Annals of Rehabilitation Medicine

"Blood pressure"

Original Articles

Effects of Long-Distance Running on Cardiac Markers and Biomarkers in Exercise-Induced Hypertension Runners: An Observational Study: Min-ho Park, Kyung-A Shin, Chul-Hyun Kim, Yoon-Hee Lee, Yongbum Park, Jaeki Ahn, Young-Joo Kim; Ann Rehabil Med 2018;42(4):575-583. Published online August 31, 2018; DOI: https://doi.org/10.5535/arm.2018.42.4.575

Abstract
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Objective
To investigate changes of cardiac and muscle damage markers in exercise-induced hypertension (EIH) runners before running (pre-race), immediately after completing a 100-km ultramarathon race, and during the recovery period (24, 72, and 120 hours post-race).
Methods
In this observational study, volunteers were divided into EIH group (n=11) whose maximum systolic blood pressure was ≥210 mmHg in graded exercise testing and normal exercise blood pressure response (NEBPR) group (n=11). Their blood samples were collected at pre-race, immediately after race, and at 24, 72, and 120 hours post-race.
Results
Creatine kinase (CK) and cardiac troponin I (cTnI) levels were significantly higher in EIH group than those in the NEBPR group immediately after race and at 24 hours post-race (all p<0.05). However, lactate dehydrogenase (LDH), creatine kinase-myocardial band (CKMB), or CKMB/CK levels did not show any significant differences between the two groups in each period. N-terminal pro-brain natriuretic peptide (NT-proBNP) levels were significantly higher in EIH group than those in NEBPR group immediately after race and at 24 and 72 hours postrace (all p<0.05). A high sensitivity C-reactive protein (hs-CRP) level was significantly higher in EIH group than that in NEBPR group at 24 hours post-race (p<0.05).
Conclusion
The phenomenon of higher inflammatory and cardiac marker levels in EIH group may exaggerate cardiac volume pressure and blood flow restrictions which in turn can result in cardiac muscle damage. Further prospective studies are needed to investigate the chronic effect of such phenomenon on the cardiovascular system in EIH runners.

Citations

Citations to this article as recorded by

Prognostic value of exercise blood pressure: role of fitness and exercise training
Jonathan W. Hoch, Christin Domeier, Pannonica Silvestri, Joseph C. Watso
American Journal of Physiology-Heart and Circulatory Physiology.2026; 330(4): H1025. CrossRef
Asymptomatic HyperCKemia: A Case Report and Literature Review
成锋李
Advances in Clinical Medicine.2025; 15(07): 408. CrossRef
Possible Mechanisms for Adverse Cardiac Events Caused by Exercise-Induced Hypertension in Long-Distance Middle-Aged Runners: A Review
Young-Joo Kim, Kyoung-Min Park
Journal of Clinical Medicine.2024; 13(8): 2184. CrossRef
Relationship between echocardiographic characteristics and cardiac biomarkers during long-distance trail running
Romain Jouffroy, Hélène Hergault, Juliana Antero, Antoine Vieillard Baron, Nicolas Mansencal
Frontiers in Cardiovascular Medicine.2022;[Epub] CrossRef
Electrical Cardiometry and Cardiac Biomarkers in 24-h and 48-h Ultramarathoners
Che-Hung Liu, Li-Hua Li, Ming-Long Chang, Wei-Fong Kao, Chorng-Kuang How, Jiun-I Lai, Yen-Kuang Lin, Yu-Hui Chiu, Wen-Han Chang
International Journal of Sports Medicine.2021; 42(11): 1035. CrossRef
Exercise-Induced Cardiac Troponin Elevations: From Underlying Mechanisms to Clinical Relevance
Vincent L. Aengevaeren, Aaron L. Baggish, Eugene H. Chung, Keith George, Øyunn Kleiven, Alma M.A. Mingels, Stein Ørn, Rob E. Shave, Paul D. Thompson, Thijs M.H. Eijsvogels
Circulation.2021; 144(24): 1955. CrossRef
Long‐term biological variability and the generation of a new reference interval for plasma N‐terminal pro‐B‐type natriuretic peptide in Labrador retrievers
S. Gomart, D. Allaway, M. Harrison, D. Dickson, J. Seo, L. Ferasin, J. R. Payne, M. J. Hezzell, K. Borgeat
Journal of Small Animal Practice.2020; 61(6): 368. CrossRef
Acute Responses of Novel Cardiac Biomarkers to a 24-h Ultra-Marathon
Aleksandra Żebrowska, Zbigniew Waśkiewicz, Pantelis T. Nikolaidis, Rafał Mikołajczyk, Damian Kawecki, Thomas Rosemann, Beat Knechtle
Journal of Clinical Medicine.2019; 8(1): 57. CrossRef
Race duration and blood pressure are major predictors of exercise-induced cardiac troponin elevation
Øyunn Kleiven, Torbjørn Omland, Øyvind Skadberg, Tor Harald Melberg, Magnus Friestad Bjørkavoll-Bergseth, Bjørn Auestad, Rolf Bergseth, Ole Jakob Greve, Kristin Moberg Aakre, Stein Ørn
International Journal of Cardiology.2019; 283: 1. CrossRef

