Efecto de la apnea-caminando a diferentes intensidades de esfuerzo percibido sobre la hipoalgesia en sujetos sanos. Un estudio piloto

• Cristian Mendoza-Arranz ^[1] ; Francisco DeAsís-Fernández ^[2] ; Álvaro Reina Varona ^[3] ; Mario González-Iglesias ^[1] ; Laia Medina-Olmos ^[1] ; José Fierro-Marrero ^[3]
  1. [1] Universidad Autónoma de Madrid

     Universidad Autónoma de Madrid

     Madrid, España

     
  2. [2] Physical Activity and HealthResearch Group (AFYS), Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain; Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid; Cognitive Neuroscience, Pain, and Rehabilitation Research Group, Faculty of Health Sciences, Rey Juan Carlos University, Madrid
  3. [3] Physical Activity and Health Research Group (AFYS), Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain; Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Spain; Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Spain

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• Localización: Journal of Move & Therapeutic Science, ISSN 2695-6330, Vol. 7, Nº. 1, 2025, págs. 694-706
• Idioma: español
• DOI: 10.37382/jomts.v7i1.1589
• Títulos paralelos:
  • Effect of walking-apnea at different intensities of perceived exertion on hypoalgesia in healthy subjects. A pilot study
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  • español

    Objetivos:Se realizó un ensayo controlado aleatorizado, en sujetos sanos, para analizar los efectos hipoalgésicos de una intervención de apnea realizada a diferentes intensidades de esfuerzo percibido.Métodos:Se reclutaron y aleatorizaron 38 participantes. Los participantes del grupo de apnea (AG) realizaron un protocolo de apneas intermitentes a bajo volumen pulmonar en un tapiz rodante, mientras que los del grupo control realizaron un ejercicio aeróbico. Ambos grupos realizaron tres bloques de intervención consecutivos a intensidades crecientes: ligera (Borg CR10: 2-3), moderada (Borg CR10: 5-6) y vigorosa (Borg CR10: 7-8). Se analizaron los cambios en los umbrales de dolor a la presión (PPT) entre los gruposy después de cada bloque de esfuerzo percibido.Resultados: El modelo ANCOVA no demostró diferencias significativas en los cambios de los PPTs entre los grupos en las diferentes intensidades, excepto en la intensidad ligera (DM = 0,61, SE = 0,23, IC 95% [0,17, 1,11], Z = 2,63, P = 0,0086)a favor del AG.El ANOVA de medidas repetidas reveló un efecto significativo de la intensidad del ejercicio sobre los PPT en el AG para el pulgar (F(3, 111) = 2,7644, p = 0,04532), C7 (F(3, 111) = 10,397, p < 0,0001) y tibial (F(3, 111) = 7,3664, p = 0,0002).Conclusiones: No hubo diferencias en los PPT entre las intervenciones de apnea y controlen ninguno de los estadios de esfuerzo percibido, excepto en la zona del pulgar a intensidad leve. Los resultados mostraron que los cambios en los PPT se incrementaron de forma directamente proporcional a la intensidad percibida en AG, mostrando una hipoalgesia similar, con un menor requerimiento de carga externa

  • English

    Objectives:A randomized controlled trial was conducted, in healthy subjects, to analyse the hypoalgesic effects of an apnea intervention performed at different perceived effort intensities.Methods: Thirty-eight participants were recruited and randomized. Participants in the apnea group (AG) performed a protocol of intermittent walking-apneas at low pulmonary volume on a treadmill, while those in the Control Group (CG) performed an aerobic exercise. Both groups performed three consecutive intervention blocks at increasing intensities: light (Borg CR10: 2-3), moderate (Borg CR10: 5-6), and vigorous (Borg CR10: 7-8). Pressure pain thresholds (PPTs) changes were analysed between groups and after each perceived effort block.Results: ANCOVA model demonstrated no significant differences in PPTs changes between the groups across different intensities except at light intensity (MD = 0.61, SE = 0.23, 95% CI [0.17, 1.11], Z = 2.63, P = 0.0086)in favour of the AG. The repeated measures ANOVA revealed a significant effect of exercise intensity on PPTs in the AG for thumb (F(3, 111) = 2.7644, p = 0.04532), C7 (F(3, 111) = 10.397, p < 0.0001) and tibialis (F(3, 111) = 7.3664, p = 0.0002).Conclusion:There were no differences in PPTs between apnea and aerobic interventions in none of the perceived exertion stages, except in the thumb area at light intensity. Results showed that changes in PPTs were increased directly proportional to perceived intensityin AG, showing similar hypoalgesia, with a lower external load requirement

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