Estudo internacional avalia o uso do método em casos de dor lombar. Confira!
O objetivo do estudo de Posadzki et al (2010) foi investigar o uso do Pilates, tão difundido atualmente, em tratamentos da dor. O estudo foi divulgado no último dia 15 de outubro, no periódico “Complementary Therapies in Clinical Practice“. Mais especificamente, o trabalho objetivou revisar de forma sistemática todos os ensaios clínicos controlados sobre o tratamento da dor lombrar pelo Método de Pilates. Os pesquisadores realizaram uma revisão sistemática da literatura, em nove bancos de dados internacionais.
A seleção dos ensaios clínicos foi realizada por meio do título e resumo dos artigos. A partir de então, os pesquisadores realizam uma segunda seleção, que foi feita por meio de critérios de inclusão para análise já pré-definidos: ensaios clínicos randomizados e controlados sobre o Pilates em pacientes de qualquer idade ou sexo, que apresentassem dor lombar. Além disso, utilizando a Escala de Oxford, os pesquisadores avaliaram a dimensão da Qualidade de Vida e o Pilates, presente em alguns estudos.
Na análise das publicações encontradas, os autores pontuam que os estudos são heterogêneos em termos de população de pacientes, grupos de controle, critérios de inclusão e exclusão e medidas de desfecho , o que torna a meta-análise inviável. Embora haja algumas evidências que apóiam a eficácia do Pilates no tratamento da dor lombar, nenhuma conclusão definitiva pode ser estabelecida, exceto que são necessárias mais pesquisas, que contem com amostras mais expressivas e com definições mais claras sobre o tratamento padrão e medidas de resultados comparáveis.
Referência do Estudo:
POSADZKI, P.; LIZIS, P.; HAGNER-DERENGOWSKA, M. Pilates for low back pain: A systematic review. Complementary Therapies in Clinical Practice. Available online 15 October 2010
Autor: SIS.Saúde
Fonte: Complementary Therapies in Clinical Practice
As dores na coluna são comuns na população em geral, e as desinformações dos pacientes os deixam à mercê de tratamentos inapropriados e até prejudiciais ao seu problema.
Muitas modalidades de exercícios existem, mas há coisas que se aplicam e outras que não se aplicam aos casos de pessoas que padecem de patologias na coluna vertebral.
Todos os dias vemos nascer e crescer novidades que se apresentam aos pacientes com problemas da coluna, mas cada um deve ser esclarecido quanto à correta indicação na busca de sua saúde.
Nos últimos anos, vimos o surgimento do modismo do Pilates, e hoje se discute muito a sua aplicabilidade como algo que possa ser classificado como uma terapia. De fato, não há embasamento científico para defesa de sua aplicação como TERAPIA.
O fato é que o Pilates não é uma terapia, por consequência não pode ser aplicado em pacientes que tenham problemas da coluna, visando o seu tratamento.
Pilates é uma modalidade com dupla aplicação: educação física e recuperação funcional, sendo inapropriada para pessoas que sofram de dores na coluna.
Corroborando esta ideia, o próprio Conselho Federal de Educação Física em sua Resolução CONFEF nº 201/2010, caracteriza o método como um método de ginástica.
Esta ginástica pode ser feita em pessoas funcionalmente normais que querem aumento de desempenho físico ou em pessoas normalizadas após a cura de processos nosológicos que também queiram aumentar seu desempenho a níveis anteriores, ou até superiores. Veja que, em ambas as situações, as pessoas estão em condições de normalidade. É uma questão Gaussina.
Desta forma, se você tem uma dor na coluna e vai fazer isto como terapia, você está cometendo um erro.
Mas por qual motivo muitas pessoas com dores da coluna que se submetem ao Pilates sentem melhora de suas dores?
Isto aí é outra coisa também que deve ser esclarecida. Vamos lá…
As dores na coluna caminham, em geral, lado a lado com o fenômeno inflamatório, ou seja, se existe dor geralmente existe inflamação. Mas o fenômeno inflamatório faz parte de uma programação biológica que tem, por sua própria natureza, um início, um meio e um fim.
Desta forma, muitos pacientes que estão fazendo ginástica com método Pilates melhoram pelo avançar do processo natural de auto-controle da inflamação. Eles melhoram não por estarem fazendo a ginástica, melhoram pelo curso natural de resolução de um processo biológico já estabelecido.
A melhoria inegável do condicionamento físico pode ser, ainda um fator preventivo, mas não terapêutico. É uma questão de definição.
Assim sendo, PILATES NÃO É TRATAMENTO NEM PODE SER APLICADO EM MANIFESTAÇÕES CLÍNICAS DOS PROBLEMAS DE COLUNA. É UM MÉTODO DE GINÁSTICA E DEVE SER FEITO NÃO PARA TRATAR SUAS DORES OU DOENÇAS, MAS PARA APRIMORAMENTO FUNCIONAL OU PREVENÇÃO.
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