Banca de DEFESA: RAIFF SIMPLICIO DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RAIFF SIMPLICIO DA SILVA
DATE: 09/03/2020
TIME: 09:00
LOCAL: SALA 8
TITLE:

Effects of inclined treadmill training on functional and cardiovascular parameters of individuals with stroke: a randomized clinical trial

KEY WORDS:

Physical Therapy Modalities, Gait, Rehabilitation, Aerobic Exercise, Exercise Training

PAGES: 70
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Contextualization:In view of the repercussions caused by a stroke, has been placed the importance of aerobic training, especiallythetreadmill training, in improving functional and cardiovascular variables and the quality of life of individuals affected by the disease. However, few studies have compared the effects of different inclination protocols on the improvement of these variables.Objectives: To evaluate the effects of a treadmill training protocol withdifferent inclinations on functional, cardiovascular variables and quality of life of individuals with chronic stroke.Methods:This is a randomized, blinded clinical trial, in which participated 26 individuals of both genders, aged between 20 and 70 years old, and time post-strokefor more than 6 months. Participantswere randomized into 3 groups: control group (CG, n = 8), who performed treadmill training without inclination; experimental group 1 (EG1, n = 8), who performed training with a 5% inclined treadmill; and experimental group 2 (EG2, n = 10), who performed training on a 10% inclined treadmill. Interventionsconsisted of 3 weekly sessions over a period of 6 weeks. Participantswere evaluated in 3 moments (pre-training, post-training and follow-up) regardingoutcome measures (gait speed, functional capacity [distance covered], neuromuscular torque, cardiovascular parameters [systemic blood pressure -BP and heart rate-FC] and quality of life). In the statistical analysis, the Shapiro-Wilk test was used to verify the normality of the data; in addition, the two-way Analysis of Variance (ANOVA)withrepeated measures was used to verify the effect of the interventions considering the temporal measures (pre-training, post-training and follow-up) and the “group” variable as a factor betweensubjects.Results:The ANOVAdid not demonstrate any time * group interaction in any of the HR and BP outcomes, as well as for the functional variables and quality of life. However, some mean BP values and gait speed values were different over time (mean BP: F = 3.604; P= 0.036; Gait speed: F = 4.963; P= 0.014), indicating improvement of these variables over time. Regarding functionalcapacity, the EG2 presented in the post-training, in comparison with theCG and with the EG1, an effect size of 20.6 and 28.2 meters, respectively.Conclusion: In general, training on aninclined treadmill was not more effective than training without inclination in improving the study parameters. However, it is possible that a longer training time is necessary to express improvements related to aerobic training. In addition, the results of walking speed and functional capacity suggest that, with the reach of the estimatedsample size, improvements will befound, especially in theexperimental group 2 for distance covered, which showed clinically relevant differences when compared toothergroups.

BANKING MEMBERS:
Externa à Instituição - LARISSA COUTINHO DE LUCENA - FACENE
Externa ao Programa - 2682777 - ROBERTA DE OLIVEIRA CACHO
Presidente - 2319151 - TATIANA SOUZA RIBEIRO