Physical and functional aspects of persons with multiple sclerosis practicing Tai-Geiko: randomized trial

Ultramari, Viviane Regina Leite Moreno; Calvo, Adriano Percival Calderaro; Rodrigues, Rosilene Andrade Silva; Fett, Waléria Christiane Rezende; Moraes Neto, Jose Urias de; Ferraz, Almir de França; Kommers, Michelle Jalousie; Borges, Heloise Helena Siqueira; Viana, Michell Vetoraci; Cattafesta, Monica; Salaroli, Luciane Bresciani; Fett, Carlos Alexandre

doi:10.6061/clinics/2020/e1272

Viviane Regina Leite Moreno Ultramari ^**Corresponding author. E-mail: vi_morenno@hotmail.com

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0002-8165-1301

Adriano Percival Calderaro Calvo

Programa de Pos Graduacao em Desempenho Humano Operacional (PPGDHO), Universidade da Forca Aerea (UNIFA), Rio de Janeiro, RJ, BR

http://orcid.org/0000-0003-3307-4252

Rosilene Andrade Silva Rodrigues

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0002-5164-2199

Waléria Christiane Rezende Fett

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0002-6938-6365

Jose Urias de Moraes Neto

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0002-5354-4816

Almir de França Ferraz

Grupo de Estudos em Actividade Fisica e Promocao da Saude, Departamento de Graduacao em Educacao Fisica, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR

http://orcid.org/0000-0002-9488-7460

Michelle Jalousie Kommers

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0001-8677-1786

Heloise Helena Siqueira Borges

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0002-5586-3933

Michell Vetoraci Viana

Grupo de Estudos em Actividade Fisica e Promocao da Saude, Departamento de Graduacao em Educacao Fisica, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR

http://orcid.org/0000-0002-8873-6009

Monica Cattafesta

Programa de Pos Graduacao em Saude Coletiva (PPGSC), Centro de Ciencias da Saude, Universidade Federal do Espirito Santo (UFES), Vitoria, ES, BR

http://orcid.org/0000-0002-8973-622X

Luciane Bresciani Salaroli

Programa de Pos Graduacao em Saude Coletiva (PPGSC), Centro de Ciencias da Saude, Universidade Federal do Espirito Santo (UFES), Vitoria, ES, BR

http://orcid.org/0000-0002-1881-0306

Carlos Alexandre Fett

Nucleo de Estudo em Aptidao Fisica, Informatica, Metabolismo, Esporte e Saude (NAFIMES), Universidade Federal do Mato Grosso, MT, BR

http://orcid.org/0000-0002-7522-7985

*Corresponding author. E-mail: vi_morenno@hotmail.com

No potential conflict of interest was reported.

Ultramari VRLM, Calvo APC, Rodrigues RAS, Fett WCR, Moraes Neto JU, Ferraz AF, Kommers M, Borges HHS, Viana MV, Cattafesta M, Salaroli LB and Fett CA contributed to the conceptualization, data curation, formal analysis, funding acquisition, investigation, methodology, project administration, resources, supervision, validation, visualization, writingoriginal draft, and writing-review and editing.

Variables	Total sample (n=22)	Control group (n=11)	Experimental group (n=11)
Gender (n, %)
Female	16 (72.7%)	08 (72.7%)	08 (72.7%)
Male	06 (27.3%)	03 (27.3%)	03 (27.3%)
Marital status (n, %)
Single	09 (40.9%)	04 (36.4%)	05 (45.5%)
Married	12 (54.5%)	06 (54.5%)	06 (54.5%)
Divorced	01 (4.5%)	01 (9.1%)	-
Physical activity practice (n, %)
Yes	11 (50%)	06 (54.5%)	05 (45.5%)
No	11 (50%)	05 (45.5%)	06 (54.5%)
Clinical classification (n, %)
Recurrent sclerosis	18 (81.8%)	09 (81.8%)	09 (81.8%)
Progressive primary	02 (9.1%)	-	02 (18.2%)
Progressive secondary	02 (9.1%)	02 (18.2%)	-
EDSS (scale) (M±SD)	2.38 (1.10)	2.40 (1.13)	2.36 (1.12)
Age (years) (M±SD)	34.09±10.52	31.81±8.61	36.36±12.13
Disease period (years) (M±SD)	6.81±5.15	4.9±3.01	8.72±6.21
Height (meters) (M±SD)	1.62±0.07	1.61±0.07	1.64±0.08

