INISA Integrated Institute Of Health, Federal University of Mato Grosso fo Sul (UFMS), Campo Grande, MS, Brazil.
State University of Mato Grosso do Sul (UEMS), Campo Grande, MS, Brazil.
J Bodyw Mov Ther. 2023 Jul;35:220-227. doi: 10.1016/j.jbmt.2023.04.076. Epub 2023 May 3.
More than two-thirds of pregnant women experience low back pain during pregnancy. This condition increases with advancing pregnancy, interfering with work, daily activities and sleep.
To assess the efficacy of the Pilates method in comparison to prenatal care on the control of lower back pain in pregnant women.
Electronic searches were carried out with no language or year of publication restriction in the databases Medline via Pubmed, Embase, CINAHL, LILACS, PEDro, and SPORTDiscus on 20 March 2021. The keywords "Pilates" and "Pregnancy" were applied and the search strategies, adapted to each databank.
Randomized clinical trials with pregnant women with muscle pain symptoms and Pilates as an intervention method in comparison to conventional prenatal care were considered.
two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. The critical evaluation was done using the Risk of Bias tool assess the quality and GRADE to assess the certainty of evidence. We conducted a meta-analysis for the main outcome "pain".
through our searches, 687 papers were identified, but only two fulfilled the inclusion criteria and were included in this review. Only two studies compared Pilates with a control group without physical exercise for pain in the short term. In the meta-analysis, there was a significant difference for pain in the comparison between the Pilates group and the control group without exercise; the mean difference (MD) was -23.09 (95% CI), from -31.07 to -15.10, p = 0.001, for 65 individuals (33 in the Pilates group and 32 in the conventional group). Limitation found was the lack of blinding of therapists and participants and the small sample size of individual studies. In addition, no adverse effects were reported.
There is moderate-quality evidence that Pilates exercise may reduce pregnancy-related low-back pain more than usual prenatal or no exercise. Prospero registration number CRD42021223243.
超过三分之二的孕妇在怀孕期间会经历腰痛。这种情况随着妊娠的进展而增加，会干扰工作、日常活动和睡眠。
评估普拉提方法与产前护理相比在控制孕妇下腰痛方面的效果。
2021 年 3 月 20 日，在 Medline 数据库（通过 Pubmed）、Embase、CINAHL、LILACS、PEDro 和 SPORTDiscus 中，没有语言和出版年限限制地进行了电子检索。应用了“普拉提”和“妊娠”这两个关键词，并根据每个数据库的特点调整了检索策略。
考虑了将肌肉疼痛症状的孕妇随机分为普拉提干预组和常规产前护理组的随机临床试验。
两位综述作者独立评估了纳入试验的偏倚风险，提取了数据并检查了准确性。使用风险偏倚工具对质量进行了批判性评估，并使用 GRADE 对证据的确定性进行了评估。我们对主要结局“疼痛”进行了荟萃分析。
通过我们的检索，共发现 687 篇论文，但只有 2 篇符合纳入标准并被纳入本综述。只有两项研究比较了普拉提与不进行体育锻炼的对照组在短期疼痛方面的效果。荟萃分析结果显示，普拉提组与不进行运动的对照组相比，疼痛存在显著差异；组间差异（MD）为-23.09（95%置信区间为-31.07 至-15.10，p=0.001），涉及 65 名个体（普拉提组 33 名，常规组 32 名）。研究的局限性在于治疗师和参与者缺乏盲法以及个体研究的样本量较小。此外，没有报告不良反应。
有中等质量的证据表明，普拉提运动可能比常规产前护理或不运动更能减轻妊娠相关的下腰痛。PROSPERO 注册号为 CRD42021223243。
