Analysis of performance and vital signs in a cardiorespiratory rehabilitation protocol in subjects with central nervous system diseases
DOI:
https://doi.org/10.33448/rsd-v11i8.29668Keywords:
Neurological disorders; Aerobic exercise; Cardiorespiratory rehabilitation.Abstract
This study aimed to evaluate vital signs and cardiorespiratory performance (average speed) of people with neurological disorders after carrying out a rehabilitation protocol. 14 volunteers of both genders, between 18 and 85 years old, participated. Throughout the protocol, vital signs were collected during the initial rest; effort and recovery. Parameters such as: blood pressure (BP), peripheral oxygen saturation (SpO2), heart rate (HR), perceived exertion scale (BORG) and mean gait speed were evaluated in a cardiorespiratory rehabilitation program for 12 weeks, totaling 24 sessions, with each session lasting 1 hour. It was found that post-exercise recovery heart rate reduced in relation to efforts, but did not return to baseline values with statistical difference. In turn, the initial heart rate during rest throughout the treatment showed a significant decrease (p<0.05). The cardiorespiratory performance behaved in phases (initial, intermediate, final phases), and the most satisfactory result occurred in the final phase, from the 14th session. HR during effort showed a significant increase of 6%. Thus, it was possible to verify that after cardiorespiratory rehabilitation, HRi decreased, there was an improvement in performance without major variations in HR, BP and SpO2 during exercise, demonstrating that the treatment was beneficial and safe for volunteers with central nervous system injury.
References
Akkurt, H. et al. (2017). The effects of upper extremity aerobic exercise in patients with spinal cord injury: a randomized controlled study. European Journal of Physical and Rehabilitation Medicine. 53(2), 219-27 10.23736/S1973-9087.16.03804-1
Alonso, D. O. et al. (1998). Heart Rate Response and Its Variability During Different Phases of Maximal
Amin, S. G. (2001). Control charts 101: a guide to health care applications. Qual Manag Health Care, 9(3), 1-27.
Antelmi, I., Chuang, E. Y., Grupi, C. J. Latorre, M. R. D. O., & Mansur, A. J. (2008). Heart Rate Recovery after Treadmill Electrocardiographic Exercise Stress Test and 24-Hour Heart Rate Variability in Healthy Individuals. Arq Bras Cardiol, 90(6), 380-385.
Ayoub, S., et al. (2020). The positive and the negative impacts of spasticity in patients with long-term neurological conditions: an observational study. Disability and Rehabilitation. doi.org/10.1080/09638288.2020.1742803
Baddeley, A. D., (2003) Working memory: looking back and looking forward. Nat. Rev. Neurosci. 4, 829–839.
Bohannon, R. W. (1997). Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age and Ageing, 26: 15-19.
Boyne, P. et al. (2015). Predicting Heart Rate at the Ventilatory Threshold for Aerobic Exercise Prescription in Persons With Chronic Stroke, Journal of Neurologic Physical Therapy, 39 (4), 233-240.
Carvalho, T. et al. (2020). Brazilian Cardiovascular Rehabilitation Guideline – 2020. Arq. Bras. Cardiol., 114 (5), 943-987.
Chaitman, B.R. (2003) Abnormal heart rate responses to exercise predict increased long-term mortality regardless of coronary disease extent: the question is why? J Am Coll Cardiol, 3;42(5):839-41.
Cornelissen,V.A., Verheyden, B., Aubert, A.E., & Fagard, R.H. (2010). Effects of aerobic training intensity on resting, exercise and post-exercise blood pressure, heart rate and heart-rate variability. J Hum Hypertens., 24(3):175-82.
Cunha, F. A.; Montenegro, R. A.; & Farinatti, P. T. V., (2013) Qual é a melhor estratégia de prescrição do exercício aeróbio para aumentar o dispêndio energético em pacientes sedentários. Revista HUPE, 12(4), 66-77, 2013.
Graded Exercise. Arq. Bras. Cardiol., 71 (6), 787-792.
Hardinge, M., et al. (2015). British Thoracic Society guidelines for home oxygen use in adults. Thorax, 70:i1–i43.
Karvonen, J., & Vuorimaa, T. (1988). Heart rate and exercise intensity during sports activities. Practical application. Sports Medicine, 5(5), 303-311.
Koetsier, A., van der Veer., S. N, Jager, K. J., Peek, N., & Keizer, N. F. (2012). Control charts in healthcare quality improvement. A systematic review on adherence to methodological criteria. Methods Inf Med., 51(3), 189-98.
