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1.
Biol Sport ; 41(2): 131-137, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38524813

RESUMO

Speed climbing will be a new discipline in Paris 2024. The physical requirements of speed climbing are different from the other climbing modalities due to the short event time requiring higher level of strength and power. These parameters have been measured through the Force-Velocity (F-V) profile in different climbing disciplines. However, there are no known results evaluating different speed climbing abilities to establish whether F-V relationship is a determining factor between performance levels. The purpose of this study was to evaluate the upper and lower limbs F-V profile in different speed climbing abilities considering sex. Twenty-six speed climbers were divided into two groups based on their level of performance: international level (men n = 7 and women n = 2) and national level (men n = 8 and women n = 7). Participants performed pull-ups and squat incremental tests and F-V profile variables [Maximum theorical values of force (F0), velocity (V0) and power (Pmax)], one-repetition maximum value (1RM) and %1RM where peak power was expressed were collected using a linear encoder. There were significant differences in F0, relative force, %1RM where peak power was expressed, and 1RM in pull-ups (p < 0.05) between groups. However, there were not significant differences between groups in squat variables. No significant sex differences were found in any variable. There were moderate-strong correlations between running time and 1RM (pull-ups and squat), F0 and FV-slope (pull-ups) (p < 0.05) analyzed in the whole group. In conclusion, F0 and 1RM in pull-ups were significantly higher in international climbers. Therefore, national climbers should focus their training on improving force by training with heavy loads. Additionally, squat F-V profile variables do not seem to be as important as in the pull-up for performance.

2.
Int J Sports Physiol Perform ; : 1-9, 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38458179

RESUMO

PURPOSE: Monitoring performance athletes' training responses can be efficiently completed at competitive events. This study aimed to explore the changes in swimming, countermovement-jump (CMJ), and pull-up (PU) performance following training across a competitive phase, as well as immediately before and after each race. METHODS: Fourteen well-trained male sprint/middle-distance swimmers (height 179 [7] cm, mass 70 [8] kg, age 18 [2] y), from 3 regional training groups, completed CMJ and PU tests before and after the national competitions in October and May, when race performance was also assessed. RESULTS: Swimming race performance was significantly improved from before the national competitions in October to after the national competitions in May (1.8% [3.2%], P = .044, d = 0.60, moderate effect). Although there were no significant changes in PU velocity, CMJ performance significantly improved from before the national competitions in October to after the national competitions in May (mean difference 2.29 cm, P = .004, d = 3.52) and showed before-to-after race decreases (mean difference -1.64 cm, P = .04, d = 2.28). CONCLUSION: Swimming performance and CMJ performance improved as the season progressed, although these improvements were not directly correlated. PU performance did not appear to be sensitive to training or race-induced fatigue, in contrast to CMJ, in this group of male swimmers.

3.
Sports Med ; 2024 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-38407747

RESUMO

In the quest to uncover the underlying mechanisms responsible for the performance-enhancing benefits imparted by advanced footwear technology (AFT), footwear researchers are employing an individual-level approach. In doing so, they hope to unveil individual-specific responses to AFT otherwise masked by a group-level approach. Classifying an individual's response on the basis of running economy (RE) is a logical strategy given that the intended purpose of AFT is to enhance performance; however, caution should be taken when doing so. Metabolic measurement devices are far from perfect, and given the known errors associated with metabolic measurements we would like to reiterate a suggestion first made 40 years ago: when seeking to quantify the interindividual variability of improvement in RE associated with running in AFT, the best practice is to rely on a minimum of two same-day measurements of RE.

