A eficácia do pilates solo sobre a diástase do músculo reto abdominal em mulheres no climatério: ensaio clínico aleatorizado controlado e unicego

• Ano de defesa: 2018
• Autor(a) principal: Silva, Elaine Priscila Garcia
• Orientador(a): Prata, Gabriela Marini
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Sagrado Coração
• Programa de Pós-Graduação: Saúde Funcional
• Departamento: Ciências da Saúde e Biológicas
• País: Brasil
• Palavras-chave em Português: Climatério; Terapia por exercício; Reto do Abdome
• Palavras-chave em Inglês: Climacteric; Exercise therapy; Rectus abdominis
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
• Link de acesso: http://tede2.usc.br:8080/jspui/handle/tede/415

Introduction: Because of the Climateric Syndrome the woman develops a physical and psychic symptomatology that reduces the quality of life. Recent studies have linked hypoestrogenism to changes in the elasticity of connective tissue and explain the reason about the development from the Diastasis of the rectus abdominis muscle (DRAM) still at this stage and it leads to the persistence of DRAM in menopausal women, moreover, suggest a possible relationship between DRAM and development of UI. Pilates solo is a method of exercising without impact that every day has been gaining more followers, for its easy execution and results. However, any randomized controlled study verified the relationship between DRAM and Pilates. General Objective: Verify the effect with Pilates solo method in the Diastasis of the rectus abdominis muscle in women in the Climateric Syndrome. Method: Refers a randomized controlled clinical trial with control group and experimental group, with 3 weekly sessions for 12 weeks, totaling 36 sessions with women in the Climateric Syndrome, who have Diastasis of the rectus abdominis muscle. For evaluation were applied the Kuppermann index (IMK) to the Climateric Syndrome, IPAC for verification of the level of physical activity and the measurement of abdominal distal length was verified using a pachymeter, a high-precision instrument. For the sample calculation, was considered the difference between the groups 4.81 cm (1), standard deviation 2.36cm, α = 0.05 and β = 0.90 and test of two-tailed hypothesis, totaling at least 7 participants per group. Also, was used the GPower 3.2 program. For statistical analysis was used the SPSS 20.0 program. Results: Until now, 21 women were evaluated, 10 of the control group and 11 of the experimental group, with the average age of 54.3 ± 7.1 control group and 55.3 ± 6.0 for years experimental group and body mass index of 28.8 ± 5.5 kg / m2 control group and 29.9 ± 4.48 kg / m2. Reductions were observed in all measures regarding to DRAM only in the experimental group. Conclusion: Can be observed that the Pilates method is effective for reducing DRAM.