Hypopressive abdominal gymnastics in lumbopelvic disorders
Article Sidebar
Main Article Content
Abstract
The hypopressive abdominal gymnastics technique comprises exercises that generate a decrease in abdominal and thoracic pressure, combining controlled methods and abdominal traction maneuvers, reflexively activating the abdominal and pelvic floor muscles. It can treat various dysfunctions related to the lumbopelvic region, such as urinary incontinence, diastasis of the rectus abdominis muscles and low back pain. The objective was to carry out an integrative review on the effects of hypopressive gymnastics on urinary incontinence, diastasis of the rectus abdominis muscles and low back pain. An integrative review was performed using the following databases: PubMed, Scielo, Lilacs and PeDro, using the keywords in English and Portuguese: urinary incontinence, low back pain, hypopressive abdominal gymnastic, hypopressive method and diastasis of the rectus abdominis, grouping the studies in a table composed by: authors/year, type of study, objective of the study, sample, intervention and result. Nine studies were analyzed and selected that brought hypopressive abdominal gymnastics as a possibility of treatments in rectus abdominis diastasis, urinary incontinence and low back pain, as well as its effects on these. It is concluded at the end of this study that hypopressive abdominal gymnastics can be used in the disorders listed here, as it has beneficial effects for these, mainly in the reduction of abdominal diastasis, symptoms of urinary incontinence and improvement of muscle dysfunction, reducing low back pain and improving its functionality and mobility. However, it is still necessary that new studies be carried out, since the literature is still scarce to approach this subject.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
• The author (s) warrant that the contribution is original and unpublished and that it is not in the process of being evaluated in other journal (s);
• The journal is not responsible for the opinions, ideas and concepts issued in the texts, as they are the sole responsibility of the author (s);
• Publishers have the right to make textual adjustments and to adapt the article to the rules of publication.
Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which allows the sharing of work with acknowledgment of authorship and initial publication in this journal.
Authors are authorized to take additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg publish in institutional repository or as book chapter), with acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of the published work (See The Effect of Free Access) at http://opcit.eprints.org/oacitation-biblio.html
References
ARAUJO, A. G. S.; OLIVEIRA, L.; LIBERATORI, M. F. Protocolo fisioterapêutico no tratamento da lombalgia. Cinergis, v. 13, n.4, p. 56-63, 2012. Disponível em: https://online.unisc.br/seer/index.php/cinergis/article/view/3093. Acesso em: 20 de mai. de 2023.
ARRUDA, C. D.; LOPES, C. P. S.; LIMA, C. O. O.; MOUSSA, L. Os efeitos da ginástica hipopressiva em mulheres com incontinência urinária de esforço: uma revisão de literatura. Pesquisa e Ação, v.15, n. 1, 2019. Disponível em: https://docplayer.com.br/162461031-Pesquisa-e-acao-v5-n1-junho-de-2019-issn.html. Acesso em: 25 de abr. de 2023.
AVRAMOVA, M. Specialized kinesitherapy program for core stabilization and low back pain in women sports. Journal of Physical Education and Sport, v. 21, n. 5, p. 2534-2550, 2021. Disponível em: https://efsupit.ro/images/stories/septembrie2021/Art%20341.pdf. Acesso em: 15 de abr. de 2023.
BELLIDO-FERNÁNDEZ, L.; JIMÉNEZ-REJANO, J. J.; CHILLON-MARTÍNEZ, R.; GÓMEZ-BENÍTEZ, M. A.; DE-LA-CASA-ALMEIDA, M.; REBOLLO-SALAS, M. Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study. Evidence-Based Complementary and Alternative Medicine, 2018. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842706/pdf/ECAM2018-3684194.pdf. Acesso em: 02 de abr. de 2023.
BELLIDO-FERNÁNDEZ, L.; JIMÉNEZ-REJANO, J. J.; CHILLON-MARTÍNEZ, R.; LORENZO-MUNÕZ, A.; PINERO-PINTO, E.; REBOLLO-SALAS, M. Clinical relevance of massage therapy and abdominal hypopressive gymnastics on chronic nonspecific low back pain: a randomized controlled trial. Disability and Rehabilitation, v. 44, 2021. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/09638288.2021.1884903. Acesso em: 02 de abr. de 2023.
