Desenvolvimento de um instrumento de avaliação para o método Pilates baseado na Classificação Internacional de Funcionalidade, Incapacidade e Saúde
DOI:
https://doi.org/10.11606/issn.2317-0190.v28i3a183523Palavras-chave:
Classificação Internacional de Funcionalidade, Incapacidade e Saúde, Técnicas de Exercício e de Movimento, Modalidades de FisioterapiaResumo
Há uma escassez em evidências científicas acerca de instrumentos de avaliação validados e padronizados aplicados ao Pilates. Diante da importância de uma análise individualizada e holística de cada paciente/cliente para melhor aplicação do método, faz-se necessário a construção de instrumentos que possuam uma abordagem biopsicossocial. Objetivo: Desenvolver um instrumento de avaliação para o Pilates, baseado na da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Métodos: A pesquisa foi realizada em quatro etapas. Levantamentos de informações sobre a avaliação no método Pilates, associação das informações com categorias da CIF, estudo Delphi, construção do instrumento. As informações foram obtidas por meio de um a scoping review e entrevistas com fisioterapeutas que trabalham com o Pilates, para construção as informações obtidas foram vinculadas com as categorias da CIF por dois pesquisadores de forma independente, em caso de discordância um terceiro julgaria a mais pertinente. Em seguida, foi realizado um estudo Delphi, para selecionar as categorias mais relevantes para compor o instrumento. Por fim, a construção do instrumento por três pesquisadores com conhecimento em Pilates e CIF. Resultados: O instrumento foi constituído por 49 categorias da CIF, distribuídas em 33 questões, sendo, 10 de funções do corpo, duas de estruturas do corpo, 16 de atividade e participação e, cinco dos fatores ambientais. Conclusão: O estudo possibilitou a construção de um instrumento que visa facilitar a compreensão do estado de saúde do paciente a partir de uma avaliação já realizada em cada serviço e, ao final será proporcionado uma linguagem comum.
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Nery A, Branco C, Miyamoto GC, Cristina A, Soliano G, Farhat HA, et al. Comparação da satisfação, motivação, flexibilidade e dor muscular tardia entre método Pilates moderno e método Pilates instável. Fisioter Pesqui. 2017; 24(4):427-36. Doi: https://doi.org/10.1590/1809-2950/17685224042017
Miyamoto GC, Franco KFM, van Dongen JM, Franco YRDS, de Oliveira NTB, Amaral DDV, et al. Different doses of Pilates-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation. Br J Sports Med. 2018;52(13):859-868. Doi: https://doi.org/10.1136/bjsports-2017-098825
Patti A, Bianco A, Paoli A, Messina G, Montalto MA, Bellafiore M, et al. Pain perception and stabilometric parameters in people with chronic low back pain after a pilates exercise program: a randomized controlled trial. Medicine (Baltimore). 2016;95(2):e2414. Doi: https://doi.org/10.1097/MD.0000000000002414
Bullo V, Bergamin M, Gobbo S, Sieverdes JC, Zaccaria M, Neunhaeuserer D, et al. The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: A systematic review for future exercise prescription. Prev Med. 2015;75:1-11. Doi: https://doi.org/10.1016/j.ypmed.2015.03.002
Di Lorenzo CE. Pilates: what is it? Should it be used in rehabilitation? Sports Health. 2011;3(4):352-61. Doi: https://doi.org/10.1177/1941738111410285
Sinzato CR, Taciro C, Pio CA, Toledo AM, Cardoso JR, Carregaro RL. Efeitos de 20 sessões do método Pilates no alinhamento postural e flexibilidade de mulheres jovens: estudo piloto. Fisioter Pesqui. 2013;20(2):143-50. Doi: https://doi.org/10.1590/S1809-29502013000200008
Castaneda L, Bergmann A, Bahia L. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde: uma revisão sistemática de estudos observacionais. Rev Bras Epidemiol. 2014;17(2):437-51. Doi: https://doi.org/10.1590/1809-4503201400020012ENG
Almansa J, Ayuso-Mateos JL, Garin O, Chatterji S, Kostanjsek N, Alonso J, et al. The International Classification of Functioning, Disability and Health: development of capacity and performance scales. J Clin Epidemiol. 2011;64(12):1400-11. Doi: https://doi.org/10.1016/j.jclinepi.2011.03.005
Goljar N, Burger H, Vidmar G, Leonardi M, Marincek C. Measuring patterns of disability using the International Classification of Functioning, Disability and Health in the post-acute stroke rehabilitation setting. J Rehabil Med. 2011;43(7):590-601. Doi: https://doi.org/10.2340/16501977-0832
Peyrin-Biroulet L, Cieza A, Sandborn WJ, Coenen M, Chowers Y, Hibi T, et al. Development of the first disability index for inflammatory bowel disease based on the international classification of functioning, disability and health. Gut. 2012;61(2):241-7. Doi: https://doi.org/10.1136/gutjnl-2011-300049
Queri S, Eggart M, Wendel M, Peter U. ICF-Checklist to evaluate inclusion of elderlies with intellectual disability - psychometric properties. Rehabilitation (Stuttg). 2018;57(6):346-54. Doi: https://doi.org/10.1055/s-0043-120903
Araujo ES. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) em Fisioterapia : uma revisão bibliográfica [Tese]. São Paulo: Faculdade de Saúde Pública; 2008.
Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):143. Doi: https://doi.org/10.1186/s12874-018-0611-x
Fontanella BJ, Luchesi BM, Saidel MG, Ricas J, Turato ER, Melo DG. Amostragem em pesquisas qualitativas: proposta de procedimentos para constatar saturação teórica. Cad Saude Publica. 2011;27(2):388-94. Doi: https://doi.org/10.1590/s0102-311x2011000200020
Fontanella BJ, Ricas J, Turato ER. Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas. Cad Saude Publica. 2008;24(1):17-27. Doi: https://doi.org/10.1590/s0102-311x2008000100003
Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesqui Qual. 2017;5(7):1-12.
Cieza A, Fayed N, Bickenbach J, Prodinger B. Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information. Disabil Rehabil. 2019;41(5):574-583. doi: https://doi.org/10.3109/09638288.2016.1145258
Ruaro JA, Ruaro MB, Guerra RO. International Classification of Functioning, Disability and Health core set for physical health of older adults. J Geriatr Phys Ther. 2014;37(4):147-53. Doi: https://doi.org/10.1519/JPT.0b013e3182abe7e1
Nuño L, Barrios M, Rojo E, Gómez-Benito J, Guilera G. Validation of the ICF Core Sets for schizophrenia from the perspective of psychiatrists: An international Delphi study. J Psychiatr Res. 2018;103:134-41. Doi: https://doi.org/10.1016/j.jpsychires.2018.05.012
Pohl J, Held JPO, Verheyden G, Alt Murphy M, Engelter S, Flöel A, et al. Consensus-Based Core Set of Outcome Measures for Clinical Motor Rehabilitation After Stroke-A Delphi Study. Front Neurol. 2020;11:875. Doi: https://doi.org/10.3389/fneur.2020.00875
Wildeboer AT, Stallinga HA, Roodbol PF. Validation of the International Classification of Functioning, Disability and Health (ICF) core set for Diabetes Mellitus from nurses' perspective using the Delphi method. Disabil Rehabil. 2020:1-9. Doi: https://doi.org/10.1080/09638288.2020.1763485
Dunleavy K, Kava K, Goldberg A, Malek MH, Talley SA, Tutag-Lehr V, et al. Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study. Physiotherapy. 2016;102(3):236-42. Doi: https://doi.org/10.1016/j.physio.2015.06.002
Atılgan E, Aytar A, Çağlar A, Tığlı AA, Arın G, Yapalı G, et al. The effects of Clinical Pilates exercises on patients with shoulder pain: A randomised clinical trial. J Bodyw Mov Ther. 2017;21(4):847-851. Doi: https://doi.org/10.1016/j.jbmt.2017.02.003
Bertoli J, Biduski GM, de la Rocha Freitas C. Six weeks of Mat Pilates training are enough to improve functional capacity in elderly women. J Bodyw Mov Ther. 2017;21(4):1003-1008. Doi: https://doi.org/10.1016/j.jbmt.2016.12.001
Valenza MC, Rodríguez-Torres J, Cabrera-Martos I, Díaz-Pelegrina A, Aguilar-Ferrándiz ME, Castellote-Caballero Y. Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled trial. Clin Rehabil. 2017;31(6):753-760. Doi: https://doi.org/10.1177/0269215516651978
Cruz-Díaz D, Bergamin M, Gobbo S, Martínez-Amat A, Hita-Contreras F. Comparative effects of 12 weeks of equipment based and mat Pilates in patients with Chronic Low Back Pain on pain, function and transversus abdominis activation. A randomized controlled trial. Complement Ther Med. 2017;33:72-77. Doi: https://doi.org/10.1016/j.ctim.2017.06.004
Cruz-Díaz D, Romeu M, Velasco-González C, Martínez-Amat A, Hita-Contreras F. The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2018;32(9):1249-1257. Doi: https://doi.org/10.1177/0269215518768393
Mazloum V, Sahebozamani M, Barati A, Nakhaee N, Rabiei P. The effects of selective Pilates versus extension-based exercises on rehabilitation of low back pain. J Bodyw Mov Ther. 2018;22(4):999-1003. Doi: https://doi.org/10.1016/j.jbmt.2017.09.012
Gagnon LH. Efficacy of Pilates exercises as therapeutic intervention in treating patients with low back pain. [Dissertation]. Knoxville: University of Tennessee; 2005.
Donzelli S, Di Domenica E, Cova AM, Galletti R, Giunta N. Two different techniques in the rehabilitation treatment of low back pain: a randomized controlled trial. Eura Medicophys. 2006;42(3):205-10.
