INTRODUÇÃO: A alta incidência do Diabetes mellitus (DM) na população torna essa patologia alvo de muitas pesquisas. Uma das complicações do DM é a neuropatia periférica crônica caracterizada por atrofia e degeneração axonal e/ou alteração da célula de Schwann. A fisioterapia atua na estimulação da regeneração da fibra nervosa, o que reduz o risco de desenvolvimento do pé diabético. OBJETIVO: Identificar o comprometimento da sensibilidade nos membros inferiores (MMII) de diabéticos e verificar fatores que contribuíram para o desenvolvimento do pé diabético, como glicemia, hemoglobina glicada (HbA1c), tempo de diagnóstico, pressão arterial e antropometria. MATERIAIS E MÉTODOS: Os diabéticos foram avaliados na Associação dos Diabéticos de Bauru, participaram de entrevista e foram submetidos a antropometria, triagem pressórica e teste neurossensorial no Sistema Pontuação Clínica Toronto (SPCT). RESULTADOS: Os 68 pacientes (61,76% mulheres e 38,23% homens) tinham 62,93 ± 9,64 anos, apresentaram pressão sistólica de 132,54 ± 17,95 mmHg e diastólica 80,39 ± 11,35 mmHg, índice de massa corpórea 30,34 ± 5,80 kg/m², glicemia 149,20 ± 60,37mg/dL, HbA1c 7,72 ± 1,4%; tempo de diagnóstico de um a 34 anos. Dentre eles, 80,88% apresentavam sobrepeso; 72,06%, hipertensão arterial; 42,64%, dislipidemia; 14,7%, problemas renais; e 17,64%, vasculares. Pelo SPCT, 97,05% apresentavam neuropatia, 95,59% com simetria. Na avaliação, 57,35% apresentavam alteração sensitiva protetora; 60,29%, sensibilidade térmica; 26,47%, tátil; 17,64%, vibratória; 7,35%, dolorosa; e 1,47%, alteração cinestésica. Nos pés, 72,05% apresentavam pele ressecada; 64,70%, fissuras; 54,41%, calosidade; e 44,11%, micose; 50% referiram dor; 39,7%, dormência; 41,17%, parestesia; 27,94%, ataxia. Reflexos estavam ausentes ou diminuídos em 14,71% dos indivíduos; desses, 38,23% no Aquileu. Observou-se correlação positiva entre o SPCT com a glicemia e a circunferência abdominal e a hemoglobina glicada com a glicemia. CONCLUSÃO: Houve grande incidência de neuropatia simétrica; alteração de sensibilidade com presença de sinais clínicos, sintomas, arreflexia e hiporeflexia; e incidência de obesidade e hipertensão associadas. Faz-se necessário o acompanhamento da fisioterapia na avaliação da sensibilidade para prevenir, reduzir sintomas e melhorar a circulação sanguínea em MMII.

The aim of this review is to demonstrate the effects of cardiovascular interval training (IT) on healthy elderly subjects. We used the recommendations of the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The following variables were observed: resting heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MBP), heart rate variability (HRV), baroreflex activity (BA), and maximal oxygen uptake (VO 2max). Studies were searched for in the MedLine, PubMed, and Sport Discus databases considering publications between 1990 and 2019. To find the studies, the keywords used were "Interval and Elderly Training" or "Interval Training and Baroreflex Sensing" or "Interval Training and Aging and Pressure Arterial and Blood Pressure Training" or "Interval Training and Variation in Aging and Heart Rate" or "Interval Training and Sensitivity to the Elderly and Baroreflex" or "Interval Training and Variability in the Elderly and Heart Rate." The systematic search identified 1,140 hits. The analysis of the study was performed through a critical review of the content. One thousand one hundred forty articles were identified. Of these, 1,108 articles were excluded by checking the articles and abstracts. Finally, 32 studies were selected for full reading while 26 studies were eliminated because they did not contain a methodology according to the purpose of this review. Thus, six studies were included for the final analysis. The PEDro score was used for analyzing the study quality and found 4,8 ± 1,3 points (range: 3-6). Positive results were found with the different IT protocols in the observed variables. Results show that IT protocols can be an efficient method for functional improvement of cardiovascular and cardiorespiratory variables in the healthy elderly, especially HR, SBP, DBP, MAP, HRV, BA, and VO 2max. However, this method can be included in the prescription of aerobic training for the elderly to obtain conditional improvements in the cardiovascular system, thus being an important clinical intervention for the public.

