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Souza D, Silva AG, Vale A, Pessoni A, Galvão L, Araújo MA, de Paula Júnior C, Vieira C, Vieira A, Gentil P. Effect of warm-up protocols using lower and higher loads on multiple-set back squat volume-load. PeerJ 2024; 12:e17347. [PMID: 39006036 PMCID: PMC11243969 DOI: 10.7717/peerj.17347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 04/17/2024] [Indexed: 07/16/2024] Open
Abstract
Background The present study aimed to investigate the effects of post-activation performance enhancement (PAPE) after three warm-up protocols on back squat performance in trained men. Methods Fourteen resistance-trained men performed conditioning activity (CA) with high-load (HL-CA), low-load (LL-CA), or usual specific warm-up as a control (CON). HL-CA consisted of one set of three repetitions with 90% of one repetition maximum (RM); LL-CA consisted of one set of six repetitions with 45% of 1 RM performed at maximal velocity; CON involved eight repetitions with 45% of 1 RM at controlled velocity. The participant's performance was measured using the total number of repetitions and volume load (reps × load × sets). Results There were no significant differences between warm-up for the total number of repetitions (p = 0.17) or total volume load (p = 0.15). There was no difference between conditions for the number of repetitions (main condition effect; p = 0.17); however, participants achieved a significantly higher volume load after HL-PAPE than after CON for the first set (p = 0.04). Conclusion High or low equated-load CA used as warm-up strategies did not potentiate subsequent performance enhancement in multiple-set back squat exercise performed until muscle failure in comparison with usual warm-up.
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Affiliation(s)
- Daniel Souza
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Anderson Garcia Silva
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Arthur Vale
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Alana Pessoni
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Luan Galvão
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Murilo Augusto Araújo
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Célio de Paula Júnior
- Faculdade de Educação Física, Centro Universitário Uniaraguaia, Goiania, Goias, Brasil
| | - Carlos Vieira
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiania, Goias, Brazil
| | - Amilton Vieira
- Faculdade de Educação Física, Universidade de Brasília, Brasilia, DF, Brazil
| | - Paulo Gentil
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiania, Goias, Brazil
- Programa de Pós Graduação em Ciências da Saúde, Universidade Federal de Goiás, Goiania, Goias, Brazil
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Flores-Bello C, Correa-Muñoz E, Sánchez-Rodríguez MA, Mendoza-Núñez VM. Effect of Exercise Programs on Physical Performance in Community-Dwelling Older Adults with and without Frailty: Systematic Review and Meta-Analysis. Geriatrics (Basel) 2024; 9:8. [PMID: 38247983 PMCID: PMC10801556 DOI: 10.3390/geriatrics9010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 12/27/2023] [Accepted: 01/05/2024] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND The measurement of physical performance constitutes an indicator of the physical functional capacity of older adults with and without frailty. AIM To present a synthesis of knowledge on the effect of exercise programs on physical performance in older adults with and without frailty in the community. METHOD A systematic review was carried out in accordance with the PRISMA-2020 criteria. The search for articles was made until 4 May 2023 in PubMed, Scopus, Web of Science, Cochrane Library, SciELO and LILACS. The outcome variable was physical performance, measured through the SPPB (Short Physical Performance Battery). The mean difference (MD) was estimated to evaluate the effect. RESULT We found 2483 studies, of which 12 met the eligibility criteria for the systematic review and 9 for the meta-analysis. The effect of exercise on SPPB scores was significantly higher in the exercise group compared to control in non-frail older adults with MD = 0.51 [95% CI, 0.05 to 0.96, p < 0.05]. Likewise, in older adults with frailty, the effect of exercise on the global SPPB score was significantly higher in the exercise group compared to the control with MD = 0.66 [95% CI, 0.09 to 1.24, p < 0.05]. CONCLUSION Our findings suggest that exercise programs are effective in increasing and/or maintaining physical performance in older adults with and without frailty, whose effect is more evident in older adults with frailty, probably due to the greater margin of recovery of intrinsic capacity. This systematic review shows the differentiated effect of exercise training on physical performance in older adults with and without frailty. Scientific evidence reinforces the importance of implementing physical exercise programs in all older adults, including those who are frail. However, it is necessary to specify the types and doses (duration, frequency and intensity), for individualized groups, previously grouped according to the SPPB score.
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Affiliation(s)
- Cristina Flores-Bello
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Mexico City 09230, Mexico; (C.F.-B.); (E.C.-M.); (M.A.S.-R.)
- Postgraduate Master’s and Doctorate in Nursing, National Autonomous University of Mexico, Mexico City 09230, Mexico
| | - Elsa Correa-Muñoz
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Mexico City 09230, Mexico; (C.F.-B.); (E.C.-M.); (M.A.S.-R.)
- Postgraduate Master’s and Doctorate in Nursing, National Autonomous University of Mexico, Mexico City 09230, Mexico
| | - Martha A. Sánchez-Rodríguez
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Mexico City 09230, Mexico; (C.F.-B.); (E.C.-M.); (M.A.S.-R.)
