跑步机运动和阻力训练在患有外围动脉疾病的患者中,有或没有间歇性关节:一个随机对照试验
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
概括
被监督的跑步机炼显著改善了周围动脉疾病 (PAD) 患者的步行距离和血管功能. 下肢阻力训练也提高了PAD患者的行走能力和生活质量.
科学领域:
- 心血管医学 心血管医学
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 周围动脉疾病 (PAD) 对下肢功能产生影响,对非阴患者来说,已确立的运动益处有限.
- 目前正在研究监督运动干预措施,以改善PAD的功能结果.
研究的目的:
- 为了比较受监督的跑步机运动与下肢抵抗训练在PAD患者的功能表现上的有效性.
- 评估步行能力,血管功能和生活质量的改善.
主要方法:
- 一项随机对照试验,涉及156名患有PAD的患者.
- 参与者被分配到受监督的跑步机炼,下肢抵抗训练或对照组.
- 关键的结果措施包括6分钟的步行测试,短时间的体力表现电池和臂动脉流媒体扩张.
主要成果:
- 被监督的跑步机运动显著改善了6分钟的步行距离 (35.9米) 和臂动脉流量介导扩张.
- 跑步机运动和抵抗训练都增加了跑步机最大步行时间,改善了生活质量得分 (SF-36 PF).
- 抵抗训练对爬楼梯的能力有好处,而这两种干预都没有改善短时间的身体性能电池分数.
结论:
- 监督的跑步机训练有效地提高了PAD患者的行走性能,血管功能和生活质量.
- 下肢阻力训练也为功能性表现提供了好处,包括爬楼梯和生活质量.
- 这两种运动方式都没有改善PAD队列中的短时间体能电池得分.
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