Phases	Training protocol	Intensity
Heatment 10 min	Performed dynamically, combining walking in all the directions (front, side and back and elongation)	Scale of Borg, (intensity light).
Exercises Tai-Geiko 40 min	1. Lying hip lift: dorsal decubitus position on the mat (ground); legs flexed at 90 degrees; they extended the hip keeping the shoulders and arms on the ground, contracting the gluteal muscles and abdomen; the movement went up to the hip to align with the spine and then returned to the initial position. 2. Squat: orthostatic position; feet slightly wider than shoulder width; they flexed their knees at approximately 90 degrees, returning to the initial position. 3. Balancing exercises: standing balance will be worked on, in which the people will stay with only one foot fixed on the ground and the other suspended, first with open eyes and then with closed eyes. 4. Lumbar flexion: orthostatic position; feet farther than the shoulders; the trunk flexed forward until the hands touch the ground and then a return to the initial position; with use of the stick. 5. Therapy Ryoho: 15 min, introduction to the Shiatsu (Japanese method of finger pressure massage by the body). 6. Chi Kung: ratios extended along and lateral to the body; flexed elbows in their full range; return to the starting position. 7. Exercise Kokyu (the practice of controlled abdominal breathing, made by nasal inspiration and oral expiration) 10 min.	Scale of Borg), range between 3 and 5 (moderate to strong intensity) Scale perceived exertion).
Return the calm 10-15 min	The postexercise Tai-Geiko was realized by the stretching of the muscle groups worked, and the participant was guided in meditation. Inspired exercises: seated position for the observation of the movements of nature, animals and plants, where all senses (smell, taste and hearing) were exercised (Chi Kung).	Scale of Borg, (intensity light) Scale of perceived exertion.
Local	Airy room with air conditioning and a dimension of 10 x 15 meters with a mat on the floor, at the Faculty of Physical Education of Federal University.	-
Number of exercises	9 (nine) in total. Average time of approximately 140 min per week	-

Variables		Experimental (EG)					Control (CG)					Intergroups
		Experimental (EG)					Control (CG)					(EG) x (CG)
		Preintervention		Postintervention			Preintervention		Postintervention			Pre	Post
		Mean	Standard Deviation	Mean	Standard Deviation	p value	Mean	Standard Deviation	Mean	Standard Deviation	p value	p value	p value
Weight [kg]	P	72.18	±15.21	71.53	±13.95	0.36	73.1	±18.75	74.83	±15.97	0.55	0.91	0.64
BMI [kg/m²]	P	26.94	±5.56	26.70	±5.04	0.29	27.8	±6.14	28.51	±5.27	0.53	0.44	0.46
Scapular strength [kg/f]	NP	9.55	4.9: 23.75	9.52	4.59: 16.25	-0.34	10.45	4.90: 23.0	11.27	4.90: 26.25	0.50	0.73	0.67
Right-hand grip strength [kg/f]	P	26.63	±10.13	30.50	±10.24	0.15	25.9	±10.77	28.83	±12.74	0.03*	0.88	0.76
Left-hand grip strength [kg/f]	P	25.95	±9.44	28.73	±10.39	0.08	24.7	±10.54	26.13	±13.95	0.51	0.78	0.65
Lumbar strength [kg/f]	P	37.65	±21.71	51.95	±18.96	0.02*	53.1	±35.3	58.14	±30.42	0.34	0.26	0.60