BENJAMIN, D. R.; FRAWLEY, H. C.; SHIELDS, N.; WATER, A. T. M. V.; TAYLOR, N. F. Relationship between diastasis recti of the abdominal muscles (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review. Physiotherapy, v. 105, p. 24-34, 2019. Disponível em: https://www.physiotherapyjournal.com/article/S0031-9406(18)30132-9/fulltext. Acesso em: 19 de abr. de 2023.
BIÇER, B.; SISLI, T.; FAKIOGLU, M.; CILLI, K.; GÖKDEMIR, C. E. Non-specific chronic low back pain: which exercise? Spormetre The Journal of Physical Education and Sport Sciences, v. 20, n. 3, p. 193-209, 2022. Disponível em: https://dergipark.org.tr/en/pub/spormetre/issue/72637/1069777. Acesso em: 20 de mai. de 2023.
BO, K.; HERBERT, R. D. There is not yet strong evidence that exercise regimens other than pelvic floor muscle training can reduce stress urinary incontinence in women: a systematic review. Journal of Physiotherapy, v. 59, 2013. Disponível em: https://www.sciencedirect.com/science/article/pii/S1836955313701802?via%3Dihub. Acesso em: 15 de abr. de 2023.
CAÑAMERO-DE LEÓN, S.; DA CUÑA-CARRERA , I.; DE LA HOZ GONZÁLEZ, C. A.; SOTO-GONZÁLEZ, M. Effects of an Exercise Program on Diastasis Recti in Women. International Journal of Health Sciences & Research, v. 9, 2019. Disponível em: https://www.ijhsr.org/IJHSR_Vol.9_Issue.10_Oct2019/14.pdf. Acesso em: 14 de abr. de 2023.
CAUFRIEZ, M.; FERNÁNDEZ, J. C.; FANZEL, R.; SNOECK, T. Efectos de un programa de entrenamiento estructurado de Gimnasia Abdominal Hipopresiva sobre la estática vertebral cervical y dorsolumbar. Fisioterapia, v. 28, n. 4., p. 205-216, 2006. Disponível em: https://www.elsevier.es/es-revista-fisioterapia-146-articulo-efectos-un-programa-entrenamiento-estructurado-13092643. Acesso em: 15 de mai. de 2023.
CHIARELLO, C. M.; FALZONE, L. A.; MCCASLIN, K. E.; PATEL, M. N.; ULERY, K. R. The Effects of an Exercise Program on Diastasis Recti Abdominis in Pregnant Women. Journal of Women’s Health Physicaltherapy, v. 29, n. 1, p. 11-16, 2005. Disponível em: https://paulogentil.com/pdf/The%20Effects%20of%20an%20Exercise%20Program%20on%20Diastasis%20Recti%20Abdominis%20in%20Pregnant%20Women.pdf. Acesso em: 20 de abr. 2023
CINTAS, J. Método abdominal hipopressivo. Guia completo para profissionais. São Paulo. 2020. Disponível em: < https://online.fliphtml5.com/fnqyt/douh/#p=1 >. Acesso em: 04 de abr. de 2023.
COSTA, T. F.; RESENDE, A. P. M.; SELEME, M. R.; STÜPP, L.; CASTRO, R. A.; BERGHMANS, B.; SATORI, M. G. F. Ginástica hipopressiva como recurso proprioceptivo para os músculos do assoalho pélvico de mulheres incontinentes. Fisioterapia Brasil, v. 12, n. 5, 2011. Disponível em: https://portalatlanticaeditora.com.br/index.php/fisioterapiabrasil/article/view/940. Acesso em: 15 de abr. de 2023.
DA CUÑA-CARRERA, I.; SOTO-GONZÁLEZ, M.; ALONSO-CALVETE, A.; GONZÁLEZ-GONZÁLEZ, Y.; LANTARÓN-CAEIRO, E. M. Immediate effects of different types of abdominal exercises on the inter-rectus distance. Isokinetics and Exercise Science, v. 29, n. 1, p. 31-37, 2020. Disponível em: https://content.iospress.com/articles/isokinetics-and-exercise-science/ies203161. Acesso em: 15 de abr. de 2023.
