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Medicina dello Sport 2022 June;75(2):288-97

DOI: 10.23736/S0025-7826.22.04150-3

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English, Italian

Acute effects of dynamic explosive-type resistance exercise performed with elastic bands on blood pressure in stroke survivors

Daniela ALVES FLEXA RIBEIRO 1, 2, André F. LOPES DE SIQUEIRA 3, 4, Alaine SOUZA LIMA ROCHA 5, Ana E. ARAÚJO FURTADO ALMEIDA 1, Angela FALCAI 1, Amanda SILVA DOS SANTOS ALIANÇA 1, Samir SEGUINS SOTÃO 1, Fabiano J. FURTADO ALMEIDA 1, 6, Vinicius J. DA SILVA NINA 2, Paulo A. SCHWINGEL 3, 4, Bruno BAVARESCO GAMBASSI 3, 4, 6, 7

1 Ceuma University, São Luís, Brazil; 2 Postgraduate Program in Health Sciences, Universidade Federal do Maranhão (UFMA), São Luís, Brazil; 3 Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGRDF), Universidade de Pernambuco (UPE), Petrolina, Brazil; 4 Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE), Petrolina, Brazil; 5 Department of Physical Therapy, Universidade Federal do Ceará (UFC), Fortaleza, Brazil; 6 Federal University of Maranhão, São Luís, Brazil; 7 Postgraduate Program in Health Programs and Services Management, Ceuma University, São Luís, Brazil


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BACKGROUND: Hypertension is one of the most important risk factors for stroke. The quickly growing number of people diagnosed with hypertension and/or affected by stroke has encouraged the global scientific community to research new therapeutic strategies, including exercise training. Thus, the aim of the present study was to investigate the acute effects of dynamic explosive-type resistance exercise (DERE) performed with elastic bands on the blood pressure (BP) of chronic stroke survivors.
METHODS: Eleven stroke survivors (age: 60.8±11 years; Body Mass Index: 22.4±1.8 kg/m2) were randomly assigned to participate in exercise and control sessions (absolute rest approximately 30 minutes). DERE protocol consisted of multiarticular and monoarticular exercises (vertical chest press, hip abduction, seated row, knee extension, squat on the chair, biceps curl) performed with elastic bands (Thera Band®, Akron, OH, USA) on chairs of appropriate height for approximately 30 minutes. All experimental sessions started sharply at 10 am, with a 7-day interval between them. Blood pressure (BP) was assessed before and after each session (control and exercise; baseline, post, 10, 20, and 30 minutes).
RESULTS: No significant differences were observed within sessions for control and training in systolic and diastolic BP. Additionally, 30 minutes after training, we observed important findings in systolic BP (SBP) [Δ=-5.4 mmHg] and diastolic BP (DBP) [Δ=-3.1 mmHg; d=0.8].
CONCLUSIONS: Our findings indicate that DERE promotes clinical reduction in SBP and DBP in the investigated sample. In addition, randomized controlled trials covering different resistance training protocols should be undertaken so that health professionals may be more scientifically informed when prescribing resistance exercises for BP control in this population.


KEY WORDS: Stroke; Blood pressure; Exercise; Post-exercise hypotension

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