Safety and efficacy of the Pilates Method on physical, functional and musculoskeletal pain in elderly women. Impact of the Pilates Method on Functions and Pain

Authors

DOI: https://doi.org/10.6018/cpd.478991
Keywords: aging,, functional capacity, resistance training

Abstract

The Pilates Method (PM) is proposed as a non-pharmacological strategy for pain management. However, little is known about the safety of the method applied to the elderly people. The purpose was to identify the impact of PM on elderly women without complaints of general and specific severe musculoskeletal pain, considering physical, functional and chronic musculoskeletal pain. 19 elderly women were subjected to 24 weeks of intervention with PM. We measured the perception of functionality, general and segmentation pain respectively by three subscales of SF-36 (functional capacity, physical aspects and pain) and Nordic Musculoskeletal Questionnaire (NMQ). For SF-36 we had: functional capacity χ 2 (2) = 1.529, p = 0.465, limitations due to physical aspects χ 2 (2) = 1.960, p = 0.375 and pain χ 2 (2) = 1.213, p = 0.545, no significant differences were found for any of the variables over time. As for the NMQ we observed a significant difference only for the hip / thigh, decreasing complaints of pain, tingling and numbness at Q2 compared to Q1 (p = 0.01) and increasing at Q3 compared to Q2 (p = 0.03). It is suggested that the PM is safe and applicable in this public, as it presented stable results and didn't worsen the pain (general and localized).

Key Word: aging, functional capacity, resistance training.

Downloads

Download data is not yet available.

References

Golberg, D & Mcgee, S. (2011, 6 de outubro). Pain as a global public health priority. BMC public health. DOI: 11. 770. 10.1186/1471-2458-11-770.

Carvalho RC, Maglioni CB, Machado GB, Araújo JE, Silva JRT, Silva ML (2018 outubro - dezembro). Prevalência e características da dor crônica no Brasil: um estudo nacional baseado em questionário pela internet. Sociedade Brasileira para o Estudo da Dor. Br J Pain. 1(4):331-8. DOI: 10.5935/2595-0118.20180063

Bezerra MAM, Hellwig N, Pinheiro GRC, Lopes CS (2018, 27 de fevereiro). Prevalence of chronic musculoskeletal condition sand associated factors in Brazilian adults — National Health Survey. BMC Public Health 18:287. DOI: https://doi.org/10.1186/s12889-018-5192-4

Bobbo VCD, Trevisan DD, Amaral MCE and Silva EM (2018, abril). Saúde, dor e atividades de vida diária entre idosos praticantes de Lian Gong e sedentários. Ciênc. saúde coletiva [online]. vol.23, n.4, pp.1151-1158. ISSN 1678-4561. DOI: https://doi.org/10.1590/1413-81232018234.17682016

Treede RD, Rief W, Barke A, Aziz Q, BENNETT MI, BENOLIEL R, et al (2019, janeiro). Chronic pain as a symptomor a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). PAIN, Volume 160, Number 1, p. 19–27. DOI: https://doi.org/10.1097/j.pain.0000000000001384

Cavina APS, Pizzo JR E, Machado AF, Biral TM (2020, 11 de maio). Effects of the Mat Pilates Method on Body Composition: Systematic Review With Meta-Analysis. J PhysAct Health. 2020;1-9. DOI: 10.1123/jpah.2019-0171

Blyth FM, Huckel, Schneider C (2018, setembro). Global burden of pain and global pain policy-creating a purposeful body of evidence. PAIN 2018;159(suppl 1): S43–s48. DOI: https://doi.org/10.1097/j.pain.0000000000001311

Briggs AM, Cross MJ, Hoy DG, Sànchez—Riera L, Blyth FM, Woolf AD, et al (2016, 2 de abril). Musculoskeletal Health Conditions Represent a Global Threat to Healthy Aging: A Report for the 2015 World Health Organization World Reporton Ageing and Health. Gerontologist, Vol. 56, No. S2, S243–S255 DOI: https://doi.org/10.1093/geront/gnw002

Vinstrup J, Jakobsen MD, Andersen LL (2020, 5 de fevereiro). Poor Sleep Is a Risk Factor for Low-Back Pain among Healthcare Workers: Prospective Cohort Study. Int J Environ Res Public Health. 2020;17(3):996. DOI: 10.3390/ijerph17030996

Nugraha B, Gutenbrunner C, Barke A, Karst M, Schiller J, Schäfer P, et al. (2019, janeiro). The IASP Taskforce for the Classification of Chronic Pain. The IASP classification of chronic pain for ICD-11: functioning properties of chronic pain. Pain. Volume, 160, Number 1 DOI: https://doi.org/10.1097/j.pain.0000000000001433

Jeong, H., & Lee, Y. (2020, 23 de janeiro). Sex-Based Differences in the Quality of Life of Elderly Koreans with Chronic Musculoskeletal Pain. International journal of environmental research and public health, 17(3), 743. DOI: https://doi.org/10.3390/ijerph17030743

