Oito semanas de treinamento intervalado na doença vascular periférica: um estudo de caso

Autores/as

  • Tiago Pereira Campos UCPel
  • Rafael Bueno Orcy UFPel
  • Gustavo Dias Ferreira UNIPAMPA

DOI:

https://doi.org/10.15448/1983-652X.2015.1.19591

Palabras clave:

Terapia por exercício. Claudicação intermitente. Doenças vasculares. Fisioterapia. Estudo de caso.

Resumen

Introdução: O exercício intervalado é caracterizado por períodos de alta intensidade, seguido por períodos de moderada intensidade para recuperação, podendo levar a benefícios nas funções musculares e endotelial, consistindo em uma alternativa no tratamento da doença vascular periférica.
Objetivo: O objetivo deste estudo foi observar o efeito do treinamento intervalado de oito semanas na capacidade física submáxima em um paciente com doença vascular periférica.
Descrição do Caso: Foi realizado um estudo de caso com um paciente do sexo masculino, 70 anos, com índice de massa corporal dentro da normalidade (24,7 kg/m²), fumante, sedentário e diabético (insulino-dependente), com o diagnóstico de doença vascular periférica há um ano. O estudo foi realizado durante oito semanas, com a aplicação de um treinamento intervalado de caminhada de alta intensidade e exercícios de força para os membros inferiores. Após oito semanas de treinamento o paciente diminuiu a frequência cardíaca e sensação subjetiva de cansaço no repouso, aumentou a distância no teste de caminhada de seis minutos em 24%, suportou maior intensidade de treinamento e aumentou o escore no teste de senta e levanta.
Conclusão: O treinamento intervalado associado ao treinamento de força melhorou a capacidade aeróbia e anaeróbia do paciente, e pode ser uma boa alternativa para o tratamento da doença vascular periférica.

Citas

de Carvalho CC, de Sa XeritaMaux DA, Tashiro T, de Moraes SR. The effect of endurance training on the neovascularization of skeletal musculature. Acta Cir Bras. 2006;21(6):398-401. http://dx.doi. org/10.1590/S0102-86502006000600008

O’Neill HM. AMPK and Exercise: Glucose Uptake and Insulin Sensitivity. Diabetes Metab J. 2013;37(1):1-21. http://dx.doi. org/10.4093/dmj.2013.37.1.1

Garcia JU. Tratamiento percutâneo de la insuficiencia arterial crónica de los miembros inferiores. Cardiovascular Risk Factors. 2002;11(4):1-8.

Bergonse FN. Evaluation of arterial circulation using the ankle/ brachial blood pressure index in patients with chronic venous ulcers. An Bras Dermatol. 2006;81(2):131-5.

Vogiatzis I. Interval training as an alternative modality to continuous exercise in patients with COPD. Eur Respir J. 2002;20(1):12-9. http://dx.doi.org/10.1183/09031936.02.01152001

Dorado C, Sanchis-Moysi J, Calbet JA. Effects of recovery mode on performance, O2 uptake, and O2 deficit during high-intensity intermittent exercise. Can J Appl Physiol. 2004;29(3):227-44. http://dx.doi.org/10.1139/h04-016

Talanian JL, Galloway SD, Heigenhauser GJ, Bonen A, Spriet LL. Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women. J Appl Physiol. 2007;102(4):1439-47. http://dx.doi.org/10.1152/japplphysiol. 01098.2006

Vogiatzis I, Terzis G, Nanas S, Stratakos G, Simoes DC, Georgiadou O, Zakynthinos S, Roussos C. Skeletal muscle adaptations to interval training in patients with advanced COPD. Chest. 2005; 128(6):3838-45. http://dx.doi.org/10.1378/chest.128.6.3838

Gillen JB, Little JP, Punthakee Z, Tarnopolsky MA, Riddell MC, Gibala MJ. Acute high-intensity interval exercise reduces the postprandial glucose response and prevalence of hyperglycaemia in patients with type 2 diabetes. Diabetes Obes Metab. 2012;14(6):575-7. http:// dx.doi.org/10.1111/j.1463-1326.2012.01564.x

Burgomaster KA, Hughes SC, Heigenhauser GJ, Bradwell SN, Gibala MJ. Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans. J Appl Physiol. 2005;98(6):1985-90. http://dx.doi.org/10.1152/ japplphysiol.01095.2004

Little JP, Safdar A, Wilkin GP, Tarnopolsky MA, Gibala MJ. A practical model of low-volume high-intensity interval training induces mitochondrial biogenesis in human skeletal muscle: potential mechanisms. J Physiol. 2010;15(588):1011-22. http://dx.doi. org/10.1113/jphysiol.2009.181743

