O uso do método pilates para melhora da dor e funcionalidade em pacientes com dor lombar crônica : estado da arte

Abstract

Chronic low back pain (CLBP) is a significant health problem that affects millions of people worldwide, affecting individuals' quality of life and productivity. Given this scenario, the Pilates method emerged as a promising approach. The Pilates method, known for its focus on muscle strengthening (power house), flexibility and postural control, has been explored as a treatment option for chronic low back pain. This work is a systematic review of current studies to show the state of the art on Pilates on pain and functionality outcomes in people with chronic low back pain. This review was carried out in the Pubmed, PEDro databases. Randomized clinical trials and Cochrane reviews published in the last five years were included. The search strategies were adapted according to each database, including filters and using the following keywords “low back pain”, “chronic pain” and “pilates”. Studies were selected that investigated the effects of the Pilates Method in reducing pain and improving lumbar function in individuals with chronic pain in the lower back. All studies assessed pain threshold and improvement in functionality, with some adding questionnaires to assess coping, functional performance questionnaires, kinesiophobia, pain catastrophizing, among others. The most used measure of pain intensity was the Visual Analogue Scale (VAS), to assess functionality, studies used the Roland-Morris Scale, a questionnaire scale frequently used to measure the functional capacity of individuals with chronic low back pain. Studies have indicated that regular practice of the Pilates Method is associated with significant improvements in changes in pain intensity and functionality. Our data show that the Pilates Method can be considered an effective approach to improving chronic low back pain, being another treatment option for patients with chronic low back pain.