Fisioter. Mov., Curitiba, v. 25, n. 2, p. 445-451, abr./jun. 2012 Licenciado sob uma Licença Creative Commons doi: 10.1590/S0103-51502012000200022
[T]
A importância da estabilização central no
método Pilates: uma revisão sistemática
[I]The importance of central stabilization in
Pilates method: a systematic review
[A]
Gisele Marés[a], Keti Batista de Oliveira[b], Marcia Carla Piazza[c], Cássio Preis[d], Luiz Bertassoni Neto[e]
[a] !"!#$%&'(%)$'*+,"(%-!'.!"$'+%/+0&$#(%1!'*+2&')/'$#.#3!'+%+4%"(#&$!5'+(%.'+6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=+ >6:;6?@*+AB#+ &'7-!"-#+1#+A).*+A;+C+D&'"!.*+%C/'!.E+3!"%.%F/'&%"GH#$/'!.I-#/ [b] !"!#$%&'(%)$'*+,"(%-!'.!"$'+%/+0&$#(%1!'*+2&')/'$#.#3!'+%+4%"(#&$!5'+(%.'+6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=+ >6:;6?@*+AB#+ &'7-!"-#+1#+A).*+A;+C+D&'"!.*+%C/'!.E+J%$!I8!"!#GK'H##I-#/IL& [c] !"!#$%&'(%)$'*+,"(%-!'.!"$'+%/+0&$#(%1!'*+2&')/'$#.#3!'+%+4%"(#&$!5'+(%.'+6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=+ >6:;6?@*+2!/L<*+A;+C+D&'"!.*+%C/'!.E+/'&-!'(!'MM'GK'H##I-#/IL& [d] 0&!%7$'1#&*+-##&1%7'1#&+1'+,"(%-!'.!M'NB#+%/+ !"!#$%&'(!'+0&$#(O1!-'*+2&')/'$#.<3!-'+%+4%"(#&$!5'*+%+&%"(#7"=5%.+(%.#+ ;%7$&#+1%+4!7'/#/%$&!'+P"#-!7O$!-'+%+D'&#(#1#/%$&!'*+;.97!-'+1%+ !"!#$%&'(!'*+6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=+ >6:;6?@*+;)&!$!L'*+6?+C+D&'"!.*+%C/'!.E+-'""!#(&%!"GH#$/'!.I-#/ [e] 0&!%7$'1#&*+1#-%7$%+1'+6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=+>6:;6?@*+;)&!$!L'*+6?+C+D&'"!.*+%C/'!.E+ .)!ML%&$'""#7!GK'H##I-#/IL& Q?R Resumo Introdução E+S#"%(H+T)/L%&$)"+6!.'$%"+-&!#)+)/'+"O&!%+1%+%U%&-9-!#"+L'"%'1#"+7#"+/#5!/%7$#"+(&%"- "!5#"+V)%+#+-#&(#+O+-'('M+1%+%U%-)$'&*+#"+V)'!"+%75#.5%/+-#7$&'NW%"+!"#$X7!-'"+%*+(&!7-!('./%7$%*+!"#/O$&!-cas, no que denominou power house+>#)+-%7$&#+1%+Y#&N'@I+Objetivos: Este estudo tem como objetivo geral '7'.!"'&+ #"+ '"(%-$#"+ &%.'-!#7'1#"+ Z+ !/(#&$[7-!'+ 1'+ %"$'L!.!M'NB#+ -%7$&'.+ 7#+ /O$#1#+ 6!.'$%"I+ Materiais e
métodosE+ #!+&%'.!M'1'+)/'+&%5!"B#+"!"$%/=$!-'+"#L&%+#+'"")7$#+7'+L!L.!#$%-'+-%7$&'.+%+5!&$)'.+1'+6#7$!89-!'+ :7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=*+%+$'/LO/+(#&+/%!#+1#+site+1%+L)"-'+DP?,\,+'-%""'71#+'"+L'"%"+1%+1'1#"+ ]P]^;A*+ 6:D+ \,4*+ ;^6,A+ %+ \,4]P_,I+ ^+ (%"V)!"'+ 'L&'73%)+ .!5&#"*+ &%5!"$'"*+ (%&!<1!-#"+ ()L.!-'1#"+ %7$&%+ `aaa+%+`aba*+%+#"+1%"-&!$#&%"+)$!.!M'1#"+('&'+'+L)"-'+Y#&'/+(!.'$%"+%+-#&%I+Resultados: Concluiu-se que a %"$'L!.!M'NB#+-%7$&'.+'c)1'+#+!71!591)#+'+#L$%&+3'7H#"+1%+Y#&N'*+-#7$&#.%+7%)&#/)"-).'&*+(#$d7-!'+%+&%"!"-$d7-!'+/)"-).'&*+Y'-!.!$'71#+)/+%V)!.!L&'1#+Y)7-!#7'/%7$#+/)"-).'&I+ConclusãoE+,/L#&'+"%c'+7%-%""=&!'+
446 )/'+L!L.!#3&'8!'+/'!"+%U$%7"'*+(#1%C"%+5%&!8!-'&+V)%+'+%"$'L!.!M'NB#+-%7$&'.+7#+6!.'$%"+O+!/(#&$'7$%+('&'+#+ %V)!.9L&!#+1%+-'&3'+'(&#(&!'1#+1%7$&#+1'+-#.)7'+5%&$%L&'.*+(O.5!"I [P] Palavras-chaveE+ !"!#$%&'(!'I+,"$'L!.!M'NB#+-%7$&'.I+;#&%I+6!.'$%"I+ QDR Abstract
Introduction: Humbertus Joseph Pilates created a series of exercises based on the progressive movements that
the body is able to perform, which involve isotonic contractions and mainly isometric, in what he called power house (or center of force). Objectives: This study aims at analyzing the aspects related to the central impor-tance of stabilizing in the Pilates method. Materials and methods: We performed a systematic review in the !"#$%&'%"(')*$#+%&'&*,$%$-'./'0."#*1* %&'2%#3.&* '4"*)!$5*#-'./'0%$%"%6'%"('%&5.'#3$.+73'#3!'$!5!%$ 3'8!,5*#!' 9:;<=<6',-'% !55*"7'#3!'/.&&.8*"7'(%#%,%5!5>'?:?@2A6'049'=<B6'2@0<A6'=<B?:C<'%"('?:?@2AD'E3!'$!5!%$ 3' covered books, magazines and journals published between 2000 and 2010, and the descriptors used for the search were Pilates and core. Results: The central stabilization helps the individual to gain strength, neuro-muscular control, power and neuro-muscular endurance, which facilitates a balanced muscle function. Conclusion: Although we need a greater number of references, one can verify that the Pilates core stabilization is important for the proper load balance within the spine, pelvis.
