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1.
Eur Rev Med Pharmacol Sci ; 27(22): 11169-11179, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38039048

RESUMO

OBJECTIVE: Chemotherapy and/or radiation are normally the predominant therapies administered to cancer patients. Commonly, patients express complaints of fatigue during adjuvant treatment. Furthermore, regular practice of physical exercise during adjuvant treatment seems to have positive effects. The aim of this study was to investigate the effects of combined muscle strength, and a supervised aerobic training program on myoelectric activity of Vastus Lateralis during isometric test in patients with breast cancer undergoing adjuvant chemotherapy. PATIENTS AND METHODS: Thirty-two women with breast cancer (20 patients in the training group and 12 patients as controls) undergoing adjuvant chemotherapy participated in the study. They took part in a 6-week training period. A muscle-strength program included isometric contraction and electrical muscle stimulation (EMS). Aerobic training program consisted of supervised intermittent cycling exercise and home-based walking exercise. The outcome measures were Root Mean Square (RMS), Mean Power Frequency (MPF), Maximal Voluntary isometric Contraction (MViC), and Endurance Time (ET) of Vastus Lateralis, before and after the training period in the two groups. RESULTS: Compared to controls, a significant increase in MViC (p=0.001) and ET (p=0.005) in quadriceps accompanied by a significant decrease in RMS (p=0.007) and a significant increase in MPF (p=0.002) has been obtained in the training group. CONCLUSIONS: Supervised muscle strength and supervised aerobic training programs enhanced muscle activity and muscular performance in women with breast cancer during adjuvant chemotherapy treatment and optimized the decrease of muscular fatigue.


Assuntos
Neoplasias da Mama , Treinamento Resistido , Humanos , Feminino , Neoplasias da Mama/tratamento farmacológico , Músculo Quadríceps , Exercício Físico , Força Muscular/fisiologia , Quimioterapia Adjuvante , Músculo Esquelético/fisiologia
2.
Ann Cardiol Angeiol (Paris) ; 70(6): 461-470, 2021 Dec.
Artigo em Francês | MEDLINE | ID: mdl-34629172

RESUMO

We have to distinguish between non-modifiable risk factors such as age, gender, heredity, (we cannot fight against these enemies), and modifiable risk factors (avoidable) such as hypertension, smoking, diabetes, and dyslipidemia. Environmental factors, bad diet, sedentary lifestyle, and smoking are the basis of these risk factors. Cardiovascular disease due to these risk factors is clinically silent during a given period, then symptoms occur which can eventually lead to death. Nine risk factors explain the occurrence of 90 % of myocardial infarctions (MI), their correction avoid 80 % of MI. Despite the presence of several studies proving that secondary prevention reduces coronary mortality, the management of cardiovascular risk factors is not optimal.


Assuntos
Dislipidemias , Hipertensão , Infarto do Miocárdio , Dislipidemias/epidemiologia , Humanos , Hipertensão/epidemiologia , Infarto do Miocárdio/epidemiologia , Fatores de Risco , Prevenção Secundária
3.
Ann Cardiol Angeiol (Paris) ; 69(6): 424-429, 2020 Dec.
Artigo em Francês | MEDLINE | ID: mdl-33092786

RESUMO

Patients undergoing cardiac surgery are older, have complex pathologies and several comorbidities, but need to leave the hospital quickly! Therefore, the mission of cardiac rehabilitation centres has substantially changed. Indeed, if 15 to 25% of patients undergoing cardiac surgery will have a postoperative complication requiring a hospital management (infectious, pericardial, rhythmic, neurologic, pulmonary, digestive, etc.), more than 2/3 of these acute events could be managed by cardiac rehabilitation centres for a lower cost. Therefore, the quickest the patient is transferred to a cardiac rehabilitation centre, the easier the cardiac surgery centre could manage his beds. Infectious complications are the most dreadful, particularly mediastinitis.