4.
Scand J Med Sci Sports ; 34(1): e14526, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37858294

RESUMO

BACKGROUND: Ethylene and vinyl acetate (EVA) and polyether block amide (PEBA) are recently the most widely used materials for advanced footwear technology (AFT) that has been shown to improve running economy (RE). This study investigated the effects of these midsole materials on RE and biomechanics, in both fresh and worn state (after 450 km). METHODS: Twenty-two male trained runners participated in this study. Subjects ran four 4-min trials at 13 km‧h-1 with both fresh EVA and PEBA AFT and with the same models with 450 km of wear using a randomized crossover experimental design. We measured energy cost of running (W/kg), spatiotemporal, and neuromuscular parameters. RESULTS: There were significant differences in RE between conditions (p = 0.01; n2 = 0.17). There was a significant increase in energy cost in the worn PEBA condition compared with new (15.21 ± 1.01 and 14.87 ± 0.99 W/kg; p < 0.05; ES = 0.54), without differences between worn EVA (15.13 ± 1.14 W/kg; p > 0.05), and new EVA (15.15 ± 1.13 w/kg; ES = 0.02). The increase in energy cost between new and worn was significantly higher for the PEBA shoes (0.32 ± 0.38 W/kg) but without significant increase for the EVA shoes (0.06 ± 0.58 W/kg) (p < 0.01; ES = 0.51) with changes in step frequency and step length. The new PEBA shoes had lower energy cost than the new EVA shoes (p < 0.05; ES = 0.27) with significant differences between conditions in contact time. CONCLUSION: There is a clear RE advantage of incorporating PEBA versus EVA in an AFT when the models are new. However, after 450 km of use, the PEBA and EVA shoes had similar RE.


Assuntos
Ácidos Borônicos , Corrida , Humanos , Masculino , Fenômenos Biomecânicos , Estudos Cross-Over , Sapatos
6.
Int J Sports Med ; 44(14): 1059-1066, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37802083

RESUMO

A regular endurance training program may elicit different adaptations compared to an isolated training method. In this study, we analyzed the effects of 8 weeks of a regular endurance training program on running economy (RE), particularly neuromuscular and biomechanical parameters, in runners of different athletic abilities. Twenty-four male runners were divided into two groups: well-trained (n=12) and recreational (n=12). Both groups completed a 4-min running bout at 13 and 17 km·h-1, respectively, for the recreational and well-trained group, and a 5-jump plyometric test pre-post intervention. During the training program, participants completed low-intensity continuous sessions, high-intensity interval training sessions, and auxiliary strength training sessions. RE, measured as oxygen cost and energy cost, decreased by 6.15% (p=0.006) and 5.11% (p=0.043), respectively, in the well-trained group. In the recreational group, energy cost of running, respiratory exchange ratio, and leg stiffness decreased by 5.08% (p=0.035), 7.61% (p=0.003), and 10.59% (p=0.017), respectively, while ground contact time increased by 3.34% (p=0.012). The maximum height of the 5-jump plyometric test decreased by 4.55% (p=0.018) in the recreational group. We suggest that 8 weeks of regular endurance training leads to an improvement of ~5% in RE in recreational and well-trained runners with different physiological adaptations between groups and few changes in biomechanical and neuromuscular parameters only in recreational runners.


Assuntos
Treino Aeróbico , Corrida , Humanos , Masculino , Resistência Física/fisiologia , Fenômenos Biomecânicos , Consumo de Oxigênio/fisiologia , Corrida/fisiologia
7.
Biol Sport ; 40(3): 761-766, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37398949

