Efeitos do Pilates em solo versus aeróbico aquático na dor de mulheres com fibromialgia: um ensaio controlado aleatorizado

Abstract

Background: Fibromyalgia (FM) is a chronic disease more prevalent in females and with an incidence in middle age. In Brazil, FM is present in 2.5% of the population. These individuals usually have numerous symptoms that impact quality of life. In this sense, physical exercise, such as aquatic aerobics and Mat Pilates on the ground, become important allies in the treatment of this population. Objective: To compare the effects of Pilates in soil with water aerobic exercise on pain in women with fibromyalgia. Methods: This is a randomized, blinded clinical trial carried out with 42 women with FM randomized into two groups: Mat Pilates group (MPG) and aquatic aerobic exercise group (AAEG). The exercises were performed twice a week for 12 weeks. Two evaluations were carried out: one at the beginning of the study (T0) and another 12 weeks after randomization (T12). The primary end point was pain and the secondary end points were quality of life and catastrophic thoughts about pain. The data were analyzed using the Statistical Package for the Social Sciences SPSS® 20.0 software. A 95% confidence interval and a 5% level of statistical significance were used. Results: There was an improvement in both groups regarding pain (MPG: p 0.01; AAEG: p 0.001). Aspects related to quality of life showed improvement only in MPG (vitality: p 0.04; functional capacity: p 0.04; pain: p 0.02). There was an improvement in the PRCTS variable only in AAEG (p 0.001), but there were no differences between groups for any of the variables evaluated. Conclusion: Significant improvements were observed in relation to the symptoms of the disease in both groups, and no differences were observed between the MPG and the AAEG in any of the measured variables.