- Postgraduate Master’s and Doctorate in Nursing, National Autonomous University of Mexico, Mexico City 09230, Mexico
| | - Víctor Manuel Mendoza-Núñez
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Mexico City 09230, Mexico; (C.F.-B.); (E.C.-M.); (M.A.S.-R.)
- Postgraduate Master’s and Doctorate in Nursing, National Autonomous University of Mexico, Mexico City 09230, Mexico
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Maccarone MC, Masiero S, Papathanasiou J, Panayotov K, Kashilska Y, Prokopidis K, Papanastasiou C, Tyllianakis M, Dionyssiotis Y. Frailty Education: Promoting Geriatric Competencies Among Physical Medicine and Rehabilitation Residents. Am J Phys Med Rehabil 2023; 102:e137-e140. [PMID: 36882328 DOI: 10.1097/phm.0000000000002231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023]
Abstract
ABSTRACT Frailty, a geriatric syndrome of growing importance in recent years, has been shown to be associated with increased risk of disability and adverse health and socioeconomic outcomes. Therefore, there is a need for new educational strategies for physical medicine and rehabilitation residents to promote greater geriatric competencies, with a focus on developing customized evaluation and management plans. With this article, the aim is offering a quick reference tool summarizing the latest evidence on the rehabilitative management of frailty. Indeed, a comprehensive geriatric evaluation is needed before developing an evidence-based and individually tailored rehabilitation program including physical activity, educative strategies, nutritional interventions, and proposals for social reintegration. In the future, appropriate educational training may allow a more careful management of these patients, with consequent improvements in quality of life and functionality.
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Affiliation(s)
- Maria Chiara Maccarone
- From the Physical Medicine and Rehabilitation School, Department of Neurosciences, University of Padua, Padua, Italy (MCM, SM); Rehabilitation Unit, Department of Neurosciences, University of Padua, Padua, Italy (SM); Department of Kinesitherapy, Faculty of Public Health "Prof. Dr. Tzecomir Vodenicharov, DSc," Medical University of Sofia, Sofia, Bulgaria (JP); Department of Medical Imaging, Allergology, & Physiotherapy, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria (JP); Faculty of Public Health, University of Ruse "Angel Kanchev," Ruse, Bulgaria (K. Panayotov); 5th Medical & Diagnostic Center of Trakya, Plovdiv, Bulgaria (YK); Department of Musculoskeletal Biology, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom (K. Prokopidis); 1st Physical Medicine and Rehabilitation Department, National Rehabilitation Center EKA, Athens, Greece (CP); Department of Orthopedics, School of Medicine, University of Patras, Patras, Greece (MT); and Spinal Cord Injury Rehabilitation Clinic, Patras University Hospital, Patras, Greece (YD)
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Maccarone MC, Scanu A, Coraci D, Masiero S. The Potential Role of Spa Therapy in Managing Frailty in Rheumatic Patients: A Scoping Review. Healthcare (Basel) 2023; 11:1899. [PMID: 37444733 PMCID: PMC10340743 DOI: 10.3390/healthcare11131899] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 06/27/2023] [Accepted: 06/29/2023] [Indexed: 07/15/2023] Open
Abstract
Frailty is not limited to the elderly, as patients with rheumatic diseases can also experience this condition. The present scoping review aimed to investigate the possibility of using the health resort setting as an alternative location for managing rheumatic patients with frailty. The research resulted in finding several in vitro, in vivo, and clinical studies, resulting in evidence supporting the effectiveness of spa treatments in reducing pain, improving function, and managing comorbidity in rheumatic diseases. Additionally, spa treatments were demonstrated to modulate the MAPK/ERK pathway and the NF-kB pathway's activation and to reduce proinflammatory molecules' secretion in rheumatic diseases, thus suggesting their potential effective role in the regulation of inflammaging in frailty. Moreover, the health resort setting may offer potential resources to reduce risk factors, such as drug consumption, inactivity, and disease severity, and may serve as a setting for developing prevention protocols for frailty. Future research should explore innovative approaches, such as exercise training and early diagnostics, for the overall management of frailty in rheumatic patients in the spa setting.
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Affiliation(s)
- Maria Chiara Maccarone
- Department of Neuroscience, Physical Medicine and Rehabilitation School, University of Padua, Via Giustiniani 2, 35128 Padua, Italy;
| | - Anna Scanu
- Neurorehabilitation Unit, Department of Neuroscience, University of Padua, 35128 Padua, Italy; (A.S.); (D.C.)
- Department of Women’s and Children’s Health, University of Padua, 35128 Padua, Italy
| | - Daniele Coraci
- Neurorehabilitation Unit, Department of Neuroscience, University of Padua, 35128 Padua, Italy; (A.S.); (D.C.)
| | - Stefano Masiero
- Department of Neuroscience, Physical Medicine and Rehabilitation School, University of Padua, Via Giustiniani 2, 35128 Padua, Italy;
- Neurorehabilitation Unit, Department of Neuroscience, University of Padua, 35128 Padua, Italy; (A.S.); (D.C.)
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