Physical Aspects in Quality of Life Benefited by Alternative Therapies by Physiotherapy
Maria das Graças Rodrigues de Araújo1, Maria das Graças Paiva1, Diana de Andrade Silva1, Débora dos Santos Silva1, Rennatha de Moura Medeiros2, Emanuel Fernandes Ferreira da Silva Júnior2 and Marcelo Renato Guerino2*
1 Manual Therapeutic Resources Laboratory (LACIRTEM), Department of Physical Therapy of the
F ederal University of Pernambuco/UFPE, Brazil
2 Laboratory of Electrothermophototherapy (LETER), Department of Physical Therapy of the Federal University of Pernambuco /UFPE, Brazil
Submission: April 15, 2023; Published: April 28, 2023
*Corresponding author: Marcelo Renato Guerino, Department of Physical Therapy of the Federal University of Pernambuco /UFPE, Brazil
How to cite this article: Maria d G R d A, Maria d G P, Diana d A S, Débora d S S, Rennatha d M M, et al. Physical Aspects in Quality of Life Benefited by Alternative Therapies by Physiotherapy. J Yoga & Physio. 2023; 10(3): 555787. DOI:10.19080/JYP.2023.10.555787
Abstract
Complementary and alternative therapies to promote health and quality of life such as yoga, the Pilates Method (PM), and whole-body vibration therapy (WBV). The effects of WBV at various frequencies have been studied in osteoarthritis, osteoporosis, diabetes, sedentary older women, metabolic syndrome, patellofemoral pain, overweight and obesity, systemic lupus erythematosus, multiple sclerosis, Down syndrome, and Parkinson’s disease, among others. PM is also recognized in other pathological conditions, such as diabetics (II), osteoarthritis, multiple sclerosis to improve balance, pregnant women, lung function, hemodialysis patients, after stroke, and the elderly. Yoga also already plays an important role in the lives of people with various disabilities, contributing to the quality of life and functional independence of the population. Its effects on cognition and mental health of the elderly, on the quality of life and depression of elderly breast cancer patients, on respiratory function, symptom control and quality of life of asthma patients, in schizophrenic patients, on cardiac autonomic balance in patients with refractory epilepsy, on cardiovascular disease risk factors, in the treatment of vasovagal syncope, in the modulation of stress, on stress hormone levels, activities of daily living, falls and physical fitness, and in chronic pain. In the context of the COVID -19 pandemic, yoga may improve mental health status, immunity to viral infections, systemic health parameters, quality of life, and/or survival in patients with comorbidities when the intervention is delivered at moderate intensity with synchronous and asynchronous technology at home in working adults. In this sense, we seek to provide alternative therapeutic methods that can complement current therapies..
Keywords: Yoga; Pilates Method; Whole-Body Vibration; Complementary Therapy; Alternative Therapy; Quality of Life
Alternative Therapies
Currently, there are complementary and alternative therapies to promote people’s health and quality of life, whether as part of a preventive or rehabilitative approach in the treatment of various pathologies that affect people at different ages. These include yoga, the Pilates Method (PM) and whole-body vibration therapy.
Whole-body vibration (WBV), in which a mechanical vibration is transmitted to the human body via a platform with or without movement, is becoming increasingly popular. The exercise program is safe, effective, and inexpensive [1-3]. It is commonly believed that vibration stimulates muscle spindles, which respond with tonic vibratory reflexes, thereby increasing muscle activity [4].
The effects of different frequencies of WBV have been studied in some diseases, such as: Osteoarthritis [5]; Osteoporosis [6,7]; Diabetes [8,9]; Sedentary elderly women [10]; Metabolic syndrome [11]; Patellofemoral pain [12]; Overweight and obesity [13]; Systemic lupus erythematosus [14]; Multiple sclerosis [15]; Down syndrome [16]; Parkinson’s disease [17,18]. Despite the broad applicability of WBV to individual health, there are differences in WBV protocols in terms of defining amplitude, frequency, and duration to achieve rapid recovery. According to the literature, the Pilates Method (PM) is based on the control of breathing, balance, flexibility, proprioception, and muscle strength of the powerhouse muscles, which include the abdominal muscles, lower back muscles, pelvic floor, muscles around the hips, and gluteal muscles [19].
