Immediate and 24-h blood pressure-lowering effects of arm crank exercise in patients with traumatic lower-limb amputation: a randomized cross-over study

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dc.citation.issue2
dc.citation.volumev. 23
dc.contributor.authorPaula-Ribeiro, Marcelle [UNIFESP]
dc.contributor.authorMartinez, Daniel G.
dc.contributor.authorLima, Jorge R. P.
dc.contributor.authorLaterza, Mateus C.
dc.coveragePhiladelphia
dc.date.accessioned2020-07-20T16:31:10Z
dc.date.available2020-07-20T16:31:10Z
dc.date.issued2018
dc.description.abstractAim: This study aimed to investigate the clinic and 24-h postexercise hypotension (PEH) after a moderate-intensity arm crank exercise session in individuals with traumatic lower-limb amputation.Participants and methodsNine men (4617 years) with unilateral traumatic lower-limb amputation participated in two experimental sessions conducted randomly: an aerobic exercise (EXE: arm crank ergometer, 30min) or a control session (CON: participants remained seated on the cycle ergometer, 30min). Clinic and 24-h systolic, diastolic, and mean blood pressure (BP) response were measured after both sessions. The clinical measurements of blood flow and forearm vascular resistance (FVR) were also performed.ResultsCompared with the preintervention period, the BP levels did not change in the CON session. However, EXE resulted in a significant hypotensive effect in systolic (-10 +/- 0.9mmHg, P0.05), diastolic (-11 +/- 1.5mmHg, P0.05), and mean BP (-11 +/- 1.2mmHg, P0.05) during the entire postexercise period. The PEH was accompanied by a decreased FVR over the entire postintervention period (P0.05). Significant reductions were found for 24-h average systolic, diastolic, and mean BP levels (P=0.03, 0.01, and 0.02, respectively) following EXE compared with the CON session.ConclusionThese results showed, for the first time, that individuals with traumatic lower-limb amputation presented immediate and 24-h PEH after a single bout of arm crank exercise testing. The PEH at the clinic condition was justified, at least in part, by the reduction in peripheral FVR.en
dc.description.affiliationUniv Fed Juiz de Fora, Fac Phys Educ, Res Unit Cardiovasc & Exercise Physiol, Juiz De Fora, MG, Brazil
dc.description.affiliationFed Univ Sao Paulo UNIFESP, Div Translat Med, Dept Med, Sao Paulo, Brazi
dc.description.affiliationUnifespFed Univ Sao Paulo UNIFESP, Div Translat Med, Dept Med
dc.description.sourceWeb of Science
dc.description.sponsorshipCAPES Foundation
dc.description.sponsorshipCAPES Foundation (Brazilian Government)s
dc.format.extent64-70
dc.identifierhttp://dx.doi.org/10.1097/MBP.0000000000000306
dc.identifier.citationBlood Pressure Monitoring. Philadelphia, v. 23, n. 2, p. 64-70, 2018.
dc.identifier.doi10.1097/MBP.0000000000000306
dc.identifier.issn1359-5237
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55753
dc.identifier.wosWOS:000428709100002
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofBlood Pressure Monitoring
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectaerobic exerciseen
dc.subjectambulatory blood pressureen
dc.subjectamputationen
dc.subjectblood pressure fallen
dc.subjecthypotensionen
dc.titleImmediate and 24-h blood pressure-lowering effects of arm crank exercise in patients with traumatic lower-limb amputation: a randomized cross-over studyen
dc.typeinfo:eu-repo/semantics/article
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