author = "Abreu, Eliz{\^a}ngela M{\'a}rcia de Carvalho and Alves, Rani de 
                         Souza and Pereira, Leandro Orlandi and LIma, Fernanda Pupio Silva 
                         and Paula J{\'u}nior, Alderico Rodrigues de and Lima, M{\'a}rio 
          affiliation = "{Universidade do Vale do Para{\'{\i}}ba (UNIVAP)} and {Instituto 
                         Nacional de Telecomunica{\c{c}}{\~o}es (INATEL)} and 
                         {Universidade do Vale do Para{\'{\i}}ba (UNIVAP)} and 
                         {Universidade do Vale do Para{\'{\i}}ba (UNIVAP)} and {Instituto 
                         Nacional de Pesquisas Espaciais (INPE)} and {Universidade do Vale 
                         do Para{\'{\i}}ba (UNIVAP)}",
                title = "Efeitos da canoagem adaptada sobre o sistema cardiopulmonar de 
              journal = "Revista Brasileira de Medicina do Esporte",
                 year = "2016",
               volume = "22",
               number = "5",
                pages = "386--392",
                month = "Sept./Oct.",
             keywords = "Autonomic nervous system, Paraplegia, Respiratory function tests, 
                         Sports for persons with disabilities.",
             abstract = "Introduction: Cardiovascular and pulmonary diseases are among the 
                         leading causes of morbidity and mortality in individuals with 
                         spinal cord injury (SCI). Physical training can be an alternative 
                         therapy to prevent or mitigate cardiopulmonary complications in 
                         this population. Objective: To evaluate the effects of training 
                         with adapted canoeing, consisting of combined exercise (aerobic 
                         and strength) on heart rate variability (HRV), pulmonary function 
                         and respiratory muscle strength in paraplegics due to SCI. 
                         Methods: The study included six paraplegics, five men and one 
                         woman, average age of 31.50  7.68 years and mean body mass index 
                         of 24.00  1.13 kg/m2, level of injury T4 to T9, who underwent 
                         training with adapted canoeing for three months. Subjects were 
                         evaluated by HRV, spirometry and manovacuometer before and after 
                         the training period. Results: After training there was no 
                         significant increase in RR (12.7%), SDNN (24.3%), rMSSD (50.0%), 
                         pNN50 (478.6%), LF (ms2) (53.3%), HF (ms2) (158.8%) SD1 (50.6%), 
                         SD2 (23.2%) and SampEn (20.2%). The HF indices (un) and LF/HF 
                         showed no significant decrease of 5.7 and 7.0%, respectively. The 
                         highest breathing gains were for MVV (9.7%), MIP (8.5%) and MEP 
                         (11.0%), being however not significant. Conclusion: The proposed 
                         protocol of three months of adapted canoeing failed to promote 
                         significant effects on cardiopulmonary parameters evaluated in 
                         paraplegic subjects after SCI, but we observe the trend of 
                         improvement in most of these parameters. In this sense, probably 
                         the training stimulus was insufficient.",
                  doi = "10.1590/1517-869220162205154030",
                  url = "http://dx.doi.org/10.1590/1517-869220162205154030",
                 issn = "1517-8692",
             language = "pt",
           targetfile = "abreu_efeitos.pdf",
        urlaccessdate = "29 nov. 2020"