Manual Therapy, Posturology & Rehabilitation Journal

Applications of Pulsed Electromagnetic Field Therapy in Skeletal-Muscle System: An Integrative Review

2022-10-18T17:39:12-03:00

Background: The Pulsed Electromagnetic Field (PEMF) technology has attracted increasing interest since consistent evidence of its therapeutic properties has been demonstrated to treat musculoskeletal conditions. However, this technology is not new, and has already been used in different experimental models and clinical studies for the treatment of tendinopathies, osteoarthritis, increased cell proliferation, bone consolidation, among others. Methods: In this work, we carried out an integrative review of clinical and experimental studies published in the last twenty years, on the available scientific evidence that demonstrate the effects of PEMF in different applications for health treatments. Five databases including Medline, Pubmed Central, Scopus, Lilacs and PEDro were searched for studies from 2001 to September 2022. The results were analyzed by the team of researchers and clinical professionals to assure methodological quality of the studies for the elaboration of the theoretical review on the effects of electromagnetic field stimulation on skeletal muscles, tendon or bones. Results: Sixty-two studies were included in this review, presenting evidence of the biological effects of PEMF that can suggest it´s possible use to treat different disorders. Conclusions: Pulsed electromagnetic fields (PEMF) present relevant clinical and experimental evidence of beneficial effects in the treatment of several musculoskeletal inflammatory disorders, such as tendinopathies and osteoarthritis, in addition to the treatment of urinary incontinence and abdominal diastasis. PEMF can be considered as the evolution of electrical currents for the treatment of musculoskeletal disorders, mainly due to its better tolerance by patients.

Different physiological, but similar affective responses, facing different workload quantification methods

2023-03-01T16:26:03-03:00

Backgroung: The literature provides support for several different method by which it is possible to quantify, prescribe and control the aerobic workload. Objective: To compare physiological and the affective response among training methods prescribed by VO2 reserve, HR reserve, and rating of perceived exertion (RPE) self-adjusted. Methods: 27 participants were submitted to two trail sessions. In the 1st, a maximum treadmill effort test was performed to determine the VO2max. In the 2nd, the participants were randomly divided into 3 situations of 5 min, with 5 min interval among the situations. In situation 1 (C1), the participants ran at the velocity correspondent to 65% of the VO2 reserve; in situation 2 (C2), participants ran at 60% to 65% of HR reserve and in situation 3 (C3), the participants self-adjustment the velocity by a RPE scale, in a moderate effort (RPE 3-4). The level of body activation and the affective response were obtained pre and post-stimulus administered. An ANOVA was performed and the magnitude of the differences established, with a significance level of p ≤ 0.05. Results: There were no significant differences for velocity in the three situations (p = 0.458). The responses of HR induced by C1 and C3 were significantly higher vs. C2 (p = 0.027 and p = 0.043). The RPE did not show significant differences among the situations (p = 0.118). Finally, the level of activation and sensation perceived activity did not differ significantly (p = 0.168). Conclusion: It was concluded that the exercise responses from the HR reserve were significantly lower when compared to the VO2reserve and RPE. All prescription models provided similar affective responses.

Can the high intensity interval running in slope affect concurrently explosive strength performance?

2022-09-27T14:18:39-03:00

Background: Physical exercise programs are typically composed of activities directed to the development of different physical abilities, usually stimulated in the same session. Objective: The aim of the study was to determine the effect of one session of aerobic exercise at high intensity to 1% and 10% gradient on the height (HJump) and kinematics of the depth jump (PExc - eccentric, concentric phase PCon, and contact time – CT). Methods: Twenty-five moderately trained men (VO2Max 53.2 ± 4.3 mL.kg-1.min-1) attended five visits in the laboratory. Familiarity with the procedures in depth jump, VO2Max measures and their velocity associated (VVO2Max), and time to exhaustion performance (TLim) were performed at two initial visits. Results: On the three subsequent visits, the volunteers were subjected to three maximum depth jumps before and 10 min after the following conditions: (1) running intervals at high intensity of 10% gradient (R10%), (2) at 1% gradient (R1%), and control condition (CON). The order of conditions was determined randomly. A running condition did not induce significant changes from HJump (R1% 1.1% vs 1.0% R10%) when expressed as percentage difference from the CON condition. The PExc, PCon, and CT also did not change after running sessions (P> 0.05). None of the intervals running strategies were able to generate significant change in height and kinematics of the vertical depth jump. Conclusion: The prescription of the running at VVO2Max in 1% or 10% gradient does not seem to lead to concurrent effect, is suggested to ensure the concomitant development of maximal aerobic power and explosive strength.

Comparison between nonperiodized resistance training and nonlinear periodization on muscular peak power in Brazilian soccer players

2022-10-18T17:26:20-03:00

Background: For decades the literature has been investigating the ideal dose-response regarding the frequency, intensity and volume of training that optimize the increase in muscle strength and power in athletes and non-athletes. Objective: Evaluate the effects of strength training from a nonlinear (NLP) and non-periodized (NP) model on muscular peak power in soccer players. Methods: Twelve male junior football players from a professional team in Cabo Frio (Brazil) were recruited and randomly divided into two groups (6 in each group). The groups were randomly divided into: G1 - (Body mass: 64.7 ± 6.5 kg; Height: 172.3 ± 5.8 cm; % fat: 5.1 ± 2.7; Age: 17.5 ± 1.0 years) performed RT with NLP model; G2 - (Body mass: 66.1 ± 4.7; Height: 177.1 ± 6.1 cm; % fat: 5.1 ± 1.2, age: 17.6 ± 0.5 years) performed RT with NP model. Both groups are subjected to 12 weeks of training. PNL strength training consisted of weight training sessions on alternate days, 3 times a week, the rest intervals were 120s among the exercises and included 10 exercises. NLP distribution was as follows: Day 1 (3x4-6 maximum repetitions [RM] with rest intervals of 120 sec between sets); Day 2 (3x8-10RM with 60-90 rest intervals between sets); and day 3 (3x12-15RM with rest intervals of 60 sec between sets). NP training performed the same duration, weekly frequency, exercises and number of sets (3 sets 8-10RM and 60-90 sec rest intervals). Before and after NP and NLP training, muscle peak, speed and agility were evaluated. Results: The ANOVA with mixed model showed no significant interaction between group and moment (F(1,10) = 0.133; p=0.72), and no significant main effect for group (F(1,10) = 0.032; p=0.86) in muscular peak power. There was a significant main effect for moment (F(1,10) = 14.872; p=0.003), where were showed that Post-training presented higher values of muscular peak power compared to Baseline (p= 0.003). Conclusion: It is concluded that both training organization models are effective and can be used to develop peak muscle power.