The powerhouse muscles play an important role in stabilization and mobility and allow for dynamic strength. The CORE, which is part of the powerhouse, is an integrated unit of muscles that support the hip, pelvis, and lumbar complex [20]. The applicability of the PM has been recognized in the literature and demonstrated in some pathological conditions. Rego et al. [21] improved the health status, pain and functionality of older adult women with Osteoarthritis (KOA) in 18 patients with knee (KOA) based on the Mat Pilates concept, according to an appropriate methodological quality; in diabetics type I [22,23] and type II [24]; in multiple sclerosis to improve balance [25]; in pregnant women [26]; on lung function [27], in hemodialysis patients [28]; after stroke [29]; on functional capacity in the elderly [30].
The powerhouse muscles play an important role in stabilization and mobility and allow for dynamic strength. The CORE, which is part of the powerhouse, is an integrated unit of muscles that support the hip, pelvis, and lumbar complex [20]. The applicability of the PM has been recognized in the literature and demonstrated in some pathological conditions. Rego et al. [21] improved the health status, pain and functionality of older adult women with Osteoarthritis (KOA) in 18 patients with knee (KOA) based on the Mat Pilates concept, according to an appropriate methodological quality; in diabetics type I [22,23] and type II [24]; in multiple sclerosis to improve balance [25]; in pregnant women [26]; on lung function [27], in hemodialysis patients [28]; after stroke [29]; on functional capacity in the elderly [30].
The effects of yoga on cognition and mental health in the elderly play an important role according to the review carried out by Chobe et al. [32]; its effects on the quality of life and depression in elderly breast cancer patients [33]; on respiratory functions, symptom control, and quality of life in asthma patients [34]; on the degree of functional recovery in schizophrenic patients [35]; on cardiac autonomic balance in patients with refractory epilepsy [36]; on risk factors for cardiovascular disease [37]; in the treatment of vasovagal syncope [38]; in the modulation of stress [39]; on stress hormone levels, activities of daily living, falls, and physical fitness [40]; in chronic pain [41]; on physical functioning and health-related quality of life in older adults [42].
Scientific literature continues to examine the effects of yoga, such as: on quality of life in women with primary dysmenorrhea [43]; on sleep quality, depressed state, and health-related quality of life in older adults [44]; on older people at risk for falls [45]; in people with Parkinson’s disease [46]. While COVID -19 limitations, yoga courses transition to online delivery and the report by Brinsley et al. [47] compares the perceived benefits and barriers to online and face-to-face yoga and determine the preferred format and compare how well each format was perceived to produce common benefits of yoga practice.
The study by Zope et al. [48] concluded, “In the context of the pandemic COVID -19, yoga may improve mental health status, immunity to viral infections, systemic health parameters, quality of life, and/or survival in patients with comorbidities.” Another paper published by Phansikar et al. [49] showed that it is feasible to implement a moderate- intensity yoga intervention with synchronous and asynchronous technology at home for working adults with stress symptoms without compromising contact safety during the pandemic.
Conclusion
The search for a better quality of life is becoming an important aspect in different professional fields and approaches, in a world full of duality in which it is essential to develop methods to obtain more effective treatments and faster results. In this regard, we try to offer alternative therapeutic methods that can complement current therapies. These include yoga, the Pilates Method (PM) and whole-body vibration therapy. We believe that these therapies are often the solution to immediate problems and expand therapeutic boundaries, especially in the elderly, a population that is often therapeutically neglected. Therefore, we have tried to work with this therapeutic variety in this population, and we have achieved significantly positive results in improving the quality of life of these people.
References
- Zafar H, Alghadir A, Anwer S, Al-Eisa E (2015) Therapeutic effects of whole-body vibration training in knee osteoarthritis: a systematic review and meta-analysis. Arch Phys Med Rehabil 96(8): 1525-1532.
- Del Pozo-Cruz B, Alfonso-Rosa RM, del Pozo-Cruz J, Sañudo B, Rogers ME (2014) Effects of a 12- wk whole-body vibration based intervention to improve type 2 diabetes. Maturitas 77(1): 52-58.