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448
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Entre os 192 artigos consultados, 133 abstracts se mostram pertinentes ao tema. Desses artigos, 60 5%&"'/+"#L&%+#+/O$#1#+6!.'$%"t+bi+$&'$'/+1%+'7'$#-/!'+%+8!"!#.#3!'+H)/'7't+%+pp+1!"-)$%/+'+%"$'L!.!1'1%+ -%7$&'.+%+#+;0?,I 0+/O$#1#+1%+6!.'$%"+O+)/+(&'/'+-#/(.%$#+1%+ -#71!-!#7'/%7$#+89"!-#+%+/%7$'.+7)/'+5'"$'+<&L!$'+ 1%+%U%&-9-!#"+(#$%7-!'!"I+0"+L%7%89-!#"+1#+/O$#1#+ 6!.'$%"+"<+1%(%71%/+1'+%U%-)NB#+1#"+%U%&-9-!#"+-#/+ 8!1%.!1'1%+'#"+"%)"+(&!7-9(!#"+>`q@I+A)'+$O-7!-'+Y#!+ &%-#7H%-!1'+V)'71#+7%7H)/+1#"+!7$%&7#"+1'V)%.%+ -'/(#+")-)/L!)+'+)/'+%(!1%/!'+1%+3&!(%+>!78.)%7M'@+ V)%+5!$!/#)+#)$&'"+(%""#'"+1%+#)$&#"+-'/(#"+>q@I+ 0+(&'/'+1%+$&%!7'/%7$#+1%+%"$'L!.!M'NB#+-%7-$&'.+O+-&!'1#+('&'+'c)1'&+#+!71!591)#+'+#L$%&+3'7H#"+1%+ Y#&N'*+-#7$&#.%+7%)&#/)"-).'&*+(#$d7-!'+%+&%"!"$d7-!'+ muscular, com o objetivo de facilitar o funcionamento /)"-).'&+%V)!.!L&'1#+1%+$#1'+'+-'1%!'+-!7O$!-'+>`e@I+ ^+Y)7NB#+1#+;0?,+O+%"$'L!.!M'&+'+-#.)7'+%+'+(O.5!"+ 1)&'7$%+#"+/#5!/%7$#"*+/'7$%&+)/+'1%V)'1#+'.!7H'- /%7$#+1'+-#.)7'+-#7$&'+'+'NB#+1'+3&'5!1'1%*+.#-'.!-M'&+#+7#""#+-%7$&#+1%+3&'5!1'1%*+-&!'&+/#5!/%7$#"+ %8!-!%7$%"+1'+-'1%!'+-!7O$!-'*+(&#(!-!'&+)/'+L'"%+1%+ suporte para os movimentos dos membros (origem 1#+/#5!/%7$#@*+3%&'&+Y#&N'+('&'+#"+/#5!/%7$#"+1#+ $-#+%+(&%5%7!&+.%"W%"+>`i@I+
0+;0?,+O+)/'+)7!1'1%+!7$%3&'1'*+#+"!"$%/'+'$!5#+O+ somente uma parte da unidade. Para que ele funcione 1%+Y#&/'+'1%V)'1'*+O+(&%-!"#+V)%+H'c'+)/'+-##&1%-7'NB#+%8!-!%7$%+%7$&%+#"+$&d"+"!"$%/'"+>('""!5#*+'$!5#+ %+7%&5#"#@I+4!"Y)7NW%"+>'.$%&'NW%"@+%/+V)'.V)%&+)/+ 1#"+$&d"+"!"$%/'"+(#1%/+!7$%&Y%&!&+7%3'$!5'/%7$%+7'+ #(%&'NB#+1#"+#)$&#"+"!"$%/'"+>`j@I+ _#+ $&%!7'/%7$#+ 1#+ ;0?,*+ #"+ /f"-).#"+ 1%5%/+ "%&+")8!-!%7$%/%7$%+Y#&$%"+('&'+%"$'L!.!M'&*+/'"+$'/-LO/+1%5%/+"%&+&%-&)$'1#"+1%+Y#&/'+'(&#(&!'1'I+ 2&'1!-!#7'./%7$%*+#+$&%!7'/%7$#+1#+;0?,+$%/+"%+ -'&'-$%&!M'1#+(#&+$&%!7'&+#"+3&'71%"+/f"-).#"+3.#-L'!"I+_%3.!3%7-!'&+#"+/f"-).#"+.#-'!"+(#1%+1%!U=C.#"+ “potencialmente” enfraquecidos e, assim, afetar a %"$'L!.!1'1%+1'+-#.)7'+>na@I+
