Perspectivas contemporâneas sobre o treinamento resistido em indivíduos com lesão medular - uma revisão narrativa

  • Lucas Vieira Santos Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
  • Leonardo Silveira Goulart Silva Institute of Biological and Health Sciences, Federal University of Viçosa, Florestal Campus, Florestal, Minas Gerais, Brazil.
  • Ítalo Santiago Alves Viana Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
  • Rafael de Freitas Ferreira Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
  • Karla Raphaela da Silva Ramos Freitas Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
  • Eveline Torres Ferreira Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
  • Claudia Eliza Patrocínio de Oliveira Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
  • Osvaldo Costa Moreira Department of Physical Education, Federal University of Viçosa, Viçosa Campus, Viçosa, Minas Gerais, Brazil.
Palavras-chave: Força muscular, Reabilitação neuromuscular, Capacidade funcional, Qualidade de vida, Paraplegia

Resumo

Spinal cord injury (SCI) profoundly affects motor and sensory functions, resulting in a range of physiological, psychological, and social challenges. Resistance training (RT) has emerged as an effective intervention for improving muscle strength, functional capacity, and quality of life in individuals with SCI. However, research on specific RT modalities tailored to this population remains limited. This narrative review explores contemporary RT approaches beyond traditional resistance training (TRT), including circuit resistance training (CRT), functional training (FT), high-intensity resistance training (HIRT), and flywheel resistance training (FWRT). CRT has demonstrated benefits in muscle strength, cardiorespiratory fitness, and body composition, with no reported adverse effects, making it a safe and practical option. FT emphasizes task-specific movement patterns, promoting greater functional independence and agility. HIRT protocols-using intensities up to 95% of one-repetition maximum-have shown to be both safe and effective in enhancing bone mineral content, muscle power, and psychological well-being. FWRT, employing inertial flywheel devices, offers advantages such as greater muscle activation, lower metabolic demand, and improved neuromuscular adaptations. Despite these promising outcomes, methodological limitations persist, particularly regarding long-term periodization, progression strategies, and access to flywheel equipment. Future research should aim to optimize training protocols and strengthen the evidence base for the safety and effectiveness of these RT modalities in the SCI population. This review highlights the importance of individualized, progressive RT strategies to maximize functional outcomes and overall well-being in individuals with SCI.

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Publicado
2025-12-01
Como Citar
Santos, L. V., Silva, L. S. G., Viana, Ítalo S. A., Ferreira, R. de F., Freitas, K. R. da S. R., Ferreira, E. T., Oliveira, C. E. P. de, & Moreira, O. C. (2025). Perspectivas contemporâneas sobre o treinamento resistido em indivíduos com lesão medular - uma revisão narrativa. RBPFEX - Revista Brasileira De Prescrição E Fisiologia Do Exercício, 19(124), 717-723. Recuperado de https://www.rbpfex.com.br/index.php/rbpfex/article/view/3131
Edição
v. 19 n. 124 (2025)
Seção
Artigos Científicos - Revisão

Copyright (c) 2025 Lucas Vieira Santos, Leonardo Silveira Goulart Silva, Ítalo Santiago Alves Viana, Rafael de Freitas Ferreira, Karla Raphaela da Silva Ramos Freitas, Eveline Torres Ferreira, Claudia Eliza Patrocínio de Oliveira, Osvaldo Costa Moreira

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