DANTAS, H. L. L.; COSTA, C. R. B.; COSTA, L. M. C; LÚCIO, I. M. L.; COMASSETTO, I. Como elaborar uma revisão integrativa: sistematização do método científico. Revista Científica de Enfermagem, v. 12, n. 37, p. 334-345, 2021. Disponível em: https://www.recien.com.br/index.php/Recien/article/view/575. Acesso em: 01 de mar. de 2023.
ESPÍNDOLA, J. M. L.; SOUZA, L.; SÁ, M. C. Exercícios hipopressivos na recuperação funcional da diástase abdominal em puerpéras. Revista Saúde dos Vales, v. 2, n. 2, 2021. Disponível em: https://revistas.unipacto.com.br/storage/publicacoes/2021/761_exercicios_hipopressivos_na_recuperacao_funcional_da_diastase_abdomina.pdf. Acesso em: 06 de mai. de 2023.
FEITOSA, G. Z.; SOUZA, V. R. L.; LOURENZI, V. G. C. M. Intervenção fisioterapêutica no tratamento da diástase abdominal pós-parto: uma revisão de literatura. Ciências Biológicas e de Saúde Unit, v.4, n. 2, p. 239-250, 2017. Disponível em: https://periodicos.set.edu.br/fitsbiosaude/article/view/4532. Acesso em: 13 de abr. de 2023.
FRANCHI, E. F.; RAHMEIER, L. Efeitos da Ginástica Abdominal Hipopressiva no puerpério imediato-Estudo de casos. CINERGIS, v. 17, n. 2, p. 108-12, 2016. Disponível em: https://online.unisc.br/seer/index.php/cinergis/article/view/7288#:~:text=Resultados%3A%20ap%C3%B3s%20duas%20aplica%C3%A7%C3%B5es%20do,o%20n%C3%BAmero%20limitado%20de%20participantes. Acesso em: 25 de abr. de 2023.
HENKES, D. F.; FIORI, A.; CARVALHO, J. A. M.; TAVARES, K. O.; FRARE, J. C. Incontinência urinária: o impacto na vida de mulheres acometidas e o significado do tratamento fisioterapêutico. Semina: Ciências Biológicas E Da Saúde. v.2, p. 45-56, 2015. Disponível em: https://ojs.uel.br/revistas/uel/index.php/seminabio/article/view/21746. Acesso em: 14 de abr. de 2023.
HERNÁNDEZ, R. R. V. Eficacia de la gimnasia abdominal hipopresiva en la rehabilitación del suelo pélvico de las mujeres: revisión sistemática. Actas Urológicas Españolas, v. 42, n. 9, p. 557-566, 2017. Disponível em: https://www.elsevier.es/es-revista-actas-urologicas-espanolas-292-avance-resumen-eficacia-gimnasia-abdominal-hipopresiva-rehabilitacion-S021048061730222X#:~:text=La%20evidencia%20revisada%20no%20apoya,las%20disfunciones%20del%20suelo%20p%C3%A9lvico. Acesso em: 28 de mar. de 2023.
IMAMURA, S. T.; KAZIYAMA, H. H. S.; IMAMURA, M. Lombalgia. Revista de Medicina, v. 2, n. 80, p. 375-90, 2001. Disponível em: https://www.revistas.usp.br/revistadc/article/view/70000. Acesso em: 02 de mai. de 2023.
INCALLA, M. J. P.; NAVARRO, N. G. V., VILCAPOMA, D. H. A. Efectividad del ejercicio hipopresivo en la incontinencia urinaria en pacientes de un hospital de Lima. CASUS: Revista de Investigación y Casos em Salud, v. 5, n. 3, 2020. Disponível em: https://dialnet.unirioja.es/servlet/articulo?codigo=7770610. Acesso em: 16 de abr. de 2023.