RESUMO

The aim of this study was to analyze the acute effects of high vs low-intensity cycling efforts, combined with plyometrics, on vertical jump performance. Twenty-four physically active men (mean ± SD: 23 ± 2 years, 72.1 ± 10.1 kg, 1.73 ± 0.07 m) were randomly divided into two groups: experimental group (EXP, n = 16) and control group (CON, n = 8). EXP competed 2 experimental trials in a random order: (a) short high-intensity interval exercise (HI + Plyo) [5 × 10 s of cycling ("all-out")/50 s active rest] or (b) low-intensity continuous exercise (LO + Plyo) [5 min of cycling at 75% of the HRmax)], along with 3 × 10 plyometric bounds (drop jumps)/1 min rest between sets. CON used a preconditioning activity of 13 min of low intensity cycling at ~60% of HRmax. Both EXP interventions significantly increased (p ≤ 0.05) the countermovement jump (CMJ) height at 1 min, 3 min, 6 min and 9 min compared to baseline, while the CON remained unchanged. There were no significant differences in CMJ performance enhancement between HI + Plyo (largest 11.2% at 9 min) and LO + Plyo (largest 15.0% at 3 min) at any time-point, suggesting that the plyometric component may be most important, with HR recovery taking slightly longer following HI + Plyo. The findings suggest that CMJ performance can be enhanced following high or low-intensity cycling combined with plyometric preconditioning activities in active males, the optimum recovery period likely to be individual-specific.

8.
Med Sci Sports Exerc ; 55(12): 2290-2298, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37443458

RESUMO

INTRODUCTION/PURPOSE: Previous results about shoe longitudinal bending stiffness (LBS) and running economy (RE) show high variability. This study aimed to assess the effects of shoes with increased LBS on RE and performance in trained and national runners. METHODS: Twenty-eight male runners were divided into two groups according to their 10-km performance times (trained, 38-45 min and national runners, <34 min). Subjects ran 2 × 3 min (at 9 and 13 km·h -1 for trained, and 13 and 17 km·h -1 for national runners) with an experimental shoe with carbon fiber plate to increase the LBS (Increased LBS) and a control shoe (without carbon fiber plate). We measured energy cost of running (W·kg -1 ) and spatiotemporal parameters in visit one and participants performed a 3000 m time trial (TT) in two successive visits. RESULTS: Increased LBS improved RE in the trained group at slow (11.41 ± 0.93 W·kg -1 vs 11.86 ± 0.93 W·kg -1 ) and fast velocity (15.89 ± 1.24 W·kg -1 vs 16.39 ± 1.24 W·kg -1 ) and only at the fast velocity in the national group (20.35 ± 1.45 W·kg -1 vs 20.78 ± 1.18 W·kg -1 ). The improvements in RE were accompanied by different changes in biomechanical variables between groups. There were a similar improvement in the 3000 m TT test in Increased LBS for trained (639 ± 59 vs 644 ± 61 s in control shoes) and national runners (569 ± 21 vs 574 ± 21 s in control shoes) with more constant pace in increased LBS compared with control shoes in both groups. CONCLUSIONS: Increasing shoe LBS improved RE at slow and fast velocities in trained runners and only at fast velocity in national runners. However, the 3000 m TT test improved similarly in both levels of runners with increased LBS. The improvements in RE are accompanied by small modifications in running kinematics that could explain the difference between the different levels of runners.


Assuntos
Corrida , Sapatos , Humanos , Masculino , Fibra de Carbono , Fenômenos Biomecânicos
9.
Gait Posture ; 103: 19-26, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37075554

RESUMO

BACKGROUND: Interval training (IT) is influenced by several variables and its design. However, there is no consensus about the acute effects of this type of training on running kinematics and gait patterns due to the variety of session designs. RESEARCH QUESTION: The aim of this systematic review was to determine the acute effects of IT on gait patterns and running kinematics in endurance runners depending on the characteristics of the training sessions. METHODS: A systematic search on four databases (Pubmed, WOS, Medline, and Scopus) was conducted on February 22, 2022. After analyzing 655 articles, studies were included if they met the inclusion criteria developed according to the PICO model. Nine studies were finally included. RESULTS: Only two of these studies measured kinematics changes during IT bouts while seven measured pre-post changes of these parameters. The quality scores of the included studies in the review averaged 5.44 (good quality) points using the modified PEDro scale. The observed changes in running kinematics during IT sessions were an increase in stride frequency, contact time and vertical displacement of center of mass. SIGNIFICANCE: Regarding the type of IT, anaerobic and short aerobic interval sessions (200-1000 m) should include long recovery periods (2-3 min) to avoid the increase of stride frequency, contact time and vertical oscillation of the center of mass as a results of muscle fatigue. For long aerobic interval sessions (>1000 m), a short recovery (1-2 min) between bouts do not induce a high level of muscle fatigue nor modifications in gait patterns. Coaches and athletes must consider the relative intensity and recovery periods of IT, and the type of IT, to prevent excessive fatigue which can negatively affect running kinematics.


