启发性肌肉训练对单侧腹膜功能障碍患者的运动性喘息的影响:一项随机试验
Michele R Schaeffer1, Zafeiris Louvaris1, Antenor Rodrigues1,2
1Department of Rehabilitation Sciences, Research Group for Rehabilitation in Internal Disorders, KU Leuven, Leuven, Belgium.
启发性肌肉训练 (IMT) 改善了单边腹膜功能障碍 (UDD) 的呼吸和运动能力. 改善可能源于增强的隔膜外呼吸肌功能,而不是隔膜恢复.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 单侧隔膜功能障碍 (UDD) 是呼吸障碍的一个未被确诊的原因.
- 启发性肌肉训练 (IMT) 是对UDD的唯一保守治疗方法,但其机制仍然不清楚.
- 这项研究研究了IMT对UDD患者呼吸不良,运动耐受性和呼吸肌功能的影响.
研究的目的:
- 描述IMT对UDD患者呼吸障碍和运动耐受性的影响.
- 在UDD中探索IMT后改善的潜在机制.
主要方法:
- 15名UDD患者被随机分配到6个月的IMT (n=10) 或假训练 (n=5) 中.
- 在训练前和训练后评估了最大吸入口腔压力 (PI,max),呼吸障碍 (TDI) 和循环耐力.
- 在炼期间测量了食道和胃压力,呼吸肌肉EMG和氧化率.
主要成果:
- 与虚假组相比,IMT组在PI,max,TDI得分和循环耐力方面显著改善.
- 在隔离时间运动期间,IMT组表现出降低的Pes,Pga和肌EMG.
- 在IMT后观察到骨和腹肌氧和指数的增加,但在假药组中没有.
结论:
- 在UDD患者中,IMT有效改善呼吸障碍和运动耐受性.
- 这些好处并非通过改善隔离膜功能来调解.
- 改善可能是由于增加了额外腹膜呼吸肌的强度,协调和/或氧化.
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