0"+L%7%89-!#"+1#+$&%!7'/%7$#+1#+;0?,+"B#E+'"-"%3)&'+)/+'(&#(&!'1#+%V)!.9L&!#+/)"-).'&*+(&#(!-!'+ a estabilidade, aumenta a força postural dinâmica e assegura o funcionamento apropriado da cadeia -!7O$!-'+(#&+!7$%!&#+>nb@I+2#1#"+%""%"+L%7%89-!#"+(#-1%/+"%&+")/'&!M'1#"+%/+)/+f7!-#+$%&/#E+%8!-!d7-!'+ 7%)&#/)"-).'&+>n`@I "#L&%+'+(&%5%7NB#+1'+!7"$'L!.!1'1%+%+!7$%&5%7NW%"+ -.97!-'"*+Y'M%71#+-#/+V)%+#"+('-!%7$%"+"%c'/+'($#"+ '+")"$%7$'&+"!$)'NW%"+1%+!7"$'L!.!1'1%+>`o@I ;#7"!1%&'71#+#+%U(#"$#*+#+(&%"%7$%+%"$)1#+$%/+ como objetivo geral analisar os aspectos relaciona- 1#"+Z+!/(#&$[7-!'+1'+%"$'L!.!M'NB#+-%7$&'.+7#+/O$#-do Pilates. Materiais e métodos ,"$%+%"$)1#+O+)/'+&%5!"B#+"!"$%/=$!-'+1%+.!$%&'-$)&'I+w+)/+$!(#+1%+!75%"$!3'NB#+-!%7$98!-'+V)%+$%/+(#&+ #Lc%$!5#+&%)7!&*+'5'.!'&+%+-#71)M!&+)/'+"97$%"%+1#"+ &%").$'1#"+1%+/f.$!(.#"+%"$)1#"+(&!/=&!#"+"#L&%+#+ $%/'+(&#(#"$#+'V)!+>`p@I
A busca pela literatura se deu por meio de uma (%"V)!"'+&%'.!M'1'+7'+L!L.!#$%-'+-%7$&'.+%+5!&$)'.+1'+ 6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+6'&'7=+%*+$'/-LO/*+7#+site+1%+L)"-'+DP?,\,*+'-%""'71#+'"+L'"%"+ 1%+1'1#"E+]P]^;A+k+.!$%&'$)&'+.'$!7#C'/%&!-'7'+%+ 1#+;'&!L%+%/+-!d7-!'"+1'+"'f1%t+\,4]P_,+k+.!$%&'-$)&'+!7$%&7'-!#7'.+%/+-!d7-!'"+1'+"'f1%t+6:D+\,4t+ ;^6,AI+ 0"+ 1%"-&!$#&%"+ )$!.!M'1#"+ ('&'+ L)"-'+ 7'"+ bases de dados supracitados foram pilates e core; $#/'71#C"%+#"+1%5!1#"+-)!1'1#"+('&'+-#78!&/'&+'+ %U'$!1B#+1'"+!7Y#&/'NW%"+'(&%"%7$'1'"*+'+8!/+1%+ descrever os conceitos e condutas mais adotadas pelos autores. ^+L)"-'+7'"+L'"%"+1%+1'1#"+Y#!+&%'.!M'1'+7#+(%&9#-1#+%7$&%+'+(&!/%!&'+%+'+"%3)71'+V)!7M%7'+1%+'3#"$#+ 1%+`aba*+%+'L&'73%)+.!5&#"*+&%5!"$'"+%+(%&!<1!-#"+-#/+ L'"%+1%+1'1#"+-!%7$98!-#"*+%+'7#+1%+()L.!-'NB#+%7$&%+ 2000 e 2010. ^(<"+'+.%!$)&'+"!"$%/=$!-'+1#"+'&$!3#"*+$#1#+#+/'-$%&!'.+Y#!+-#/('&'1#+'+('&$!&+1%+)/'+.%!$)&'+-&9$!-'+ 1%+&%5!"B#+L!L.!#3&=8!-'I ^+!7$%7NB#+1%"$'+&%5!"B#+Y#!+(&#(#&-!#7'&+'#+.%!$#&+ ampla variedade dos conceitos e condutas atuais da !/(#&$[7-!'+1'+%"$'L!.!M'NB#+-%7$&'.+'#"+#&!%7$'1#&%"+ de Pilates. Resultados _%"$%+$&'L'.H#+Y#&'/+!7-.)91#"+bnn+'&$!3#"*+$%71#+ )/'+'5'.!'NB#+%8!-!%7$%+V)%+(%&/!$!)+5%&!8!-'&+'+!/-(#&$[7-!'+1'+%"$'L!.!1'1%+-%7$&'.+7#+/O$#1#+6!.'$%"I+ 0"+-&!$O&!#"+1%+!7-.)"B#+Y#&'/+1%8!7!1#"+-#/+L'"%+ 7#+$9$).#+V)%+7#&$%!'+'+&%5!"B#+%+7'+#L"%&5'NB#+1%+
