Air stacking: effects of Pilates mat exercises on muscle strength and on pulmonary function in patients with cystic fibrosis

Caroline Buarque Franco, Antonio Fernando Ribeiro, André Moreno Morcillo, Mariana Porto Zambon, Marina Buarque Almeida, Tatiana Rozov, Caroline Buarque Franco, Antonio Fernando Ribeiro, André Moreno Morcillo, Mariana Porto Zambon, Marina Buarque Almeida, Tatiana Rozov

Abstract

Objective: To analyze the effects of Pilates mat exercises in patients with cystic fibrosis (CF).

Methods: This was a clinical trial involving 19 CF patients recruited from either the CF Outpatient Clinic of the State University at Campinas Hospital de Clínicas or the Children's Institute of the University of São Paulo School of Medicine Hospital das Clínicas. All of the patients performed Pilates mat exercises for four months (one 60-min session per week). The variables studied (before and after the intervention) were respiratory muscle strength, MIP, MEP, FVC, and FEV1.

Results: After the intervention, MIP was significantly higher in the male patients (p = 0.017), as were MIP and MEP in the female patients (p = 0.005 and p = 0.007, respectively). There were no significant differences between the pre- and post-intervention values of FVC or FEV1, neither in the sample as a whole nor among the patients of either gender.

Conclusions: Our results show that Pilates mat exercises have beneficial effects on respiratory muscle strength in CF patients.

References

    1. Ribeiro JD, Ribeiro MA, Ribeiro AF. Controversies in cystic fibrosis--from pediatrician to specialist [Article in Portuguese] J Pediatr (Rio J) 2002;78 doi: 10.2223/JPED.896.
    1. Turcios NL. Cystic fibrosis: an overview. J Clinic Gastroenterol. 2005;39(4):307–317.
    1. Connett GJ. Peebles A, Connett GJ, Maddison JC, Gavin J. Cystic fibrosis care: A practical guide. London: Churchill Livingstone; 2005. Respiratory care; pp. p. 37–p. 57.
    1. Gruber W, Orenstein DM, Braumann KM, Paul K, Hüls G. Effects of an exercise program in children with cystic fibrosis: are there differences between females and males? J Pediatr. 2011;158(1):71–76. doi: 10.1016/j.jpeds.2010.07.033.
    1. Wilkes D, Schneiderman JE, Nguyen T, Heale L, Moola F, Ratjen F, et al. Exercise and physical activity in children with cystic fibrosis. Pediatr Respir Rev. 2009;10(3):105–109. doi: 10.1016/j.prrv.2009.04.001.
    1. Klijn PH, Oudshoorn A, van der Ent CK, van der Net J, Kimpen JL, Helders PJ. Effects of anaerobic training in children with cystic fibrosis: a randomized controlled study. Chest. 2004;125(4):1299–1305. doi: 10.1378/chest.125.4.1299.
    1. Orenstein DM, Hovell MF, Mulvihill M, Keating KK, Hofstetter CR, Kelsey S, et al. Strength vs aerobic training in children with cystic fibrosis: a randomized controlled trial. Chest. 2004;126(4):1204–1214. doi: 10.1378/chest.126.4.1204.
    1. Webb AK, Dodd ME, Moorcroft J. Exercise and cystic fibrosis. J R Soc Med. 1995;88(Suppl 25):30–36.
    1. Craig C. Pilates com a bola. 2nd ed. São Paulo: Phorte; 2005.
    1. Selby A, Herdman A. Pilates: como criar o corpo que você deseja. Barueri: Manole; 2000. pp. p. 10–p. 77.
    1. Emery K, De Serres SJ, McMillan A, Côté JN. The effects of Pilates training program on arm-trunk posture and movement. Clin Biomech (Bristol, Avon). 2010;25(2):124–130. doi: 10.1016/j.clinbiomech.2009.10.003.
    1. Rogers K, Gibson AL. Eight-week traditional mat Pilates training-program effects on adult fitness characteristics. Res Q Exerc Sport. 2009;80(3):569–574. doi: 10.1080/02701367.2009.10599595.
    1. Brown S. Pilates: man or method. J Dance Medicine and Science. 1999;3(4):137–138.
    1. Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969;99(5):696–702.
    1. Wilson SH, Cooke NT, Edwards RH, Spiro SG. Predicted normal values for maximal respiratory pressures in caucasian adults and children. Thorax. 1984;39(7):535–538. doi: 10.1136/thx.39.7.535.
    1. Zanchet RC, Chagas AM, Melo JS, Watanabe PY, Simões-Barbosa A, Feijo G. Influence of the technique of re-educating thoracic and abdominal muscles on respiratory muscle strength in patients with cystic fibrosis. J Bras Pneumol. 2006;32(2):123–129. doi: 10.1590/S1806-37132006000200007.
    1. Galvão F. Avaliação dos efeitos do treinamento muscular inspiratório em pacientes com fibrose cística através do uso do threshold IMT. Campinas: Universidade Estadual de Campinas; 2006.
    1. Orenstein DM, Franklin BA, Doershuk CF, Hellerstein HK, Germann KJ, Horowitz JG, et al. Exercise conditioning and cardiopulmonary fitness in cystic fibrosis. The effects of a three-month supervised running program. Chest. 1981;80(4):392–398. doi: 10.1378/chest.80.4.392.
    1. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319–338. doi: 10.1183/09031936.05.00034805.
    1. Rogers D, Prasad SA, Doull I. Exercise testing in children with cystic fibrosis. J R Soc Med. 2003;96(Suppl 43):23–29.
    1. Shoemaker MJ, Hurt H, Arndt L. The evidence regarding exercise training in the management of cystic fibrosis: a systematic review. Cardiopulm Phys Ther J. 2008;19(3):75–83.
    1. Moorcroft AJ, Dodd ME, Morris J, Webb AK. Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial. Thorax. 2004;59(12):1074–1080. doi: 10.1136/thx.2003.015313.
    1. Werkman MS, Hulzebos HJ, Arets HG, van der Net J, Helders PJ, Takken T. Is static hyperinflation a limiting factor during exercise in adolescents with cystic fibrosis? Pediatr Pulmonol. 2011;46(2):119–124. doi: 10.1002/ppul.21329.

Source: PubMed

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