Background: The application of ischemic preconditioning (IPC) to resistance exercise has attracted some attention, owing to increases in muscle performance. However, there is still no consensus on the optimal occlusion pressure for this procedure. This study compared the acute effects of IPC with high and low pressure of occlusion on upper and lower limb maximal strength and heart rate variability in recreationally trained individuals. Methods: Sixteen recreationally trained men (25.3 ± 1.7 years; 78.4 ± 6.2 kg; 176.9 ± 5.4 cm; 25.1 ± 1.5 m2 kg−1) were thoroughly familiarized with one repetition maximum (1 RM) testing in the following exercises: bench press (BP), front latissimus pull-down (FLPD), and shoulder press (SP) for upper limbs, and leg press 45º (LP45), hack machine (HM), and Smith Squat (SS) for lower limbs. The 1 RM exercises were then randomly performed on three separate days: after a high pressure (220 mmHg, IPChigh) and a low pressure (20 mmHg, IPClow) IPC protocol and after no intervention (control, CON). Heart rate variability was also measured at rest, during and after the entire IPC protocol, and after the exercises. Results: Maximal strength was significantly (p < 0.05) higher in both IPChigh and IPClow compared with CON in all upper- and lower-limb exercises. There was no difference between the two experimental conditions. No significant differences were found in the comparison across the different experimental conditions for LFnu, HFnu, LF/HF ratio, and RMSSDms. Conclusions: IPC performed with both high and low pressures influenced heart rate variability, which may partly explain the maximal strength enhancement.

Background: Aging decreases some capacities in older adults, sarcopenia being one of the common processes that occur and that interfered with strength capacity. The present study aimed to verify the acute effect of IPC on isometric handgrip strength and functional capacity in active elderly women. Methods: In a single-blind, placebo-controlled design, 16 active elderly women (68.1 ± 7.6 years) were randomly performed on three separate occasions a series of tests: (1) alone (control, CON); (2) after IPC (3 cycles of 5-min compression/5-min reperfusion at 15 mmHg above systolic blood pressure, IPC); and (3) after placebo compressions (SHAM). Testing included a handgrip isometric strength test (HIST) and three functional tests (FT): 30 s sit and stand up from a chair (30STS), get up and go time (TUG), and 6 min walk distance test (6MWT). Results: HIST significantly increased in IPC (29.3 ± 6.9 kgf) compared to CON (27.3 ± 7.1 kgf; 7.1% difference; p = 0.01), but not in SHAM (27.7 ± 7.9; 5.5%; p = 0.16). The 30STS increased in IPC (20.1 ± 4.1 repetitions) compared to SHAM (18.5 ± 3.5 repetitions; 8.7%; p = 0.01) and CON (18.5 ± 3.9 repetitions; 8.6%; p = 0.01). TUG was significantly lower in IPC (5.70 ± 1.35 s) compared to SHAM (6.14 ± 1.37 s; −7.2%; p = 0.01), but not CON (5.91 ± 1.45 s; −3.7%; p = 0.24). The 6MWT significantly increased in IPC (611.5 ± 93.8 m) compared to CON (546.1 ± 80.5 m; 12%; p = 0.02), but not in SHAM (598.7 ± 67.6 m; 2.1%; p = 0.85). Conclusions: These data suggest that IPC can promote acute improvements in handgrip strength and functional capacity in active elderly women.

The knowledge of coaches is fundamental in the identification and development of sporting talents. The aim of the study was to investigate how Brazilian judo coaches identify talents and what is the importance of different factors for the development of young judokas. 56 coaches (87% male; 41.6 ± 12.5 years old; 64% Southeast region; 68% national/international competitive level) answered an online questionnaire about anthropometric, physical-motor, technical, tactical, psychological and environmental characteristics. On a scale of 1 (not very important) to 5 (extremely important), the coaches indicated to what extent a factor/indicator of sporting potential was important for talent development in judo. 58.9% of the coaches perform talent identification, mainly by training progression, competition performance and specific tests. The technical factor was the most important, followed by physical-motor, psychological and tactical, and finally environmental and anthropometric. Most of the coaches considered these indicators as extremely important: grip ability, projection, combination of attacks, transition from standing to ground fighting, reaction time, motor coordination, anaerobic endurance, lower limbs power, ability to withstand pressure, concentration and determination as well as practice quality and family support. It is concluded that Brazilian judo coaches identify talents mainly through training and competition and consider technique the most important factor for the development of talented young judokas.

