鼓舞性肌肉训练对肺高血压患者的影响
Buse Ozcan Kahraman1, Aylin Tanriverdi2, Sema Savci1
1Faculty of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.
The American journal of cardiology
|July 31, 2023
概括
启发性肌肉训练 (IMT) 在肺高血压患者中显著改善了血压,呼吸和运动能力. 这种康复方法可以改善PH患者的日常生活,疲劳和精神健康.
科学领域:
- 心肺康复中心心肺康复中心
- 呼吸系统医学 呼吸系统医学
- 临床运动生理学 临床运动生理学
背景情况:
- 肺高血压 (PH) 显著影响患者的生活质量和功能能力.
- 目前PH的康复策略往往侧重于有氧训练,不太重视特定的呼吸肌干预.
- 鼓舞性肌肉衰弱是PH中常见的并发症,有助于呼吸障碍和运动不耐受.
研究的目的:
- 研究结构化启发性肌肉训练 (IMT) 计划对肺高血压患者各种临床和功能参数的影响.
- 评估IMT对PH患者呼吸肌肉强度,运动能力,血液动力状况和生活质量的影响.
主要方法:
- 一项随机对照,评估者盲目的研究,涉及24名PH患者.
- 干预组每天接受8周的IMT,每天30分钟以最大吸气压的40-60%进行IMT.
- 综合性评估包括呼吸肌肉强度,隔膜厚度,肺功能,血压,动脉硬,运动能力 (包括上肢),体力活动,疲劳,焦虑和生活质量.
主要成果:
- 在8周的干预后,IMT组与对照组相比显示出显著的改善.
- 在手臂和中央血压,减少呼吸困难,增强呼吸肌肉强度和增加隔膜厚度方面观察到主要改善.
- 此外,在膝盖伸展强度,功能性炼能力,上肢功能性炼能力,体力活动水平,日常生活活动,减少疲劳,改善生活质量和焦虑水平方面也注意到了显著的收益.
结论:
- 鼓舞性肌肉训练是肺高血压患者的有效干预措施.
- IMT显示出多方面的好处,改善心血管,呼吸和功能参数,以及心理健康.
- 这项研究支持将IMT整合到PH患者的心肺康复计划中,以优化结果.
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