O efeito do método Pilates na fadiga em pacientes com câncer de mama / The effect of Pilates Method on fatigue in breast cancer patients

PURPOSE: Cancer-related fatigue is a persistent and subjective physical or emotional feeling that interferes with the life quality in breast cancer survivors. Thus, it can lead to a vicious circle of inactivity, which leads to deconditioning, emotional stress and sleep disorders, which interferes with the daily activities and self-esteem. Pilates method is a good exercise program for the breast cancer survivor because includes resistance and stretching exercises synchronized with breathing. The main purpose was to evaluate the effectiveness of Pilates exercises on muscle fatigue in patients with breast cancer in the behavioral, affective and sensory domains. METHODS: A longitudinal study was carried out, in which 34 women with fatigue were recruited in the late postoperative of breast cancer. The evaluations were executed using the Revised Piper Fatigue Scale. Statistical analysis was performed using SigmaPlot 14.0 Program. Statistical significance was set as P0.05 and the responsiveness was calculated using effect size by Cohen. Parameters for 3 time points (admission, 30 days and 90 days) were compared using the Friedman test. RESULTS: In general there was a statistically significant difference between the admission group and 30 days with a moderate effect size. After 90 days of exercise only the comportamental and affective domains presented statistically significant difference with a moderate effect size. CONCLUSION: Thus, it was possible to demonstrate that Pilates exercises significantly improve muscle fatigue in women in the late postoperative period of breast cancer after 30 days of exercises and the behavioral and affective domain after 90 days.

Influence of Drugs of Continuous Use on the Sensory Regulation of the Static Balance of Elderly Regular Practitioners of the Pilates Method

The combination of types of medications can compromise the regulation of body balance in older adults. This study evaluated the effect of continuous use drugs on the sensory regulation of static balance in elderly women who regularly practice the Pilates method with and without a history of falls and estimate the risk of falls in this population. Cross-sectional study, carried out with 94 women (67.12±4.74 years) practicing Pilates, divided into: non-fallers (n = 74) and fallers (n = 18). Sociodemographic data, comorbidities, medications, and Mini Mental State Examination (MMSE), Falls Efficacy Scale (FES), Confidence in Balance Scale (ABC) were applied. The examination of static balance was performed by the Clinical Test of Sensory Interaction and Balance (CTSIB). The risk of falling was analyzed using an adjusted multiple logistic regression model, while the effect of drugs on falls was estimated by binary regression, results were presented using the odds ratio (OR). The CTSIB test revealed Condition 4 (OR = 3.038; 95% CI = 1.321–15.674) and Condition 5 (OR = 5.542; 95% CI = 1.678–18.303) as predictors of falls. Drugs showing an effect on fall were β2 agonist associated with glucocorticoid (OR = 0.245; 95% CI = 1,233–2,400), thiazide diuretic (OR = 0.344; 95% CI = 1.122–2.234), statin (OR = 0.245; 95 % CI = 1,237–2,338), angiotensin II receptor antagonist (OR = 0,245; 95% CI = 1,236–2,339), beta blocker (OR = 0,245; 95% CI = 1,238–2,402) and anti-vertigo (OR = 0,245; 95 % CI = 1.230–2.399). Regardless of the history of falls, the risk of falling was present in older adult regular Pilates practitioners. Six different drugs for continuous use showed an effect on falls.Keyword: Accidental Falls. Aging. Women´s Health. Accident Consequences.ResumoA combinação de tipos de medicamentos pode comprometer a regulação do equilíbrio corporal de idosos. Este estudo avaliou o efeito de fármacos de uso contínuo sobre a regulação sensorial do equilíbrio estático de mulheres idosas praticantes regulares do método Pilates com e sem histórico de queda e estimar o risco de queda dessa população. Estudo transversal, realizado com 94 mulheres (67,12±4,74 anos) praticantes de Pilates, divididas em: não-caidoras (n=74) e caidoras (n=18). Foram coletados dados sociodemográfico, comorbidades, medicamentos, e aplicado Mini Exame do Estado Mental (MEEM), Falls Efficacy Scale (FES), Escala de Confiança no Equilíbrio (ABC). O exame do equilíbrio estático foi realizado pelo Clinical Test of Sensory Interaction and Balance (CTSIB). O risco de queda foi analisado pelo modelo de regressão logística múltipla ajustado, enquanto, que o efeito dos fármacos sobre queda foi estimado pela regressão binária, resultados foram apresentados pelo odds ratio (OR). O teste CTSIB revelou a Condição 4 (OR= 3,038; 95% IC= 1,321–15,674) e Condição 5 (OR= 5,542; 95% IC= 1,678–18,303) como previsora de quedas. As drogas que mostram efeito sobre queda foram agonista β2 associada com glicocorticóide (OR=0,245; 95% IC= 1,233–2,400), diurético tiazídico (OR=0,344; 95% IC=1,122–2,234), estatina (OR=0,245; 95% IC=1,237–2,338), antagonista do receptor de angiotensina II (OR=0,245; 95% IC=1,236–2,339), betabloqueador (OR=0,245; 95% IC=1,238–2,402) e antivertiginoso (OR=0,245; 95% IC=1,230–2,399). Independente do histórico de quedas, o risco de cair esteve presente em idosas praticantes regulares do Pilates. Seis diferentes medicamentos de uso contínuo mostraram efeito sobre queda. Palavras-chave: Acidentes por Quedas. Envelhecimento. Saúde da Mulher. Consequências de Acidentes.

