Efeitos do Método Pilates na dor em pacientes com fibromialgia: revisão integrativa da literatura.

Abstract

Introduction: Fibromyalgia is a chronic syndrome with pain being its main symptom, which can be intense and disabling (WOLFE et al., 2010). Furthermore, chronic pain can lead to physical, emotional and social changes that significantly affect the quality of life of patients with fibromyalgia (HAWKINS, 2013). Objective: This work constitutes an integrative literature review, with the aim of investigating the effects of Pilates on pain in patients with fibromyalgia. Methods: Integrative review of the literature carried out in the PubMed, VHL and Manual Search databases, which address the relationship between the practice of Pilates and pain reduction in individuals with fibromyalgia, with a study duration of 4 to 12 weeks. To carry out this review, articles were selected from the databases mentioned above, using the inclusion and exclusion criteria. The inclusion criteria are: Studies that evaluate the use of the Pilates method as a non-pharmacological intervention in the treatment of pain in patients with fibromyalgia. Studies that compare the results of the Pilates method with other non-pharmacological interventions, such as cognitive-behavioral therapy, acupuncture, yoga, conventional exercise therapy, among others. And the exclusion criteria are: Studies that investigate the use of the Pilates method as part of a multimodal treatment, where it is difficult to separate the specific effects of Pilates from the other components of the treatment. Studies that do not report pain-related outcomes or that do not use validated pain assessment measures as outcomes. The articles were evaluated regarding their methodology, results and conclusions, seeking to identify patterns and consistent evidence about the benefits of Pilates. Results: The results analyzed in the reviews of the 4 selected articles indicate that Pilates can contribute to reducing pain and improving quality of life in patients with fibromyalgia. Regular Pilates practice has been associated with decreased pain intensity, greater flexibility, muscle strength and general well-being. Furthermore, the studies reviewed suggest that Pilates can help improve posture, motor coordination and functional capacity in patients, promoting a holistic and integrated approach to treating fibromyalgia. Conclusion: The conclusions of this work highlight the effectiveness of Pilates as a complementary therapeutic intervention in pain management in patients with fibromyalgia. It is recommended that Pilates be included in multidisciplinary treatment programs for patients with fibromyalgia, aiming to maximize therapeutic benefits and improve the quality of life of these individuals.