严重喘成年人的核心功能及其与呼吸症状的关系
Joice M Oliveira1, Vanessa L Clark2, Karina C Furlanetto3
1Graduate Program in Rehabilitation Sciences, Pitágoras-Unopar University, Paraná, Brazil; Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, State University of Londrina, Paraná, Brazil; Asthma and Breathing Research Centre, Hunter Medical Research Institute, Newcastle, New South Wales, Australia; School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia.
与健康人相比,患有严重喘的人表现出较差的核心肌肉功能,影响呼吸症状. 这项研究强调了核心强度降低和严重喘患者呼吸困难增加之间的联系.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 生理学 生理学 生理学
- 骨架肌肉功能 骨架肌肉功能
背景情况:
- 严重的喘与骨肌肉功能障碍有关,但核心功能数据有限.
- 了解严重喘的核心功能对于全面的患者护理至关重要.
研究的目的:
- 将严重喘患者的核心功能与健康对照进行比较.
- 检查严重喘中核心功能中的基于性别的差异.
- 调查核心功能与呼吸系统症状之间的关系.
主要方法:
- 患有严重喘的成年人和健康的对照人接受了三个核心功能测试:部分坐姿,Biering-Sorensen和侧桥.
- 使用修改后的医学研究委员会 (mMRC) 呼吸障碍尺度,修改后的博格尺度和尼米根问卷,量化呼吸症状.
主要成果:
- 与健康对照组相比,严重喘患者 (n=136) 在Biering-Sorensen和侧桥测试中表现明显差 (n=66).
- 在组间的部分坐姿试验中没有观察到任何显著差异.
- 较差的核心功能与报告的呼吸症状增加相关 (mMRC,Borg,Nijmegen).
结论:
- 与健康个体相比,患有严重喘的成年人表现出核心肌肉功能减弱,不论性别.
- 减少核心功能与严重喘中增加的呼吸症状严重程度直接相关.
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