Variables		Experimental (EG)					Control (CG)					Intergroups
		Experimental (EG)					Control (CG)					(EG) x (CG)
		Preintervention		Postintervention			Preintervention		Postintervention			Pre	Post
		Mean	Standard Deviation	Mean	Standard Deviation	p value	Mean	Standard Deviation	Mean	Standard Deviation	p value	p value	p value
TUG [score]	NP	2.00	1.00: 2.00	1.00	1.00: 2.00	0.046*	1.00	1.00: 2.00	1.00	1.00: 2.00	0.32	0.11	0.61
TUG [s]	P	11.15	±2.46	9.35	±2.02	0.01*	9.89	±1.85	8.70	±1.51	0.04*	0.23	0.44
EDSS [scale]	NP	2.00	1.00: 5.00	2.00	0.00: 5.00	0.22	1.50	150: 5.00	1.50	1.50: 5.00	0.317	0.83	0.83
Locom. speed. [s]	P	519.40	±139.64	393.70	±119.49	0.03*	455.2	±83.54	454.1	±140.58	0.97	0.25	0.33
Dual task 1 [s]	NP	55.50	31.62: 197	43.19	31.9: 139.8	0.028*	40.56	29.92: 95.66	43.91	29.92: 114	0.31	0.12	0.74
Dual task 2 [s]	NP	53.00	37.22: 285	39.32	27.3: 210.9	0.013*	36.84	29.67: 80.40	45.30	34.75: 98	0.07	0.022*	0.33

Variables		Experimental (EG)					Control (CG)					Intergroups
		Experimental (EG)					Control (CG)					(EG) x (CG)
		Preintervention		Postintervention			Preintervention		Postintervention			Pre	Post
		Mean	Standard Deviation	Mean	Standard Deviation	p value	Mean	Standard Deviation	Mean	Standard Deviation	p value	p value	p value
CoP Trajectory covered [cm]	P	38.24	±6.2	26.64	±7.72	0.01*	32.01	±7.82	38.88	±18.26	0.19	0.07	0.07
CoP AP amplitude [cm]	P	11.35	±1.85	8.76	±1.71	0.01*	10.45	±3.06	9.66	±3.15	0.53	0.44	0.44
CoP ML amplitude [cm]	NP	3.38	2.94: 8.32	3.2	1.53: 8.62	0.19	4.96	3.1: 6.78	5.99	\|.2: 18.7	0.051	0.10	0.01*
Elliptical area [cm²]	NP	35.95	27.6: 108.1	36.7	14.49: 82.73	0.45	68.85	20.98: 96.78	62.16	29.79: 262	0.77	0.14	0.09
CoP AP Median frequency [Hz]	P	1.00	±0.37	1.56	±0.48	0.02*	1.66	±0.44	1.3	±0.31	0.050	0.01*	0.18
CoP ML median frequency [Hz]	P	1.30	±0.51	1.71	±0.4	0.02*	1.47	±0.49	1.59	±0.32	0.62	0.48	0.48

Variables		Experimental (EG)					Control (CG)					Intergroups
		Experimental (EG)					Control (CG)					(EG) x (CG)
		Preintervention		Postintervention			Preintervention		Postintervention			Pre	Post
		Mean	Standard Deviation	Mean	Standard Deviation	p value	Mean	Standard Deviation	Mean	Standard Deviation	p value	p value	p value
CoP Trajectory covered [cm]	P	45.19	±15.63	29.84	±7.65	0.01*	32.16	±6.06	31.19	±6.12	0.68	0.03*	0.68
CoP AP amplitude [cm]	P	12.40	±2.7	9.94	±2.41	0.02*	11.84	±3.17	9.53	±2.16	0.04*	0.68	0.70
CoP ML amplitude [cm]	P	4.17	±2.8	3.47	±1.37	0.29	5.48	±2.05	5.01	±1.69	0.65	0.21	0.04*
Elliptical area [cm²]		56.92	±43.47	42.36	±16.48	0.29	70.13	±46.02	55.48	±19.9	0.32	0.53	0.13
CoP AP median frequency [Hz]	NP	0.8	0.80: 1.40	1.25	0.64: 2.15	0.047*	1.35	0.8: 2.6	1.22	0.58: 1.35	0.66	0.08	0.22
CoP ML median frequency [Hz]	P	1.31	±0.37	1.53	±0.39	0.27	1.88	±0.63	1.62	±0.41	0.30	0.038	0.64

[1] *Corresponding author. E-mail: vi_morenno@hotmail.com

Brasil

Brasil

Physical and functional aspects of persons with multiple sclerosis practicing Tai-Geiko: randomized trial

OBJECTIVES:

METHODS:

RESULTS:

CONCLUSION: