Pilates in Heart Failure Patients: A Randomized Controlled Pilot Trial

Background: Conventional cardiac rehabilitation program consist of 15 min of warm-up, 30 min of aerobic exercise and followed by 15 min calisthenics exercise. The Pilates method has been increasingly applied for its therapeutic benefits, however little scientific evidence supports or rebukes its use as a treatment in patients with heart failure (HF). Purpose: Investigate the effects of Pilates on exercise capacity variables in HF. Methods: Sixteen pts with HF, left ventricular ejection fraction 27 +/- 14%, NYHA class III were randomly assigned to conventional cardiac rehabilitation program (n = 8) or mat Pilates training (n = 8) for 16 weeks of 30 min of aerobic exercise followed by 20 min of the specific program. Results: At 16 weeks, pts in the mat Pilates group and conventional group showed significantly increase on exercise time 11.9 +/- 2.5 to 17.8 +/- 4 and 11.7 +/- 3.9 to 14.2 +/- 4 min, respectively. However, only the Pilates group increased significantly the ventilation (from 56 +/- 20 to 69 +/- 17 L/min, P= 0.02), peak VO2 (from 20.9 +/- 6 to 24.8 +/- 6 mL/kg/min, P= 0.01), and O-2 pulse (from 11.9 +/- 2 to 13.8 +/- 3 mL/bpm, P= 0.003). The Pilates group showed significantly increase in peak VO2 when compared with conventional group (24.8 +/- 6 vs. 18.3 +/- 4, P= 0.02). Conclusions: The result suggests that the Pilates method may be a beneficial adjunctive treatment that enhances functional capacity in patients with HF who are already receiving standard medical therapy.

Palavras-chave

Exercise, Heart failure, Pilates, Rehabilitation

URI

https://observatorio.fm.usp.br/handle/OPI/162

Referências

Adams BJ, 2008, AM J CARDIOL, V101, P1403, DOI 10.1016/j.amjcard.2008.01.016
Ades PA, 2006, CIRCULATION, V113, P2706, DOI 10.1161/CIRCULATIONHA.105.606624
Beckers PJ, 2008, EUR HEART J, V29, P1858, DOI 10.1093/eurheartj/ehn222
Belardinelli R, 2008, CIRC-HEART FAIL, V1, P107, DOI 10.1161/CIRCHEARTFAILURE.108.765727
Belardinelli R, 1999, CIRCULATION, V99, P1173
Bocchi EA, 2008, INT BRAZ J UROL, V34, P302
Bocchi EA, 2008, CIRC-HEART FAIL, V1, P115, DOI 10.1161/CIRCHEARTFAILURE.107.744870
Borghi-Silva A, 2008, AM J PHYSIOL-HEART C, V294, pH2465, DOI 10.1152/ajpheart.91520.2007
Bjornstad H, 2001, EUR HEART J, V22, P37
Carvalho VO, 2009, CIRC J, V73, P1871
Carvalho VO, 2009, CARDIOL J, V16, P426
Carvalho VO, 2009, ARQ BRAS CARDIOL, V93, P39
Carvalho Vitor O, 2009, Congest Heart Fail, V15, P176, DOI 10.1111/j.1751-7133.2009.00093.x
Curiati JA, 2005, J ALTERN COMPLEM MED, V11, P465, DOI 10.1089/acm.2005.11.465
Guimaraes GV, 2010, HYPERTENS RES, V33, P627, DOI 10.1038/hr.2010.42
Guimaraes GV, 2008, CLINICS, V63, P201
Guimaraes GV, 2010, INT J CARDIOL, V145, P75, DOI 10.1016/j.ijcard.2009.05.001
Hambrecht R, 2000, JAMA-J AM MED ASSOC, V283, P3095, DOI 10.1001/jama.283.23.3095
Hornig B, 1996, CIRCULATION, V93, P210
Kligfield P, 2006, CIRCULATION, V114, P2070, DOI 10.1161/CIRCULATIONAHA.105.561944
Kuo YL, 2009, SPINE, V34, P1046, DOI 10.1097/BRS.0b013e31819c11f8
Maruo T, 2006, AM J CARDIOL, V97, P699, DOI 10.1016/j.amjcard.2005.09.118
Miche E, 2008, CLIN RES CARDIOL, V97, P615, DOI 10.1007/s00392-008-0660-y
O'Connor CM, 2009, JAMA-J AM MED ASSOC, V301, P1439, DOI 10.1001/jama.2009.454
Pullen PR, 2010, MED SCI SPORT EXER, V42, P651, DOI 10.1249/MSS.0b013e3181bf24c4
RICH MW, 1995, NEW ENGL J MED, V333, P1190, DOI 10.1056/NEJM199511023331806
Segal NA, 2004, ARCH PHYS MED REHAB, V85, P1977, DOI 10.1016/j.apmr.2004.01.036
Smart N, 2004, AM J MED, V116, P693, DOI 10.1016/j.amjmed.2003.11.033
Sorosky Susan, 2008, Curr Rev Musculoskelet Med, V1, P39, DOI 10.1007/s12178-007-9004-1
van Tol BAF, 2006, EUR J HEART FAIL, V8, P841, DOI 10.1016/j.ejheart.2006.02.013
Yeh GY, 2004, AM J MED, V117, P541, DOI 10.1016/j.amjmed.2004.04.016

Coleções

Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11

Página do item completo