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Respuestas cardiorrespiratorias al entrenamiento aeróbico en pacientes con secuelas de postpoliomielitis
JAMA
|June 9, 1989
Resumen
El entrenamiento de ejercicios aeróbicos mejoró de manera segura la función cardiorrespiratoria en pacientes con secuelas postpolio. Estos individuos respondieron al entrenamiento de manera similar a los adultos sanos, mostrando un mayor consumo de oxígeno y capacidad de ejercicio.
Área de la Ciencia:
- Cardiología Cardiología.
- Neurología Neurología.
- Fisiología del ejercicio Fisiología del ejercicio
Sus antecedentes:
- Las secuelas postpolio pueden conducir a una disminución de la función física y la capacidad cardiorrespiratoria.
- Comprender el impacto del ejercicio en esta población es crucial para la rehabilitación.
Objetivo del estudio:
- Para evaluar los efectos cardiorrespiratorios de un programa de ejercicios aeróbicos de 16 semanas en pacientes con secuelas postpolio.
- Evaluar la seguridad y eficacia del entrenamiento aeróbico en este grupo específico de pacientes.
Principales métodos:
- 16 pacientes con secuelas postpolio participaron en un programa de ejercicios aeróbicos de 16 semanas al 70% de la frecuencia cardíaca máxima.
- Las variables medidas incluyeron la frecuencia cardíaca en reposo/máxima, la presión arterial, el consumo de oxígeno, el consumo de dióxido de carbono, el cociente respiratorio y el volumen máximo expirado.
- Se utilizó un grupo de control para la comparación.
Principales resultados:
- El grupo de ejercicio demostró mejoras significativas en la capacidad de ejercicio, incluida una mayor producción de trabajo (vatios), una mayor duración del ejercicio y un mayor consumo máximo de oxígeno.
- El volumen máximo expirado por unidad de tiempo también mejoró significativamente en el grupo de ejercicio en comparación con el grupo de control.
- No se reportaron eventos adversos, como pérdida de fuerza en las piernas, durante el estudio.
Conclusiones:
- Un programa de entrenamiento aeróbico de 16 semanas es una intervención segura y efectiva a corto plazo para pacientes con secuelas postpolio.
- Los pacientes con secuelas postpolio exhiben adaptaciones cardiorrespiratorias al entrenamiento aeróbico comparables a las observadas en adultos sanos.
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