JUEZ, L.; NÚÑNEZ-CÓRDOBA, J. M.; COUSO, N.; AUBÁ, M. ALCÁZAR, J. L.; MÍNGUEZ, J. A. Hypopressive technique versus pelvic floormuscle training for postpartum pelvic floor rehabilitation: A prospective cohort study. Neurourology and Urodynamics, v. 38, n. 7, p. 1924-31, 2019. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31297874/. Acesso em: 16 de abr. de 2023.
JONSSON, K.; PETERSON, M. Peak expiratory flow rate and thoracic mobility in people with fibromyalgia. A cross sectional study. De Gruyer, 2019. Disponível em: https://www.degruyter.com/document/doi/10.1515/sjpain-2019-0044/html. Acesso em: 05 de mai. de 2023.
JOSÉ-VAZ, L. A.; ANDRADE, C. L.; CARDOSO, L. C.; BERNARDES, B. T.; PEREIRA-BALDON, V. S.; RESENDE, A. P. M. Can abdominal hypropressive technique improve stress urinary incontinence? an assessor-blinded randomized controlled trial. Neurourology and Urodynamics, v. 39, n. 8, p. 2314-21, 2020. Disponível em: https://onlinelibrary.wiley.com/doi/10.1002/nau.24489. Acesso em: 12 de mar. de 2023.
LEE, K. Correlation between Respiratory Muscle Strength and Pulmonary Function with Respiratory Muscle Length Increase in Healthy Adults. Physical Therapy Rehanilitation Science, v. 10, n. 4, p. 398-405, 2021. Disponível em: https://www.jptrs.org/journal/view.html?doi=10.14474/ptrs.2021.10.4.398. Acesso em: 19 de abr. de 2023.
MORENO-MUNÔZ, M. M.; HITA-CONTERAS, F.; ESTUDILLO-MATÍNEZ, M. D.; AIBAR-ALMAZÁN, A.; CASTELLOTE-CABALLERO, Y.; BERGAIM, M.; GOBBO, S.; CRUZ-DÍAZ, D. The Effects of Abdominal Hypopressive Training on Postural Control and Deep Trunk Muscle Activation: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, v. 18, n. 5, 2021. Disponível em: https://www.mdpi.com/1660-4601/18/5/2741. Acesso em: 12 de abr. de 2023.
MOLINA-TORRES, G.; MORENO-MUÑOZ, M.; REBULLIDO, T. R.; CASTELLOTE-CABALLERO, Y.; BERGAMIN, M.; GOBBO, S.; HITA-CONTRERAS, F.; CRUZ-DIAZ, D. The effects of an 8-week hypopressive exercise training program on urinary incontinence and pelvic floor muscle activation: A randomized controlled trial. Neurourology and Urodynamics, v. 42, n. 2, p. 500-09, 2022. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1002/nau.25110#. Acesso em: 10 de abr. de 2023.
MOTA, C. S.; TEIXEIRA, C. M. P. P. Eficácia do tratamento da incontinência urinária pelo método hipopressivo: relato de caso. Revista Faculdades do Saber, v. 07, n. 14, p. 1141-48, 2022. Disponível em: https://rfs.emnuvens.com.br/rfs/article/view/167#:~:text=O%20estudo%20apontou%20efic%C3%A1cia%20sobre,atividades%20exercidas%20antes%20do%20diagn%C3%B3stico. Acesso em: 12 de abr. de 2023.
RAMÍREZ-JIMÉNEZ, M.; ALBURQUERQUE-SENDÍN, F.; GARRIDO-CASTRO, J. L.; RODRIGUES-DE-SOUZA, D. Effects of hypopressive exercises on post-partum abdominal diastasis, trunk circumference, and mechanical properties of abdominopelvic tissues: a case series. Physiotherapy Theory and Practice, v. 39, n. 1, p. 49-60, 2021. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/09593985.2021.2004630?journalCode=iptp20. Acesso em: 02 de abr. de 2023.
RAMOS, A. L.; OLIVEIRA, A. A. de C. Incontinência urinária em mulheres no climatério: efeitos dos exercícios de kegel. Revista Hórus, v. 5, n. 2, p. 264-275, 2010. Disponível em: https://estacio.periodicoscientificos.com.br/index.php/revistahorus/article/view/979. Acesso em: 15 de abr. de 2023.
