SciELO - Scientific Electronic Library Online

 
vol.10 issue1The supplementation of omega-3 lipids and medium chain triglicerides do not affect metabolic indicators in the exhaustion test author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Brasileira de Medicina do Esporte

Print version ISSN 1517-8692

Abstract

BOSCO, Ricardo; DEMARCHI, Amanda; REBELO, Fabiana Pereira Vecchio  and  CARVALHO, Tales de. The effect of a program of combined aerobic physical exercise with exercises of localized muscular resistance in the improvement of systemic and local circulation: a case study. Rev Bras Med Esporte [online]. 2004, vol.10, n.1, pp. 56-62. ISSN 1517-8692.  http://dx.doi.org/10.1590/S1517-86922004000100005.

INTRODUCTION: Thrombophilia, elapses the existence of alterations of the hemostasis, being congenital or to be acquired. The protein S deficiency, occurs for the lack of the cofactor for protein C, is a congenital alteration that can result in thrombophilia. Physical rehabilitation, an efficient therapeutic option, has its paper defined in the prevention and treatment of cardiovascular illnesses. OBJECTIVE: This study aimed to verify the influence of the associated aerobic physical exercise to the exercises of muscular resistance in the systemic and collateral circulation of the right upper/lower member and in the reduction of the consequences caused for the decurrent retractions of the surgeries. MATERIAL AND METHOD: The sample, composed by a patient of the feminine sex, 19 years, carrier of the syndrome of congenital thrombophilia because of protein S deficiency, with total obstruction of the right axillary artery and partial obstruction of the right superficial femoral artery. The program of exercises were divided in two phases. Phase I: Activities for increase of the amplitude of movements, became fulfilled kept application of heat, manual passive stretching, lymphatic draining and Effleurage manipulations. Phase II: Constituted of aerobic exercise (45 minutes of walked, 3 times per week, intensity of 60% 85% of the maximum cardiac frequency), and exercises of located muscular resistance (dynamic contractions, three series with the maximum of possible repetitions, low intensity, favoring aerobic factors). RESULT: 1. Improvement of the collateral circulation to the axillary artery, evidenced for the increase in the speed of systolic pulse (verified by pulsed Doppler examination) - in the radial artery passed of 3.4 cm/s for 16.8 cm/s; in the brachial artery, of 8.7 cm/s for 45.9 cm/s. 2. Better tolerance to the aerobic exercise. 3. Recovery of the functional capacity and amplitude of movement of shoulder. 4. Full recovery of the autonomy for the daily activities. CONCLUSIONS: The gotten results had demonstrated that the adopted therapy was efficient in the treatment of thrombophilia consequences.

Keywords : Rehabilitation program; Systemic and collateral circulation; Thrombosis; Physical exercises.

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · pdf in English | Portuguese