断続的なクラウディケーションとない外周動脈疾患の患者におけるトレッドミルの運動とレジスタンストレーニング:ランダム化制御試験
Mary M McDermott1, Philip Ades, Jack M Guralnik
1Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. mdm608@northwestern.edu
JAMA
|January 15, 2009
まとめ
監督されたトレッドミルの運動は,外周動脈疾患 (PAD) の患者の歩行距離と血管機能を大幅に改善しました. 下肢レジスタンストレーニングは,PAD患者の歩行能力と生活の質を向上させました.
科学分野:
- 心血管医学は,心臓血管医学である.
- 運動生理学 運動生理学
- リハビリテーション・サイエンス・サイエンス
背景:
- 周辺動脈疾患 (PAD) は下肢の機能に影響を及ぼし,クラウジカントでない患者のための運動の利益は有限です.
- PADにおける機能的アウトカムを改善するために,監督された運動介入が調査されています.
研究 の 目的:
- PAD患者における機能的パフォーマンスの上での,下肢レジスタンストレーニングと,監督されたトレッドミルの運動の効果を比較する.
- 歩行能力,血管機能,生活の質の改善を評価する.
主な方法:
- PAD患者156人を対象としたランダム化対照試験.
- 参加者は,監督されたトレッドミルの運動,下肢レジスタンストレーニング,またはコントロールグループに割り当てられました.
- 重要な結果の指標には,6分歩行テスト,短期間の身体能力の蓄電池,および腕動脈の流れ媒介による膨張が含まれています.
主要な成果:
- 監督されたトレッドミルの運動は,6分の歩行距離 (35.9 m) と腕動脈の流動媒介の膨張を大幅に改善しました.
- トレードミルの運動とレジスタンストレーニングの両方が,トレードミルの最大歩行時間を増加させ,生活の質のスコア (SF-36 PF) を改善しました.
- 抵抗トレーニングは,階段を登る能力に利点を示したが,いずれの介入も短期間の身体能力のバッテリースコアを改善しなかった.
結論:
- 監督されたトレッドミルのトレーニングは,PAD患者の歩行性能,血管機能,生活の質を向上させるのに有効です.
- 下肢レジスタンストレーニングは,階段登りや生活の質を含む機能的パフォーマンスのためにも利点を提供します.
- このPADコホートにおける短期間の体力パフォーマンスバッテリースコアを改善した運動モードはどちらもありません.
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