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      Desempenho muscular respiratório após 12 sessões de treinamento utilizando o aparelho Reformer do método Pilates Translated title: Respiratory muscle performance after 12 sessions of training using the apparatus Reformer of Pilates method Translated title: Rendimiento muscular respiratorio después de 12 sesiones de entrenamiento utilizando el aparato Reformer del método Pilates

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          Abstract

          RESUMO Analisar o desempenho muscular respiratório em praticantes de exercícios utilizando o aparelho Reformer do Método Pilates após um treinamento de 12 sessões. O estudo foi realizado com 24 voluntárias, adultas jovens, saudáveis, não tabagistas e não praticantes de exercício físico regular, divididas em Grupo Controle (GC) e Grupo Treinado (GT). Os dois grupos foram submetidos às avaliações inicial e final para análise do desempenho dos músculos respiratórios por meio da manovacuometria e da eletromiografia do músculo reto abdominal. Utilizou-se o teste de Shapiro-Wilk para verificar a normalidade dos dados. A análise de variância two-way foi empregada para as comparações entre os grupos (GT e GC) e os momentos (inicial e final). Para comparações múltiplas, utilizou-se o teste post-hoc de Scheffé. Os GC e GT foram pareados para idade e IMC e, para verificação de diferenças entre os grupos, utilizou-se o teste t pareado. Considerou-se p<0,05 para significância. Houve diferença significante (p=0,039) entre os valores iniciais (116,6 ± 12,8) e finais (120 ± 12,8) de PImáx no GT, assim como entre os valores iniciais (75,3 ± 12,4) e finais (89,3 ± 13,7) de PEmáx nesse mesmo grupo (p=0,0005). Para a eletromiografia houve diferença significante (p=0,03) entre o momento inicial (42,1 ± 15,8) e final (76,7 ± 37,1) do GT para o músculo reto abdominal esquerdo. Conclui-se que as doze sessões de Pilates utilizando o aparelho Reformer melhoraram o desempenho muscular respiratório, aumentando a força da musculatura inspiratória e expiratória.

          Translated abstract

          ABSTRACT To analyze respiratory muscle performance in exercise practitioners using the Reformer of Pilates method after a 12-session training. This study was carried out with 24 volunteers, healthy young adults, non-smokers and non-regular exercisers, divided into control group (CG) and trained group (TG). The TG participated in a training program executing 6 exercises in the Reformer apparatus. Both groups were submitted to the initial and final evaluations to analyze the performance of the respiratory muscles through the manovacuometry and electromyography of the rectus abdominis muscle. The Shapiro-Wilk test was used to verify the data normality. Two-way analysis of variance was used for the comparisons between the groups (TG and CG) and moments (Initial and Final). For multiple comparisons, the Scheffé post hoc test was used. The groups Control and Trained were paired by age and BMI by paired t test. P <0.05 was considered for significance. A significant difference (p=0039) was observed between the initial (116.6 ± 12.8) and final (120 ± 12.8) values of MIP in the trained group, as well as between baseline values (75.3 ± 12.4) and final (89.3 ± 13.7) of MEP in the same group (p=0.0005). For electromyography, a significant difference (p=0.03) was observed between the initial (42.1 ± 15.8) and final (76.7 ± 37.1) moments of the TG for the left rectus abdominis muscle. The conclusion is that the 12 Pilates sessions using the Reformer apparatus improve respiratory muscle performance, increasing the inspiratory and expiratory muscle strength.

          Translated abstract

          RESUMEN Evaluar el rendimiento de los músculos respiratorios en practicantes de ejercicios utilizando el método Reformer de Pilates después de un entrenamiento de 12 sesiones. Este estudio se realizó con 24 voluntarios, adultos jóvenes, sanos, no fumadores y no deportistas regulares, siendo divididos en grupo control (GC) y grupo entrenado (GE). El GE participó en un programa de entrenamiento ejecutando 6 ejercicios en el aparato Reformer. Ambos grupos se sometieron a evaluaciones iniciales y finales para analizar el rendimiento de los músculos respiratorios mediante la manovacuometría y la electromiografía del músculo recto abdominal. La prueba de Shapiro-Wilk se utilizó para verificar la normalidad de los datos. Se utilizó el análisis de varianza two-way para las comparaciones entre los grupos (GE y GC) y los momentos (inicial y final). Para comparaciones múltiples, se utilizó la prueba post-hoc de Scheffé. El GC y el GE se emparejaron por edad e IMC mediante la prueba t pareada. Se consideró el valor de significación p<0,05. Se observó una diferencia significativa (p=0,039) entre los valores iniciales (116,6 ± 12,8) y finales (120 ± 12,8) de PImax en el grupo entrenado, así como entre los valores de iniciales (75,3 ± 12,4) y finales (89,3 ± 13,7) de PEmax en el mismo grupo (p=0,0005). En la electromiografía, se observó una diferencia significativa (p=0,03) entre los momentos inicial (42,1 ± 15,8) y final (76,7 ± 37,1) del GE para el músculo recto abdominal izquierdo. Se concluye que las 12 sesiones de Pilates utilizando el aparato Reformer mejoran el rendimiento de los músculos respiratorios, aumentando la fuerza muscular inspiratoria y espiratoria.

