O Método Pilates como intervenção fisioterapêutica na fibromialgia: uma revisão de literatura

Abstract

Fibromyalgia is a syndrome characterized by chronic and widespread musculoskeletal pain, accompanied by symptoms such as fatigue, muscle and joint stiffness, changes in mood, sleep, anxiety, depression, intestinal disorders, as well as somatic and cognitive disorders. As a consequence, these symptoms can lead to changes in the functional capacity of the affected individual. It is a syndrome that does not yet have its pathophysiology and diagnosis clearly explained and its treatment and control involves pharmacological and non-pharmacological interventions. Among the non-pharmacological treatments are physiotherapeutic interventions, and among them, the Pilates method. Objective: The objective of the present study was to evaluate whether the Pilates method, in the context of physiotherapeutic treatments, is an effective intervention for the management of fibromyalgia, in terms of reducing pain and quality of life for these individuals. Methodology: A literature review was carried out by searching for articles in the PubMed database, using the descriptors “Pilates” and “fibromyalgia”. Inclusion criteria were: articles in English published from 2016 onwards with the Pilates method as a therapeutic intervention, being related to fibromyalgia and a score above 5 on the PeDro scale. Of the 17 articles resulting from the search, 6 were included in this review. Results: Physiotherapy intervention with the Pilates method showed improvement in the variables pain and quality of life, without stagnation or worsening of the symptoms of the syndrome. There was no superiority of other therapeutic resources when compared to the Pilates Method. Conclusion: The studies analyzed allow us to conclude that the Pilates method, used as a physiotherapeutic resource, is beneficial for the fibromyalgia population, being effective in reducing pain, improving functional capacity, quality of sleep, anxiety and quality of life, however, There are still few studies that analyze this method in clinical practice.