Assuntos
Institutos de Cardiologia , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Tamponamento Cardíaco , Complicações Pós-Operatórias/terapia , Idoso , Tamponamento Cardíaco/diagnóstico por imagem , Tamponamento Cardíaco/etiologia , Tamponamento Cardíaco/terapia , Cicatriz/complicações , Cicatriz/terapia , Humanos , Mediastinite/etiologia , Mediastinite/microbiologia , Mediastinite/terapia , Transferência de Pacientes , Complicações Pós-Operatórias/etiologia , Fatores de Tempo
4.
Int J Sports Med ; 37(14): 1144-1149, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27832671

RESUMO

To compare the effects of 2 short programs with similar training load (TL), based on combined aerobic - resistance training (CT) or aerobic training (AT) on cardiorespiratory responses, 32 patients with coronary heart disease (CHD: 63.8±8.0y, 1.73±0.06 m, 84.8±15.9 kg, Left Ventricular Ejection Fraction: 0.53±0.8) performed 4 weeks of exercise rehabilitation based on CT (n=16) or AT (n=16). Maximal tolerated power (MTP), peak values of oxygen uptake (VO2peak) and heart rate (HRpeak), anaerobic threshold (VT1) were determined during an incremental cycling exercise test before and after training periods. TL, quantified using the session rating of perceived exertion, did not differ between both modalities (CT: 4 438±572 vs. AT: 4 346±592 AU, p=0.300). Improvements in VO2peak were larger after CT (+36.4±24.7% of pre-training VO2peak, i. e., +4.4±2.3 mL.min-1.kg-1, n=14) than observed after AT (+20.1±9.1% of pre-training VO2peak, i. e., +2.6±1.0 mL.min-1.kg-1, n=12) (p=0.014). Additionally, CT significantly improved power (54.6±23.8 vs. 75.1±21.2 watts, p=0.001) and VO2 associated at VT1 (VO2: 9.8±2.5 vs. 12.6±2.9 mL.min-1.kg-1, p=0.001). This might be taken into account when prescribing exercise rehabilitation for CHD patients with different initial clinical limitations.


Assuntos
Reabilitação Cardíaca/métodos , Doença das Coronárias/terapia , Terapia por Exercício/métodos , Idoso , Limiar Anaeróbio , Teste de Esforço , Tolerância ao Exercício , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Consumo de Oxigênio , Treinamento Resistido
5.
Neurophysiol Clin ; 45(4-5): 357-69, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26548366

RESUMO

In this paper, we review the effects of physical activity on balance performance in the elderly. The increase in the incidence of falls with age reflects the disorders of balance-related to aging. We are particularly interested in age-related changes in the balance control system as reflected in different static and dynamic balance tests. We report the results of studies demonstrating the beneficial effects of physical activity on postural balance. By comparing groups of practitioners of different physical activities, it appears that these effects on postural control depend on the type of activity and the time of practice. Thus, we have focused in the present review on "proprioceptive" and "strength" activities. Training programs offering a combination of several activities have demonstrated beneficial effects on the incidence of falls, and we present and compare the effects of these two types of training activities. It emerges that there are differential effects of programs of activities: while all activities improve participants' confidence in their ability, the "proprioceptive" activities rather improve performance in static tasks, while "strength" activities tend to improve performance in dynamic tasks. These effects depend on the targeted population and will have a greater impact on the frailest subjects. The use of new technologies in the form of "exergames" may also be proposed in home-based exercises.


Assuntos
Acidentes por Quedas/prevenção & controle , Envelhecimento , Terapia por Exercício , Equilíbrio Postural , Idoso , Idoso de 80 Anos ou mais , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Atividade Motora , Propriocepção , Treinamento Resistido , Comportamento Sedentário , Interface Usuário-Computador
7.
Int J Sports Med ; 34(10): 924-30, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23740343

