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
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
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
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica. Color RoMEO: verde.