Talanian JL, Holloway GP, Snook LA, Heigenhauser GJ, Bonen A, Spriet LL. Exercise training increases sarcolemmal and mitochondrial fatty acid transport proteins in human skeletal muscle. Am J Physiol Endocrinol Metab. 2010; 299(2):E180-8. http://dx.doi.org/10.1152/ ajpendo.00073.2010

McKay BR, Paterson DH, Kowalchuk JM. Effect of short-term highintensity interval training vs. continuous training on O2 uptake kinetics, muscle deoxygenation, and exercise performance. J Appl Physiol. 2009;107(1):128-38. http://dx.doi.org/10.1152/ japplphysiol.90828.2008

Weber CL, Schneider DA. Increases in maximal accumulated oxygen deficit after high-intensity interval training are not gender dependent. J Appl Physiol (1985). 2002;92(5):1795-801. http:// dx.doi.org/10.1152/japplphysiol.00546.2001

Haram PM, Kemi OJ, Lee SJ, Bendheim MO, Al-Share QY, Waldum HL, Gilligan LJ, Koch LG, Britton SL, Najjar SM, Wisløff U. Aerobic interval training vs. continuous moderate exercise in the metabolic syndrome of rats artificially selected for low aerobic capacity. Cardiovasc Res. 2009;81(4):723-32. http://dx.doi.org/10.1093/cvr/ cvn332

Silva AS, Zanesco A. Physicalexercise, ß-adrenergicreceptors, and vascular response. J Vasc Bras. 2010;9:1-6.

Pattyn N, Cornelissen VA, Eshghi SR, Vanhees L. The effect of exercise on the cardiovascular risk factors constituting the metabolic syndrome: a meta-analysis of controlled trials. Sports Med. 2013; 43(2):121-33. http://dx.doi.org/10.1007/s40279- 012-0003-z

Mezzani A, Hamm LF, Jones AM, McBride PE, Moholdt T, Stone JA, Urhausen A, Williams MA. Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation. Eur J Prev Cardiol. 2013; 20:442-67. http://dx.doi. org/10.1177/2047487312460484

Moholdt T, Madssen E, Rognmo O, Aamot IL. The higher the better? Interval training intensity in coronary heart disease. J Sci Med Sport. 2014;17(5):506-10. http://dx.doi.org/10.1016/j.jsams. 2013.07.007

Moholdt T, Aamot IL, Granoien I, Gjerde L, Myklebust G, Walderhaug L, Brattbakk L, Hole T, Graven T, Stølen TO, Amundsen BH, Mølmen Hansen HE, Støylen A, Wisløff U, Slørdahl SA. Aerobic interval training increases peak oxygen uptake more than usual care exercise training in myocardial infarction patients: a randomized controlled study. Clin Rehabil. 2012;26(1):33-44. http://dx.doi. org/10.1177/0269215511405229

Arena R, Myers J, Forman DE, Lavie CJ, Guazzi M. Should highintensity- aerobic interval training become the clinical standard in heart failure? Heart Fail Rev. 2013;18(1):95-105. http://dx.doi. org/10.1007/s10741 012-9333-z

Maiorana A. Interval training confers greater gains than continuous training in people with heart failure. J Physiother. 2012;58(3):199. http://dx.doi.org/10.1016/S1836-9553(12)70113-3

Jakovljevic DG, Donovan G, Nunan D, McDonagh S, Trenell MI, Grocott-Mason R, Brodie DA. The effect of aerobic versus resistance exercise training on peak cardiac power output and physical functional capacity in patients with chronic heart failure. I Int J Cardiol. 2010;145(3):526-8. http://dx.doi.org/10.1016/j. ijcard.2010.04.060

Belardinelli R, Georgiou D, Cianci G, Purcaro A. 10-year exercise training in chronic heart failure: a randomized controlled trial. J Am Coll Cardiol. 2012;60:1521-8. http://dx.doi.org/10.1016/j. jacc.2012.06.036

Locatelli EC, Pelizzari S, Scapini KB, Leguisamo CP, Silva ABD. Physical exercise in peripheral occlusive arterial disease. J Vasc Bras. 2009; 8:247-54. http://dx.doi.org/10.1590/S1677-54492009000300010

Spronk S, Bosch JL, Veen HF, den Hoed PT, Hunink MG. Intermittent claudication: functional capacity and quality of life after exercise training or percutaneous transluminal angioplasty--systematic review. Radiology. 2005;235(3):833-42. http://dx.doi.org/10.1148/ radiol.2353040457

Publicado

2015-06-08

Número

Sección

Relatos de Caso