A eficácia do método pilates na dor lombar inespecífica: uma revisão da literatura

Abstract

Introduction: Low back pain (LD), tension located below the lower costal margin and above the gluteal folds, with or without pain referred to the lower limbs, is a condition that affects about 80% of the world population. In Brazil, more than 55,000 workers were out of work in 2021 due to spine-related dysfunctions. LBP is considered a multifactorial condition that can be classified as nonspecific, when symptoms are not due to a known pathology. The Pilates method is considered a great intervention for the treatment of LBP, generating a positive psychosomatic impact on patients, reducing pain and disability. Objective: To review the literature on the effectiveness of the Pilates method in the treatment of nonspecific low back pain (ILD). Methodology: A literature search was conducted between November 2021 and June 2022 in the MEDLINE, Physiotherapy Evidence Database (PEDro) and LILACS databases, through the virtual libraries BIREME/BVS, Central Cochrane Library, PUBMED, Physiotherapy Evidence Database (PEDro) and SciELO, in March 2022. Studies of the randomized controlled clinical trial (RCT) type were included, published in the last 5 years (2017 - 2022), which evaluated the effect of the Pilates method in the treatment of people diagnosed with acute or severe ILD. chronic. Results: 10 studies (n=777 individuals; me: 40 years old; most women) that predominantly evaluated the effect of the Pilates method (mainly on the floor) on pain intensity and functional disability in individuals diagnosed with chronic nonspecific low back pain. Conclusion: The Pilates method is effective in the treatment of DLIC in relation to pain and disability in the short, medium and long term, with a good probability of improving acute non-specific low back pain, beneficially influencing the activity and participation of the individual, in addition to FM, activation and thickness of the TrA, balance, flexibility, kinesiophobia and catastrophizing.