449 1#+V)'1&#+=.3!-#+.#/L'&+'(&%"%7$'1#+1)&'7$%+'+3%"-$'NB#I+T#)5%+#+')/%7$#+3&'1'$!5#+1'"+-)&5'$)&'"+ 8!"!#.<3!-'"*+!7%&%7$%"+Z+3%"$'NB#*+/%.H#&'+1'+-#7"--!d7-!'+-#&(#&'.+%+')/%7$#+1'+/#$!5'NB#+%/+&%'.!M'&+ '$!5!1'1%"*+&%.'$'1'"+(%.'+('-!%7$%+>ni@I
Pode-se observar o quanto o Pilates tem a contri- L)!&+('&'+#+%V)!.9L&!#+-#&(#&'.+>89"!-#+%+/%7$'.@*+')-U!.!'71#*+'""!/*+7'"+(&%5%7NW%"+#"$%#/!#'&$!-).'&%"+ 1#+-#&(#+H)/'7#I+6#1%/#"+")L"!1!'&+)/'+(&#(#"$'+ "!37!8!-'$!5'+('&'+'+&%%1)-'NB#+(#"$)&'.+1#"+'.)7#"+1%+ 6!.'$%"*+%*+'-!/'+1%+$)1#*+-#7$&!L)!&+('&'+)/'+/%.H#&+ V)'.!1'1%+1%+5!1'+>nj@I 0+/O$#1#+6!.'$%"+$%/+(#&+-'&'-$%&9"$!-'*+1)&'7$%+ '+%U%-)NB#+1#"+"%)"+/#5!/%7$#"+%"(%-98!-#"*+'+%U!- 3d7-!'+1%+/f"-).#"+'L1#/!7'!"*+/f"-).#"+%"$'L!.!-M'1#&%"+1'+-#.)7'+5%&$%L&'.*+!.!#("#'"*+V)'1&9-%("*+ %+$'/LO/+1'+&%3!B#+.#/L#""'-&'.+%+1#+'""#'.H#+(O.-5!-#*+#+V)%+$'.5%M+c)"$!8!V)%+'+/%.H#&'+-#7"!1%&=5%.+ 7%"$%"+$%"$%"+V)%+$d/+(#&+-'&'-$%&9"$!-'"+'"+5'.d7-!'"+ %75#.5!1'"+7'+")'+%U%-)NB#*+-#/#+Y#&N'+/)"-).'&+7#"+ /%/L&#"+!7Y%&!#&%"*+%V)!.9L&!#+%+")&(&%%71%7$%/%7-$%+-'('-!1'1%+'%&<L!'I+P""#+$)1#*+(#""!5%./%7$%*+%/+ Y)7NB#+1%+)/'+/%.H#&'+7#+$X7)"+/)"-).'&*+#+V)%+ 1!/!7)!+'+Y'1!3'+/)"-).'&+1)&'7$%+'+&%'.!M'NB#+1%""'"+ $'&%Y'"+%/+/%7#"+$%/(#+H=L!.+>oa@I Considerações finais
,/L#&'+ "%c'+ 7%-%""=&!'+ )/'+ L!L.!#3&'8!'+ /'!"+ 'L&'73%7$%*+ (#1%C"%+ -#7-.)!&+ V)%+ '+ %"$'L!.!M'NB#+ -%7$&'.+7#+6!.'$%"+O+%""%7-!'.+('&'+#+%V)!.9L&!#+'(&#-(&!'1#+1%+-'&3'+1%7$&#+1'+-#.)7'+5%&$%L&'.*+(O.5!"+%+ -'1%!'+-!7O$!-'I 0+(&'/'+1%+$&%!7'/%7$#+1%+%"$'L!.!M'NB#+-%7-$&'.+Y#!+-&!'1#+('&'+'c)1'&+#+!71!591)#+'+#L$%&+3'7H#"+1%+ Y#&N'*+-#7$&#.%+7%)&#/)"-).'&*+(#$d7-!'+%+&%"!"$d7-!'+ muscular, visando facilitar o funcionamento muscular '#+%V)!.!L&'&+$#1'+'+-'1%!'+-!7O$!-'I+:/+/'!#&+-#7$&#.%+ 7%)&#/)"-).'&+%+Y#&N'+1%+%"$'L!.!M'NB#+#Y%&%-%/+)/+ (#"!-!#7'/%7$#+L!#/%-[7!-#+/'!"+%8!-!%7$%+('&'+$#1'+ '+-'1%!'+-!7O$!-'*+(#""!L!.!$'71#*+'""!/*+'+%8!-!d7-!'+ 7%)&#/)"-).'&+!1%'.+'#+.#73#+1%""%+"!"$%/'+>`q@I A%+#+#Lc%$!5#+O+-#7"$&)!