结合耐力和抵抗奇特训练对慢性阻塞性肺部疾病患者的肌肉功能和功能表现的影响:随机对照试验
Simone Pancera1, Nicola F Lopomo2, Roberto Porta1
1IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Archives of physical medicine and rehabilitation
|September 16, 2023
概括
基于古怪的训练 (ECC) 在慢性阻塞性肺病 (COPD) 患者中显著改善了下肢肌肉功能. 然而,与传统培训相比,ECC并没有提高功能表现或降低死亡风险.
科学领域:
- 肺部医学 肺部医学
- 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:
- 患有慢性阻塞性肺病 (COPD) 的患者经常经历外周肌肉功能障碍,影响炼能力和生活质量.
- 基于异常的训练 (ECC) 是一种新的方法,可以针对肌肉力量和功能更有效.
研究的目的:
- 评估ECC程序对COPD患者的外周肌肉功能和功能性运动能力的坚持和有效性.
- 在这个人群中,比较ECC与传统培训 (CON).
主要方法:
- 一项前性,评估者盲目的随机对照试验与30名稳定的COPD住院患者进行.
- 参与者被分配到4周的联合耐力和抵抗ECC或CON.
- 肌肉功能 (四肢体峰值扭矩,力量发展速度,肌肉质量) 和功能能力 (步行距离6分钟,步行速度,坐立测试) 在基线,干预后和3个月后续评估.
主要成果:
- 与基线相比,ECC组在四头骨峰值扭矩,力量发展速度和肌肉质量方面表现出显著改善.
- 对于训练后的力量发展率,观察到有利于ECC的群体间显著差异.
- 两组都在6分钟的步行距离,步行速度,呼吸障碍和死亡风险方面表现出临床相关的改善,ECC和CON之间没有显著差异.
结论:
- 与传统训练相比,联合耐力和抵抗ECC有效地改善了COPD住院患者的下肢肌肉功能.
- 与传统培训相比,ECC对功能表现,呼吸不良或死亡风险没有提供额外的好处.
- 在COPD患者中,ECC可能特别有利于增强骨肌肉功能.
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