Physical Therapy Modalities

IJCS

Editorial

Breathing and Cardiovascular Patterns: What can we Learn from Respiratory Exercises?

In the current issue of the International Journal of Cardiovascular Sciences, Fetter and colleagues found that respiratory movements of the abdominal cavity and rib cage, evaluated by circumferences measurements, were higher in Yoga practitioners than in an age-matched sedentary group. Also, the study confirmed that Yoga practitioners showed higher maximal expiratory strength and lower heart rate at rest than non-practitioners.

Yoga has been recommended as a non-pharmacological therapy to control cardiovascular risk factors. Respiratory exercises are part of the Yoga program that includes abdominal and rib cage expansion by rhythmic movements.^– It was demonstrated that four months of Yoga respiratory training improved inspiratory and expiratory muscle strength, forced vital capacity and quality of life in healthy elderly. Another study demostrated that Yoga influenced cardiorespiratory control, affecting the resting sympatho-vagal balance, with a shift from vagal to sympathetic predominance, reflecting a sympathetic withdrawal. Several disease subsets are marked by autonomic dysfunction characterized by sympathetic overactivity at rest, and in this context, respiratory exercises such as Yoga may be a potential countermeasure.

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IJCS

Editorial

Cardiovascular Rehabilitation at Distance: A New Moment

Ricardo Vivacqua Cardoso Costa

Cardiovascular rehabilitation consists of a non-pharmacological intervention process in individuals with metabolic, pulmonary, or cardiovascular disorders, aiming at reducing symptoms, quality of life improvement, and the possible increase in life expectancy.

It consists, predominantly, in the practice of regular, individualized physical exercises, in addition to guidance concerning other risk factors, including physical inactivity, as well as nutritional and psychological support, intending to slow down and cause possible regression of the patient’s pathology.^,

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IJCS

Original Article

Effects of Conventional and Virtual Reality Cardiovascular Rehabilitation in Body Composition and Functional Capacity of Patients with Heart Diseases: Randomized Clinical Trial

João Pedro Lucas Neves Silva et al. Luiz Felipe Marques Novaes Lorrany Caroline Rocha dos Santos Bianca Pinhal Galindo … Margaret Assad Cavalcante Bruna Corral Garcia de Araújo Francis Lopes Pacagnelli Ana Paula Coelho Figueira Freire

Abstract

Background:

Virtual reality is an alternative therapeutic resource to be inserted into cardiovascular rehabilitation, stimulating the practice of physical activity through man-machine interaction.

Objective:

To compare the effects of conventional and virtual reality cardiac rehabilitation on body composition and functional capacity in patients with heart disease.

Methods:

Randomized clinical trial with 27 cardiac patients divided into conventional rehabilitation group (CRG) and virtual reality rehabilitation group (VRG). They underwent a rehabilitation program with 60-minute training sessions twice a week for eight weeks. The VRG training consisted of exercises from the Xbox 360^® with Kinect(tm), using YourShape(tm) and Dance Central 3(tm) games. The CRG used conventional treadmills for aerobic exercise and free weights for resistance exercise. Bioimpedance and 6-minute walk test (6MWT) were evaluated at baseline and after training. For main outcome analysis, Student t and Mann Whitney tests were used with a 5% significance level.

Results:

The VRG showed a significant increase in body fat percentage and fat weight when compared to the CRG, and a smaller amount of total water. There was a significant improvement in functional capacity evidenced by the increase in the distance covered in the 6MWT (54.00 m and 32.25 m in the CRG and VRG, respectively), but the gains did not differ between the groups.

Conclusion:

The two rehabilitation modalities had no effect on the body composition of the groups. In addition, the improvement in functional capacity was similar in both groups.

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Breathing and Cardiovascular Patterns: What can we Learn from Respiratory Exercises?

Cardiovascular Rehabilitation at Distance: A New Moment

Effects of Conventional and Virtual Reality Cardiovascular Rehabilitation in Body Composition and Functional Capacity of Patients with Heart Diseases: Randomized Clinical Trial

Abstract

Background:

Objective:

Methods:

Results:

Conclusion:

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