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Cardiovascular Response During Submaximal Underwater Treadmill Exercise in Stroke Patients: Jeehyun Yoo, Kil-Byung Lim, Hong-Jae Lee, Yong-Geol Kwon; Ann Rehabil Med 2014;38(5):628-636. Published online October 30, 2014; DOI: https://doi.org/10.5535/arm.2014.38.5.628

Abstract
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Objective

To evaluate the cardiovascular response during head-out water immersion, underwater treadmill gait, and land treadmill gait in stroke patients.

Methods

Ten stroke patients were recruited for underwater and land treadmill gait sessions. Each session was 40 minutes long; 5 minutes for standing rest on land, 5 minutes for standing rest in water or on treadmill, 20 minutes for treadmill walking in water or on land, 5 minutes for standing rest in water or on treadmill, and 5 minutes for standing rest on land. Blood pressure (BP) and heart rate (HR) were measured during each session. In order to estimate the cardiovascular workload and myocardial oxygen demand, the rate pressure product (RPP) value was calculated by multiplying systolic BP (SBP) by HR.

Results

SBP, DBP, mean BP (mBP), and RPP decreased significantly after water immersion, but HR was unchanged. During underwater and land treadmill gait, SBP, mBP, DBP, RPP, and HR increased. However, the mean maximum increases in BP, HR and RPP of underwater treadmill walking were significantly lower than that of land treadmill walking.

Conclusion

Stroke patients showed different cardiovascular responses during water immersion and underwater gait as opposed to standing and treadmill-walking on land. Water immersion and aquatic treadmill gait may reduce the workload of the cardiovascular system. This study suggested that underwater treadmill may be a safe and useful option for cardiovascular fitness and early ambulation in stroke rehabilitation.

Citations

Citations to this article as recorded by

Effects of Aquatic Exercise in Post-exercise Hypotension: A Systematic Review and Meta-Analysis
Cristina Oliveira Trindade, Emerson Cruz Oliveira, Daniel Barbosa Coelho, Juliano Casonatto, Lenice Kappes Becker
Frontiers in Physiology.2022;[Epub] CrossRef
Treadmill Exercise and its Effect on Rehabilitation of Patients after Ischemic strok: A Narrative Study
Monireh Motaqi, Ali Ghanjal, Mahsa Afrand
International Journal of Musculoskeletal Pain Prevention.2022; 7(3): 730. CrossRef
Changes in Keyboard Typing Accuracy and Spatial Perception after Cardiovascular Fitness Exercise
Myeonggon Moon, Dewan Md. Sumsuzzman, Jeonghyun Choi, Ashura Suleiman Kazema, Zeeshan Ahmad Khan, Yonggeun Hong
Journal of Lifestyle Medicine.2022; 12(2): 89. CrossRef
The effect of aquatic physical therapy in patients with stroke: A systematic review and meta-analysis
Sara Giuriati, Annamaria Servadio, Giulia Temperoni, Andrea Curcio, Donatella Valente, Giovanni Galeoto
Topics in Stroke Rehabilitation.2021; 28(1): 19. CrossRef
The acute effect of aquatic physiotherapy on heart rate, blood pressure, and double product in individuals with Parkinson’s disease
Juliana Siega, Adriano Zanardi da Silva, Manoela de Paula Ferreira, Bruna Yamaguchi, Vera Lucia Israel
Physiotherapy Quarterly.2021; 29(4): 70. CrossRef
The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial
Pei-Hsin Ku, Szu-Fu Chen, Yea-Ru Yang, Ta-Chang Lai, Ray-Yau Wang
Scientific Reports.2020;[Epub] CrossRef
Acute Effects of Water-Based Concurrent Training Intrasession Exercise Sequences on Energy Expenditure in Young Women
Mariana R. Silva, Cristine L. Alberton, Caroline O. Braga, Stephanie S. Pinto
Journal of Physical Activity and Health.2020; 17(2): 156. CrossRef
Effectiveness of Hydrotherapy on Balance and Paretic Knee Strength in Patients With Stroke
Choong Sik Chae, Ji Hyun Jun, Sun Im, Yongjun Jang, Geun-Young Park
American Journal of Physical Medicine & Rehabilitation.2020; 99(5): 409. CrossRef
Cardiorespiratory Responses to Pool Floor Walking in People Poststroke
Brenda Jeng, Takuto Fujii, Hyosok Lim, Konstantinos Vrongistinos, Taeyou Jung
Archives of Physical Medicine and Rehabilitation.2018; 99(3): 542. CrossRef
Influence of water depth on energy expenditure during aquatic walking in people post stroke
Hyosok Lim, Daniel Azurdia, Brenda Jeng, Taeyou Jung
Physiotherapy Research International.2018;[Epub] CrossRef
Efficacy of Aquatic Treadmill Training on Gait Symmetry and Balance in Subacute Stroke Patients
Mi Eun Lee, Geun Yeol Jo, Hwan Kwon Do, Hee Eun Choi, Woo Jin Kim
Annals of Rehabilitation Medicine.2017; 41(3): 376. CrossRef
Poststroke alterations in heart rate variability during orthostatic challenge
Joel Rodriguez, Andrew Philip Blaber, Markus Kneihsl, Irhad Trozic, Rebecca Ruedl, David A. Green, James Broadbent, Da Xu, Andreas Rössler, Helmut Hinghofer-Szalkay, Franz Fazekas, Nandu Goswami
Medicine.2017; 96(14): e5989. CrossRef
Effect of Underwater Exercise on Lower-Extremity Function and Quality of Life in Post-Stroke Patients: A Pilot Controlled Clinical Trial
Shuji Matsumoto, Tomohiro Uema, Keiko Ikeda, Kodai Miyara, Tomofumi Nishi, Tomokazu Noma, Megumi Shimodozono
The Journal of Alternative and Complementary Medicine.2016; 22(8): 635. CrossRef
Effects of Underwater Treadmill Gait Training on Gait, Balance, and Pulmonary Function in Stroke Patients
Ho-june Yang, Jong-duk Choi
Physical Therapy Korea.2015; 22(4): 34. CrossRef
Cardiovascular Stress Induced by Whole-Body Vibration Exercise in Individuals With Chronic Stroke
Lin-Rong Liao, Gabriel Y.F. Ng, Alice Y.M. Jones, Marco Y.C. Pang
Physical Therapy.2015; 95(7): 966. CrossRef

