EMMANUEL GOMES CIOLAC
Projetos de Pesquisa
Unidades Organizacionais
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
4 resultados
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- Muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty(2011) CIOLAC, Emmanuel Gomes; GREVE, Julia Maria D'AndreaOBJECTIVES: To analyze muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty. METHODS: Twenty-three community-dwelling women were divided into the following groups: older, with knee osteoarthritis and total knee arthroplasty in the contralateral limb (OKG; N = 7); older, without symptomatic osteoarthritis (OG; N = 8); and young and healthy (YG; N = 8). Muscle strength (1-repetition maximum strength test) and exercise intensity progression (workload increases of 5%-10% were made whenever adaptation occurred) were compared before and after 13 weeks of a twice-weekly progressive resistance-training program. RESULTS: At baseline, OKG subjects displayed lower muscle strength than those in both the OG and YG. Among OKG subjects, baseline muscle strength was lower in the osteoarthritic leg than in the total arthroplasty leg. Muscle strength improved significantly during follow-up in all groups; however, greater increases were observed in the osteoarthritic leg than in the total knee arthroplasty leg in OKG subjects. Greater increases were also seen in the osteoarthritic leg of OKG than in OG and YG. The greater muscle strength increase in the osteoarthritic leg reduced the interleg difference in muscle strength in OKG subjects, and resulted in similar posttraining muscle strength between OKG and OG in two of the three exercises analyzed. Greater exercise intensity progression was also observed in OKG subjects than in both OG and YG subjects. CONCLUSIONS: OKG subjects displayed greater relative muscle strength increases (osteoarthritic leg) than subjects in the YG, and greater relative exercise intensity progression than subjects in both OG and YG. These results suggest that resistance training is an effective method to counteract the lower-extremity strength deficits reported in older women with knee osteoarthritis and total knee arthroplasty.
conferenceObject Isokinetic Evaluation in Knee Muscles Elite Swimmers: A Comparison between Symmetric and Asymmetric Swimming Styles(2012) SECCHI, Leonardo Luiz B.; CIOLAC, Emmanuel Gomes; MURATT, Mavi Diehl; GREVE, Julia Maria D'Andrea- Exercise-induced improvements in cardiorespiratory fitness and heart rate response to exercise are impaired in overweight/obese postmenopausal women(2011) CIOLAC, Emmanuel Gomes; GREVE, Julia Maria D'AndreaOBJECTIVE: The purpose of this study was to compare the heart rate response to exercise and the exercise-induced improvements in muscle strength, cardiorespiratory fitness and heart rate response between normal-weight and overweight/obese postmenopausal women. METHODS: Sedentary women (n = 155) were divided into normal-weight (n = 79; BMI < 25 kg/m(2); 58.3 +/- 8.6 years) and overweight/obese (n = 76; BMI >= 25 kg/m(2); 58.3 +/- 8.6 years) groups, and have their 1-repetition maximum strength (adjusted for body mass), cardiorespiratory fitness and heart rate response to a graded exercise test compared before and after 12 months of a three times-per-week exercise-training program. RESULTS: Overweight/obese women displayed decreased upper and lower extremity muscle strengths, decreased cardiorespiratory fitness, and lower peak and reserve heart rates compared to normal-weight women. After follow-up, both groups improved their upper (32.9% and 41.5% in normal-weight and overweight/obese women, respectively) and lower extremity(49.5% and 47.8% in normal-weight and overweight/obese women, respectively) muscle strength. However, only normal-weight women improved their cardiorespiratory fitness (6.6%) and recovery heart rate (5 bpm). Resting, reserve and peak heart rates did not change in either group. CONCLUSIONS: Overweight/obese women displayed impaired heart rate response to exercise. Both groups improved muscle strength, but only normal-weight women improved cardiorespiratory fitness and heart rate response to exercise. These results suggest that exercise-induced improvements in cardiorespiratory fitness and heart rate response to exercise may be impaired in overweight/obese postmenopausal women.
- The effects of motor learning on clinical isokinetic performance of postmenopausal women(2011) BRECH, Guilherme Carlos; CIOLAC, Emmanuel Gomes; SECCHI, Leonardo Luiz Barretti; ALONSO, Angelica Castilho; GREVE, Julia Maria D'AndreaObjective: To analyze the effects of motor learning on knee extension-flexion isokinetic performance during clinical isokinetic evaluation of postmenopausal women. Methods: One-hundred and twenty postmenopausal women (60.3 +/- 3.2 years; BMI = 27.6 +/- 4.7 kg/m(2)) without knee pain or injury and that never underwent isokinetic testing, were submitted to two bilateral knee extension-flexion (concentric-concentric) isokinetic evaluation (5 repetitions) at 60 /s (Biodex (TM) Multi-joint System 3 dynamometer). The tests were first performed in the dominant leg, with a 1-min recovery between them, and after a standardized warm-up that included 3 submaximal isokinetic repetitions. The same procedure was repeated in the non-dominant leg. Peak torque (PTQ) was adjusted for body weight (PTQ/BW), total work (TW), coefficient of variation (CV) and agonist/antagonist (agon/antag) ratio was compared between tests. Results: Subjects showed greater levels (P < 0.001) of PTQ PTQ/BW and TW, and lower CV levels (P < 0.01) in test 2 of both legs. Agon/antag ratio did not change significantly between tests. Conclusions: PTQ PTQ/BW, TW and CV improved in the second knee extension flexion isokinetic testing of postmenopausal women. The results suggests that performing two tests, even with a short period of recovery between them, could be considered for reducing motor learning effects on clinical isokinetic evaluation of knee joint in postmenopausal women.