Efeito do pilates no ângulo de cobb, dor e incapacidade em indivíduos com escoliose.

Abstract

Objective: The purpose of this study was to narratively review the available evidence on the effectiveness of the Pilates method in decreasing the Cobb angle, reducing pain and disability, in patients with scoliosis. Methods: Searches were conducted in the Pubmed, Cochrane, and PEDro electronic databases. Inclusion criteria were randomized clinicaltrials and systematic reviews of clinical studies, which could be published in Portuguese, English, or Spanish; and which addressed the influence of Pilates on Cobb's angle, pain, and disability in patients with scoliosis. Results: Initially, 150 studies were found. After applying the inclusion and exclusion criteria, 5 studies were included: 2 randomized clinical trials and 3 systematic reviews. The results selected showed a reduction in Cobb's angle and pain; and an improvement in the range of motion of the spine for trunk rotation and flexion in the participants with scoliosis who practiced the Pilates method. However, when compared with the specific Schroth exercises, three studies showed better results for Cobb angle decrease. Conclusion: Pilates training can reduce Cobb angle and pain in patients with scoliosis, but quantitative reviews on the subject are needed to quantify the size of the effect.