Assuntos
Resistência Física , Corrida , Humanos , Resistência Física/fisiologia , Fenômenos Biomecânicos/fisiologia , Marcha/fisiologia , Corrida/fisiologia , Atletas
10.
Eur J Sport Sci ; 23(7): 1315-1323, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36680410

RESUMO

We analysed the effects of the Nike ZoomX Vaporfly (VPF) on long-interval training performance, kinematic parameters, running power and fatigue compared to a traditional running shoe. Twelve well-trained men (mean ± SD: 32.91 ± 7.50 years; 69.29 ± 7.55 kg and 172.73 ± 5.97 cm) performed two long-interval training sessions (5 × 1000 m with 90s recovery period) 7 days apart, with the VPF shoe or a traditional running shoe (CON) in random order. The countermovement jump (CMJ) height was measured before and after the training sessions and heart rate, spatiotemporal parameters, running power and leg stiffness was measured during training sessions. Running-related pain was assessed prior and post-24 h of each training session. Long-interval training performance improved 2.4% using the VPF shoe compared to CON (p = 0.009; ES = 0.482). Step length, contact time and leg stiffness were higher (p < 0.05; ES = 0.51, ES = 0.677, ES = 0.356) while flight time was lower (p < 0.001; ES = 0.756) when using VPF. Running power decreased in a similar way in both conditions throughout the training session. Vertical power was significantly higher in the VPF condition (p = 0.023, ES = 0.388). CMJ height decreased in both conditions after training (4.7 vs. 7.2%, for the VPF and control, respectively, p < 0.001; ES = 0.573). Finally, the perceived muscle pain was influenced by the shoe model condition (chi-square 5.042, P = 0.025). VPF shoes improved the long-interval training performance with similar running power, heart rate and neuromuscular fatigue, and reduced subjective perceived muscle pain compared to regular training shoes.HighlightsVPF shoe may improve long-interval training performance in trained runners with the same running power and heart rate.Lower subjective perceived muscle pain is found with VPF compared to the regular training shoes.This type of footwear may be used in high-intensity training sessions aiming to increase the training volume at higher intensities with lower associated fatigue.


Assuntos
Corrida , Sapatos , Masculino , Humanos , Mialgia , Fenômenos Biomecânicos , Corrida/fisiologia
12.
Sports Med Open ; 8(1): 56, 2022 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-35445953

RESUMO

BACKGROUND: Reverse periodization is commonly touted as a salient planning strategy to improve sport performance in athletes, but benefits have not been clearly described. OBJECTIVES: We sought to identify the main characteristics of reverse periodization, and the influence of training volume and periodization models on enhancing physiological measures and sports performance. DESIGN: Systematic review. METHODS: The electronic databases Scopus, PubMed and Web of Science were searched using a comprehensive list of relevant terms. RESULTS: A total of 925 studies were identified, and after removal of duplicates and studies based on title and abstract screening, 17 studies remained, and 11 finally included in the systematic review. There was a total of 200 athletes in the included studies. Reverse periodization does not provide superior performance improvements in swimming, running, muscular endurance, maximum strength, or maximal oxygen uptake, compared to traditional or block periodization. The quality of evidence levels for the reverse periodization studies was 1b (individual randomized controlled trial) for two investigations, 2b (individual cohort study) for the remaining studies and a mean of 4.9 points in the PEDro scale (range 0-7). CONCLUSIONS: It appears that reverse periodization is no more effective than other forms of periodization in improving sports performance. More comparative studies on this alternative version of periodization are required to verify its effectiveness and utility across a range of endurance sports.