RESUMO

The aim of the present study was to examine the respective importance of locomotor profile and muscle oxygen uptake (mV(˙)O2) recovery on repeated-sprint ability (RSA) and overall repeated-sprint performance. 11 sprint- (STR) and 10 middle-distance-trained (MDTR) athletes (20.8±4.0 yr) performed an incremental test and a 40-to-50-m sprint to estimate their maximal aerobic (MAS) and sprinting (MSS) speeds. They also performed 6×30-m sprints, departing every 30 s, where mean (RS(mean)) sprint time was calculated. Muscle oxygenation (Near-infrared spectroscopy, NIRS, [Hb(diff)]) was measured for ~ 4 min post test. The mean response time of [Hb(diff)]-mV(˙)O2 recovery (monoexponential curve fitting, MRT[Hb(diff)]-mV(˙)O2) was calculated. Compared with MDTR, STR presented faster MSS (+11.4±6.7%, with 99% chances to observe a substantially greater value) and RS(mean) (-3.7±5.4%, 78%), but slower MAS (-15.8±8.0%, 100%) and MRT[Hb(diff)]-mV(˙)O2 (+46.2±31.7%, 96%). RS(mean) was largely correlated with MSS [r=-0.83 (90%CL, -0.92;-0.67)], but neither with MAS [r=-0.12 (-0.47;0.25)] nor MRT[Hb(diff)]-mV(˙)O2 [r=-0.27(-0.58;0.11)]. RS(mean) adjusted for MSS (which indirectly reflects RSA) was largely correlated with both MAS [r=0.51(0.18;0.74)] and MRT[Hb(diff)]-mV(˙)O2 [r=0.53(0.20;0.75)]. While a fast mV(˙)O2 recovery is associated with an improved RSA, MSS remains of primary importance for overall repeated-sprint performance (i.e., RS(mean)).


Assuntos
Desempenho Atlético/fisiologia , Músculo Esquelético/fisiologia , Consumo de Oxigênio/fisiologia , Corrida/fisiologia , Adolescente , Adulto , Feminino , Humanos , Cinética , Masculino , Espectroscopia de Luz Próxima ao Infravermelho , Adulto Jovem
8.
Int J Sports Med ; 34(6): 533-7, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23184482

RESUMO

Rehabilitation is a major goal for children with cerebral palsy, although the potential to enhance cardio-respiratory fitness in such individuals remains unclear. This study thus compared current cardio-respiratory status between children with cerebral palsy and able-bodied children, and examined the ability to enhance the cardio-respiratory fitness of children with cerebral palsy by cycle ergometer training. 10 children with cerebral palsy (Gross Motor Function Classification System levels I and II) participated in thrice-weekly 30 min cycle ergometer training sessions for 8 weeks (mean age: 14.2±1.9 yrs). 10 additional subjects with cerebral palsy (mean age: 14.2±1.8 yrs) and 10 able-bodied subjects (mean age: 14.1±2.1 yrs) served as controls, undertaking no training. All subjects undertook a progressive cycle ergometer test of cardio-respiratory fitness at the beginning and end of the 8-week period. Cardio-respiratory parameters [oxygen intake V˙O2), ventilation V ˙ E) and heart rate (HR)] during testing were measured by Cosmed K4 b gas analyzer. The children with cerebral palsy who engaged in aerobic training improved their peak oxygen consumption, heart rate and ventilation significantly (p<0.05) and they also showed a non-significant trend to increased peak power output. In conclusion, children with cerebral palsy can benefit significantly from cardio-respiratory training, and such training should be included in rehabilitation programs.


Assuntos
Ciclismo/fisiologia , Paralisia Cerebral/reabilitação , Terapia por Exercício/métodos , Ventilação Pulmonar/fisiologia , Adolescente , Estudos de Casos e Controles , Paralisia Cerebral/fisiopatologia , Criança , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Consumo de Oxigênio/fisiologia , Resultado do Tratamento
9.
Int J Sports Med ; 33(9): 728-33, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22562743

