启发性肌肉训练对青少年异常性关节炎心肺功能的影响:一项随机对照试验
Devrim Can Sarac1, Deniz Bayraktar1, Derya Ozer Kaya1
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkiye.
启发性肌肉训练 (IMT) 在患有青少年异常性关节炎 (JIA) 的儿童中显著改善了呼吸功能和有氧能力. 这种非侵入性干预为改善JIA患者的身体表现提供了有希望的方法.
科学领域:
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
- 运动生理学 运动生理学
背景情况:
- 青少年异常性关节炎 (JIA) 是一种影响儿童的慢性疾病,可能对呼吸和运动能力产生影响.
- 启发性肌肉训练 (IMT) 已为患有风湿性疾病的成年人建立,但其在患有JIA的儿科患者群体中的有效性尚未得到充分证实.
研究的目的:
- 评估一个为期8周的家庭IMT计划在改善被诊断患有JIA的儿童的呼吸功能和有氧能力方面的有效性.
主要方法:
- 一项随机对照试验涉及33名患有JIA的儿童 (13-18岁),分为IMT炼组 (n=17) 和对照组 (n=16).
- 运动组每天进行IMT8周,负载逐渐增加. 评估了呼吸系统参数 (FVC,FEV1,PImax,PEmax) 和心肺运动测试措施 (VO2峰值,METs).
- 用6分钟步行测试和儿科生活质量库存3.0关节炎模块来评估功能能力和生活质量.
主要成果:
- IMT组在强迫生命能力 (FVC),1秒内强迫呼气体积 (FEV1),最大吸气压 (PImax) 和最大呼气压 (PEmax) 中显著改善.
- 与对照组相比,IMT组的峰值氧气消耗 (VO2峰值) 和代谢等效 (METs) 也显著增加.
- 呼吸和有氧措施的这些改善在统计学上是显著的 (p < .05) 在运动组比对照组更大.
结论:
- 家庭IMT是一种有效的干预措施,可以增强患有JIA的儿童的呼吸肌肉力量和有氧运动能力.
- IMT提出了一个可行的,非药物战略,以改善JIA的儿科患者的身体功能和潜在的生活质量.
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