Pilates method evaluation on the treatment of non-specific chronic low back pain subjects: randomized clinical trial

Authors

DOI:

https://doi.org/10.33233/rbfex.v20i1.4426

Keywords:

low back pain; chronic pain; disability evaluation; physical therapy; exercise therapy

Abstract

Introduction: Chronic nonspecific low-back pain (CNLBP) is a common painful symptom in the lower spine for more than twelve weeks and may be accompanied by neurological symptoms in the lower limbs. CNLBP has a high worldwide prevalence, can lead to function limitations and the treatment emphasizes active therapies, such as Pilates exercises. Objective: To evaluate the effect of Pilates exercises on painful perception, quality of life, functional disability and kinesiophobia of individuals with CNLBP, classified as having low and medium risk of poor prognosis according to the Brazilian version of the Start Back Screening Tool (SBST-Brazil). Methods: Randomized controlled clinical trial with 59 patients clinically diagnosed with CNLBP, divided into two groups: Control (CG) and Pilates (PG). For 12 weeks the CG received drug intervention while the PG was submitted to a Pilates method exercise protocol twice a week. Results: Pilates training reduced pain and kinesiophobia in both subgroups with SBST-Brazil Low and Medium. Contrary to participants with medium risk of poor prognosis in the CG, the PG with medium risk showed a significant improvement (P <0.05) in functional capacity. The pharmacological intervention proved to be efficient (P <0.05) in reducing pain catastrophization and kinesiophobia in the CG classified as having a medium risk of poor prognosis. Conclusion: Stratification in low and medium risks for poor prognosis of disability has positive responses to treatment based on Pilates exercises, considering the reduction of painful intensity and functional limitation.

Author Biographies

Bruna Angela Antonelli, UPE

Programa de Pós-Graduação em Ciências da Saúde (PPGCS), Universidade de Pernambuco (UPE), Recife/PE, Brasil, Laboratório de Pesquisas em Desempenho Humano (LAPEDH), UPE, Petrolina/PE, Brasil

Geovani Alves Santos, UNINASSAU

Docente da Faculdade UNINASSAU Petrolina, licenciado em Educação Fí­sica pela Universidade Federal do Recôncavo da Bahia, Mestre em Educação Fí­sica pela Universidade Federal do Vale do São Francisco,  Grupo de Estudos do Desempenho Humano e das Respostas Fisiológicas ao Exercí­cio - Divisão Nordeste (GEDeRFE - NE/UNIVASF) e o Grupo Interdisciplinar de Estudos e Práticas em Saúde (UNINASSAU) 

Luana Marcela Nascimento Silva, FASJ

Fisioterapeuta, Universidade de Pernambuco, mestrado em Biologia Celular Estrutural pela Universidade Estadual de Campinas e  Formação no Método Pilates, Professora da Faculdade São Francisco de Juazeiro, BA, Brasil

Maria Danielly Alves Vasconcelos, UPE

Fisioterapeuta, graduada pela Universidade de Pernambuco (UPE), campus Petrolina, e integrante do Laboratório de Pesquisa em Desempenho Humano (LAPEDH) da UPE

Rita di Cássia Oliveira Angelo, UPE

Doutora em Neuropsiquiatria e Ciências do Comportamento pela Universidade Federal de Pernambuco (UFPE), Mestre em Anatomia Patológica pela UFPE, Especialista em Morfologia Humana pela UFPE  e Graduada em Fisioterapia pela UFPE, Professora Adjunta no Colegiado de Medicina da Universidade de Pernambuco (UPE) Campus Serra Talhada e Professora Permanente no Programa de Pós-Graduação em Formação de Professores e Práticas Interdisciplinares (PPGFPPI) da Universidade de Pernambuco (UPE) Campus Petrolina  

Paulo Adriano Schwingel, UPE

Mestre e Doutor em Medicina e Saúde (PPgMS) pela Faculdade de Medicina da Bahia (FMB) da Universidade Federal da Bahia (UFBA), Graduado em Educação Fí­sica pela Escola de Educação Fí­sica, Fisioterapia e Dança (ESEFID) da Universidade Federal do Rio Grande do Sul (UFRGS), Professor Associado na UPE, Professor dos Programas de Pós-Graduação em Formação de Professores e Práticas Interdisciplinares (PPGFPPI) e em Reabilitação e Desempenho Funcional (PPGRDF) da UPE Campus Petrolina e Professor do Programa de Pós-Graduação em Ciências da Saúde (PPGCS) da UPE Campus Santo Amaro

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Published

2021-07-25

Issue

Vol. 20 No. 1 (2021): Fisiologia do Exercício v20n1

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Original articles

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Copyright (c) 2021 Bruna Angela Antonelli, Geovani Alves Santos, Luana Marcela Nascimento Silva, Maria Danielly Alves Vasconcelos, Rita di Cássia Oliveira Angelo, Paulo Adriano Schwingel

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