RESUMO

The aim of this study was to compare respiratory measures taken simultaneously using the Cosmed K4b(2) and Cortex Metamax II portable metabolic systems. 10 trained male cyclists performed a graded exercise cycle test to exhaustion (40w.3 min (- 1)) under standardized conditions. The measured respiratory variables were significantly correlated between both devices: r=0.97 and 0.98 (n=10, p<0.01) for oxygen uptake ( V˙O(2)) and ventilation (VE), respectively. Further Bland and Altman plots revealed a good level of agreement for measures of V˙O(2) expressed in mL.min (- 1) [- 670 to 486] (mean bias of - 91.7, i. e., - 3.1%) or in mL.min (- 1).kg (- 1) [- 7.3 to 9.0] (mean bias of 0.85, i. e., 2.3%) and V(E) [- 23.1 to 18.2] (L.min (- 1), mean bias of - 2.4, i. e. - 4.1%). However, poor agreement was found for measures of carbon dioxide (VCO(2), mL.min (- 1)) [- 280 to 1 394] (mean bias of 671 i.e., 20.3%). VCO(2) at maximal exercise intensity was also significantly (p<0.01) greater in the Cortex compared to the Cosmed system. The higher measured CO(2) concentrations led to significantly (p<0.01) higher calculated respiratory exchange ratio (RER) values with the Cortex device. In conclusion, there was satisfactory agreement between the Cosmed K4b(2) and Cortex Metamax II systems for most respiratory measures; however there was a poor level of agreement between VCO(2) and calculated RER measurements between the 2 systems.


Assuntos
Ciclismo/fisiologia , Dióxido de Carbono/análise , Oxigênio/análise , Troca Gasosa Pulmonar/fisiologia , Atletas , Dióxido de Carbono/fisiologia , Desenho de Equipamento , Teste de Esforço , Humanos , Masculino , Oxigênio/fisiologia , Adulto Jovem
10.
Int J Sports Med ; 32(8): 598-605, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21574126

RESUMO

In this study, we compared the reliability of short-term resting heart rate (HR) variability (HRV) and postexercise parasympathetic reactivation (i.e., HR recovery (HRR) and HRV) indices following either submaximal or supramaximal exercise. On 4 different occasions, beat-to-beat HR was recorded in 15 healthy males (21.5 ± 1.4 yr) during 5 min of seated rest, followed by submaximal (Sub) and supramaximal (Supra) exercise bouts; both exercise bouts were followed by 5 min of seated recovery. Reliability of all HR-derived indices was assessed by the typical error of measurement expressed as a coefficient of variation (CV,%). CV for HRV indices ranged from 4 to 17%, 7 to 27% and 41 to 82% for time domain, spectral and ratio indices, respectively. The CV for HRR ranged from 15 to 32%. Spectral CVs for HRV were lower at rest compared with Supra (e.g., natural logarithm of the high frequency range (LnHF); 12.6 vs. 26.2%; P=0.02). HRR reliability was not different between Sub and Supra (25 vs. 14%; P=0.10). The present study found discrepancy in the CVs of vagal-related heart rate indices; a finding that should be appreciated when assessing changes in these variables. Further, Supra exercise was shown to worsen the reliability of HRV-spectral indices.


Assuntos
Teste de Esforço , Exercício Físico/fisiologia , Frequência Cardíaca/fisiologia , Humanos , Masculino , Reprodutibilidade dos Testes , Nervo Vago/fisiologia , Adulto Jovem
11.
Int J Sports Med ; 31(6): 402-9, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20422503

RESUMO

This study investigated the influence of 180 degrees changes of direction during a repeated-sprint running test on performance, cardiorespiratory variables, muscle deoxygenation and post-exercise blood lactate ([La] (b)) levels. Thirteen team-sport athletes (22+/-3 yr) performed 6 repeated maximal sprints with (RSS, 6 x[2 x 12.5 m]) or without (RS, 6 x 25 m) changes of direction. Best and mean running time, percentage speed decrement (%Dec), pulmonary oxygen uptake ( V O (2)), vastus lateralis deoxygenation (Hb (diff)) and [La] (b) were calculated for each condition. Best and mean times for both protocols were largely correlated (r =0.63 and r =0.78, respectively), and were 'ALMOST CERTAINLY' higher for RSS compared with RS (e. g., 5.30+/-0.17 vs. 4.09+/-0.17 s for mean time, with the qualitative analysis revealing a 100% chance of RSS time being greater than RS). In contrast, %Dec was 'POSSIBLY' lower for RSS (2.6+/-1.2 vs. 3.2+/-1.3%, with a 79% chance of a real difference). Compared with RS, V O (2) (40.4+/-4.2 vs. 38.9+/-3.8 mL x min (-1) x kg (-1), with a 90% chance of a real difference) and [La] (b) (10.0+/-1.7 vs. 9.3+/-2.4 mmol.L (-1), with a 70% chance of a real difference) were 'POSSIBLY' higher. Conversely, there were no differences in Hb (diff) (11.5+/-3.2 vs. 10.9+/-3.0 microM, with the comparison rated as 'UNCLEAR'). To conclude, the present results suggest that the ability to repeat sprints can be considered as a general quality. They also suggest that repeated shuttle sprints might be an effective training practice for eliciting a greater systemic physiological load, but perhaps not a greater loading of the vastus lateralis.