13.
J Sports Sci ; 40(23): 2661-2668, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36814065

RESUMO

Advanced footwear technology (AFT) changed footwear design concepts by using a curved carbon fibre plate in combination with new, more compliant and resilient foams. The aim of this study was (1) to examine the individual effects of AFT on the evolution of the main road events and (2) to re-assess the impact of AFT on the world's top-100 performance in men's 10k, half-marathon and marathon events. Data from the top-100 men's 10k, half-marathon and marathon performances were collected between 2015 and 2019. The shoes used by the athletes were identified in 93.1% of the cases by publicly available photographs. Runners wearing AFT had an average performance of 1671 ± 22.28 s compared to 1685 ± 18.97 s of runners not using AFT in 10k (0.83%) (p < 0.001), 3589 ± 29.79 s compared to 3607 ± 30.49 s in half-marathon (0.50%) (p < 0.001) and 7563 ± 86.10 s compared to 7637 ± 72.51 s in the marathon (0.97%) (p < 0.001). Runners wearing AFTs were faster by ~1% in the main road events compared to non-users. Individual analysis showed that ~25% of the runners did not benefit from the use of this type of footwear. The results of this study suggest that AFT has a clear positive impact on running performance in main road events.


Assuntos
Corrida , Masculino , Humanos , Corrida de Maratona , Sapatos , Atletas
14.
Eur J Sport Sci ; 22(10): 1508-1521, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34369282

RESUMO

This study aimed to address the effects of increased longitudinal bending stiffness (LBS) on running economy (RE) and running biomechanics. A systematic search on four electronic databases (Pubmed, WOS, Medline and Scopus) was conducted on 26 May 2021. Twelve studies met the inclusion criteria and were included. Standardised mean difference with 95% confidence intervals (CI) between footwear with increased LBS vs. non-increased LBS conditions and effect sizes were calculated. To assess the potential effects of moderator variables (type and length plate, increased LBS, shoe mass and running speed) on the main outcome variable (i.e. RE), subgroup analyses were performed. Increased LBS improved RE (SMD = -0.43 [95% CI -0.58, -0.28], Z = 5.60, p < 0.001) compared to non-increased LBS. Significant increases of stride length (SMD = 0.29 [95% CI 0.10, 0.49], Z = 2.93, p = 0.003) and contact time (SMD = 0.17 [95% CI 0.03, 0.31], Z = 2.32, p = 0.02) were found when LBS was increased. RE improved to a greater degree at higher running speeds with footwear with increased LBS. RE improved 3.45% with curve plate compared to no-plate condition without improvements with flat plate shoes. When shoe mass was matched between footwear with increased LBS vs. non-increased LBS conditions, RE improved (3.15%). However, when shoe mass was not controlled (experimental condition with ∼35 grams extra), a significant small improvement was found. These RE improvements appear along with an increase of stride length and contact time. Shoe mass, type of plate (flat or curve) and running speed should be taken into consideration when designing a shoe aimed at improving long-distance running performance.


Assuntos
Corrida , Fenômenos Biomecânicos , Humanos , Sapatos
16.
Sci Rep ; 11(1): 22458, 2021 11 17.
Artigo em Inglês | MEDLINE | ID: mdl-34789828

