慢性肺炎患者的低负荷血流限制力量训练:一项随机的单盲试点研究
Dario Kohlbrenner1,2, Manuel Kuhn3,2, Anastasios Manettas4,5
1Faculty of Medicine, University of Zurich, Zurich, Switzerland dario.kohlbrenner@usz.ch.
Thorax
|December 21, 2023
概括
低负荷血流限制训练 (LL-BFRT) 和高负荷力量训练 (HL-ST) 同样改善了COPD患者的腿部力量. 在初始的肺部康复治疗期间,LL-BFRT减少了呼吸障碍.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
- 心血管健康 呼吸系统健康
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响身体功能和生活质量.
- 肺部康复计划旨在提高COPD患者的运动能力和减少COPD患者的症状.
- 在肺部康复中优化运动干预措施对于患者的治疗结果至关重要.
研究的目的:
- 为了比较下肢低负荷血流限制训练 (LL-BFRT) 与高负荷力量训练 (HL-ST) 的有效性.
- 评估这些训练方法对COPD患者进行肺部康复的腿部力量的影响.
- 评估二次结果,包括功能能力,体力活动和症状负担.
主要方法:
- 随机对照试验涉及30名COPD患者,他们被分配到LL-BFRT或HL-ST24次.
- 在LL-BFRT中使用了30%的1重复最大 (1RM) 与70%的动脉阻塞压力;HL-ST使用了70%的1RM.
- 主要结局:对称的膝盖延伸器和屈曲器强度. 二次结局:1-RM,功能能力,体力活动和症状负担.
主要成果:
- 两组LL-BFRT和HL-ST都显示出异比腿部强度的临床相关改善,两组之间没有显著差异.
- 一分钟的坐立测试表现和每日体力活动水平仅在LL-BFRT组显著改善.
- 与HL-ST相比,LL-BFRT在最初的12个训练课程中导致感知呼吸障碍较低,腿部疲劳增加.
结论:
- 在肺部康复过程中,LL-BFRT在改善COPD患者的腿部力量方面并不优于HL-ST.
- LL-BFRT实现了与HL-ST相比的强度增长.
- 在康复的早期阶段,LL-BFRT可以通过减少感知到的呼吸障碍来提供好处.
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