Effects of a physical exercise program based on the soil Pilates method on physical activity, locomotor capacity and quality of life in men with lower limb amputation

Authors

  • Sara Maria Soffiatti Rudolpho Universidade do Estado de Santa Catarina - UDESC
  • Lisiane Piazza Luza Universidade do Estado de Santa Catarina - UDESC
  • Greicy Kelly Wosniak Pires Universidade do Estado de Santa Catarina - UDESC
  • Franciele Cascaes da Silva Universidade do Estado de Santa Catarina - UDESC
  • David Braga de Lima Universidade do Estado de Santa Catarina - UDESC
  • Laiana Cândido de Oliveira Universidade do Estado de Santa Catarina - UDESC
  • Thamara Caviquioni Universidade do Estado de Santa Catarina - UDESC
  • Rudney da Silva Universidade do Estado de Santa Catarina - UDESC

DOI:

https://doi.org/10.11606/issn.2317-0190.v28i3a169835

Keywords:

Disabled Persons, Amputation, Exercise, Postural Balance, Quality of Life

Abstract

Objective: Evaluate the effects of a twelve week physical exercise program based on the Pilates Solo method about physical activity, balance, locomotor capacity, and quality of life in men with unilateral lower limb amputation. Method: The study included 14 people with unilateral lower limb amputation, divided in two groups: Intervention Group - IG (participants exposed to the exercise protocol based on the Pilates Solo method) and Control Group - CG (participants that were not exposed to the exercise protocol based on the Pilates Solo method). The following instruments were applied: a) form to characterize the participants; b) Physical Activity Scale for Individuals with Physical Disabilities (PASIPD); c) Berg's Balance Scale; d) Amputee Functional Measure; and e) Short Form Health Survey (SF-36). The data were analyzed using descriptive and inferential statistics, with results with p less than or equal to 0.05 being considered significant. Results: Based on the analysis, it was possible to observe a significant difference in balance after the experimental period (p=0.008), in favor of the intervention group. In addition, a significant difference can be observed in the mean of the intervention group for balance and for physical aspects of quality of life (SF-36), as well as Cohen's d showed effects of great magnitude on these variables. Conclusion: Therefore, the results show positive effects in the practice of the physical exercise program on the dynamic and static balance and on the quality of life of amputees.

Downloads

Download data is not yet available.

References

Brasil. Ministério da Saúde. Diretrizes de atenção à pessoa amputada. Brasília (DF): Ministério da Saúde; 2013.

Kuiken TA, Miller, Lipschutz R, Huang ME. Rehabilitation of people with lower limb amputation. In: Braddon RL. Physical Medicine & Rehabilitation. 3rd ed. Philadelphia: Elsevier; 2007. p. 283-323.

Isakov E, Mizrahi J, Ring H, Susak Z, Hakim N. Standing sway and weight-bearing distribution in people with below-knee amputations. Arch Phys Med Rehabil. 1992;73(2):174-8.

Liberman MB, Liberman A. Ajustamento psicossocial à incapacidade física. In: O’Sullivan SB, Schmitz TJ. Fisioterapia: avaliação e tratamento. São Paulo: Manole, 1993. p. 9-30.

Martins DL, Rabelo RJ. Influência da atividade física adaptada na qualidade de vida de deficientes físicos. Movimentum. 2008; 3(2):1-11.

Santos JR, Vargas MM, Melo CM. Nível de atividade física, qualidade de vida e rede de relações sociais de amputados. Rev Bras Cien Mov. 2014;22(3):20-6. Doi: http://dx.doi.org/10.18511/0103-1716/rbcm.v22n3p20-26

Lin SJ, Bose NH. Six-minute walk test in persons with transtibial amputation. Arch Phys Med Rehabil. 2008;89(12):2354-9. Doi: https://doi.org/10.1016/j.apmr.2008.05.021