- Ramos LA, Rodrigues FT, Shirahige L, Barros MD, de Carvalho AG, et al. (2019) A single whole body vibration session influences quadriceps muscle strength, functional mobility and balance of elderly with osteopenia and/or osteoporosis? Pragmatic clinical trial. Journal Diabetes Metabolic Disorder 18(1): 73-80.
- Rodrigues FTM, Ferreira APL, Alves KFP, Marques TVP, Lima DF, et al. (2022) Whole-Body Vibration Associated with Strength Training on the Lower-Limb Blood Flow and Mobility in Older Adults with Type 2 Diabetes: A Study Protocol for a Randomized Controlled Trial. Diagnostics 12(7): 1550.
- Qiu CG, Chui CS, Ho Chow SK, Cheung WH, Wong RMY (2022) Effects of Whole-Body Vibration therapy on Knee Osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. J Rehabil Med 54: 00266.
- Braz RRS, Campos SLC, Villela DW, Antonino GB, Batista PKA, et al. (2022) Effectiveness of Whole-Body Vibration Combined with Multicomponent Training on the Risk of Falls and Quality of Life in Elderly Women with Osteoporosis: Study Protocol for a Randomized Controlled Clinical Trial Biology 11(2): 266.
- ElDeeb AM, Abdel-Aziem A (2020) Effect of Whole-Body Vibration Exercise on Power Profile and Bone Mineral Density in Postmenopausal Women With Osteoporosis: A Randomized Controlled Trial. Journal of Manipulative and Physiological Therapeutics 43(4): 384-393.
- Alves KFP, Ferreira APL, Parente LCO, Rodrigues FTM, Marques TV, et al. (2020) Immediate Effect of Whole-Body Vibration on Skin Temperature and Lower-Limb Blood Flow in Older Adults with Type 2 Diabetes: Pilot Study Appl Sci 10(2): 690.
- Gomes-Neto M, Sá-Caputo DC, Paineiras-Domingos LL, Brandão AA, Neves MF, et al. (2019) Effects of Whole-Body Vibration in Older Adult Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Canadian Journal of Diabetes 43(7): 524-529.
- Araújo AXP, Araújo MGR, Fontes LAM, Braz RRS, Sañudo B, et al. (2022) Do two whole-body vibration amplitudes improve postural balance, gait speed, muscle strength, and functional mobility in sedentary older women? A crossover randomized controlled trial. Journal of Bodywork and Movement Therapies 32: 143-148.
- Batouli-Santos D, Reis-Silva A, Guimarães-Lourenço GM, Mendonça-Guimarães R, Moreira- Marconi E, et al. (2022) Acute effect of whole body-vibration exercise and osteopathic manipulative treatment on the heart rate variability in individuals with metabolic syndrome: Randomized cross-study protocol. International Journal of Osteopathic Medicine 45: 41-47.
- Shadloo N, Fahimeh Kamal, F, Dehno NS (2021) A comparison between whole-body vibration and conventional training on pain and performance in athletes with patellofemoral pain. Journal of Bodywork and Movement Therapies 227: 661-666.
- Rubio-Arias JA, Martínez-Aranda LM, Andreu-Caravaca L, Sanz G, Benito PJ, et al. (2021) Effects of Whole-Body Vibration Training on Body Composition, Cardiometabolic Risk, and Strength in the Population Who Are Overweight and Obese: A Systematic Review With Meta- analysis. Archives of Physical Medicine and Rehabilitation 102(12): 2442-2453.
- Lopes-Souza P, Dionello CF, Bernardes-Oliveira CL, Moreira-Marconi E, Marchon RM, et al. (2021) Effects of 12-week whole-body vibration exercise on fatigue, functional ability and quality of life in women with systemic lupus erythematosus: A randomized controlled trial. Journal of Bodywork and Movement Therapies 27: 191-199.