&+/f"-).#"*+-#/#+7#+-'"#+ 1'+/)"-).'NB#*+3!7="$!-'+.#-'.!M'1'*+-#/+#Lc%$!5#"+ %"$O$!-#"+%+1%+'.$'+(%&Y#&/'7-%+>body building@*+#)+ /%"/#+&%-)(%&'NB#+1%+)/'+.%"B#*+"!$)'NB#+%/+V)%+ um determinado grupo muscular necessita de aten-NB#+%"(%-!'.*+#"+%U%&-9-!#"+1%+!"#.'/%7$#+/)"-).'&+ "B#+#"+/'!"+&%-#/%71'1#"+>ob@I
A capacidade do sistema neural e muscular per-/!$%+V)%+#"+'3#7!"$'"*+'7$'3#7!"$'"*+%"$'L!.!M'1#&%"+%+ "!7%&3!"$'"+$&'L'.H%/+1%+Y#&/'+"!7O&3!-'+7#+"%7$!1#+ 1%+()M!&+%+&%1)M!&+Y#&N'"*+'""!/+-#/#+%"$'L!.!M'&+ '+-'1%!'+-!7O$!-'+%/+$#1#"+#"+$&d"+(.'7#"+1%+/#5!-/%7$#+>nn@I
As cadeias musculares representam os circuitos -#7$97)#"+(#&+/%!#+1#"+V)'!"+"%+(&#('3'/+Z"+Y#&N'"+ #&3'7!M'1#&'"+1#+-#&(#+H)/'7#*+L)"-'71#+%V)!.9L&!#+ %+%-#7#/!'+%7%&3O$!-'+('&'+'+&%'.!M'NB#+1'"+'$!5!1'-1%"+1#+-#$!1!'7#*+%+$%71#+-#/#+(&!#&!1'1%+'+')"d7-!'+ 1'+1#&+>no*+np@I+_#+%7$'7$#*+'!71'+'8!&/'C"%+V)%+'+ %U!"$d7-!'+1%""'+&%1%+-#7$97)'+1%+/f"-).#"+Y'5#&%-%+ %+$'/LO/+"%+/#"$&'+%""%7-!'.+7%""%+(&#-%""#+'1'(-$'$!5#+1'"+'$!5!1'1%"+-#$!1!'7'"+1#+H#/%/+>nq@I 0+$&%!7'/%7$#+1%+,"$'L!.!M'NB#+;%7$&'.*+(#&+")'+ 5%M*+")&3!)+7'+1O-'1'+1%+ja+(#&+/%!#+1'+-#7$&!L)!-NB#+ 1%+ !7f/%&#"+ (%"V)!"'1#&%"*+ -#/#+ mg%7+ S)..*+ 6').+T#13%"*+;'&#.K7+?!-H'&1"#7*+S).!%"+T!1%"*+S).!%+ A'&H/'77*+%7$&%+/)!$#"+#)$&#"*+7#+-%7$&#+1%+(%"V)!-"'+1'+:7!5%&"!1'1%+1%+x)%%7".'71*+%/+D&!"L'7%+k+ ^)"$&=.!'*+%/+'""#-!'NB#+'+-%7$&#"+1%+(%"V)!"'+%)&#-peus. Esse treinamento visa ao controle postural e à /'7)$%7NB#+1#+L#/+'.!7H'/%7$#+1#+$-#*+)/'+5%M+ que se baseia no sinergismo com os músculos abdo-/!7'!"*+('&'+#+%V)!.9L&!#+1'+(%.5%+k+&%3!B#+-#/(#"$'+ pelos músculos profundos da pelve, coluna lombar e 'V)%.%"+V)%+-&)M'/+'+'&$!-).'NB#+-#U#Y%/#&'.+>`e@I
No passado, o fortalecimento abdominal foi con-"!1%&'1#+'+"#.)NB#+('&'+(&#L.%/'"+7'+&%3!B#+.#/L'&+ #)+%7Y&'V)%-!/%7$#I+,/+bjpa*+4&"I+T'7"+v&')"%+%+6I+ u!..!'/"+1%"%75#.5%&'/+)/+(&'/'+1%+-#71!-!#-7'/%7$#+('&'+#"+/f"-).#"+'L1#/!7'!"+>`e@I ,/+ bjia*+ #+ 8!"!#$%&'(%)$'+ 7%#M%.'71d"+ ?#L!7+ \-v%7M!%+1%"%75#.5%)+)/'+"%V)d7-!'+1%+%U%&-9-!#"+ ('&'+'+&%3!B#+.#/L'&+%+(O.5!-'+V)%+%7Y'$!M'5'/+#"+ músculos posteriores do tronco.