Piazza L, Ferreira EG, Minsky RC, Pires GKW, Silva R. Assesment of physical activity in amputees: a systematic review of the literature. Science & Sports. 2017;32(4):191-202. Doi: http://dx.doi.org/10.1016/j.scispo.2017.07.011

Chin T, Sawamura S, Fujita H, Nakajima S, Oyabu H, Nagakura Y, et al. Physical fitness of lower limb amputees. Am J Phys Med Rehabil. 2002;81(5):321-5. Doi: https://doi.org/10.1097/00002060-200205000-00001

Bragaru M, Dekker R, Geertzen JH, Dijkstra PU. Amputees and sports: a systematic review. Sports Med. 2011;41(9):721-40. Doi: https://doi.org/10.2165/11590420-000000000-00000

Silva R, Rizzo JG, Gutierres Filho PJ, Ramos V, Deans S. Physical activity and quality of life of amputees in southern Brazil. Prosthet Orthot Int. 2011;35(4):432-8. Doi: https://doi.org/10.1177/0309364611425093

Isacowitz R, Clippinger K. Anatomia do Pilates: guia ilustrado de Pilates de Solo para estabilidade do core e equilíbrio. Barueri: Manole; 2013.

Phrompaet S, Paungmali A, Pirunsan U, Sitilertpisan P. Effects of pilates training on lumbo-pelvic stability and flexibility. Asian J Sports Med. 2011;2(1):16-22. Doi: https://doi.org/10.5812/asjsm.34822

Bird ML, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Arch Phys Med Rehabil. 2012;93(1):43-9. Doi: https://doi.org/10.1016/j.apmr.2011.08.005

Junges S. Método Pilates: paixão e ciência. Porto Alegre: AGE/Critério; 2014.

Krawczky B, Mainenti MRM, Pacheco AGF. Efeito dos exercícios do método pilates no alinhamento postural de adultos saudáveis. Rev Bras Med Esporte. 2016;22(6):485-90. Doi: https://doi.org/10.1590/1517-869220162206153957

Gaya A. Ciências do movimento humano. Porto Alegre: Artmed; 2008.

Gil GC. Como elaborar projetos de pesquisa. 5 ed. São Paulo: Atlas; 2010.

Fontelles MJ, Simões MG, Farias SH, Fontelles RGS. Metodologia da pesquisa científica: diretrizes para a elaboração de um protocolo de pesquisa. Rev Para Med. 2009;23(3).

Weyne GRS. Determinação do tamanho da amostra em pesquisas experimentais na área de saúde. Arq Médi ABC. 2004;29(2):87-90.

Washburn RA, Zhu W, McAuley E, Frogley M, Figoni SF. The physical activity scale for individuals with physical disabilities: development and evaluation. Arch Phys Med Rehabil. 2002;83(2):193-200. Doi: https://doi.org/10.1053/apmr.2002.27467

Luza LP. Atividade física, ajustamento psicossocial e satisfação com a prótese de amputados de membro inferior [Tese]. Florianópolis; Universidade do Estado de Santa Catarina; 2018.

Miyamoto ST, Lombardi Junior I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res. 2004;37(9):1411-21. Doi: https://doi.org/10.1590/s0100-879x2004000900017

Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.

Kageyama ERO, Yogi M, Sera CTN, Yogi LS, Pedrinelli A, Camargo OP. Validação da versão para a língua portuguesa do questionário de Medida Funcional para Amputados (Functional Measure for Amputees Questionnaire). Fisioter Pesqui. 2008; 15(2):164-71. Doi: https://doi.org/10.1590/S1809-29502008000200009

Callaghan BG, Sockalingam S, Treweek SP, Condie ME. A post-discharge functional outcome measure for lower limb amputees: test-retest reliability with trans-tibial amputees. Prosthet Orthot Int. 2002;26(2):113-9. Doi: https://doi.org/10.1080/03093640208726633

Ciconelli RM, Ferraz WS, Meinão I, Quaresma MR. Tradução para língua portuguesa e validação e do questionário genérico de avaliação de qualidade de vida SF-36. Rev Bras Reumatol. 1999;39(3):143-50.