Assuntos
Adaptação Fisiológica/fisiologia , Esforço Físico/fisiologia , Corrida/fisiologia , Desempenho Atlético/fisiologia , Humanos
12.
Eur J Appl Physiol ; 108(6): 1153-67, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20033207

RESUMO

The aims of the present study were to (1) assess relationships between running performance and parasympathetic function both at rest and following exercise, and (2) examine changes in heart rate (HR)-derived indices throughout an 8-week period training program in runners. In 14 moderately trained runners (36 +/- 7 years), resting vagal-related HR variability (HRV) indices were measured daily, while exercise HR and post-exercise HR recovery (HRR) and HRV indices were measured fortnightly. Maximal aerobic speed (MAS) and 10 km running performance were assessed before and after the training intervention. Correlations (r > 0.60, P < 0.01) were observed between changes in vagal-related indices and changes in MAS and 10 km running time. Exercise HR decreased progressively during the training period (P < 0.01). In the 11 subjects who lowered their 10 km running time >0.5% (responders), resting vagal-related indices showed a progressively increasing trend (time effect P = 0.03) and qualitative indications of possibly and likely higher values during week 7 [+7% (90% CI -3.7;17.0)] and week 9 [+10% (90% CI -1.5;23)] compared with pre-training values, respectively. Post-exercise HRV showed similar changes, despite less pronounced between-group differences. HRR showed a relatively early possible decrease at week 3 [-20% (90% CI -42;10)], with only slight reductions near the end of the program. The results illustrate the potential of resting, exercise and post-exercise HR measurements for both assessing and predicting the impact of aerobic training on endurance running performance.


Assuntos
Frequência Cardíaca/fisiologia , Coração/inervação , Coração/fisiologia , Monitorização Fisiológica/métodos , Sistema Nervoso Parassimpático/fisiologia , Resistência Física/fisiologia , Corrida/fisiologia , Análise e Desempenho de Tarefas , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
13.
Int J Sports Med ; 30(6): 418-25, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19437381

RESUMO

The purpose of this study was to compare the effect of active (AR) versus passive recovery (PR) on muscle deoxygenation during short repeated maximal running. Ten male team sport athletes (26.9+/-3.7y) performed 6 repeated maximal 4-s sprints interspersed with 21 s of either AR (2 m.s (-1)) or PR (standing) on a non-motorized treadmill. Mean running speed (AvSp (mean)), percentage speed decrement (Sp%Dec), oxygen uptake (V O (2)), deoxyhemoglobin (HHb) and blood lactate ([La] (b)) were computed for each recovery condition. Compared to PR, AvSp (mean) was lower (3.79+/-0.28 vs. 4.09+/-0.32m.s (-1); P<0.001) and Sp%Dec higher (7.2+/-3.7 vs. 3.2+/-0.1.3%; P<0.001) for AR. Mean V O (2) (3.64+/-0.44 vs. 2.91+/-0.47L.min (-1), P<0.001), HHb (94.4+/-16.8 vs. 83.4+/-4.8% of HHb during the first sprint, P=0.02) and [La] (b) (13.5+/-2.5 vs. 12.7+/-2.2 mmol.l (-1), P=0.03) were significantly higher during AR compared to PR. In conclusion, during run-based repeated sprinting, AR was associated with reduced repeated sprint ability and higher muscle deoxygenation.


