Objetivo: Avaliar a capacidade funcional dos indivíduos utilizando o WHODAS 2.0, após 3 anos de alta da unidade de terapia intensiva e identificar os fatores associados. Métodos: Estudo retrospectivo com abordagem quantitativa com delineamento transversal, tendo como amostra indivíduos que receberam alta hospitalar 3 anos após o internamento na unidade de terapia intensiva. Resultados: Dos indivíduos que compunham a amostra, 64,7% eram mulheres com idade média 41,6 anos. Os diagnósticos primários mais frequentes foram neurológicos e respiratórios. Dos pacientes classificados pelo WHODAS 2.0, 47,1% apresentava incapacidade moderada a grave e 52,9% com deficiência leve ou nenhuma. Conclusão: Indivíduos que apresentaram incapacidade funcional moderada a grave estavam associados ao maior tempo de internação e uso da ventilação mecânica, sendo que as áreas de maiores comprometimentos foram cognição, atividade de vida e participação social. Os indivíduos classificados com incapacidade leve ou nenhuma foram capazes de retornar ao trabalho após a alta hospitalar.
Background: Isometric exercise is important to cardiac rehabilitation, but understanding how different tasks can interfere with the Heart Rate Variability (HRV) still needs some clarification. Objective: To compare the Autonomic Nervous System (ANS) behavior during submaximal isometric tasks involving different muscle groups. Methods: Six healthy males ([Formula: see text] years old) performed two submaximal isometric tasks (30%) of knee extension and handgrip, sustained for 3[Formula: see text]min each, using visual feedback to maintain force levels. Successive RR intervals were recorded along the task, as well as for 5[Formula: see text]min before the task. Linear and nonlinear methods were used to obtain HRV parameters from successive RR intervals. Student [Formula: see text] test was used to compare the data with significant level set as [Formula: see text]. Results: Time domain parameters as well as the nonlinear parameters were significantly higher during the handgrip task. Conclusions: Submaximal isometric handgrip task is associated with a lower vagal withdrawal, when compared to submaximal isometric knee extension, suggesting that handgrip task promotes greater cardioprotection during exercise, while the isometric knee extension task could induce better adaptations to training.
Background: The inclusion of gymnastic-based movements in workout routines in many exercise training programs, generally called mixed modality training (MMT), and even in many competitions, is increasingly common. In contrast to artistic gymnastic competitions, MMT workouts aim to complete as many movements as quickly as possible, which tends to deform the movement pattern proposed by artistic gymnastics. Execution of the MMT workouts with more of the gymnastics-based style (i.e., based on the gymnastics movement pattern) could improve performance in exercises with a high-level complexity, such as the "ring muscle up" (RMU). Thus, this study aimed to analyze the kinematic aspects of RMU, performed by a former gymnast both with and without the gymnastics based style. Methods: A former gymnast with a successful transition to MMT, carried out RMU using two movement patterns: 1) close to the classical artistic gymnastics pattern ("Front uprise"), and 2) close to that used by many athletes not from gymnastics. The athlete performed RMU, three times with each proposed movement pattern. Images were captured using a high-speed digital camera. Hip and ankle displacement, velocity and acceleration were recorded and analyzed. Results: The execution of RMU was faster and the hip vertical displacement was greater when RMU was carried out with a gymnastics-based style, while ankle displacement path, peak velocity and acceleration were lower. Conclusion: The use of a gymnastics-based style to carry out RMU seems to be advantageous from the biomechanical point of view, favoring the performance of RMU.
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