, Neto, RJS, Barbosa, RI, Marcolino, AM, e Kuriki, HU (2017). Effectiveness of the Pilates method for individuals with nonspecific low back pain: clinical and electromyographic aspects. Motriz, 23(4). https://doi.org/10.1590/S1980-6574201700040009
Marinho, S.S. (2016). Efeitos do Método Pilates na qualidade de vida de indivíduos com Lombalgia [Trabalho de Conclusão de Curso, Bacharelado em Fisioterapia. Centro Universitário Luterano de Palmas]. https://ulbra-to.br/bibliotecadigital/publico/home/documento/2535
Marques, A.P. (2003). Manual de goniometria (2ª ed.). Editora Manole.
Miranda, I.F., Souza, C., Schneider, A.T., Chagas, L.C., e Loss, J.F. (2018). Comparison of low back mobility and stability exercises from Pilates in non-specific low back pain: A study protocol of a randomized controlled trial. Complementary Therapies in Clinical Practice, 360-368. https://doi.org/10.1016/j.ctcp.2017.12.005
Nascimento, P.R.C. do, e Costa, L.O.P. (2015). Prevalência da dor lombar no Brasil: Uma revisão sistemática. Cadernos de Saúde Pública, 31(6), 1141-1155. https://doi.org/10.1590/0102-311X00046114
Pereira, T.A.B., Sousa, T.A. dos S., e Silva, Z.M. de A. (2014). Melhora da funcionalidade e da intensidade da dor em pacientes com dor lombar através do método Pilates: uma revisão de literatura. Interfaces Científicas - Saúde e Ambiente, 3(1), 75–82. https://doi.org/10.17564/2316-3798.2014v3n1p75-82
Rocha, J.R. de O., Uhlig, S., Karloh, M., Santos, A.R.S. dos, e Sousa, T.R. de (2021). Caracterização de fatores biopsicossociais de pacientes com dor lombar crônica inespecífica. Brazilian Journal of Pain, 4(4), 332-8. https://doi.org/10.5935/2595-0118.20210062
Romão, C.I.G., Mercê, C.I.A., Cordeiro, J.F.C., Brito, A.M.V.V. de, e Branco, M.A.C. (2022). The effect of Pilates exercises on muscle electrical activation in adults with chronic low back pain: a systematic review. Coluna/Columna, 21(3). https://doi.org/10.1590/S1808-185120222103262482
Valenza, M.C., Rodríguez-Torres, J., Cabrera-Martos, I., Díaz-Pelegrina, A., Aguilar-Ferrándiz, M.E., Castellote-Caballero, Y. (2017). Results of a Pilates exercise program in patients with chronic non-specific low back pain: A randomized controlled trial. Clinical Rehabilitation, 31(6), 753-760. https://doi.org/10.1177/0269215516651978
Author Biographies
https://lattes.cnpq.br/7216407993244790
http://lattes.cnpq.br/3245632068215946
http://lattes.cnpq.br/313238225863475
http://lattes.cnpq.br/2482689912549629
http://lattes.cnpq.br/2071810181340886
Copyright (c) 2024 Lecturas: Educación Física y Deportes
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
