Redução da dor crônica associada à escoliose não estrutural, em universitárias submetidas ao método Pilates

Abstract

Resumo: Objetivo: Avaliar a eficácia do método Pilates na redução da dor crônica associada à escoliose não estrutural. Método: Participaram do estudo ensaio clínico controlado e aleatorizado 31 universitárias, com idade entre 18 e 25 anos, com diagnóstico de escoliose não estrutural e apresentando dor crônica na coluna vertebral. A amostra foi dividida em grupo controle (n=11) que não foi submetido a nenhuma intervenção terapêutica e grupo experimental (n=20) que participou do programa de mecanoterapia pelo método Pilates. A intervenção consistiu de vinte e quatro sessões. Os movimentos foram orientados de acordo com a convexidade da escoliose de cada indivíduo. Foi utilizado o teste de Adams, radiografia panorâmica da coluna vertebral (pré tratamento) e um questionário mediante a "Escala de dor percebida CR 10 de Borg" (pré e pós tratamento). O tratamento estatístico utilizado foi a ANOVA 2x2 de medidas repetidas, seguida do teste post hoc de Tukey. Resultados: Os resultados identificaram diminuição significativa de 66% da dor no grupo experimental (P = 0,0002). Conclusão: Pode-se verificar que o programa de exercícios utilizando-se o método Pilates para jovens com escoliose não estrutural, apresentando dor na coluna vertebral é eficaz, pois houve redução da intensidade de dor. Palavras-chave: Cinesioterapia, Mecanoterapia, Postura. Reduction of the chronic pain associated to the scoliosis non structural, in university students submitted to the Pilates methodAbstract: Objective: To evaluate the effectiveness of the Pilates method in the reduction of the chronic pain associated to a non structural scoliosis. Method: 31 academical subjects participated in the clinical aleatorical controlled experiment study, under age between 18 and 25 years, with diagnosis of non structural scoliosis and presenting chronic pain in the spine. The sample was divided into: control group (n=11) that the was not submitted to any therapeutic intervention and experimental group (n=20) that participated of the mecanotherapy program for the Pilates method. The intervention consisted of twenty-four sessions. The movements were guided in agreement with the convexity of each individual's scoliosis. The test of Adams, panoramic x-ray of the spine was used (pre treatment) and a questionnaire by the "Scale of noticed pain CR 10 of Borg" (pre and post treatment). The used statistical treatment was ANOVA 2x2 of repeated measures with the test post hoc of Tukey. Results: Findings demonstrated a significant decrease of 66% of the pain for the experimental group (P = 0,0002). Conclusion: It can be observed that the exercise program using the Pilates method to young people is effective and improved the reduction of chronic pain among young subjects presenting non structural scoliosis.

Análise postural da coluna cervical e cintura escapular de crianças praticantes e não praticantes do método pilates

“…This group practiced the method, at the school, from April to November 2014, with frequency of two times a week and duration of 1 hour per session. The students practiced a protocol with exercises based on the Pilates method, with floor Pilates and accessories, consisting of three stages, according to the protocol by Araújo et al 10 , adapted by the researchers, and the level of difficulty increased gradually according to the evolution of the students. The IG practiced no physical education at school, since some public schools in the country offer do not offer the discipline in the early years of elementary school, and neither practiced any regular physical exercise, according to their answers to a simple questionnaire applied by the researchers.…”

The Pilates method in the rehabilitation of musculoskeletal disorders: a systematic review

“…The aims of the studies of Table 1, were to evaluate the ef icacy of the Pilates Method regarding pain (20,23,25,27,8), lexibilidade (21,9,26,11), strength (22,28), balance (22,9,24,29), functionality (22,23,24,25,27,8), quality of life (23,24,26), muscular resistance (9), posture (9), fatigue (26), lumbo-pelvic stability (11), to quantify the effects of a Pilates program in the biomechanics of the shoulder and trunk (28), and to measure the participation and adherence to Pilates exercises (30).…”

“…The following instruments were used to evaluate pain: Borg CR10 scale (20), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) (23), Oswestry Low Back Pain Disability Questionnaire (25), pain sub-scale of the Miami Back Index (25), pain sub-scale of the SF-36 (25) Numerical Rating Scale of 101 points (NRS-101) (27), and Roland Morris pain rating visual-analog scale (8). Flexibility was evaluated through: lexibility test on the Wells bench (21, 9, 11), leximeter (21), supine hamstring lexion test (9), and modi ied sit and reach test (26).…”

Efeito do método Pilates sobre a escoliose idiopática: estudo de caso

“…O protocolo de intervenção baseou-se nos exercícios do método Pilates (Pilates solo e acessórios),dividido em três etapas, conforme Araújo et al, 18 e adaptado pelos autores, constando de preparação, parte específica e volta à calma.…”