Objective: The aim of this study was to evaluate the effects of the Pilates method on the reduction of pain, improvement of joint function, and quality of life of patients with chronic Chikungunya fever. Design: This is a randomized, controlled, blind trial for the evaluators. Setting: The study was conducted at the Advanced Laboratory in Physical Education and Health at Federal University of Pernambuco, Brazil. Subjects: A total of 51 patients were allocated randomly and divided into 2 groups: a Pilates group (26 patients) and a control group (25 patients). After 12 weeks, 4 patients in the Pilates group and 5 in the control group were lost to follow-up. Intervention: The Pilates group performed 24 Pilates method intervention sessions; the control group continued to receive standard clinical treatment at the outpatient clinic. Main measures: The main measures were as follows: visual analogue scale (VAS) for pain, functional capacity evaluated by Health Assessment Questionaire (HAQ), quality of life measured by the 12-Item Short-Form Health Survey (SF-12), and range of joint motion by goniometry. Results: After 12 weeks, patients in the Pilates group presented lower VAS ( P < 0.001), lower HAQ scores ( P < 0.001), and higher quality-of-life scores ( P < 0.001) compared with the control group. We found statistically significant results for the Pilates group in the range of movement for shoulder, knee, ankle, and lumbar spine ( P < 0.001). In the intragroup analysis, there was a significant improvement in all outcomes evaluated. Conclusion: In this study, patients undertaking Pilates method for 12 weeks had less pain, better function and quality of life, and increased range of joint movement.

BackgroundResistance and aerobic training are recommended as an adjunctive treatment for hypertension. However, the number of sessions required until the hypotensive effect of the exercise has stabilized has not been clearly established.ObjectiveTo establish the adaptive kinetics of the blood pressure (BP) responses as a function of time and type of training in hypertensive patients.MethodsWe recruited 69 patients with a mean age of 63.4 ± 2.1 years, randomized into one group of resistance training (n = 32) and another of aerobic training (n = 32). Anthropometric measurements were obtained, and one repetition maximum (1RM) testing was performed. BP was measured before each training session with a digital BP arm monitor. The 50 training sessions were categorized into quintiles. To compare the effect of BP reduction with both training methods, we used two-way analysis of covariance (ANCOVA) adjusted for the BP values obtained before the interventions. The differences between the moments were established by one-way analysis of variance (ANOVA).ResultsThe reductions in systolic (SBP) and diastolic BP (DBP) were 6.9 mmHg and 5.3 mmHg, respectively, with resistance training and 16.5 mmHg and 11.6 mmHg, respectively, with aerobic training. The kinetics of the hypotensive response of the SBP showed significant reductions until the 20th session in both groups. Stabilization of the DBP occurred in the 20th session of resistance training and in the 10th session of aerobic training.ConclusionA total of 20 sessions of resistance or aerobic training are required to achieve the maximum benefits of BP reduction. The methods investigated yielded distinct adaptive kinetic patterns along the 50 sessions.

Introdução: A Hipertensão Arterial (HA) é considerada um dos fatores de risco mais ostensivos para o desenvolvimento de doenças cardiovasculares. Representando no Brasil um dos problemas de saúde pública de maior prevalência na população, capaz de levar a óbito aproximadamente 40% dos indivíduos acometidos. Diante do exposto, deve-se dar uma ênfase cada vez maior à prática de exercícios físicos como fator determinante na redução da pressão arterial, resultando em Hipotensão Pós-Exercício (HPE). Objetivo: Verificar o efeito dos treinamentos aeróbio, resistido e concorrente na pressão arterial e morfologia em idosos normotensos e hipertensos. Métodos: A amostra foi composta por 300 idosos, normotensos (n=150) e hipertensos (n=150), divididos em três grupos. O Grupo 1 (G1) realizou treinamento aeróbio; o Grupo 2 (G2) treinamento resistido e o Grupo 3 (G3) treinamento concorrente. Para comparar as variáveis de cada grupo no período pré e pós-treinamento foi utilizado o teste t para amostras pareadas. O nível de significância estabelecido foi de p<0,05. Resultados: Foi observada redução da pressão arterial pós-exercício em todos os grupos, apenas para a pressão arterial sistólica, tendo efeito hipotensor para os normotensos do G1, enquanto os hipertensos obtiveram redução da pressão arterial sistólica para os três grupos. Para a morfologia não foram verificadas diferenças significativas. Conclusão: Após o término das sessões de treinamento ficou evidenciada a importância da prática regular de exercício físico, seja ele aeróbio, resistido ou concorrente, na prevenção e no combate da HA.

Introduction Aerobic (AT), strength (ST) and combined (CT) training are already well referenced as a method for the treatment and control of arterial hypertension (AH) inducing positive changes in blood pressure (BP) reduction, a phenomenon known as post-exercise hypotension (PEH). However, the correct order of combined training to promote PEH is still unclear. Objective To verify the effect of the order of the aerobic component in combined training on PEH among hypertensive elderly women. Methods Randomized clinical trial of 24 elderly hypertensive women allocated to three training groups: Group 1 - Aerobic + Strength Training (AT + ST), Group 2 - Strength + Aerobic Training (ST + AT) and Group 3 - Aerobic + Strength + Aerobic Training (AT + ST + AT). Participants underwent AT at 60% heart rate reserve intensity for 30 minutes and ST with four exercises in three sets of 12 repetitions at 60% of one-repetition maximum (1RM) also for 30 minutes. The training involved 24 sessions (three times a week).Systolic (SBP) and diastolic blood pressure (DBP) were measured in all groups at time points before and after each session, and the mean BP (MBP) was calculated. Results The variables analyzed did not differ significantly between groups in either the pre- or post-training period. MBP showed a significant reduction only in G1. However, G3 had a greater effect on all the variables analyzed. Conclusion Combined training with an aerobic component (G3) generated a significant post-exercise hypotensive effect over 24 sessions, and is indicated for elderly hypertensive women. Level of evidence II; Therapeutic studies.

RESUMOA síndrome de Down ou trissomia 21 como também é denominada é causada por um desequilíbrio na constituição cromossômica, causada por um cromossomo a mais que resulta em deficiência intelectual e anomalias físicas, onde também é considerada a mais comum das anomalias genéticas. Este estudo tem como objetivo geral principal analisar a importância do exercício físico para crianças com síndrome de Down. Foi realizada uma revisão bibliográfica. Para realização do atual estudo foi realizada uma busca na base de dados Lilacs e Scielo, de forma a identificar artigos publicados nos últimos 10 anos, entre 2011 a 2021, contendo resultados sobre a importância da atividade física para crianças com síndrome de Down. A partir dos estudos analisados concluímos que a contribuição do profissional de Educação física na vida de pessoas vivendo com síndrome de Down tem uma grande importância, para a estimulação, o desenvolvimento motor, afetivo e cognitivo, tendo muito a contribuir para esses indivíduos permitindo a vivencia de várias formas e respeitando as vontades e limitações de cada um.