0+/O$#1#+6!.'$%"+/#"$&'C"%+%8!-!%7$%+V)'71#+O+ &%'.!M'1#+)/+(&'/'+1%+%U%&-9-!#"+-#/+d7Y'"%+7#+ Y#&$'.%-!/%7$#+1'+/)"-).'$)&'+%U$%7"#&'+1#+$-#*+ &%"$')&'71#+'+Y)7NB#+1'+-#.)7'+.#/L'&+%+(&%5%7!71#+ #+")&3!/%7$#+1%+.#/L'.3!'I+6#1%+"%&+)$!.!M'1#+-#/#+ %"$&'$O3!'+('&'+#+Y#&$'.%-!/%7$#+1%""'+/)"-).'$)&'*+ '$%7)'71#+#+1%"%V)!.9L&!#+%7$&%+'+Y)7NB#+1#"+/f"--).#"+%75#.5!1#"+7'+%U$%7"B#+%+8.%UB#+1#+$-#+>ne@I ,/+)/+%"$)1#*+)$!.!M#)C"%+'+'$!5'NB#+1#+-#7$&#.%+ 1#+-%7$&#+>-!7$)&B#+'L1#/!7#C(O.5!-#@t+'$!5'NB#+1%+ 3&)(#"+/)"-).'&%"+%"(%-98!-#"+>'L1#/%*+'1)$#&%"+1#+ V)'1&!.*+(%&97%#*+/).$98!1#"+%+3&'71%+1#&"'.@I+_%.%*+ '8!&/'C"%+V)%+#+/O$#1#+6!.'$%"+O+%8!-'M+7'+&%1)NB#+
450 12. m'..'3H%&+A6*+v&KM'7#g"J'+?I+2H%+6!.'$%"®+/%$H#1+#Y+ L#1K+-#71!$!#7!73I+6H!.'1%.(H!'E+D'!7+D&!13%+D##J"t+ 1999. 13. u!..!'/"+A*+S'"%7+4I+6'&'+-#/%N'&+'+(&'$!-'&+6!.'$%"I+ AB#+6').#E+6)L.!Y#.H't+`aapI+ 14. v)H7%&$+;I+:/+-#&(#+(%&Y%!$#+-#/+6!.'$%"I+AB#+6').#E+ y!$<&!'+?O3!'t+`aa`I+ 15. _#3)%!&'+SI+\O$#1#+6!.'$%"+3'7H'+%"('N#I+S+;#//%&-!#I+ `aa`E`aI+;#.)7'+ '/9.!'I 16. \)"-#.!7#+S,*+;!(&!7!+AI+6!.'$%"+'71+r6#g%&H#)"%sI+S+D#1K+ \#5+2H%&I+`aaotiEbpC`oI 17. ;&'!3+;I+6!.'$%"+-#/+'+L#.'I+`'+%1I+AB#+6').#E+6H#&$%t+ 2005. biI+ ^L&'/!+\;?*+D&#g7%+?mI+\'$%&!'.+1!1=$!-#+1#+-)&"#+ 1%+Y#&/'NB#+;m6^+6!.'$%"I+AB#+6').#E+\'7#.%t+`aanI+ 19. \%7%3'$$!+ I+6!.'$%"E+Y#&N'+%+8.%U!L!.!1'1%I+?%5+\)"-.%+ in Form. 2004;6:42. 20. ]!%J%7"*+DI+2H%+6!.'$%"+A$)1!#+2%'-H%&+2&'!7!73+\'7-)'.I+6'&$+P D'"!-lP7$%&/%1!'$%I+_%g+h#&JE+2H%+6!.'$%"+ Studio; 1997. 21. A!.5'+^;]m*+\'77&!-H+mI+6!.'$%"+7'+&%'L!.!$'NB#E+)/'+ &%5!"B#+"!"$%/=$!-'I+ !"!#$%&+\#5I+`aajt``>n@EoojCppI+ 22. ^J)$H#$'+y*+ %&&%!&#+^*+\##&%+2*+ &%1%&!-"#7+\I+;#&%+ "$'L!.!$K+%U%&-!"%+(&!7-!(.%"I+;)&&+A(#&$"+\%1+?%(I+ `aaite>b@EnjCooI+ 23. m)!"%.!7!+\I+\).$!Y)7-!#7'.+,U%&-!"%+2&'!7!73I+`aajI+ Q-!$%1+`abb+c)7I+bpRI+^5'!.'L.%+'$E+H$$(EllgggI!7"$!-$)$#/'))!"%.!7!I-#/IL&lz"{$)L%(&%""F('3%|baI 24. \-m!..+A\+*+m&%7!%&+A*+v'5-!-+_*+;H#.%g!-J!+SI+;##&1!7'-$!#7+#Y+/)"-.%+'-$!5!$K+$#+'"")&%+"$'L!.!$K+#Y+$H%+.)/L'&+ A(!7%I+S+,.%-$&#/K#3&+v!7%"!#.I+`aantbn>o@EnpnCjI 25. ;##J+4S*+\).&#g+;4*+T'K7%"+?DI+AK"$%/'$!-+&%5!%g"E+ "K7$H%"!"+#Y+L%"$+%5!1%7-%+Y#&+-.!7!-'.*+1%-!"!#7"I+^77+ P7$%&7+\%1I+bjjetb`q>p@EneqCiI 26. \!&'71'+]D*+\#&'!"+64;I+,Y%!$#"+1#+/O$#1#+6!.'$%"+ "#L&%+'+-#/(#"!NB#+-#&(#&'.+%+8.%U!L!.!1'1%I+?%5+D&'"+ 6&%"-&+ !"!#.+,U%&-I+`aajtn>bn@EbqC`bI 27. ;.'&J+\^I+2&%!7'/%7$#+1%+%"$'L!.!M'NB#+-%7$&'.+%/+ &%'L!.!$'NB#I+ P7E+ 6&%7$!-%+ u,*+ y#!3H$+ \]I+ 2O-7!-'"+ %/+&%'L!.!$'NB#+/)"-).#%"V)%.O$!-'"I+6#&$#+^.%3&%E+ Artmed; 2003. p. 245-63.