Ware JE, Kosinski M, Gandek B. SF-36 health survey: manual & interpretation guide. Lincoln: Quality Metric; 2003.

Araújo MEA, Silva EB, Vieira PC, Cader SA, Mello DB, Dantas EHM. Redução da dor crônica associada à escoliose não estrutural, em universitárias submetidas ao método Pilates. Motriz: Rev Educ Fís. 2010;16(4):958-66. Doi: https://doi.org/10.5016/1980-6574.2010v16n4p958

Bland JM, Altman DG. Analysis of continuous data from small samples. BMJ. 2009;338:a3166. Doi: https://doi.org/10.1136/bmj.a3166

Rosenthal JA. Qualitative descriptors of strength of association and effect size. J Social Serv Res. 1996;21:37-59.

Deans S, Burns D, McGarry A, Murray K, Mutrie N. Motivations and barriers to prosthesis users participation in physical activity, exercise and sport: a review of the literature. Prosthet Orthot Int. 2012;36(3):260-9. Doi: https://doi.org/10.1177/0309364612437905

Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet Orthot Int. 2008;32(2):186-200. Doi: https://doi.org/10.1080/03093640802016514

Bussmann JB, Schrauwen HJ, Stam HJ. Daily physical activity and heart rate response in people with a unilateral traumatic transtibial amputation. Arch Phys Med Rehabil. 2008;89(3):430-4. Doi: https://doi.org/10.1016/j.apmr.2007.11.012

Bussmann JB, Grootscholten EA, Stam HJ. Daily physical activity and heart rate response in people with a unilateral transtibial amputation for vascular disease. Arch Phys Med Rehabil. 2004;85(2):240-4. Doi: https://doi.org/10.1016/s0003-9993(03)00485-4

Mateus JPA. A atividade física em amputados transtibiais [Dissertação]. Lisboa: Universidade Lusófona de Humanidades e Tecnologias; 2012.

Navega MT, Furlanetto MG, Lorenzo DM, Morcelli MH, Tozim BM. Efeitos do método Pilates Solo no equilíbrio e na hipercifose torácica em idosas: ensaio clínico controlado randomizado. Rev Bras Geriatr Gerontol. 2016;19(3):465-72. Doi: https://doi.org/10.1590/1809-98232016019.150022

Campos de Oliveira L, Gonçalves de Oliveira R, Pires-Oliveira DA. Effects of Pilates on muscle strength, postural balance and quality of life of older adults: a randomized, controlled, clinical trial. J Phys Ther Sci. 2015;27(3):871-6. Doi: https://doi.org/10.1589/jpts.27.871

Costa LMR, Schulz A, Haas AN, Loss JF. Os efeitos do método Pilates aplicado à população idosa: uma revisão integrativa. Rev Bras Geriatr Gerontol. 2016;19(4):695-702. Doi: https://doi.org/10.1590/1809-98232016019.150142

Longato MW, Castro PR, Keller KC, Ribas DIR. Efeito do isostretching no equilíbrio de indivíduos amputados: um estudo de caso. Fisioter Mov. 2011;24(4):689-96.

Miller CA, Williams JE, Durham KL, Hom SC, Smith JL. The effect of a supervised community-based exercise program on balance, balance confidence, and gait in individuals with lower limb amputation. Prosthet Orthot Int. 2017;41(5):446-454. Doi: https://doi.org/10.1177/0309364616683818

Published

2021-09-30

Issue

Section

Original Article

How to Cite

1.
Rudolpho SMS, Luza LP, Pires GKW, Silva FC da, Lima DB de, Oliveira LC de, et al. Effects of a physical exercise program based on the soil Pilates method on physical activity, locomotor capacity and quality of life in men with lower limb amputation. Acta Fisiátr. [Internet]. 2021 Sep. 30 [cited 2024 May 23];28(3):133-41. Available from: https://revistas.usp.br/actafisiatrica/article/view/169835