Background: Interval training is a method with high acceptance in prescription to increase health and can be an essential intervener in improving cardiovascular function. Objective: This study aimed to verify the effects of eight weeks of interval training with different intensities on hemodynamic and autonomic function, which were assessed through resting heart rate, blood pressure, dual product, and heart rate variability. Methods: The sample consisted of 24 older men (age: 68.8 ± 6.8 years, body mass: 74.4 ± 18.1 kg, height: 1.70 ± 0.8 m; BMI: 25.1 ± 2, 2) who were physically active. Participants were randomized into 3 experimental groups: training group A (TGA, n = 8), training group B (TGB, n = 8) and control group (CG, n = 8). For trained groups, interventions were developed twice a week for eight weeks, with an interval of 48 hours between the sessions. The evaluations were carried out at the pre (baseline) and after the eighth week of intervention. The control group did not perform any intervention. The variables were analyzed for 10 minutes with subjects at rest in the sitting position before and after the intervention. Statistics with a significance level of p <0.05 were applied. Results: After the intervention, no statistically significant results were found in the variables assessed (p> 0.05). Conclusion: The intervention was not sufficient to promote statistical differences in hemodynamic and autonomic variables.

Introduction: Dancers use to do stretching exercises to increase flexibility in the preparation and completion of training and activities. The purpose of the present study was to compare two methods of passive stretching of hip flexion in classical dancer children. Methods: Twenty-one female’s children were recruited for the study, and each participant visited the laboratory on two occasions during three-days at least twenty-four hours between visits. A randomized within-subject design used to investigate the effects of three conditions: control (CG), static stretching (SS), and proprioceptive neuromuscular facilitation (PNF) applied to the posterior thigh, unilaterally, on passive hip flexion (HF) with 60-seconds. Results: There were no statistical differences for CG (F = 0.716; p = 0.552), SS (F = 0.536; p = 0.662) and PNF (F = 1.713; p = 0.191). Conclusion: The results found in the present study indicate that different stretching methods can promote increases in HF and PROM without difference between methods.Keywords: flexibility, dancing, youngster.

Background: Sprint interventions can be an excellent alternative for promoting positive adaptations to health and performance. Objectives: To verify the responses of different intervals between sprints in blood pressure, heart rate variability, lactate, and performance responses in physically active men. Methods: Ten male runners participated in the present study, trained in street running with at least one year of experience and a maximum of 3 years, with training frequency of at least two times and at the most four times weekly sessions, all participants without any kind of restrictions that could hinder the interventions—performing three sprint sessions (10 x 30m all out). Participants visited the laboratory on four occasions for ten consecutive days, with an interval of 48 hours between each visit. The first visit was intended to familiarize the participants with all experimental procedures. The remaining three visits were used to carry out the experimental protocols. At each visit, resting values ​​of blood pressure (BP), heart rate variability (HRV), and lactate variables were collected. After rest collections, each participant completed the following experimental conditions: a) 10 sprint series (all-out) of 30 meters with 20 seconds of recovery (S 20), b) 10 sprint series (all-out) of 30 meters with 30 seconds of recovery (S 30) and c) 10 sprint series (all-out) of 30 meters with 40 seconds of recovery (S 40). After each protocol, the lactate values ​​were collected 2 minutes and 30 seconds after the end of the sprints; BP was collected 60 minutes after the intervention (Post-10, Post-20, Post-30, Post-40, and Post- 50). After the blood pressure (BP) data was determined, the mean arterial pressure (MBP) was calculated using the formula MBP = SBP + (DBP X 2) / 3. The HRV was collected between 50 and 60 minutes after the end of the sprint session. Results: The study observed significant differences in the lactate variable for the comparison in the post and pre moments for all experimental conditions (S 20, S 30, and S 40) (p<0.001). Besides, significant differences were observed in effort perception for S 20 and S 30 from the sixth sprint (p<0.05). At S 40, significant discrepancies in effort perception started from the fifth sprint (p <0.05). No other significant differences were observed for BP (systolic, diastolic and mean) for all post-pre periods. Still in BP, in a post (intra) analysis, the conditions S 20 and S 40 demonstrated greater capacity for recovery of BP, suggesting a possible greater parasympathetic capacity. For HRV and sprint performance, no difference was found (p <0.05). Conclusion: The present study demonstrated that different recovery intervals did not reflect significant differences in hemodynamic, autonomic, lactate responses, and active individuals' performance submitted to sprint sessions. This study applied a protocol (10 x 30 m all out) with different recovery times (20, 30, and 40 seconds), and which, given this experiment, can serve as a training strategy (for health or performance) at different levels of physical conditioning.