Fernández-Ballesteros, R., Valeriano-Lorenzo, E., Sánchez-Izquierdo, M., & Botella, J. (2022, 04 de fevereiro). Behavioral Lifestyles and Survival: A Meta-Analysis. Frontiers in psychology, 12, 786491. DOI: https://doi.org/10.3389/fpsyg.2021.786491

Cimas M, Ayala A, Sanzl B, Agull M.S, Tomas O, Escobar A, et al. (2017, 12 de dezembro). Chronic musculoskeletal pain in European older adults: Cross national and gender diferences. Eur J Pain 333—345 DOI: https://doi.org/10.1002/ejp.1123

Fancourt D, Steptoe A (2018, 24 de junho). Physical and Psychosocial Factors in the Prevention of Chronic Pain in Older Age. J Pain. 2018;19(12):1385-1391. DOI: 10.1016/j.jpain.2018.06.001

Feldman DE, Carlesso LC, and Nahin RL (2019, 11 de dezembro). Management of patients with a musculoskeletal pain condition that is likely chronic: results from a national cross-sectional survey. Journal of Pain. DOI: https://doi.org/10.1016/j.jpain.2019.11.014

Nawrocka A, Nistrój-Jaworska M, Mynarski A, Polechonski J (2019, 8 de novembro). Association Between Objectively Measured Physical Activity and Musculoskeletal Disorders, And Perceived Work Ability Among Adult, Middle-Aged And Older Women. Clinical Interventions in Aging 2019:14 1975–1983 DOI: https://doi.org/10.2147/CIA.S204196

Yiengprugsawan V, Steptoe A (2018, 23 de março). Impacts of persistent general and site-specific pain on activities of daily living and physical performance: A prospective analysis of the English Longitudinal Study of Ageing. Geriatr Gerontol Int 2018;18:1051–1057 DOI: https://doi.org/10.1111/ggi.13304

Vikberg, S., Björk, S., Nordström, A., Nordström, P., & Hult, A. (2022, 3 de junho). Feasibility of an Online Delivered, Home-Based Resistance Training Program for Older Adults - A Mixed Methods Approach. Frontiers in psychology, 13, 869573. DOI https://doi.org/10.3389/fpsyg.2022.869573

Oliveira, B.R.R., Matos, I.C., Maranhão Neto, G.A., Rodrigues, F., Monteiro, D., Lattari, E., Machado, S. (2021, 20 de abril). A 16-week intervention on mood and life quality in elderly: testing two exercise programs. Cuadernos de Psicología del Deporte, 21(2), 24-31 DOI: https://doi.org/10.6018/cpd.433571

Antunes, R.; Fonseca, E.; Oliveira, D.; Matos, R.; Amaro, N.; Morouço, P.; Coelho, L.; Rebelo-Gonçalves, R.; (2022, 01 de março). Qualidade de vida, vitalidade e força de preensão manual em idosos praticantes de exercício físico. Cuadernos de Psicología del Deporte, 22(1), 245-255 DOI: https://doi.org/10.6018/cpd.467011

Genee LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH (2017, 24 de abril). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews. Issue 4. Art. No.: CD011279. DOI: 10.1002/14651858.CD011279.pub3.

NIH (2019) – National Institutes of Health. Pain: Considering Complementary Approaches (2a ed.).

Cazotti LA, Jone A, Roger-Silva D, Ribeiro LHC, Natour J (2018, 9 de maio). Effectiveness of the Pilates Method in the Treatment of Chronic Mechanical Neck Pain: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation. DOI: https://doi.org/10.1016/j.apmr.2018.04.018

Buendía-Romero, Á., García-Conesa, S., Pallarés, J.G. & Courel-Ibáñez, J. (2020, 22 de julho). Effects of a 4-week multicomponent exercise program (Vivifrail) on physical frailty and functional disability in older adults living in nursing homes. Cuadernos de Psicología del Deporte, 20(3), 75-81 DOI: https://doi.org/10.6018/cpd.420291

Cuddy P, Gaskell L (2020, 6 de abril). "How do Pilates Trained Physiotherapists utilize and value Pilates Exercise for MSK conditions? A Qualitative Study". Musculoskeletal Care. 2020;10.1002/msc.1463. DOI: 10.1002/msc.1463

Lee K. (2021, 4 de dezembro). The Relationship of Trunk Muscle Activation and Core Stability: A Biomechanical Analysis of Pilates-Based Stabilization Exercise. International journal of environmental research and public health, 18(23), 12804. DOI: https://doi.org/10.3390/ijerph182312804

Silva MLD, Miyamoto GC, Franco KFM, Franco YRDS, Cabral CMN (2020, 01 de maio). Different weekly frequencies of Pilates did not accelerate pain improvement in patients with chronic low back pain. Braz J Phys Ther. 2020;24(3):287-292. DOI:10.1016/j.bjpt.2019.05.001