Assuntos
Hemoglobinas/metabolismo , Consumo de Oxigênio/fisiologia , Corrida/fisiologia , Adulto , Teste de Esforço , Humanos , Ácido Láctico/sangue , Masculino , Músculo Quadríceps/metabolismo , Adulto Jovem
14.
Exp Physiol ; 94(7): 795-804, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19395660

RESUMO

The aim of the present study was to assess the influence of body posture on post-submaximal exercise parasympathetic reactivation and to examine whether this influence was preserved under a heightened sympathetic background. On four occasions, eleven moderately trained subjects (22.1 +/- 3.0 years old) performed, in random order, two consecutive submaximal running bouts (CTs), each followed by 5 min passive recovery in an upright (Up), sitting (Sit), supine (Sup) or supine with legs up position (SupLu). Between both CTs, participants performed 150 s of supramaximal intermittent running (SI). Parasympathetic reactivation was assessed from heart rate recovery (HRR) and variability (HRV; e.g. rMSSD(30 s)) indices calculated during the 5 min recovery periods [i.e. before (N) and after SI (post-SI)]. In the N condition, Sup position was associated with a faster and greater increase in rMSSD(30 s) than Sit and SupLu (both P < 0.01), which were all higher compared with Up (P < 0.001). A 'time' effect was shown in Sit, Sup and SupLu (all P < 0.05), but not in Up (P = 0.99). All N values were higher than post-SI values (P < 0.001), except for Up, where a trend was apparent (P = 0.06). In the post-SI condition, a position effect was preserved for HRR (P < 0.001), but not for HRV indices (P = 0.99 for rMSSD(30 s)). In conclusion, the supine position accelerated and increased parasympathetic reactivation more than the other three positions, but the posture effect was less evident following supramaximal exercise. In the context of an accentuated sympathetic background (i.e. post-SI), postexercise HRV indices are less gravity dependent than HRR, reflecting more the exercise-related changes in parasympathetic activity.


Assuntos
Exercício Físico/fisiologia , Sistema Nervoso Parassimpático/fisiologia , Postura/fisiologia , Tolerância ao Exercício , Frequência Cardíaca/fisiologia , Humanos , Perna (Membro) , Masculino , Corrida/fisiologia , Decúbito Dorsal , Adulto Jovem
15.
Int J Sports Med ; 30(4): 251-8, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19199207

RESUMO

This study compared the effect of high-intensity interval training (HIT) versus specific game-based handball training (HBT) on handball performance parameters. Thirty-two highly-trained adolescents (15.5+/-0.9 y) were assigned to either HIT (n=17) or HBT (n=15) groups, that performed either HIT or HBT twice per week for 10 weeks. The HIT consisted of 12-24 x 15 s runs at 95% of the speed reached at the end of the 30-15 Intermittent Fitness Test (V(IFT)) interspersed with 15 s passive recovery, while the HBT consisted of small-sided handball games performed over a similar time period. Before and after training, performance was assessed with a counter movement jump (CMJ), 10 m sprint time (10 m), best (RSAbest) and mean (RSAmean) times on a repeated sprint ability (RSA) test, the V(IFT) and the intermittent endurance index (iEI). After training, RSAbest (-3.5+/-2.7%), RSAmean (-3.9+/-2.2%) and V(IFT) (+6.3+/-5.2%) were improved (P<0.05), but there was no difference between groups. In conclusion, both HIT and HBT were found to be effective training modes for adolescent handball players. However, HBT should be considered as the preferred training method due to its higher game-based specificity.


Assuntos
Desempenho Atlético/fisiologia , Resistência Física/fisiologia , Esportes/fisiologia , Adolescente , Teste de Esforço , Feminino , Humanos , Masculino , Educação Física e Treinamento/métodos , Esforço Físico/fisiologia , Corrida/fisiologia
16.
Eur J Appl Physiol ; 105(3): 471-81, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19009307

RESUMO

The purpose of this study was to investigate the effect of exercise-induced plasma volume expansion on post-exercise parasympathetic reactivation. Before (D(0)) and 2 days after (D(+2)) a supramaximal exercise session, 11 men (21.4 +/- 2.6 years and BMI = 23.0 +/- 1.4) performed 6-min of submaximal running where heart rate (HR) recovery (HRR) and HR variability (HRV) indices were calculated during the first 10 min of recovery. Relative plasma volume changes (PV) were calculated using changes in hematocrit and hemoglobin measured over consecutive mornings from D(0) to D(+2). Parasympathetic reactivation was evaluated through HRR and vagal-related indexes calculated during a stationary period of recovery. Compared with D(0), PV (+4.8%, P < 0.01) and all vagal-related HRV indices were significantly higher at D(+2) (all P < 0.05). HRR was not different between trials. Changes in HRV indices, but not HRR, were related to PV (all P < 0.01). HRR and HRV indices characterize distinct independent aspects of cardiac parasympathetic function, with HRV indices being more sensitive to changes in plasma volume than HRR.


