Pilates associado à estabilização vertebral versus pilates clássico na dor lombar crônica, limitação funcional e resistência dos eretores espinhais em mulheres de 45 a 60 anos: experimento controlado, randomizado e duplo cego

Abstract

Title filters and controlled and / or randomized clinical trials were included and included 25 studies. Of these, only three were selected according to the analysis of a blind evaluator regarding the scientific rigor established by the PEDro scale, being cut-off point five. A random random effect model was adopted. When compared to no intervention, the Pilates method showed a value of X2 = 20.53; P = 0.000; I2 = 90.3%. The meta-analysis identified that the Pilates method was effective in combating chronic low back pain when compared to other activities. Article 2, on the other hand, verifies the reliability of the Biering Sorensen spine erector test in evaluators to be one of the instruments used to test the trunk musculature. And our study 3 is a randomized clinical trial aimed at comparing the effectiveness of two Pilates exercise programs, one that used the classical method and the other associated with vertebral stabilization exercises for nonspecific chronic low back pain response, functional limitation and spinal erector resistance in women aged 45 to 60 years. A total of 29 women (52 ± 7 years, 73 ± 13 kg, 1.57 ± 0.05 m, with nonspecific chronic low back pain) were trained in two groups: Classical Pilates (n = 16) and Pilates Vertebral Stabilization (n = 13) The classic Pilates group performed 15 traditional exercises of the method with focus on trunk mobilization, flexibility and overall strengthening, while the ENP performed 15 specific vertebral stabilization exercises and maintenance of the lumbar spine in the neutral position. women held 16 sessions, two sessions per week, lasting 1 hour / class. Before and after the training, chronic lumbar pain (END), functional limitation (Rolland Morris) and resistance of spinal erectors (Biering-Sorensen) were evaluated. Statistical analysis showed a 2 x 2 MANOVA without significant difference between the groups (F = 1,14, P = 0,352) and for interaction (F = 1,20, P = 0,331). There was a significant intragroup difference (F = 74.52, P = 0.000). ANOVA 2X2 for each variable (chronic low back pain, functional limitation and resistance of spinal erectors) showed for interaction F = 0.6; P = 0.430; F = 3.05 P = 0.092; F = 0.238; P = 0.629 respectively. Intragroups, 2x2 ANOVA presented F = 239.8; P = 0.000; F = 82.25; P = 0.000; for lumbar pain and functional limitation, and F = 2.22 P = 0.148, we concluded that the two proposed forms of action of the Pilates method were effective for the reduction of chronic low back pain and functional limitation of sedentary women with 16 sessions with one frequency twice a week. However, we did not find significant differences in spinal erector resistance with the proposed protocol