RESUMO

The NIKE Vaporfly shoe was introduced in May 2017 as part of the original #Breaking2 Project (an event aimed to run the first marathon under 2 h). This new advanced shoe technology (NAST) changed the footwear design conception. The aim of this study was (i) to analyse the effect of NAST in men's marathon performance, (ii) to analyse whether the changes in the environmental constraints (temperature and wind) and orography of the marathons, age and birthplace of the runners has changed from 2015 to 2019 and (iii) to analyse the impact of NAST on the historical 50 best performances. Data from top-100 men's marathon performances were collected in that timeframe. The shoes used by the athletes were identified (in 91.8% of the cases) by publicly available photographs. External and environmental conditions of each marathon and age and birthplace of the runners were also analysed. Marathon performances improved from 2017 onwards between 0.75 and 1.50% compared to 2015 and 2016 (p < 0.05). In addition, the improvement was greater in the upper deciles than in the lower ones (p < 0.001). Runners wearing NAST ran ~ 1% faster in marathon compared to runners that did not use it (p < 0.001). When conducting an individual analysis of athletes who ran with and without NAST, 72.5% of the athletes who completed a marathon wearing NAST improved their performance by 0.68% (p < 0.01). External and environmental conditions, age or birthplace of runners seems not to have influenced this performance improvement. NAST has had a clear impact on marathon performance unchanged in the environmental constraints (temperature and wind), orography, age, and birthplace of the runners but with differences between venues.

17.
Biology (Basel) ; 10(3)2021 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-33801432

RESUMO

In reconstructive craniofacial surgery, the bilateral symmetry of the midplane of the facial skeleton plays an important role in surgical planning. Surgeons can take advantage of the intact side of the face as a template for the malformed side by accurately locating the midplane to assist in the preparation of the surgical procedure. However, despite its importance, the location of the midline is still a subjective procedure. The aim of this study was to present a 3D technique using a convolutional neural network and geometric moments to automatically calculate the craniofacial midline symmetry of the facial skeleton from CT scans. To perform this task, a total of 195 skull images were assessed to validate the proposed technique. In the symmetry planes, the technique was found to be reliable and provided good accuracy. However, further investigations to improve the results of asymmetric images may be carried out.

18.
J Pers Med ; 11(4)2021 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-33923480

RESUMO

Segmentation is crucial in medical imaging analysis to help extract regions of interest (ROI) from different imaging modalities. The aim of this study is to develop and train a 3D convolutional neural network (CNN) for skull segmentation in magnetic resonance imaging (MRI). 58 gold standard volumetric labels were created from computed tomography (CT) scans in standard tessellation language (STL) models. These STL models were converted into matrices and overlapped on the 58 corresponding MR images to create the MRI gold standards labels. The CNN was trained with these 58 MR images and a mean ± standard deviation (SD) Dice similarity coefficient (DSC) of 0.7300 ± 0.04 was achieved. A further investigation was carried out where the brain region was removed from the image with the help of a 3D CNN and manual corrections by using only MR images. This new dataset, without the brain, was presented to the previous CNN which reached a new mean ± SD DSC of 0.7826 ± 0.03. This paper aims to provide a framework for segmenting the skull using CNN and STL models, as the 3D CNN was able to segment the skull with a certain precision.

19.
Int J Sports Med ; 42(10): 905-910, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33525000

RESUMO

A breakpoint in a portable near-infrared spectroscopy (NIRS) derived deoxygenated haemoglobin (deoxy[Hb]) signal during an incremental VO2max running test has been associated with the second ventilatory threshold (VT2) in healthy participants. Thus, the aim was to examine the association between this breakpoint (NIRS) and VT2 in well-trained runners. Gas exchange and NIRS data were collected during an incremental VO2max running test for 10 well-trained runners. The breakpoint calculated in oxygen saturation (StO2) and the VT2 were determined and compared in terms relative to %VO2max, absolute speed, VO2, and maximum heart rate (HRmax). There were no significant differences (p>0.05) between the breakpoint in StO2 and VT2 relative to %VO2max (87.00±6.14 and 88.28 ± 3.98 %), absolute speed (15.70±1.42 and 16.10±1.66 km·h-1), VO2 (53.71±15.17 and 54.66±15.57 ml·kg-1·min-1), and%HRmax (90.90±4.17 and 91.84±3.70%). There were large and significant correlations between instruments relative to%VO2max (r=0.68, p<0.05), absolute speed (r=0.86, p<0.001), VO2 (r=0.86, p<0.001), and %HRmax (r=0.69; p<0.05). A Bland and Altman analysis of agreement between instruments resulted in a mean difference of - 1.27±4.49%, -0.40±0.84 km·h-1,-0.90±3.07 ml·kg-1·min-1, and - 0.94±3.14 for %VO2max, absolute speed, VO2, and %HRmax, respectively. We conclude that a portable NIRS determination of the StO2 breakpoint is comparable with VT2 using gas exchange and therefore appropriate for use in determining exercise training above VT2 intensity. This is the first study to analyze the validity with the running mode using a NIRS portable device.


