Monteiro Estêvão R, Pescatello Linda S, Winchester Jason B, Corrêa Neto Victor G, Brown Amanda F, Budde Henning, Marchetti Paulo H, Silva Julio G, Vianna Jeferson M, Novaes Jefferson da Silva
Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Undergraduate Program in Physical Education, Augusto Motta University Center, Rio de Janeiro, Brazil.
J Strength Cond Res. 2022 Apr 1;36(4):948-954. doi: 10.1519/JSC.0000000000004137.
Monteiro, ER, Pescatello, LS, Winchester, JB, Corrêa Neto, VG, Brown, AF, Budde, H, Marchetti, PH, Silva, JG, Vianna, JM, and Novaes, JdS. Effects of manual therapies and resistance exercise on postexercise hypotension in women with normal blood pressure. J Strength Cond Res 36(4): 948-954, 2022-The purpose of this investigation was to examine the acute effects of resistance exercise (RE) and different manual therapies (static stretching and manual massage [MM]) performed separately or combined on blood pressure (BP) responses during recovery in women with normal BP. Sixteen recreationally strength-trained women (age: 25.1 ± 2.9 years; height: 158.9 ± 4.1 cm; body mass: 59.5 ± 4.9 kg; body mass index: 23.5 ± 1.9 kg·m-2; baseline systolic BP median: 128 mm Hg; and baseline diastolic BP median: 78 mm Hg) were recruited. All subjects performed 6 experiments in a randomized order: (a) rest control (CON), (b) RE only (RE), (c) static-stretching exercise only (SS), (d) MM only, (e) RE immediately followed by SS (RE + SS), and (f) RE immediately followed by MM (RE + MM). RE consisted of 3 sets of bilateral bench press, back squat, front pull-down, and leg press exercises at 80% of 10RM. Static stretching and MM were applied unilaterally in 2 sets of 120 seconds to each of the quadriceps, hamstring, and calf regions. Systolic (SBP) and diastolic BP were measured before (rest) and every 10 minutes for 60 minutes following (Post 10-60) each intervention. There were significant intragroup differences for RE in Post-50 (p = 0.038; d = -2.24; ∆ = -4.0 mm Hg). Similarly, SBP intragroup differences were found for the SS protocol in Post-50 (p = 0.021; d = -2.67; ∆ = -5.0 mm Hg) and Post-60 (p = 0.008; d = -2.88; ∆ = -5.0 mm Hg). Still, SBP intragroup differences were found for the MM protocol in Post-50 (p = 0.011; d = -2.61; ∆ = -4.0 mm Hg) and Post-60 (p = 0.011; d = -2.74; ∆ = -4.0 mm Hg). Finally, a single SBP intragroup difference was found for the RE + SS protocol in Post-60 (p = 0.024; d = -3.12; ∆ = -5.0 mm Hg). Practitioners should be aware that SS and MM have the potential to influence BP responses in addition to RE or by themselves and therefore should be taken into consideration for persons who are hypertensive or hypotensive.
蒙泰罗，E.R.，佩斯卡特洛，L.S.，温彻斯特，J.B.，科雷亚·内托，V.G.，布朗，A.F.，布德，H.，马尔凯蒂，P.H.，席尔瓦，J.G.，维亚纳，J.M.，以及诺瓦斯，J.d.S. 手法治疗和抗阻运动对血压正常女性运动后低血压的影响。《力量与体能研究杂志》36(4): 948 - 954，2022年——本研究的目的是探讨抗阻运动（RE）以及单独或联合进行的不同手法治疗（静态拉伸和手法按摩[MM]）对血压正常女性恢复过程中血压（BP）反应的急性影响。招募了16名有休闲力量训练经验的女性（年龄：25.1±2.9岁；身高：158.9±4.1厘米；体重：59.5±4.9千克；体重指数：23.5±1.9千克·米²；基线收缩压中位数：128毫米汞柱；基线舒张压中位数：78毫米汞柱）。所有受试者按随机顺序进行6项实验：（a）休息对照（CON），（b）仅抗阻运动（RE），（c）仅静态拉伸运动（SS），（d）仅手法按摩（MM），（e）抗阻运动后立即进行静态拉伸（RE + SS），以及（f）抗阻运动后立即进行手法按摩（RE + MM）。抗阻运动包括3组双侧卧推、深蹲、下拉和腿举练习，强度为10次重复最大值的80%。静态拉伸和手法按摩单侧应用于每组股四头肌、腘绳肌和小腿区域，每组持续120秒，共2组。在每次干预前（休息时）以及干预后每10分钟测量一次收缩压（SBP）和舒张压，持续60分钟（干预后10 - 60分钟）。在干预后50分钟时，抗阻运动组存在显著的组内差异（p = 0.038；d = -2.24；∆ = -4.0毫米汞柱）。同样，在干预后50分钟（p = 0.021；d = -2.67；∆ = -5.0毫米汞柱）和干预后60分钟（p = 0.008；d = -2.88；∆ = -5.0毫米汞柱）时，静态拉伸方案的收缩压存在组内差异。此外，在干预后50分钟（p = 0.011；d = -2.61；∆ = -4.0毫米汞柱）和干预后60分钟（p = 0.011；d = -2.74；∆ = -4.0毫米汞柱）时，手法按摩方案的收缩压也存在组内差异。最后，在干预后60分钟时，抗阻运动加静态拉伸方案存在单个收缩压组内差异（p = 0.024；d = -3.12；∆ = -5.0毫米汞柱）。从业者应意识到，除了抗阻运动本身外，静态拉伸和手法按摩有可能影响血压反应，因此对于高血压或低血压患者应予以考虑。
