{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:34:57Z","timestamp":1776087297004,"version":"3.50.1"},"reference-count":33,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T00:00:00Z","timestamp":1643932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["UID04045\/2020"],"award-info":[{"award-number":["UID04045\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Post-exercise hypotension is of great clinical relevance and also in sports training settings, as recovery speed is important. The aim of this study was to compare the influence of different recovery methods on post-exercise hemodynamic response. Twelve male paraplegic sportsmen (25.40 \u00b1 3.30 years) performed a strength training (ST) session using the bench press exercise. After the ST, three recovery methods were randomly performed over a 15-min period: passive recovery (PR), cold-water (CW) and dry needle (DN). Blood pressure (BP), heart rate (HR) and myocardial oxygen were measured before and post ST, as well as post the recovery method. Results: Dry needling induced lower systolic blood pressure (SBP) immediately after the treatment when compared with the other recovery methods, but the contrary was observed at 50 and 60-min post recovery, where records with DN exhibit higher mean values (\u03b72p = 0.330). There were no differences in post-exercise diastolic BP and mean BP between recovery methods. There was a significantly higher HR after the PR method, when compared with CW and with DN (\u03b72p = 0.426). The same was observed for double product and for myocardial oxygen, though with a larger effect size (\u03b72p = 0.446). We conclude that dry needling seems to induce a faster SBP lowering immediately after the procedure but at 50-min post procedure the cold-water method showed better result. As for HR, both procedures (DN and CW) showed a better recovery when compared with passive recovery, along the several moments of measurement.<\/jats:p>","DOI":"10.3390\/ijerph19031772","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T11:35:17Z","timestamp":1643974517000},"page":"1772","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Can Post-Exercise Hemodynamic Response Be Influenced by Different Recovery Methods in Paraplegic Sportsmen?"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7378-4529","authenticated-orcid":false,"given":"Felipe J.","family":"Aidar","sequence":"first","affiliation":[{"name":"Department of Physical Education, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, Brazil"}]},{"given":"Edilson F.","family":"Dantas","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Federal University of Sergipe (UFS), S\u00e3o Cristov\u00e3o 49100-000, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2860-2260","authenticated-orcid":false,"given":"Paulo F.","family":"Almeida-Neto","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal 59078-970, Brazil"}]},{"given":"Frederico R.","family":"Neto","sequence":"additional","affiliation":[{"name":"Paralympic Sports Program, SARAH Rehabilitation Hospital Network, Brasilia 71535-005, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8105-7580","authenticated-orcid":false,"given":"Nuno D.","family":"Garrido","sequence":"additional","affiliation":[{"name":"Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Tr\u00e1s os Montes and Alto Douro University, 5001-801 Vila Real, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9966-9956","authenticated-orcid":false,"given":"Breno G.","family":"Cabral","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal 59078-970, Brazil"}]},{"given":"Tiago","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Exercise Physiology Laboratory, Estacio de S\u00e1 University, Rio de Janeiro 22790-710, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4996-1414","authenticated-orcid":false,"given":"Victor M.","family":"Reis","sequence":"additional","affiliation":[{"name":"Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Tr\u00e1s os Montes and Alto Douro University, 5001-801 Vila Real, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1007\/s40279-016-0575-0","article-title":"The Epidemiology of Injuries Across the Weight-Training Sports","volume":"47","author":"Keogh","year":"2017","journal-title":"Sports Med."},{"key":"ref_2","first-page":"102","article-title":"Effect of 16 Weeks of Periodized Resistance Training on Strength Gains of Powerlifting Athletes","volume":"17","author":"Joao","year":"2014","journal-title":"J. Exerc. Physiol. Online"},{"key":"ref_3","first-page":"42","article-title":"Leucocytes, Cytokines and Satellite Cells: What Role Do They Play in Muscle Damage and Regeneration Following Eccentric Exercise?","volume":"18","author":"Paulsen","year":"2012","journal-title":"Exerc. Immunol. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Santos, W.Y., Aidar, F.J., Matos, D.G., Van den Tillaar, R., Mar\u00e7al, A.C., Lobo, L.F., Marcucci-Barbosa, L.S., Machado, S.D., Almeida-Neto, P.F., and Garrido, N.D. (2021). Physiological and Biochemical Evaluation of Different Types of Recovery in National Level Paralympic Powerlifting. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18105155"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Paz, \u00c2.D., Aidar, F.J., de Matos, D.G., de Souza, R.F., da Silva-Grigoletto, M.E., van den Tillaar, R., Ramirez-Campillo, R., Nakamura, F.Y., Costa, M.D., and Nunes-Silva, A. (2020). Comparison of Post-Exercise Hypotension Responses in Paralympic Powerlifting Athletes after Completing Two Bench Press Training Intensities. Medicina, 56.","DOI":"10.3390\/medicina56040156"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1519\/JSC.0000000000001591","article-title":"Can Cold Water Immersion Enhance Recovery in Elite Olympic Weightlifters? An Individualized Perspective","volume":"31","author":"Schimpchen","year":"2017","journal-title":"J. Strength Cond. Res."},{"key":"ref_7","first-page":"CD008262","article-title":"Cold-Water Immersion (Cryotherapy) for Preventing and Treating Muscle Soreness after Exercise","volume":"2","author":"Bleakley","year":"2012","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1249\/MSS.0000000000001223","article-title":"Cold Water Mediates Greater Reductions in Limb Blood Flow than Whole Body Cryotherapy","volume":"49","author":"Mawhinney","year":"2017","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s11655-017-2800-6","article-title":"Evidence and Expert Opinions: Dry Needling versus Acupuncture (II): The American Alliance for Professional Acupuncture Safety (AAPAS) White Paper 2016","volume":"23","author":"Fan","year":"2017","journal-title":"Chin. J. Integr. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1899","DOI":"10.2147\/JPR.S154728","article-title":"Trigger Point Dry Needling for the Treatment of Myofascial Pain Syndrome: Current Perspectives within a Pain Neuroscience Paradigm","volume":"12","author":"Nijs","year":"2019","journal-title":"J. Pain Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1038\/hr.2012.215","article-title":"Increased Mean Arterial Pressure Response to Dynamic Exercise in Normotensive Subjects with Multiple Metabolic Risk Factors","volume":"36","author":"Miyai","year":"2013","journal-title":"Hypertens. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1111\/cpf.12193","article-title":"Acute Resistance Exercise with Blood Flow Restriction Effects on Heart Rate, Double Product, Oxygen Saturation and Perceived Exertion","volume":"36","author":"Neto","year":"2016","journal-title":"Clin. Physiol. Funct. Imaging"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"863","DOI":"10.3389\/fpsyg.2013.00863","article-title":"Calculating and Reporting Effect Sizes to Facilitate Cumulative Science: A Practical Primer for t-Tests and ANOVAs","volume":"4","author":"Lakens","year":"2013","journal-title":"Front. Psychol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A Power Primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol. Bull."},{"key":"ref_15","first-page":"616","article-title":"Acute Hemodynamic and Cardiovascular Responses Following Resistance Exercise to Voluntary Exhaustion. Effects of Different Loadings and Exercise Durations","volume":"56","author":"Gjovaag","year":"2016","journal-title":"J. Sports Med. Phys. Fitness"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1152\/jappl.1985.58.3.785","article-title":"Arterial blood pressure response to heavy resistance exercise","volume":"58","author":"MacDougall","year":"1985","journal-title":"J. Appl. Physiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1161\/01.HYP.22.5.653","article-title":"Postexercise Hypotension. Key Features, Mechanisms, and Clinical Significance","volume":"22","author":"Kenney","year":"1993","journal-title":"Hypertension"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e004473","DOI":"10.1161\/JAHA.112.004473","article-title":"Exercise Training for Blood Pressure: A Systematic Review and Meta-analysis","volume":"2","author":"Cornelissen","year":"2013","journal-title":"J. Am. Heart