Pilates para dor e incapacidade em pacientes com osteoartrite de joelho: revisão sistemática com metanálise

Abstract

Knee osteoarthritis (KOA) is a common degenerative condition that compromises joint function and causes pain. In 2020, KOA had a significant global prevalence, affecting millions of people. Conservative treatment includes non-pharmacological interventions, such as physical exercise, with Pilates being a promising option. This study aimed to conduct a systematic review with meta-analysis of randomized clinical trials on the effects of Pilates in patients with KOA, focusing on pain and disability. The database search resulted in 3,040 articles, of which 10 met the inclusion criteria. The results of the interventions were: Pilates versus other exercises for pain intensity (SMD = -1.04; 95% CI: -0.99 to -0.10; p = 0.02; n = 296); Pilates versus other exercises for disability (SMD = -0.41; 95% CI: -0.96 to 0.14; p = 0.14; n = 258); Pilates versus other exercises for range of motion (SMD = 0.04; 95% CI: -0.76 to 0.83; p = 0.93; n = 154); Pilates versus control group for pain intensity (SMD = -1.10; 95% CI: -2.15 to -0.05; p = 0.04; n = 107); Pilates versus control group for disability (SMD = -0.71; 95% CI: -1.75 to 0.33; p = 0.18; n = 161); Pilates versus control group for range of motion (SMD = 0.30; 95% CI: -0.82 to 1.41; p = 0.60; n = 42). When compared to the control group, Pilates showed superiority in the outcomes of pain, disability, and range of motion. It is concluded that Pilates is effective as a non-pharmacological intervention in the management of OA.