A influência do método pilates nos fatores psicossociais de pacientes com dor musculoesqulética: uma revisão de literatura.

Abstract

Introduction: Musculoskeletal pain occurs due to a disease process that directly affects bones, joints, muscles or related soft tissues. It is considered a major problem for public health, as it causes psychological and social emotions. The Pilates method is an intervention frequently recommended by health professionals to treat musculoskeletal pain. However, we do not know whether this treatment method also offers benefits for quality of life, kinesiophobia, pain catastrophizing, anxiety anddepression. Objective: Conduct a literature survey to determine the effects of the Pilates method on psychosocial factors in patients with musculoskeletal pain. Methods: A literary search will be carried out in the PEDro, PUBMED, COCHRANE databases, as well as a search in the reference list of relevant articles.The terms to beused refer to the pilates method, the type of study and the musculoskeletal painful conditions. There will be no limitations on publication date or language. The selected articles must follow the following criteria: being randomized controlled clinical trials that used the Pilates method as an intervention in patients with musculoskeletal pain and that evaluated some psychosocial variableas a primary or secondary outcome. The selected articles will be read in full and their main information will be extracted. Dataanalysis will be carried out descriptively from the extracted data. Results: The search retrieved 132 studies, of which 12 met the inclusion criteria. The methodological quality assessment was performed using the PEDro scale. The scores obtained from the application of the PEDro scale ranged from 4 to 8 points, with a mean equal to 5.6 (standard deviation 1.62). For the outcomes quality of life, kinesiophobia, pain catastrophizing, anxiety and depression, the Pilates method is beneficial when compared to minimal intervention or no intervention, but when compared to other types of exercises, the effects tend to be similar. Conclusion: Studies have shown that the Pilates method as a form of treatment for patients with musculoskeletal pain seems to benefit psychosocial outcomes such as quality of life, kinesiophobia, anxiety, depression and pain catastrophizing. It wasless clear whether Pilates is superior to other exercises for the evaluated outcomes.