De acordo com inúmeros autores, em virtude da 1!7[/!-'+1%+%U%-)NB#*+#"+%U%&-9-!#"+1%+!"#.'/%7$#+ /)"-).'&+(&!#&!M'/+#+$&%!7'/%7$#+1#+r/f"-).#s*+"%7-1#+Y&%V)%7$%/%7$%+)$!.!M'1#"+(#&+!7f/%&'"+&'MW%"*+ %7$&%+%.'"E+5!"'+/f"-).#"+%"(%-98!-#"*+1%+/'7%!&'+!"#- .'1'*+(%&Y#&/'7-%+1%+'$.%$'"*+%"$O$!-'*+-#&&!3!&+1%"%-V)!.9L&!#"+/)"-).'&%"*+(#&+%U%/(.#*+Y#&$'.%-!/%7$#+ do manguito rotador e cintura escapular, estabili-M'NB#+(O.5!-#+.#/L'&+%+1#+V)'1&!.*+()7H#*+-#$#5%.#*+ c#%.H#+%+$#&7#M%.#+>o`@I+ Referências 1. m'..'3H%&+A6*+v&KM'7#g"J'+?I+0+/O$#1#+(!.'$%"*+1%+ -#71!-!#7'/%7$#+89"!-#I+AB#+6').#E+;#/(%$!$!#7t+`aaaI+ 2. A%&('+4I+6)U'+%+%"$!-'E+6!.'$%"*+3!7="$!-'+'7$!3'+V)%+ '3#&'+5!&#)+/#1'+7#"+,I:I^I*+(&#/%$%+/'&'5!.H'"I+?%-5!"$'+y%c'I+bjji+Q'-%""#+`a+c).I+`abbRtijI+4!"(#795%.+ %/E+H$$(Ell5%c'I'L&!.I-#/IL&l`eapjil(FaijIH$/.I+ 3. ?!L%!&#+\I+6!.'$%"*+%V)!.9L&!#+1%+-#&(#+%+/%7$%I+S#&7'.+ da Orla; 2004:3. 4. ;'/'&B#+2I+6!.'$%"+-#/+L#.'+7#+D&'"!.I+?!#+1%+S'7%!&#E+ Alegro; 2005. 5. A'--#+P;_*+^71&'1%+\A*+A#)M'+6A*+_!"!K'/'+\*+;'7$)=&!'+ ^]*+\'%1'+ hP*+%$+'.I+6!.'$%"+/%$H#1+!7+&%5!%gE+L!#/%--H'7!-'.+'"(%-$"+#Y+"(%-!8!-+/#5%/%7$"+Y#&+(#"$)&'.+ &%#&3'7!M'$!#7+k+;'"%"+&%(#&$I+?%5+D&'"+;!+\#5I+`aapt+ bn>o@EqpCeiI+ 6. T%&1/'7+^*+A%.LK+^I+6!.'$%"E+-#/#+-&!'&+#+-#&(#+V)%+ 5#-d+1%"%c'I+AB#+6').#E+\'7#.%t+`aaaI+ 7. :73'&#+^I+^+(&#/%""'+1%+(!.'$%"I+AB#+6').#E+;'&'"t+ 2005. iI+ T'K'"H!1'+uI+0+V)%+O+6!.'$%"z+AB#+6').#*+`aapI+Q'-%""#+ ba+'3#I+`abaRI+4!"(#795%.+%/E+gggIg/).H%&I-#/IL&I+ 9. D#&3%"+SI+6&!7-9(!#"+L="!-#"+1#+/O$#1#+6!.'$%"I+\<-dulo; 2004. 10. A!.%&+DI+4%"'8!#"+1#+-#&(#+(!.'$%"I+2&'1)NB#+1%+^73%.+ A'7$#"I+AB#+6').#E+A)//)"t+`aajI+ 11. 6!.'$%"+STI+2H%+-#/(.%$%+g&!$!73"+#Y+S#"%(H+TI+P7E+A%'7+ 6*+m'..'3H%&+62*+?#/'7'+v*+%1!$#&"I+6!.'$%"E+?%$)&7+$#+ .!Y%+$H&#)3H+-#7$&#.#3K+'71+K#)&+H%'.$HI+6H!.'1%.(H!'E+ D'!7+D&!13%+D##J"t+`aaaI+