Curnow D, Cobbin D, Wyndham J, Boris Choy ST. Altered motor control, posture and the Pilates method of exercise prescription. J Bodyw Mov Ther. 2009;13(1):104-11. Doi: https://doi.org/10.1016/j.jbmt.2008.06.013
Marshall PW, Kennedy S, Brooks C, Lonsdale C. Pilates exercise or stationary cycling for chronic nonspecific low back pain: does it matter? a randomized controlled trial with 6-month follow-up. Spine (Phila Pa 1976). 2013;38(15):E952-9. Doi: https://doi.org/10.1097/BRS.0b013e318297c1e5
Miyamoto GC, Costa LO, Galvanin T, Cabral CM. Efficacy of the addition of modified Pilates exercises to a minimal intervention in patients with chronic low back pain: a randomized controlled trial. Phys Ther. 2013;93(3):310-20. Doi: https://doi.org/10.2522/ptj.20120190
Luz MA Jr, Costa LO, Fuhro FF, Manzoni AC, Oliveira NT, Cabral CM. Effectiveness of mat Pilates or equipment-based Pilates in patients with chronic non-specific low back pain: a protocol of a randomised controlled trial. BMC Musculoskelet Disord. 2013;14:16. Doi: https://doi.org/10.1186/1471-2474-14-16
Cruz-Díaz D, Martínez-Amat A, Osuna-Pérez MC, De la Torre-Cruz MJ, Hita-Contreras F. Short- and long-term effects of a six-week clinical Pilates program in addition to physical therapy on postmenopausal women with chronic low back pain: a randomized controlled trial. Disabil Rehabil. 2016;38(13):1300-8. Doi: https://doi.org/10.3109/09638288.2015.1090485
Stieglitz DD, Vinson DR, Hampton MC. Equipment-based Pilates reduces work-related chronic low back pain and disability: A pilot study. J Bodyw Mov Ther. 2016;20(1):74-82. Doi: https://doi.org/10.1016/j.jbmt.2015.06.006
Notarnicola A, Fischetti F, Maccagnano G, Comes R, Tafuri S, Moretti B. Daily pilates exercise or inactivity for patients with low back pain: a clinical prospective observational study. Eur J Phys Rehabil Med. 2014;50(1):59-66.
Kofotolis N, Kellis E, Vlachopoulos SP, Gouitas I, Theodorakis Y. Effects of Pilates and trunk strengthening exercises on health-related quality of life in women with chronic low back pain. J Back Musculoskelet Rehabil. 2016;29(4):649-659. Doi: https://doi.org/10.3233/BMR-160665
Baillie L, Bacon CJ, Hewitt CM, Moran RW. Predictors of functional improvement in people with chronic low back pain following a graded Pilates-based exercise programme. J Bodyw Mov Ther. 2019;23(1):211-8. Doi: https://doi.org/10.1016/j.jbmt.2018.06.007
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1545-1602. Doi: https://doi.org/10.1016/S0140-6736(16)31678-6
Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin. 2007;25(2):353-71. Doi: https://doi.org/10.1016/j.ncl.2007.01.004
Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustün B, Stucki G. ICF linking rules: an update based on lessons learned. J Rehabil Med. 2005;37(4):212-8. Doi: https://doi.org/10.1080/16501970510040263
Stamm TA, Cieza A, Machold KP, Smolen JS, Stucki G. Content comparison of occupation-based instruments in adult rheumatology and musculoskeletal rehabilitation based on the International Classification of Functioning, Disability and Health. Arthritis Rheum. 2004;51(6):917-24. Doi: https://doi.org/10.1002/art.20842
Stamm T, Geyh S, Cieza A, Machold K, Kollerits B, Kloppenburg M, et al. Measuring functioning in patients with hand osteoarthritis--content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF). Rheumatology (Oxford). 2006;45(12):1534-41. Doi: https://doi.org/10.1093/rheumatology/kel133
Silva Drummond A, Ferreira Sampaio R, Cotta Mancini M, Noce Kirkwood R, Stamm TA. Linking the Disabilities of Arm, Shoulder, and Hand to the International Classification of Functioning, Disability, and Health. J Hand Ther. 2007;20(4):336-43. Doi: https://doi.org/10.1197/j.jht.2007.07.008
Lemberg I, Kirchberger I, Stucki G, Cieza A. The ICF Core Set for stroke from the perspective of physicians: a worldwide validation study using the Delphi technique. Eur J Phys Rehabil Med. 2010;46(3):377-88.
Campos TF, Rodrigues CA, Farias IM, Ribeiro TS, Melo LP. Comparação dos instrumentos de avaliação do sono, cognição e função no acidente vascular encefálico com a classificação internacional de funcionalidade, incapacidade e saúde (CIF)Rev Bras Fisioter. 2012;16(1):23-9. Doi: https://doi.org/10.1590/S1413-35552012000100005
Ferreira LTD, Castro SS, Buchalla CM. A classificação internacional de funcionalidade, incapacidade e saúde: Progressos e oportunidades. Cienc e Saude Coletiva. 2014;19(2):469-74. Doi: https://doi.org/10.1590/1413-81232014192.04062012
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