Leddy, J. J., Haider, M. N., Ellis, M., & Willer, B. S. (2018). Exercise is Medicine for Concussion. Current sports medicine reports, 17(8), 262–270.
Lee, J., & Stone, A. J. (2020). Combined Aerobic and Resistance Training for Cardiorespiratory Fitness, Muscle Strength, and Walking Capacity after Stroke: A Systematic Review and Meta-Analysis. J Stroke Cerebrovasc Dis, 29(1):104498.
Li, L. et al., (2014) Acute Aerobic Exercise Increases Cortical Activity during Working Memory: A Functional MRI Study in Female College Students. PLoS One, 9(6).
Malta, D.C., et al. (2013). Prevalência autorreferida de deficiência no Brasil, segundo a Pesquisa Nacional de Saúde, 2013. Ciência & Saúde Coletiva. 21(10):3253-3264, 2016.
Mehrholz, J., Thomas, S., Elsner, B. (2017). Treadmill training and body weight support for walking after stroke. The Cochrane database of systematic reviews, 8(8), CD002840.
Monteiro, M. M., & Sobral-Filho, D.C. (2004). Physical exercise and blood pressure control. Rev Bras Med Esporte, 10 (6), 517-519.
Organização Mundial da Saúde, Relatório mundial sobre a deficiência. Governo do Estado de São Paulo, 2011.
Ovando, A, C., et al. (2010) Treinamento de marcha, cardiorrespiratório e muscular após acidente vascular encefálico: estratégias, dosagens e desfechos. Fisioter. Mov., 23(2), 253-269.
Palatini, P. (2007). Heart rate as an independent risk factor for cardiovascular disease: current evidence and basic mechanisms. Drugs, 67 Suppl 2:3-13.
Pang, M.Y., Charlesworth, S.A., Lau, R.W., & Chung, R.C. (2013). Using aerobic exercise to improve health outcomes and quality of life in stroke: evidence-based exercise prescription recommendations. Cerebrovasc Dis., 35(1):7-22.
Parker-Ângulo, F. J.; & Adkinson, J. M., (2018). Common Causes of Upper Extremity Spasticity. Elsevier Inc. 2018.
Pastore, C.A. et al. (2016). III Diretrizes Da Sociedade Brasileira De Cardiologia Sobre Análise e Emissão De Laudos Eletrocardiográficos. Arq Bras Cardiol., 106(4 Suppl 1):1-23.
Peçanha, T. et al. (2021). Activation of Mechanoreflex, but not Central Command, Delays Heart Rate Recovery after Exercise in Healthy Men. Int J Sports Med., 42(7), 602-609.
Polese, J.C. et al. (2013). Treadmill training is effective for ambulatory adults with stroke: a systematic review. Journal of Physiotherapy, 59(2):73‐80.
Raimundo, R. D. et al. (2013). Heart Rate Variability in Stroke Patients Submitted to an Acute Bout of Aerobic Exercise. Transl. Stroke Res., 4, 488–499.
Ramos, L. A. M., et al. (2021). As principais doenças do sistema nervoso atendidas em ambulatórios de fisioterapia e suas repercussões na atenção à saúde: Revisão Narrativa. Revista CPAQV – Centro de Pesquisas Avançadas em Qualidade de Vida. 13(1), 2.
Sands, W. et al. (2019). Recommendations for Measurement and Management of an Elite Athlete. Sports, 7(5), 105.
van Gestel, A. J. R. et al. (2012). Prevalence and Prediction of Exercise-Induced Oxygen Desaturation in Patients with Chronic Obstructive Pulmonary Disease. Respiration, 84:353-359.
Viana, R.B. et al. (2021). Percepção subjetiva de esforço durante uma sessão de exergame em homens jovens saudáveis. Revista Brasileira de Prescrição e Fisiologia do Exercício. 15(96), 203-211.
Zubac, D. et al. (2021). Independent influence of age on heart rate recovery after flywheel exercise in trained men and women. Sci. Rep., 11, 12011.
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Copyright (c) 2022 Taciana Lopes; Ana Paula Pinto; Sérgio Luiz Lemos; Carolina Lobo Guimarães; Élida Goulart de Abreu; Kássila Katielle Formigoni; Douglas Vinicius de Souza Machado; Rodrigo Álvaro Brandão Lopes-Martins; Mário de Oliveira Lima; Fernanda Pupio Silva Lima
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