The Effects of the Pilates Method on Pelvic Floor Injuries during Pregnancy and Childbirth: A Quasi-Experimental Study

The perineal injuries suffered during childbirth have a great impact on the quality of life of the female population. Evidence suggests that the Pilates method is used by pregnant women to improve the physical and psychological outcomes of pregnancy. The aim of this study was to investigate the influence of the Pilates Method during pregnancy on the incidence and degree of intrapartum perineal trauma. A quasi-experimental study was carried out between November 2018 and December 2019 at different health centers in two health districts. Participants were 72 pregnant women attending the antenatal program, who were assigned to a Pilates group or a control group (48 and 24 pregnant women, respectively). The main outcome measurement was perineal trauma during childbirth. After participating in the Pilates program, the women in the experimental group were significantly less likely to suffer perineal trauma in spontaneous deliveries compared to the women in the control group. After evaluating these results, it is concluded that health center managers should promote the training of midwives in the prevention and treatment of pelvic floor injuries during pregnancy and should consider strategies to enhance adhesion and participation with respect to pelvic floor exercise programs throughout pregnancy by means of Apps and other digital media specifically aimed at this phase.

Qualidade de vida de homens idosos praticantes de pilates na cidade de Pirapora –MG

Objective:to analyze the perception of quality of life of elderly Pilates practitioners inclinics in the city of Pirapora -MG. Materials and Methods:the study was observational and descriptive, with quantitative data and qualitative, cross-sectional approach, in whichelderly men practicing the Pilates method were evaluated by means ofa questionnaire (QVS-80). Results: the responses to the questionnaire show that all individuals assiduouslyparticipatedin physical activities for more than two years, all of them reporteddiscomfort due toinjuries;however,there are no recent reports of need for medical intervention. Interviewees demonstrate positivesocial interaction with friends, family,and society. Conclusion: the perception of the quality of life of elderly Pilates practitioners in clinics in Pirapora -MG is considered "Good" and factors whichare part of the quality of life, such as relationships with peers and with themselves, mobility, performance in daily tasks, frequency,and practice of physical activity, also found positive responses.

Relationship between Pilates practice time and the electromyographic response of pelvic floor muscles in climacteric women: An observational study

Ojective: To analyze the relationship between practice time in the Pilates method and the electromyographic response of the pelvic floor muscles (PFM) in climacteric women. Design: An observational study. Participants: Twenty-eight (28) climacteric women with a mean age of 53.97 (± 6.11) years and a minimum period of 6 months of practicing the Pilates Method. Main Outcome Measures: An evaluation sheet containing sociodemographic, obstetric and gynecological data. Electromyographic capture of PFM by surface electromyography (Miotool Uro 200, Miotec®, Brazil). Results: The results showed that the electromyographic data (base tone, maximum voluntary contraction, sustained contraction) did not show statistical correlation between the data (r > -0.057; p > 0.63). Conclusions: The Pilates Method does not seem to influence the electromyographic response of PFM. The findings suggest that this cannot be considered a specific activity for training the pelvic floor muscles.

Effect of different Pilates workout endings on the kyphotic and lumbar lordotic angles

Introduction: There are no studies that investigate whether different workout endings of the Pilates method (PM), either prioritizing the activation of powerhouse muscles or the relaxation of muscles trained during the session, affects spinal curvature. Objective: Identify the immediate effect of a PM session that ends with soft tissue mobilization or wall exercises on the kyphotic and lumbar lordotic angles. Methods: A crossover clinical trial with 19 female Pilates practitioners that used a Flexicurve ruler to evaluate thoracic and lumbar spine curvature before and after a PM exercise protocol, and after endings that involved soft tissue mobilization using massage balls or wall exercises. The order of the different endings was chosen by random draw and the study volunteers participated in two interventions, with intervals of seven to ten days between them. Two two-way ANOVAs were performed (one for each postural variable), using the factors “assessment time” (pre-session; post-PE; post-ending) and “type of ending” (soft tissue or wall exercises). Results: There was no significant difference between the assessment times or endings for the kyphotic (p = 0.972; p = 0.747) and lumbar lordotic angles (p = 0.574; p = 0.627), respectively. Conclusion: Pilates instructors can opt for more relaxing or more active endings without affecting the kyphotic and lumbar lordotic angles.