Assuntos
Exercício Físico/fisiologia , Frequência Cardíaca/fisiologia , Homeostase/fisiologia , Volume Plasmático/fisiologia , Índices de Eritrócitos/fisiologia , Teste de Esforço , Tolerância ao Exercício , Hematócrito , Humanos , Masculino , Sistema Nervoso Parassimpático/fisiologia , Corrida/fisiologia , Adulto Jovem
17.
J Sci Med Sport ; 12(3): 399-405, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-18358779

RESUMO

To determine whether a 4-a-side handball (HB) game is an appropriate aerobic stimulus to reach and potentially enhance maximal oxygen uptake (V O(2)max), and whether heart rate (HR) is a valid index of V O(2) during a handball game. Nine skilled players (21.0+/-2.9 yr) underwent a graded maximal aerobic test (GT) where V O(2)max and HR-V O(2) relationship were determined. V O(2), HR and blood lactate ([La](b)) were recorded during a 2 x 225 s (interspersed with 30s rest) 4-a-side handball game and were compared to those measured during an 480-s running intermittent exercise (IE). Mean V O(2) tended to be higher in handball compared to IE (93.9+/-8.5 vs. 87.6+/-7.4% O(2)max, p=0.06), whereas HR was similar (92.3+/-4.9 vs. 93.9+/-3.9% of the peak of HR, p=0.10). [La](b) was lower for handball than for IE (8.9+/-3.5 vs. 11.6+/-2.1 mmol l(-1), p=0.04). Time spent over 90% of V O(2)max was higher for handball than for IE (336.1+/-139.6s vs. 216.1+/-124.7s; p=0.03). The HR-V O(2) relationship during GT was high (r(2)=0.96, p<0.001) but estimated V O(2) from HR was lower to that measured (p=0.03) in handball, whereas there was no difference in IE. 4-a-side handball game can be used as a specific alternative to IE for enhancing aerobic fitness in handball players. Nevertheless, the accuracy of HR measures for estimating V O(2) during handball is poor.


Assuntos
Teste de Esforço , Frequência Cardíaca/fisiologia , Consumo de Oxigênio/fisiologia , Esportes/fisiologia , Adulto , Humanos , Ácido Láctico/sangue
18.
Ann Readapt Med Phys ; 51(1): 38-45, 2008 Jan.
Artigo em Francês | MEDLINE | ID: mdl-18164092

RESUMO

OBJECTIVE: To assess the effect of combining two rehabilitation models during early-stage muscle reinforcement in patients having undergone total hip arthroplasty (THA). METHODOLOGY: Our study was carried out on a total of 81 unilateral THA patients aged between 61 and 84. Forty-one control group (CG) patients participated in a standard rehabilitation (SR) program, whereas the 40 patients in the test group (TG) performed both SR and isometric exercises with electromyographic feedback. We performed three tests in each group, on the day before surgery (T(1)) and then three days (T(2)) and seven days (T(3)) after surgery. These tests enabled measurement of the integrated electromyographic peak (EMG(ipeak)) for the gluteus medius, the peak voluntary isometric strength (VIS(peak)) of each leg (i.e., both the operated and nonoperated sides) and the operated gluteus medius' maintenance time at 50% of the EMG(ipeak) during isometric exercises with electromyographic feedback. RESULTS: For the operated gluteus medius, the TG's EMG(ipeak) values were similar to those measured in the CG (P>0.05) at T(1) and T(2). Likewise, the VIS(peak) values for the corresponding legs at T(1) and T(2) did not differ significantly. However, at T(3), the EMG(ipeak) of the gluteus medius and the leg VIS(peak) on the operated side increased in both groups and were higher in the TG than in the CG (P<0.001). Compared with the CG, the TG also displayed a longer maintenance time at 50% of the EMG(ipeak) for the operated gluteus medius during isometric exercises with electromyographic feedback. CONCLUSION: This preliminary study showed that a combination of two rehabilitation models leads to faster post-THA recovery than the application of SR alone.