Assoc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1177\/2047487316664147","article-title":"The Blood Pressure-Lowering Effect of a Single Bout of Resistance Exercise: A Systematic Review and Meta-Analysis of Randomised Controlled Trials","volume":"23","author":"Casonatto","year":"2016","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1590\/1517-869220172302166667","article-title":"Powerlifting Sessions Promote Significant Post-Exercise Hypotension","volume":"23","author":"Bocalini","year":"2017","journal-title":"Rev. Bras. Med. Esporte"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1519\/JSC.0000000000000322","article-title":"The Effect of Exercise Intensity on Postresistance Exercise Hypotension in Trained Men","volume":"28","author":"Duncan","year":"2014","journal-title":"J. Strength Cond. Res."},{"key":"ref_22","first-page":"95","article-title":"Effect of High- versus Low-Intensity Resistance Training on Post-Exercise Hypotension in Male Athletes: Original Research Article","volume":"10","author":"Boroujerdi","year":"2009","journal-title":"Int. SportMed J."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"60","DOI":"10.6063\/motricidade.6020","article-title":"Acute Effect of Resistance Exercise Performed at Different Intensities on the Hemodynamics of Normotensive Men","volume":"12","author":"Saldanha","year":"2016","journal-title":"Motricidade"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1097\/01.brs.0000158941.21571.01","article-title":"Acupuncture and Dry-Needling for Low Back Pain: An Updated Systematic Review within the Framework of the Cochrane Collaboration","volume":"30","author":"Furlan","year":"2005","journal-title":"Spine"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ctim.2017.01.003","article-title":"Abdominal and Auricular Acupuncture Reduces Blood Pressure in Hypertensive Patients","volume":"31","author":"Abdi","year":"2017","journal-title":"Complement. Ther. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"8676490","DOI":"10.1155\/2019\/8676490","article-title":"The Mechanism of Acupuncture in Treating Essential Hypertension: A Narrative Review","volume":"2019","author":"Li","year":"2019","journal-title":"Int. J. Hypertens."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1089\/acu.2013.0960","article-title":"Acupuncture\u2019s Cardiovascular Actions: A Mechanistic Perspective","volume":"25","author":"Longhurst","year":"2013","journal-title":"Med. Acupunct."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1925","DOI":"10.23736\/S0022-4707.19.09771-8","article-title":"Cold Water Immersion Recovery Strategy Increases Blood Pressure Levels after High-Intensity Intermittent Exercise","volume":"59","author":"Yang","year":"2019","journal-title":"J. Sports Med. Phys. Fitness"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1007\/s40279-016-0483-3","article-title":"What Are the Physiological Mechanisms for Post-Exercise Cold Water Immersion in the Recovery from Prolonged Endurance and Intermittent Exercise?","volume":"46","author":"Ihsan","year":"2016","journal-title":"Sports Med."},{"key":"ref_30","unstructured":"Pandolf, K.B., and Burr, R.E. (2001). Medical Aspects of Harsh Environments, Office of the Surgeon General, United States Army."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/cpf.12380","article-title":"Peripheral Blood Flow Changes in Response to Postexercise Cold Water Immersion","volume":"38","author":"Choo","year":"2018","journal-title":"Clin. Physiol. Funct. Imaging"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1111\/sms.13014","article-title":"Cold-Water or Partial-Body Cryotherapy? Comparison of Physiological Responses and Recovery Following Muscle Damage","volume":"28","author":"Hohenauer","year":"2018","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1111\/sms.12060","article-title":"Cold-Water Immersion Decreases Cerebral Oxygenation but Improves Recovery after Intermittent-Sprint Exercise in the Heat","volume":"24","author":"Minett","year":"2014","journal-title":"Scand. J. Med. Sci. Sports"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/3\/1772\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:14:02Z","timestamp":1760134442000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/3\/1772"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,4]]},"references-count":33,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["ijerph19031772"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19031772","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,4]]}}}