The Pilates<sup>®</sup> Method in the treatment of
					lower back pain

Vasconcellos, Marcelo Henrique Oliveira de; Silva, Ramon Diego Santana da; Santos, Sheila Maria Bispo dos; Merlo, José Reynaldo de Carvalho; Conceição, Tatiana Maíta Alves

doi:10.1590/0103-5150.027.003.AR01

Acessibilidade / Reportar erro

Brasil

Fisioterapia em Movimento

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Review Articles • Fisioter. mov. 27 (3) • Sept 2014 • https://doi.org/10.1590/0103-5150.027.003.AR01 copy

The Pilates^® Method in the treatment of lower back pain

Método Pilates® no tratamento da dor lombar

Authorship SCIMAGO INSTITUTIONS RANKINGS

Introduction

The Pilates^® method incorporates a number of the guidelines recommended for therapeutic exercises considered to be effective in the treatment of chronic lower back pain, such as the contraction of the transversus abdominis and multifidus muscles, associated with breathing, while taking into account the individual characteristics of patients.

Objective

To assess the effects of the Pilates^® method on the treatment of lower back pain.

Method

This systematic review includes papers published from 2000 to 2010 in the BIREME, LILACS, MEDLINE and SciELO databases. The keywords used were spinal stabilization, Pilates^®, and back pain and their equivalents in Portuguese.

Results

Imbalance among the trunk’s agonist-antagonist muscles and the ineffective activation of the transversus abdominis are risk factors for the onset of lower back pain that can be mitigated with the practice of Pilates^®-based exercises.

Conclusion

The method has clinical effects similar to those obtained with traditional stabilization exercises and Back School exercises in the treatment of chronic lower back pain and are considered more satisfactory than conservative treatments.

Lower back pain; Spinal stabilization; Pilates

Authors, journal and year of publication	Objectives
Hides et al., Spine, 1994	To verify the effects of back pain on tropism of the multifidus muscles.
Hides, Richardson and Jull, Spine, 1996	To record the natural history of multifidus recovery after an episode of acute lower back pain.
Hodges, Richardson and Jull, Phys. Research International, 1996	To investigate the role of the transversus abdominis in the segmental stabilization process.
Hodges and Richardson, Physical Therapy, 1997	To investigate the activation of the abdominal muscles during movements of the lower limbs.

Authors, journal and year of publication	Objectives
O’Sullivan, Twomey and Allison, J Orthop Sports Phys Ther, 1998	To investigate the effectiveness of interventions using specific exercises that advocate the co-contraction of deep abdominal muscles with the lumbar multifidus muscle to treat chronic lower back pain.
Goldby et al., Spine, 2006	To determine the effectiveness of two components of the musculoskeletal physical therapy, i.e., manual therapy and segmental stabilization, on chronic lower back disorders.
Koumantakis, Watson and Oldham, Physical Therapy, 2005	To analyze the inclusion of spinal stabilization exercises in general exercises for the abdominal muscles among patients with sub-acute or nonspecific chronic lower back pain compared to a group performing general exercises only.
Norris and Matthews, Complementary Therapies in Clinical Practice, 2008	To assess the effects of an integrated spinal stabilization program on chronic back pain.
Pereira, Ferreira and Pereira, Physical Therapy in Movement, 2010	To assess the effectiveness of segmental stabilization exercises on the pain and functional ability of individuals with chronic back pain.
Sakamoto et al., Conscientiae Saúde, 2009	To assess the effects of a four-week program of lumbar stabilization exercises on the intensity of pain and level of functionally among 13 individuals with nonspecific chronic back pain.

	Authors, journal and year of publication	Objectives
Muscle activity after intervention using the method in individuals without back pain	Kolyniak, Cavalcanti and Aoki, Rev Bras Med Esporte, 2004	To assess the effect of the Pilates^® method on the function of the trunk’s extensor and flexor muscles.
	Herrington and Davies, Journal of Bodywork and Movement Therapies, 2005	To compare the effects of the Pilates^® method and conventional abdominal exercises on the transversus abdominis.
	Sekendiz et al., J of Bodywork and Movement Therapies, 2007	To examine the effects of Pilates exercises on abdominal and back strength, abdominal muscle resistance and posterior trunk flexibility in the case of sedentary adult women.
	Endleman and Critcheley, Arch Phys Med Rehabil, 2008	To assess the activity of the tranversus abdominis and abdominal internal oblique muscles during classical Pilates’ exercises correctly and incorrectly performed with and without equipment.
Effects in individuals with back pain	Critchley, Pierson and Battersby, Manual Therapy, 2010	To assess the effects of Pilates exercises and a program of conventional exercises on the tranversus abdominis and internal oblique muscles.
	Gagnon, Knoxville: The University of Tennessee, 2005	To investigate the effectiveness of Pilates exercises as a therapeutic intervention for the treatment of back pain.
	Gladewel et al., J Sort Rehabil, 2006	To assess the effect of a Pilates program on individuals with chronic back pain.
	Donzelli et al., Europa Medicophysica, 2006	To compare the effects of the Pilates method with those of the Back School on the treatment of chronic back pain.
Effects in individuals with back pain	Rydeard, Leger and Smith, J Orthop Sports Phys Ther, 2006	To compare the effects achieved with the Pilates method to those obtained with a conservative treatment for chronic back pain.
Effects in individuals with back pain	Fonseca, Magni and Freitas, Journal of Sport Rehabilitation, 2009	To assess the influence of pain on the vertical ground-reaction force in patients with back problems and the effect of the Pilates method on the gait of these patients.

Pontifícia Universidade Católica do Paraná Rua Imaculada Conceição, 1155 - Prado-Velho -, Curitiba - PR - CEP 80215-901, Telefone: (41) 3271-1608 - Curitiba - PR - Brazil
E-mail: revista.fisioterapia@pucpr.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Source: Research data.

Brasil

Brasil

The Pilates® Method in the treatment of lower back pain

Método Pilates® no tratamento da dor lombar

Introduction

Objective

Method

Results

Conclusion

The Pilates^® Method in the treatment of lower back pain