Assuntos
Artroplastia de Quadril/reabilitação , Terapia por Exercício , Força Muscular/fisiologia , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Eletromiografia , Retroalimentação , Feminino , Humanos , Contração Isométrica/fisiologia , Masculino , Pessoa de Meia-Idade
19.
Int J Sports Med ; 29(4): 307-15, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17879881

RESUMO

The aim of the present study was to examine the ability of the critical velocity (CV) and the endurance index (EI) to assess endurance performance during intermittent exercise. Thirteen subjects performed two intermittent runs: 15-s runs intersected with 15 s of passive recovery (15/15) and 30-s runs with 30-s rest (30/30). Runs were performed until exhaustion at three intensities (100, 95 and 90 % of the speed reached at the end of the 30 - 15 intermittent fitness test, V (IFT)) to calculate i) CV from the slope of the linear relationship between the total covered distance and exhaustion time (ET) (iCV); ii) anaerobic distance capacity from the Y-intercept of the distance/duration relationship (iADC); and iii) EI from the relationship between the fraction of V (IFT) at which the runs were performed and the log-transformed ET (iEI). Anaerobic capacity was indirectly assessed by the final velocity achieved during the Maximal Anaerobic Running Test (VMART). ET was longer for 15/15 than for 30/30 runs at similar intensities. iCV (15/15) and iCV (30/30) were not influenced by changes in ET and were highly dependent on V (IFT). Neither iADC (15/15) nor iADC (30/30) were related to VMART. In contrast, iEI (15/15) was higher than iEI (30/30), and corresponded with the higher ET. In conclusion, only iEI estimated endurance capacity during repeated intermittent running.


Assuntos
Desempenho Atlético/fisiologia , Modelos Biológicos , Resistência Física/fisiologia , Corrida/fisiologia , Adulto , Limiar Anaeróbio/fisiologia , Teste de Esforço/métodos , Frequência Cardíaca/fisiologia , Humanos , Ácido Láctico/sangue , Masculino , Esforço Físico/fisiologia
20.
Percept Mot Skills ; 105(1): 15-26, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17918544

RESUMO

99 adult specialists in combat sports (n = 21), team sports (n = 37), gymnastics (n = 22), and swimming (n = 19) (M age = 20 yr., SD = 2; 64 young men, 35 young women) performed three 25-m swimming tasks whilst "blindfolded" by opaque goggles: front crawl in a straight line, dolphin-kicking on the back, and dolphin-kicking on the front. Even though the gymnasts (like the swimmers) were at ease in all 3 situations, the motor skills of the "motor interaction" specialists (team sports, combat sports) put the latter at a disadvantage. The similarities between the gymnasts' and swimmers' behavior (confirmed using factorial correspondence analysis with the TRIDEUX program) are undoubtedly related to the fact that these sportspersons essentially live in the same sensory space in their respective practices: exteroceptive information is subordinated by proprioceptive information. In contrast, the 99 subjects' timed freestyle swimming performances over 75 m depended so much on their physical and anthropometric qualities that the results were independent of the sporting specialties for the novice swimmers. Hence, the mere fact that the 22 gymnasts, who tended to be shorter, with a higher proportion of women, were more at ease in the water did not turn them into great performers.


Assuntos
Desempenho Atlético/fisiologia , Ginástica/fisiologia , Atividade Motora/fisiologia , Destreza Motora/fisiologia , Natação/fisiologia , Transferência de Experiência/fisiologia , Adulto , Antropometria , Estatura/fisiologia , Análise Fatorial , Feminino , Humanos , Cinestesia/fisiologia , Masculino , Análise de Componente Principal , Propriocepção/fisiologia , Desempenho Psicomotor/fisiologia , Fatores Sexuais
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