RESENDE, A. P. M.; TORELLI, L.; ZANETTI, M. R. D.; PETRICELLI, C. D.; BELLA, Z. I. K. J.; NAKAMURA, M. U.; JÚNIOR, E. A.; MORON, A. F.; MORON, A. F., GIRÃO, M. J. B. C.; SARTORI, M. G. F. Can Abdominal Hypopressive Technique Change Levator Hiatus Area? A 3-Dimensional Ultrasound Study. Ultrasound-quarterly, v. 32, n. 2, p. 175-79, 2016. Disponível em: https://journals.lww.com/ultrasound-quarterly/Abstract/2016/06000/Can_Abdominal_Hypopressive_Technique_Change.12.aspx. Acesso em: 15 de abr. de 2023
RESENDE, A. P. M.; BERNARDES, B. T.; STÜPP, L.; OLIVEIRA, E.; CASTRO, R. A.; GIRÃO, M, J. B. C.; SARTORI, M. G. F. Pelvic floor muscle training is better than hypopressive exercises in pelvic organ prolapse treatment: An assessor-blinded randomized controlled trial. Neurourology and Urodynamics, v. 38, n. 1, p. 171-79, 2018. Disponível em: https://onlinelibrary.wiley.com/doi/10.1002/nau.23819. Acesso em: 15 de abr. de 2023
RIAL, T.; VILLANUEVA, C. La gimnasia hipopressiva em um contexto de actividad físico-saludable y preventiva. Trances, v. 4, n. 3, p. 215-230, 2012. Disponível em: https://fb39c223-56a9-4ed3-91f4-073579bde094.filesusr.com/ugd/fa6be1_f6a0eb331bd64fce96226c32f3d0ab01.pdf. Acesso em: 20 de mar. de 2023.
RIBEIRO, F. S.; VALENTE, M. G.; LORENZ, F. F.; NUNES, E. F. C.; LATORRE, G. F. S. Impacto do exercícios hipopressivos na qualidade de vida da mulher com incontinência urinária de esforço. Revista Pesquisa em Fisioterapia, v. 7, n. 4, p. 452-61, 2017. Disponível em: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/1520#:~:text=Resultados%3A%20O%20dom%C3%ADnio%20impacto%20do,IU%20durante%20a%20rela%C3%A7%C3%A3o%20sexual. Acesso em: 12 de abr. de 2023.
SABINO, J.; GRAUER, J. N. Pregnancy and low back pain. Current Reviews in Musculoskelet Medicine, v. 1, p. 137-141, 2008. Disponível em: https://link.springer.com/article/10.1007/s12178-008-9021-8. Acesso em: 30 de mar. de 2023.
SILVEIRA, T. L. R. ; PONTES, R. B. Técnica hipopressiva para redução da linha subcostal em mulheres: artigo original. 2019. Artigo (Graduação em Fisioterapia) - Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, 2019.
SORIANO, L.; GONZÁLEZ-MILLIÁN, C.; ÁLVAREZ SÁEZ, M. M.; CURBELO, R.; CARMONA, L. Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial. Physiotherapy, v. 108, p. 37-44, 2020. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0031-9406(20)30018-3. Acesso em: 23 de abr. de 2023.
SUMMERHILL, E. M.; ANGOV, N.; GARBER, C.; MCCOOL, F. D. Respiratory Muscle Strenght in the Physically Active Elderly. Lung, v. 185, p. 315-20, 2007. Disponível em: https://link.springer.com/article/10.1007/s00408-007-9027-9. Acesso em: 19 de abr. de 2023.
VICENTE-CAMPOS, D.; SANCHEZ-JORGE, S.; TERRÓN-MANRIQUE, P.; GUISARD, M.; COLLIN, M.; CASTAÑO, B.; RODRÍGUEZ-SANZ, D.; BECERRO-DE-BENGOA-VALLEJO, R.; CHICARRO, J. L.; CALVO-LOBO, C. The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial. Journal of Clinical Medicine, v. 10, n. 21, 2021. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584898/. Acesso em: 10 de abr. de 2023.