8,829 View
73 Download
13 Web of Science
15 Crossref

Changes of Autonomic Nervous Function after Foot Bathing in Normal Adults.: Kim, Hyun Dong , Do, Hyun Kyung , Um, Mi Ja; J Korean Acad Rehabil Med 2010;34(1):74-78.

Abstract
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Objective
To monitor the changes of autonomic nervous function before and after foot bathing through autonomic function tests using electrophysiological instrument. Method: Twenty five healthy adults took a foot bathing through popular 'foot bath' for 30 minutes at 43^oC. Autonomic tests were performed three times before foot bathing, immediately and 15 minutes after foot bathing. Sympathetic skin response (SSR) and blood pressure after sustained grip for sympathetic tone, heart rate variation during deep breathing and Valsalva maneuver for parasympathetic tone (Expiratory/Inspiratory (E/I) ratio, Valsalva ratio) were measured. Results: SSR amplitudes in one hand decreased significantly during foot bathing (p＜0.05) and did not return to their initial levels within 15 minutes after foot bathing. But, blood pressure after sustained grip, E/I ratio and Valsalva ratio did not show statistical difference (p＞0.05). Conclusion: Heat therapy through foot bathing in normal adults reduced sudomotor response to electrical stimuli, which can be considered as reduction of specific sympathetic nervous function. We propose that foot bathing could be promising one of partial heat therapies for pain without cardiovascular complications unlike conventional whole body bathing. (J Korean Acad Rehab Med 2010; 34: 74-78)

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Detrusor and Blood Pressure Responses to Dorsal Penile Nerve Stimulation during Hyper-reflexic Bladder Contraction in Patients with Cervical Cord Injury.: Lee, Young Hee , Creasey, Graham H , Lee, Sang Shin , Kim, Taek Sun , Song, Jae Man , Song, Ki Hak , Lim, Hyunkyo; J Korean Acad Rehabil Med 2002;26(4):409-413.

Abstract
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Objective: To investigate the immediate effect of dorsal penile nerve (DPN) stimulation on detrusor pressure (P_det) and blood pressure (BP) during hyper-reflexic contractions of the bladder in patients with cervical spinal cord injury (SCI).

Method: The subjects were eight male patients with cervical SCI who had symptoms of autonomic dysreflexia. During water-cystometry, BP was monitored using an intra-arterial catheter into the radial artery, and was recorded simultaneously with the P_det. Electrical stimulation was applied to the DPN, using surface electrodes each time a bladder contraction was detected. Baseline BP and BP at the first and the last hyper-reflexic contractions of bladder were measured with P_det, respectively.

Results: As P_detincreased, the BP increased in all cases. The reflex contractions of the bladder were effectively suppressed by DPN stimulation, and as the P_detdecreased during stimulation, radial arterial pressure also decreased immediately and significantly.

Conclusion: DPN stimulation can lower both P_detand the elevated BP. (J Korean Acad Rehab Med 2002; 26: 409- 413)