Effect of physical exercise on cardiac autonomic modulation in the elderly: systematic review

Santos, Amilton da Cruz; Oliveira, Adriana Sarmento de; Brasileiro-Santos, Maria do Socorro

doi:10.5585/conssaude.v10i2.2573

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Exercise, when practiced with adequate intensity, duration, and frequency, causes adaptations in cardiovascular autonomic control (19) , improving the sensitivity of baroreceptors (20) and mechano and metaboreceptors (21) . Aerobic and resistance exercise reduces sympathetic nervous activity, as well as blood pressure and peripheral vascular resistance (22)(23)(24)(25)(26) .…”

Section: Discussionmentioning

confidence: 99%

Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study

Dezani¹,

Teles²,

Ribeiro

et al. 2022

mtprehabjournal

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The aging process is associated with changes in hemodynamic control, such as reduced sensitivity of baroreceptors. Advanced evidence that some manual therapies, expanded physiotherapy specialty in the treatment of basic musculoskeletal disorders, be complementary to physical exercises performed in cardiovascular rehabilitation, studies that are very scarce in this area in Brazil. Objective: to evaluate the effect of a pomping protocol on hemodynamic behavior during isometric exercise in the elderly. Methodology: A prospective randomized controlled interventional study was carried out. 503 elderly people were initially screened, of which 70 elderly were selected to participate in two randomized sessions held on different days: one with a pomping protocol based on Bienfait (1999) and another with a placebo protocol, totaling 140 transactions. The behavior of blood pressure (BP) and heart rate (HR) at rest for 5 minutes and then during three minutes of isometric exercise with handgrip (EH101, Camry) at 30% of the maximum voluntary contraction were adopted. Afterwards, the pompage protocol or randomized placebo was treated for that specific session for 30 minutes and immediately after intervention/placebo they were repeated as calculated grouping. Results: The elderly had a mean age of 69 ± 1.0 years. Regarding BP values (SBP,131±1.4 mmHg; DBP=83±1.6 mmHg), it is possible to observe that most of the elderly were classified as pre-hypertensive, according to the Brazilian Guidelines on Arterial Hypertension. (2020). We emphasize that there was a reduction in SBP only in the pompage group (p < 0.001), a reduction in DBP only in the pompage group in the first minute (p=0.03) and in the third minute (p=0.04) and a reduction in HR in both groups (p < 0.001 and p = 0.02). Conclusion: The pompagens protocol reduced the SBP of the elderly during isometric exercise with the handgrip and the DBP in the recovery from isometric exercise, while there was no change in SBP in the placebo group during isometrics and no change in DBP in the placebo group during recovery from isometric exercise.

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Section: Discussionmentioning

confidence: 99%

Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study

Dezani¹,

Teles²,

Ribeiro

et al. 2022

mtprehabjournal

Self Cite

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“…In the time domain, as mean, standard deviation, median, extremes, lower and upper quartiles and difference between the maximum RR interval and the minimum RR interval. (2,7,8) The regular practice of physical exercise is well established in the literature as an effective nonpharmacological treatment for improving autonomic dysfunction in different populations, reducing cardiac sympathetic activity and increasing cardiac parasympathetic activity (9)(10)(11)(12)(13)(14) , mainly through adjustments in reflex control mechanisms of cardiac autonomic modulation such as improving the sensitivity of mechanoreceptors and mechanoreceptors (12) and baroreceptors. (13) However, evidence suggests that manual therapies, a physiotherapy specialty widely used in the treatment of musculoskeletal disorders, would be complementary or alternative, especially for patients who were unable to perform physical exercise or did not present a satisfactory autonomic response to it, to help control the cardiac autonomic dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Effect of manual therapies on cardiac autonomic control: a systematic review

Sousa¹,

Cardoso²,

Pirola³

et al. 2020

mtprehabjournal

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Background: Evidences suggest that manual therapies, a physiotherapy specialty widely used in the treatment of musculoskeletal disorders, would be complementary or alternative for the treatment of cardiac autonomic dysfunction present in the elderly, patients with cardiovascular diseases, some neuromuscular diseases and in some pain processes. Objective: Evaluate the available scientific evidence regarding the effect of manual therapy techniques on cardiac autonomic control. Methods: The selected articles were indexed in the databases PubMed/MEDLINE, SCIELO and LILACS. Results: In the initial search, 233 articles were identified in the electronic databases. After initial analysis of the titles, 210 articles were excluded because they did not address the research topic, performed other types of intervention or evaluation or because they were review articles. A second step of evaluating the 23 previously selected articles was carried out and consisted of reading the abstracts of the articles. After reading the abstracts, 11 were selected. According to the analysis of the selected articles, it was possible to observe that most manual therapy techniques improved the cardiac autonomic control of their samples: Fornari, Carnevali and Sgoifo (2017), Girsberger et al. (2014), Valenzuela et al. (2018), Curi et al. (2017), Akbaş et al. (2019), Buttagat et al. (2009),Kunikata et al. (2012), Mantovani et al. (2005) and Giles et al. (2011). Guilherme et al. (2010) was the only study that found no change. Conclusion: Manual therapies have improved cardiac autonomy acutely in healthy young and middle-aged populations or with discomfort, hypertension and back pain associated with the presence of myofascial trigger points. It is emphasized the importance of conducting new randomized controlled studies, with high methodological quality, that address the effect of other manual therapies on cardiac autonomic control.

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Effect of physical exercise on cardiac autonomic modulation in the elderly: systematic review

Cited by 2 publications

References 22 publications

Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study

Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study

Effect of manual therapies on cardiac autonomic control: a systematic review

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