451 niI+ \'-H'1#+;m*+^&'fc#+2m*+A'71#5'.+?^*+\'-H'1#+;^_?*+ &%!$'"+\AI+0+/O$#1#+(!.'$%"+7'+1!/!7)!NB#+1'+1#&+ .#/L'&+%/+3%"$'7$%"I+?%5+,.%$+ '-).1+\#7$%"+D%.#"+ `aaitn>b@I 39. \'$$#"+?*+A'/'7#+2I+P7$%&5%7NB#+1#+(!.'$%"+7'+&%'L!-.!$'NB#+7'+&%%1)-'NB#+(#"$)&'.E+)/+%"$)1#+1%+-'"#I+ Q'-%""#+bp+c)7I+`abbRI+4!"(#795%.+%/E+H$$(EllL!#%-V)!.!L&!#(!.'$%"I-#/lL.#3lz-'$|jI 40. ;)&!+yAI+^+!78.)d7-!'+1#+/O$#1#+6!.'$%"+7'"+'$!5!1'1%"+ 1%+5!1'+1!=&!'+1%+!1#"'"I+>1!""%&$'NB#@I+6#&$#+^.%3&%E+ 6#7$!89-!'+:7!5%&"!1'1%+;'$<.!-'+1#+?!#+m&'71%+1#+ Sul; 2009. 41. ;H%-J+6I+ )7-$!#7'.+2&'!7!73E+gH'$*+gH%7*+gHK*+H#g+ '71+gH%&%+$#+1#+!$I+`aaiI+Q-!$%1+`abb+c)7I+bpRI+^5'!.'L.%+ '$E+H$$(EllgggI(("")--%""I-#/l ##1Y#&2H#)3H$l ^&$!-.%"LK6').l^&$!-.%"LK6').;H%J4%$'!.6'3%l$'L!1l 496/smid/2144/ArticleID/42/reftab/104/Default. '"(UI
42. 6&%7$!-%+ u,I+ ?%H'L!.!$'$!#7+ $%-H7!V)%"+ Y#&+ "(#&$"+ /%1!-!7%+{+'$H.%$!-+$&'!7!73I+o$H+%1I+_%g+h#&JE+\-m&'gC T!..t+`aaoI ?%-%L!1#E+`albal`abb Received: 10/20/2011 Aprovado: 21/03/2012 Approved: 03/21/2012 `iI+ 0}A)..!5'7+6I+])/L'&+"%3/%7$'.+~!7"$'L!.!$K}E+-.!7!-'.+ (&%"%7$'$!#7+'71+"(%-!8!-+"$'L!.!"!73+%U%&-!"%+/'7'3%-/%7$I+\'7+2H%&I+`aaatp>b@E`Cb`I 29. 6'7c'L!+\I+2H%+"$'L!.!"!73+"K"$%/+#Y+$H%+"(!7%I+6'&$+bI+ )7-$!#7*+1!"Y)7-$!#7*+'1'($'$!#7+'71+%7H'7-%/%7$I+ S+A(!7'.+4!"#&1I+bjj`tp>o@EninCjI 30. T#)3.)/+6I+2H%&'(%)$!-+%U%&-!"%+Y#&+/)"-).#"J%.%$'.+ !7c)&!%"I+`71+%1I+;H'/('!37E+T)/'7+v!7%$!-"+6)L.!"H-ers; 2005. 31. D%'-H+6I+6%&"#7'.+-#//)7!-'$!#7I+]%-$)&%&E+D&!$!"H+ ;#..%3%+#Y+0"$%#('$H!-+\%1!-!7%t+D&!$!"H+A-H##.+#Y+ 0"$%#('$HKt+`aanI 32. ;#/%&Y#&1+\AI+ )7-$!#7'.+"$'L!.!$K+&%C$&'!7!73E+(&!7- -!(.%"+'71+"$&'$%3!%"+Y#&+/'7'3!73+/%-H'7!-'.+1K"-Y)7-$!#7I+\'7+2H%&I+`aabtq>b@EnCboI
33. Lee D. An integrated model of joint function and its clinical application. Proceedings of 4 Interdisci-(.!7'&K+u#&.1+;#73&%""+#7+]#g+D'-J+{+6%.5!-+6'!7I+ Montreal, Canada; 2001. p. 137-52.
34. D)"V)%$+ ]I+ ^"+ -'1%!'"+ /)"-).'&%"E+ $-#*+ -#.)7'+ -%&5!-'.+ %+ /%/L&#"+ ")(%&!#&%"I+ D%.#+ T#&!M#7$%E+ D)"V)%$t+`aabI 35. \'&V)%"+^6I+;'1%!'"+/)"-).'&%"I+`'+%1I+AB#+6').#E+ Manole; 2005. 36. D)"V)%$+]I+^"+-'1%!'"+/)"-).'&%"E+.#&1#"%"*+-!Y#"%"*+ %"-#.!#"%"+%+1%Y#&/'NW%"+$#&=-!-'"I+D%.#+T#&!M#7$%E+ D)"V)%$t+`aabI 37. v#.K7!'J+P,m*+;'5'.-'7$!+A\D*+A'.1'7H'+\I+^5'.!'NB#+ !"#-!7O$!-'+1'+/)"-).'$)&'+%75#.5!1'+7'+8.%UB#+%+%U-$%7"B#+1#+$-#E+%Y%!$#+1#+/O$#1#+6!.'$%"I+?%5+D&'"+ \%1+,"(#&$%I+`aaotba>q@EoieCjaI+1#!I#&3lbaIbpjal AbpbeCiqj``aaoaaaqaaaapI