Cruz-Díaz D, Bergamin M, Gobbo S, Martínez-Amat A, Hita-Contreras F (2017, agosto). Comparative effects of 12 weeks of equipment basedand mat Pilates in patients with Chronic Low Back Pain on pain, function and transversus abdominis activation. A randomized controlled trial. Complementary Therapies in Medicin. DOI: http://dx.doi.org/doi:10.1016/j.ctim.2017.06.004

Natour J, Cazotti L de A, Ribeiro LH, Baptista AS, Jones A (2014, 25 de junho). Pilates improves pain, function nad quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(1):59-68. DOI:10.1177/0269215514538981

Huang, J., Xu, Y., Xuan, R., Baker, J. S., & Gu, Y. (2022, 29 de junho). A Mixed Comparison of Interventions for Kinesiophobia in Individuals With Musculoskeletal Pain: Systematic Review and Network Meta-Analysis. Frontiers in psychology, 13, 886015. DOI: https://doi.org/10.3389/fpsyg.2022.886015

Ato, Manuel; López, Juan J.; Benavente, Ana (2013, 20 de setembro). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29 (3), 1038-1059. DOI :https://doi.org/10.6018/analesps.29.3.178511

Pinheiro FA, Tróccolia BT, Carvalho CV (2002, junho). Validação do Questionário Nórdico de Sintomas Osteomusculares como medida de Morbidade. Rev Saúde Pública 2002;36(3):307-12 307. DOI: https://doi.org/10.1590/S0034-89102002000300008

Ciconell RM, Ferraz MB, Santos W, Meinão I, Quaresma MR (1999, maio - junho). Tradução para língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida sf-36, rev bras reumatol vol. 39, n 3. DOI: https://doi.org/10.11606/t.5.2007.tde-28052007-145033

Laguardia J, Campos MR, Travessos C, Najar AL, Anjos LA, Vasconcellos MM (2013, dezembro). Brazilian normative data for the Short Form 36 questionnaire, version 2. Rev Bras Epidemiol. 2013;16(4):889-897. DOI: 10.1590/s1415-790x2013000400009

Foster, C.; Florhaug, J. A.; Franklin, J.; Gottschall, L.; Hrovatin, L. A.; Parker, S. et al. (2001, fevereiro). A new approach to monitoring exercise training. The Journal of Strength & Conditioning Research, v. 15, n. 1, p. 109-115. DOI: https://doi.org/10.1519/00124278-200102000-00019

Alexandre NMC, Coluci MZO (2011, julho). Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciência & Saúde Coletiva, 16(7):3061-3068. DOI: https://doi.org/10.1590/S1413-81232011000800006

Pasquali l (2003). Psicometria: teoria dos testes na psicologia e na educação. Vozes (5ª ed.).

Pan F, Byrne KS, Ramakrishnan R, Ferreira M, Dwyer T, Jones G (2019, abril). Association between musculoskeletal pain at multiple sites and objective ly measured physical activity and work capacity: Results from UK Biobankstudy. J SciMed Sport. 2019;22(4):444-449. DOI: 10.1016/j.jsams.2018.10.008

Levine MSB, Kaplanek Beth, Jaffe William L (2009, junho). Pilates Training for Use in Rehabilitation after Total Hip and Knee Arthroplasty, Clinical Orthopaedics and Related Research Volume 467, Number 6. DOI: https://doi.org/10.1007/s11999-009-0779-9

Ferreti F, Silva MR, Pegoraro F, Baldo JE, Sá CA (2019, janeiro - março). Dor crônica em idosos, fatores associados e relação com o nível e volume de atividade física. BrJP. São Paulo, 2(1):3-7. DOI: 10.5935/2595-0118.20190002.

Ruiz-Montero, P.J.; Ruiz-Rico Ruiz, G.J.; Martín-Moya, R.; González-Matarín, P.J (2019, 4 de setembro). Do Health-Related Quality of Life and Pain-Coping Strategies Explain the Relationship between Older Women Participants in a Pilates-Aerobic Program and Bodily Pain? A Multiple Mediation Model. Int. J. Environ. Res. Public Health, 16, 3249. DOI: https://doi.org/10.3390/ijerph16183249

Murata S, Doi T, Sawa R, Nakamura R, Isa T, Ebina A, et al. (2018, 6 de junho). Association Between Objectively Measured Physical Activity and the Number of Chronic Musculoskeletal Pain Sites in Community-Dwelling Older Adults. DOI: https://doi.org/10.1093/pm/pny112

Published
25-04-2023
How to Cite
Lopes Santos de Brito, D. ., dos Santos Brandão, T. ., da Silva dos Santos, I., Ramalho Aniceto, . R. ., de Freitas, V. H., & Rodrigues de Castro, M. . (2023). Safety and efficacy of the Pilates Method on physical, functional and musculoskeletal pain in elderly women. Impact of the Pilates Method on Functions and Pain. Sport Psychology Notebooks, 23(2). https://doi.org/10.6018/cpd.478991
Issue
Section
Quality of Life – Research and Innovation

Most read articles by the same author(s)