- Abbasi M, Yoosefinejad AK, Poursadeghfard M, Jahromi FP, Motealleh A, et al. (2019) Whole body vibration improves core muscle strength and endurance in ambulant individuals with multiple sclerosis: A randomized clinical trial. Multiple Sclerosis and Related Disorders 32: 88-93.
- González-Agüero A, Ángel Matute-Llorente A, Gómez-Cabello A, Casajús JA, Vicente-Rodríguez G (2013) Effects of whole-body vibration training on body composition in adolescents with Down syndrome. Research in Developmental Disabilities 34(5): 1426-1433.
- Edmonston D, Gruder O, Barr G, Huang E, Ormsbee M, et al. (2016) Whole Body Vibration Therapy with Exercise Enhances Motor Function and Improves Quality of Life in Parkinson's Disease. Archives of Physical Medicine and Rehabilitation 97(10): e74.
- Karbowniczek A, Niewiadomski W, Gasiorowska A, Stras A, Cybulski G, et al. (2016) Impact of the whole body vibration training on the motor symptoms in Parkinson Disease patients. Parkinsonism & RelatedDisorders 22(2): e66-e67.
- Muscolino JE, Cipriani S (2004) Pilates and the “powerhouse” dI. J. Bodyw. Mov. Ther 8 (1): 15e24.
- Mares G, Oliveira KBD, Piazza MC, Preis C, Bertassoni Neto L (2012) The importance of central stabilization in Pilates method: a systematic review. Fisioterapia em Movimento 25(2): 445e451.
- Rêgo TAM, Ferreira APL, Villela DW, Shirahig L, Xavier AB, et al. (2023) Effects of mat Pilates on older adult women with knee osteoarthritis: A randomized controlled trial. Journal of Bodywork & Movement Therapies 33: 136e141.
- Mert Tunar M, Ozen S, Goksen D, Asar G, Bediz CS, et al. (2012) The effects of Pilates on metabolic control and physical performance in adolescents with type 1 diabetes mellitus. Journal of Diabetes and its Complications 26(4): 348-351.
- Absil H, Baudet L, Robert A, Lysy PA (2019) Benefits of physical activity in children and adolescents with type 1 diabetes: A systematic review. Diabetes Research and Clinical Practice 156: 107810.
- Andrade IYTP, Melo KCB, Andrade KTP, Almeida LG, Moreira SR (2022) Pilates training reduces blood pressure in older women with type 2 diabetes: A randomized controlled trial. Journal of Bodywork and Movement Therapies 30: 168-175.
- Arik MI, Kiloatar H, Saracoglu I (2022) Do Pilates exercises improve balance in patients with multiple sclerosis? A systematic review and meta-analysis. Multiple Sclerosis and Related Disorders 57:103410.
- Mazzarino M, Morris ME, Kerr D (2021) Pilates for low-risk pregnant women: Study protocol for a randomized controlled trial. Journal of Bodywork and Movement Therapies 25: 240-247.
- Souza ACP, Barbosa LS, Cruz SCN, Souza LSL, Guimarães ARF, et al. (2021) Pilates method on pulmonary function and range of motion after coronary artery bypass grafting: A clinical trial. Journal of Bodywork and Movement Therapies 28: 552-556.
- Rahimimoghadam Z, Rahemi Z, Ajorpaz NM, Sadat Z (2017) Effects of Pilates exercise on general health of hemodialysis patients. Journal of Bodywork and Movement Therapies 21(1): 86-92.
- Cronin E, Broderic, P, Clark H, Kenneth Monaghan K (2023) What are the effects of pilates in the post stroke population? A systematic literature review & meta-analysis of randomised controlled trials. Journal of Bodywork and Movement Therapies 33: 223-232.
- Bertoli J, Biduski GM, Freitas CR (2017) Six weeks of Mat Pilates training are enough to improve functional capacity in elderly women. Journal of Bodywork and Movement Therapies 21(4): 1003-1008.
- Kannan P, Hsu WH, Suen WT, Man LM, Fung KF, et al. (2021) Effectiveness of Yoga and Pilates Compared to Pelvic Floor Muscle Training For Urinary Incontinence in Elderly Women: A Randomised Controlled Pilot Trial. Archives of Physical Medicine and Rehabilitation 102(4): e10.
