Effects of Pilates exercises on muscle function, pelvic alignment, and painful intensity from subjects with chronic nonspecific low back pain: preliminary study
DOI:
https://doi.org/10.33448/rsd-v10i1.11697Keywords:
Exercise movement techniques; Exercise therapy; Muscle strength; Hip joint; Pain.Abstract
Introduction: The Pilates method has been indicated as a viable alternative for the treatment of people with nonspecific chronic low back pain (NSCLBP). A possible hypothesis lies in the improvement of the resistance of the muscles of the lumbar-pelvic complex (core) associated with the reduction of the painful sensation in this population. Objective: To evaluate the effect of a therapeutic intervention based on the Pilates method on the hip and trunk muscle function, pelvic alignment, core resistance and painful intensity of individuals with NSCLBP. Methodology: This is a study of nine cases of both sexes (five men) who participated in a 9-week intervention based on the Pilates method on the ground and with equipment’s. The intervention progressed over the weeks from basic to intermediate and advanced exercise levels. Three weekly sessions lasting 60 minutes were performed, and the exercise prescription was individually. Before the intervention, muscular resistance, lumbopelvic alignment and painful sensation were evaluated. Results: Significant clinical results were found for all variables at the end of the intervention. Interestingly, it was observed that the improvement of the pelvic alignment on the left side was associated with the reduction of painful sensation. Conclusion: The nine-week therapeutic intervention of the Pilates method was efficient for core muscle strength increases, for improving the biomechanical alignment of the pelvis and trunk as well as for reducing the painful perception in individuals with NSCLBP.
References
Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F., Mannion, A. F., Reis, S., Staal, J. B., Ursin, H., & Zanoli, G. (2006). Chapter 4 European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 15(S2), s192–s300. https://doi.org/10.1007/s00586-006-1072-1
Antonelli, B. A., Lôbo, S. F., Silva, S. M. S., Matos, A. M. B., Silva, L. S. M., Carvalho, F. O., Angelo, R. di C. de O., & Schwingel, P. A. (2020). Efeitos de exercícios de Pilates em parâmetros antropométricos e hemodinâmicos de portadores de dor lombar crônica inespecífica: ensaio clínico randomizado. Research, Society and Development, 9(11), e79391110280. https://doi.org/10.33448/rsd-v9i11.10280
Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. The Lancet, 379(9814), 482–491. https://doi.org/10.1016/S0140-6736(11)60610-7
Barbosa, J. E. S., Almeida, L. P. dos S., De Oliveira, M. P., Do Sacramento, M. D. S., Gomes, V. A., Petto, J., & Dos Santos, A. C. N. (2020). Influência do músculo diafragma no controle postural, na propriocepção e na dor lombar. Revista Brasileira de Fisiologia do Exercício, 18(4), 236. https://doi.org/10.33233/rbfe.v18i4.3111
Chenot, J.-F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G. (2017). Non-specific low back pain. Deutsches Aerzteblatt Online, 114, 883–890. https://doi.org/10.3238/arztebl.2017.0883
Conway, R., Behennah, J., Fisher, J., Osborne, N., & Steele, J. (2016). Associations between trunk extension endurance and isolated lumbar extension strength in both asymptomatic participants and those with chronic low back pain. Healthcare, 4(3), 70. https://doi.org/10.3390/healthcare4030070
Eliks, M., Zgorzalewicz-Stachowiak, M., & Zeńczak-Praga, K. (2019). Application of Pilates-based exercises in the treatment of chronic non-specific low back pain: state of the art. Postgraduate Medical Journal, 95(1119), 41–45. https://doi.org/10.1136/postgradmedj-2018-135920
Fleming, K. M., & Herring, M. P. (2018). The effects of pilates on mental health outcomes: a meta-analysis of controlled trials. Complementary Therapies in Medicine, 37, 80–95. https://doi.org/10.1016/j.ctim.2018.02.003
Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P., Ferreira, P. H., Fritz, J. M., Koes, B. W., Peul, W., Turner, J. A., Maher, C. G., Buchbinder, R., Hartvigsen, J., Cherkin, D., Foster, N. E., Maher, C. G., Underwood, M., van Tulder, M., … Woolf, A. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, 391(10137), 2368–2383. https://doi.org/10.1016/S0140-6736(18)30489-6
Fritz, C. O., Morris, P. E., & Richler, J. J. (2012). Effect size estimates: current use, calculations, and interpretation. Journal of Experimental Psychology: General, 141(1), 2–18. https://doi.org/10.1037/a0024338
Gil, A. C. (2017). Como elaborar projetos de pesquisa (6th ed.). Atlas.
Kliziene, I., Sipaviciene, S., Vilkiene, J., Astrauskiene, A., Cibulskas, G., Klizas, S., & Cizauskas, G. (2017). Effects of a 16-week Pilates exercises training program for isometric trunk extension and flexion strength. Journal of Bodywork and Movement Therapies, 21(1), 124–132. https://doi.org/10.1016/j.jbmt.2016.06.005
Magal, M., & Riebe, D. (2016). New preparticipation health screening recommendations. ACSMʼs Health & Fitness Journal, 20(3), 22–27. https://doi.org/10.1249/FIT.0000000000000202
Nusbaum, L., Natour, J., Ferraz, M. B., & Goldenberg, J. (2001). Translation, adaptation and validation of the Roland-Morris questionnaire - Brazil Roland-Morris. Brazilian Journal of Medical and Biological Research, 34(2), 203–210. https://doi.org/10.1590/S0100-879X2001000200007
O’Sullivan, P. (2012). It’s time for change with the management of non-specific chronic low back pain. British Journal of Sports Medicine, 46(4), 224–227. https://doi.org/10.1136/bjsm.2010.081638
Pereira A. S.; Shitsuka D. M.; Parreira F. J., & Shitsuka R. (2018). Metodologia da pesquisa científica (1st ed.). UAB/NTE/UFSM.
Perry, J., & Burnfield, J. M. (2010). Gait analysis: normal and pathological function (2nd ed.). SLACK Incorporated.
Sipaviciene, S., & Kliziene, I. (2020). Effect of different exercise programs on non-specific chronic low back pain and disability in people who perform sedentary work. Clinical Biomechanics, 73, 17–27. https://doi.org/10.1016/j.clinbiomech.2019.12.028
Turner III, H. M., & Bernard, R. M. (2006). Calculating and synthesizing effect sizes. Contemporary Issues in Communication Science and Disorders, 33(Spring), 42–55. https://doi.org/10.1044/cicsd_33_S_42
Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50(2), 133–149. https://doi.org/10.1016/0304-3959(92)90154-4
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Copyright (c) 2021 Bruna Angela Antonelli; Jefferson Cesar Bezerra Lima; Geovani Alves dos Santos; Everaldo Ramos de Jesus Júnior; Simone Ferreira Lôbo; Camila Almeida Sá; Manoel Pereira Guimarães; Bruno Bavaresco Gambassi; Clécio de Lima Lopes; Neydson André Solposto Marques de Souza; Rita di Cássia de Oliveira Angelo; Paulo Adriano Schwingel
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