ABSTRACT
Aim: To compare the effects of Pilates with and without accessories on biochemical markers, pain intensity, functional disability and muscle strength in postmenopausal women with nonspecific chronic low back pain. Materials & methods: Twenty-two participants were randomized to a group of Pilates without (PG; n = 11) and with elastic resistance (PAG; n = 11) for 8 weeks, twice a week. We analyzed IGF-1, IGF-binding protein-3 (IGFBP-3), cortisol, creatine kinase, pain intensity, functional disability, abdominal and back strengths. Results: Both groups had lower pain intensity and functional disability and increased lumbar strength postinterventions. PAG exhibited an increase in IGF-1/IGFBP-3 ratio and reduction in creatine kinase compared with PG. Conclusion: Both interventions were effective in the treatment of low back pain. However, PAG presented better responses than PG. Clinical Trial Registration: Brazilian Clinical Trials Registry: ReBEC (RBR-9jwcykc), www.ensaiosclinicos.gov.br/rg/RBR-9jwcykc.
Pilates is a type of exercise that has been practiced, both in health promotion and rehabilitation, including low back pain (LBP) treatment. LBP prevails in women after menopause when compared with men. Thus, we submitted postmenopausal women with chronic LBP to two groups, one that practiced Pilates with elastic resistance and the other without these accessories. These elastic bands of progressive tension increase the effort of the exercise performed. We analyzed biochemical markers, pain intensity, functional disability and muscle strength. After 8 weeks, both groups had lower pain intensity and functional disability and increased lumbar strength. Furthermore, the group that used elastic resistance during the training showed increase in IGF-1/IGFBP-3 ratio and reduction in creatine kinase compared with the other group.
Subject(s)
Exercise Movement Techniques , Low Back Pain , Exercise Therapy , Female , Humans , Low Back Pain/therapy , Lumbosacral Region , Pain Measurement , PostmenopauseABSTRACT
El objetivo del presente estudio es evaluar la autonomía funcional de ancianos con enfermedad pulmonar obstructiva crónica (EPOC). Se utilizó el protocolo de evaluación de autonomía funcional creado por el Grupo de Desarrollo Latinoamericano para la Tercera Edad (GDLAM), formado por 4 pruebas: caminar 10 m, levantarse de la posición de sentado, levantarse de la posición de decúbito ventral y levantarse de la silla y moverse por la casa. Se estudió a 20 sujetos voluntarios (edad media ± desviación estándar de 69,2 ± 6,2 años), independientes en actividades básicas, con EPOC moderada a grave según criterios de la Global Initiative for Obstructive and Lung Disease. Los resultados obtenidos no mostraron correlación estadística significativa en el análisis de los datos aunque sí una leve tendencia hacia la relación entre pruebas funcionales respiratorias y capacidad funcional. Aunque el grupo estudiado era pequeño, este hallazgo permite intuir que la evaluación de la autonomía funcional con este instrumento es útil en pacientes con EPOC
The aim of the present study was to evaluate functional autonomy in elderly patients with chronic obstructive pulmonary disease (COPD). The protocol for evaluating functional autonomy developed by the Latin-American Development Group for the Elderly, which is composed of four tests, was used. These four tests consist of walking 10 meters, rising from a sitting position, rising from a ventral decubitus position and from a chair, and moving around the home. We studied 20 volunteers (mean age 69.2 years; SD 6.2) who were independent for basic activities of daily living and who had moderate or severe COPD according to the criteria of the Global Initiative for Obstructive and Lung Disease. The results obtained showed no statistically significant correlations in the data analysis, although a slight tendency towards an association between respiratory functional tests and functional capacity was found. Although the study group was small, this finding suggests that evaluation of functional autonomy with this protocol may be useful in patients with COPD
