Started in 2016 and coordinated by Dr. Felipe Cunha, the physical conditioning and motor rehabilitation program for hemiparetic patients due to stroke sequel (project number: 4973/2016) offers supervised activities at the training center of the Laboratory of Physical Activity and Health Promotion of the State University of Rio de Janeiro (LABSAU / UERJ). The project serves approximately 30 patients who perform supervised physical exercise three times per week, as well as nutritional guidance. It is worth mentioning that the extension project has been awarded grants from the Brazilian research agencies and undergraduate scientific research scholarships from the Carlos Chagas Filho Foundation for Supporting Research in the State of Rio de Janeiro (FAPERJ) and institutional scientific initiation scholarship program (PIBIC/UERJ).

Testimonials

Testimonials from some of the extension project’s participants:
Physical conditioning and motor rehabilitation for hemiparetic patients due to stroke sequelae.

Research

Research related to the extension project

Phase 1

Tuesday and Thursday (7 to 11 a.m.)
Physiological stress induced by RCT and aerobic exercise bouts

Objective: To investigate, in hemiparetic individuals by stroke sequelae, the acute and postexercise responses to resistance circuit training and aerobic bouts on:

Acute exercise assessments:

– VO2 (%VO2R and METs), heart rate (%HRR), and energy cost

– Perceptual, affective and enjoyment responses

Postexercise short-term assessments (30-min):

– Blood pressure (BP), cardiac output (Q), stroke volume (SV), systemic vascular resistance (SVR),

– Cardiac autonomic control [HRV indexes and spontaneous baroreflex sensitivity (BRS)]

– Pulse wave velocity (PWV) and arterial compliance (AC)

– Appetite

Postexercise long-term assessments (24-hour):

– Ambulatory blood pressure monitoring (24-h ABPM)

– Ambulatory HRV (24-h Holter)

– Ambulatory arterial stiffness index (24-h AASI)

- Appetite and food intake

Test-retest reliability of all physiological parameters measured acutely and during postexercise recovery.

EXPERIMENTAL DESIGN
Figure 1: Timeline of PHASE 1, contemplating the acute physiological responses to resistance circuit training (RCT), aerobic exercise and control session (CTL). ICF: informed consent form; 15-RM: 15-repetition maximum test; VO2: oxygen uptake; CPET: cardiopulmonary exercise test; HRV: heart rate variability; BRS: baroreflex sensitivity. AFE: arterial function evaluation. After the 30 min recovery period in V3-V7, the pulse wave reflection parameters will be evaluated, with subsequent placement of devices for ambulatory blood pressure monitoring (ABPM), ambulatory arterial stiffness index (AASI) and recording long-term electrocardiogram via a 24-hour Holter.
RESISTANCE CIRCUIT TRAINING (RCT)
AEROBIC EXERCISE

Phase 2

Monday, Wednesday and Friday (1 to 4 p.m.) - Chronic responses to RCT
Objective: To investigate, in hemiparetic individuals by stroke sequelae, the chronic impact of RCT on:

– Neuromuscular and cardiorespiratory performance
– Body composition
– Blood pressure (BP)
– Cardiac autonomic control [HRV indexes and spontaneous baroreflex sensitivity (BRS)]
– Pulse wave velocity (PWV) and arterial compliance (AC)
– Ambulatory arterial stiffness index (24-h AASI)

The training program consists of 48 bouts of RCT over 16 weeks. After completing the 24th and 48th training bouts, subjects will undertake the procedures performed in the 1st phase during V0, V1 and V2. Additionally, subjects will perform all the procedures of the non-exercise control day.

Register on the Site!

en_USEnglish
pt_BRPortuguese en_USEnglish