- Chobe S, Chobe M, Metri K, Patra SK, Nagaratna R (2020) Impact of Yoga on cognition and mental health among elderly: A systematic review. Complementary Therapies in Medicine 52: 102421.
- Yagli NV, Ulger O (2015) The effects of yoga on the quality of life and depression in elderly breast cancer patients. Complementary Therapies in Clinical Practice 21: 7-10.
- Turan GB, Tan M (2020) The effect of yoga on respiratory functions, symptom control and life quality of asthma patients: A randomized controlled study. Complementary Therapies in Clinical Practice 38: 101070.
- Funda Kavak F, Ekinci, M (2016) The Effect of Yoga on Functional Recovery Level in Schizophrenic Patients. Archives of Psychiatric Nursing 30(6): 761-767.
- Sathyaprabha TN, Satishchandra P, Pradhan C, Sinha S, Kaveri B, et al. (2008) Modulation of cardiac autonomic balance with adjuvant yoga therapy in patients with refractory epilepsy. Epilepsy & Behavior 12(2): 245-252.
- Cramer H, Lauche R, Haller H, Steckhan N, Michalsen A, et al. (2014) Effects of yoga on cardiovascular disease risk factors: A systematic review and meta-analysis. International Journal of Cardiology 173(2): 170-183.
- Abdelazeem B, Abbas KS, Manasrah N, Amin MA, Mohammed SM, et al. (2022) Yoga as a treatment for vasovagal syncope: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice 48: 101579.
- Vijayalakshmi P, Madanmohan C, Bhavanani AB, Patil A, Babu PK (2004) Modulation of stress induced by isometric handgrip test in hypertensive patients following yogic relaxation training. Indian Journal of Physiology and Pharmacology 48(1): 59-64.
- Furtado GE, Uba-Chupel M, Carvalho HM, Souza NR, Ferreira JP, et al. (2016) Effects of a chair-yoga exercises on stress hormone levels, daily life activities, falls and physical fitness in institutionalized older adults. Complementary Therapies in Clinical Practice 24: 123-129.
- Boehnke KF, LaMore C, Hart P, Zick SM (2022) Feasibility study of a modified yoga program for chronic pain among elderly adults in assisted and independent living. Explore 18: 104-107.
- Patel NK, Newstead AH, Ferrer RL (2012) The Effects of Yoga on Physical Functioningand Health Related Quality of Life in Older Adults: A Systematic Review and Meta-Analysis. J Altern Complement Med 18(10): 902-917.
- McGovern CE, Cheung C (2018) Yoga and Quality of Life in Women with Primary Dysmenorrhea: A Systematic Review. J Midwifery Womens Health 63(4): 470-482.
- Chen KM, Chen MH, Chao HC, Hung HM, Lin, HS, et al. (2009) Sleep quality, depression state, and health status of older adults after silver yoga exercises: Cluster randomized trial. International Journal of Nursing Studies 46(2): 54-163.
- Galantino ML, Green L, Decesari JA, Mackain NA, Rinaldi SM, et al. (2012) Safety and feasibility of modified chair-yoga on functional outcome among elderly at risk for falls. Int J Yoga 5(2): 146-50.
- Iglesias DS, Santos L, Lastra MAS, Ayán C (2022) Systematic review and meta-analysis of randomised controlled trials on the effects of yoga in people with Parkinson's disease. Disabil Rehabil 44(21): 6210-6229.
- Brinsley J, Smout M, Davison K (2021) Satisfaction with Online Versus In-Person Yoga During COVID-19. The Journal of Alternative and Complementary Medicine 27(10): 893-896.
- Zope SA, Zope RA, Biri GA, Zope CS (2021) Sudarshan Kriya Yoga: A Breath of Hope during COVID-19 Pandemic. Int J Yoga 14(1): 18-25.
- Phansikar M, Gothe N, Hernandez R, Cinisomo SL, Mullen SP (2023) Feasibility and impact of a remote moderate-intensity yoga intervention on stress and executive functioning in working adults: a randomized controlled trial. Journal of Behavioral Medicine 8: 1-12.