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          Most cited references24

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          Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation

          The strength of the respiratory muscles can be evaluated from static measurements (maximal inspiratory and expiratory pressures, MIP and MEP) or inferred from dynamic maneuvers (maximal voluntary ventilation, MVV). Although these data could be suitable for a number of clinical and research applications, no previous studies have provided reference values for such tests using a healthy, randomly selected sample of the adult Brazilian population. With this main purpose, we prospectively evaluated 100 non-smoking subjects (50 males and 50 females), 20 to 80 years old, selected from more than 8,000 individuals. Gender-specific linear prediction equations for MIP, MEP and MVV were developed by multiple regression analysis: age and, secondarily, anthropometric measurements explained up to 56% of the variability of the dependent variables. The most cited previous studies using either Caucasian or non-Caucasian samples systematically underestimated the observed values of MIP (P<0.05). Interestingly, the self-reported level of regular physical activity and maximum aerobic power correlates strongly with both respiratory and peripheral muscular strength (knee extensor peak torque) (P<0.01). Our results, therefore, provide a new frame of reference to evaluate the normalcy of some useful indexes of respiratory muscle strength in Brazilian males and females aged 20 to 80.
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            Effect of Pilates training on people with ankylosing spondylitis.

            The objective of this study was to investigate the effects of Pilates on pain, functional status, and quality of life in patients with ankylosing spondylitis. The study was performed as a randomized, prospective, controlled, and single-blind trial. Fifty-five participants (30 men, 25 women) who were under a regular follow-up protocol in our Rheumatology Clinic with the diagnosis of AS according to the modified New York criteria were included in the study. The participants were randomly assigned into two groups: in group I, Pilates exercise program of 1 h was given by a certified trainer to 30 participants 3 times a week for 12 weeks, and in group II, designed as the control group, 25 participants continued previous standard treatment programs. In groups, pre-(week 0) and post treatment (week 12 and week 24) evaluation was performed by one of the authors who was blind to the group allocation. Primary outcome measure was functional capacity. Evaluation was done using the Bath Ankylosing Spondylitis Functional Index (BASFI). Exploratory outcome measures were Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Chest expansion, and ankylosing spondylitis quality of life (ASQOL) questionnaire. In group I, BASFI showed significant improvement at week 12 (P = 0.031) and week 24 (P = 0.007). In group II, this parameter was not found to have significantly changed at week 12 and week 24. Comparison of the groups showed significantly superior results for group I at week 24 (P = 0.023). We suggest Pilates exercises as an effective and safe method to improve physical capacity in AS patients. Our study is the first clinical study designed to investigate the role of Pilates method in AS treatment. We believe that further research with more participants and longer follow-up periods could help assess the therapeutic value of this popular physical exercise method in AS.
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              Novos valores de referência para pressões respiratórias máximas na população brasileira

              OBJETIVO: Comparar PImáx e PEmáx medidas em indivíduos saudáveis com os valores previstos utilizando-se as equações propostas em outro estudo e, se necessário, sugerir novas equações para PImáx e PEmáx para a população brasileira. MÉTODOS: Participaram do estudo 60 homens e 60 mulheres saudáveis com idades entre 20 e 80 anos (20 indivíduos por faixa etária de 10 anos). As pressões respiratórias máximas foram determinadas segundo um protocolo padronizado. RESULTADOS: Os valores medidos de PImáx foram significativamente menores que aqueles previstos tanto para homens (31%) e mulheres (24%). Não houve diferenças significativas entre a PEmáx medida e prevista nos dois gêneros. A idade provou ser a variável com melhor poder preditivo para PImáx e PEmáx nos dois gêneros. Novas equações foram propostas. CONCLUSÕES: As equações propostas no estudo prévio não foram capazes de predizer PImáx e PEmáx de todos os indivíduos de nossa amostra. Portanto, os resultados deste estudo podem facilitar a predição da força muscular respiratória de adultos saudáveis no Brasil. Novos estudos, com indivíduos de diferentes regiões do país, poderão contribuir para o desenvolvimento de melhores tabelas ou equações para as pressões respiratórias máximas na população brasileira.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                fp
                Fisioterapia e Pesquisa
                Fisioter. Pesqui.
                Universidade de São Paulo (São Paulo, SP, Brazil )
                1809-2950
                2316-9117
                March 2019
                : 26
                : 1
                : 58-64
                Affiliations
                [1] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro Brazil nubiatomain@ 123456yahoo.com.br
                [5] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro orgdiv1Departamento de Fisioterapia Aplicada Brazil andrealicre@ 123456gmail.com
                [3] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro orgdiv1Programa de Pós Graduação Stricto Sensu em Atenção à Saúde Brazil marina_donzeli@ 123456hotmail.com
                [4] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro Brazil karol_cipriano@ 123456hotmail.com
                [2] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro orgdiv1Programa de Pós Graduação Stricto Sensu em Atenção à Saúde Brazil lara.asouza@ 123456yahoo.com.br
                [6] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro orgdiv1Departamento de Fisioterapia Aplicada Brazil dernival.bertoncello@ 123456uftm.edu.br
                Article
                S1809-29502019000100058
                10.1590/1809-2950/18003226012019
                1555739b-bfea-4481-98bd-f12fb3ff1716

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 07 February 2018
                : 15 January 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 29, Pages: 7
                Product

                SciELO Brazil

                Categories
                Pesquisa Original

                Exercise and Movement Techniques,Respiratory Muscles,Electromyography,Técnicas de Ejercicio y Movimiento,Músculos Respiratorios,Electromiografía,Técnicas de Exercício e Movimento,Músculos Respiratórios,Eletromiografia

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