Assuntos
Teste de Esforço/métodos , Consumo de Oxigênio , Espectroscopia de Luz Próxima ao Infravermelho , Feminino , Frequência Cardíaca , Humanos , Masculino , Corrida/fisiologia , Adulto Jovem
20.
Cienc. tecnol. salud ; 7(3)26 de noviembre 2020. il 27 c
Artigo em Espanhol | LILACS, DIGIUSAC, LIGCSA | ID: biblio-1348107

RESUMO

Desde inicios del 2020, el mundo se ha visto afectado por la COVID-19 causada por el SARS-CoV-2, que en agosto lo padecen más de 31 millones de pacientes, algunos de los cuales presentan el síndrome de distrés respiratorio, que requiere de ventilación mecánica. Por el alto número de contagios, la disponibilidad de ventiladores para el tratamiento es escasa. Se presenta la descripción de un prototipo de un dispositivo de asistencia ventilatoria temporal de lazo cerrado de bajo costo; el AR_CODEX, basado en una bolsa válvula-mascarilla (BVM), que contribuye al mantenimiento ventilatorio mínimo del paciente durante un tiempo corto en casos donde no hay disponibilidad de ventiladores mecánicos. Para esto, se diseñó y construyó un sistema mecánico ajustable que compresiona la bolsa de ventilación, el cual cuenta con sensores de flujo y presión. Además, se elaboró una interfaz gráfica para un adecuado monitoreo del paciente y un sistema de control para variables como volumen, presión máxima, frecuencia respiratoria y relación inspiración: espiración. Por otro lado, existe un problema de sensibilidad en el sensor de flujo debido a varios factores, como la variación del voltaje en los motores. Adicionalmente, la implementación de un lazo cerrado es importante para compensar variaciones aleatorias en el funcionamiento del dispositivo. Es necesario realizar pruebas en animales para evaluar el correcto funcionamiento de AR_CODEX en seres vivos.


In early 2020, the world has been affected from Covid-19 caused by SARS-CoV-2. By August there were more than 31 million patients, some of them suffering from respiratory distress that requires mechanical ventilation. Due to the rise of infection rates there is no ventilator availability for the treatment. In this work we describe a reduced cost closed loop temporal assisted ventilation device prototype, AR_CODEX. It is based on mask valve bag (BVM from its Spanish initials), contributing to the minimum ventilation maintenance for the patient du-ring a short period of time when there is no mechanical ventilation availability. For this purpose an adjustable mechanical system was designed and built to pressurize the ventilation bag that is equipped with flux and pres-sure sensors. Additionally a graphical interface was developed to include adequate monitoring and controlling system for volume, maximum pressure, respiratory frequency and inhalation/exhalation rate. In addition there is a sensibility issue on the flux sensor due to engine voltage variation. A closed loop implementation is important to overcome aleatory variations during the device operation. It is needed to run AR_CODEX device performance test on animals to evaluate prior to use it directly on human patients.


Assuntos
Humanos , Respiração Artificial/instrumentação , Ventiladores Mecânicos/economia , Taxa Respiratória , Máscaras , Tecnologia de Baixo Custo , Equipamentos e Provisões , Estudo de Prova de Conceito , COVID-19
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