一个为期8周的强制性有氧自行车计划改善了慢性中风患者的心肺健康:一项随机对照试验
Susan M Linder1, John Lee2, Francois Bethoux2
1Cleveland Clinic, Department of Physical Medicine and Rehabilitation, Cleveland, OH; Cleveland Clinic, Department of Biomedical Engineering, Lerner Research Institute, Cleveland, OH.
强制性有氧运动与重复性任务练习相结合,在慢性中风幸存者中显著改善了心肺呼吸能力. 这种方法可以改善中风后的运动和心肺功能.
科学领域:
- 心血管呼吸系统康复疗法
- 脑卒中恢复科学 脑卒中恢复科学
- 运动生理学 运动生理学
背景情况:
- 慢性中风往往导致心肺呼吸能力受损,影响功能恢复.
- 上肢重复性任务实践 (UE RTP) 是一种常见的康复策略.
- 将有氧运动纳入中风康复的心肺呼吸系统效应尚未完全理解.
研究的目的:
- 在慢性中风患者中研究强制性有氧运动 (FE) 干预措施对心肺呼吸系统的影响.
- 为了比较FE与UE RTP相结合的FE与单独的UE RTP的影响.
主要方法:
- 来自一项随机对照试验的数据的二次分析,涉及60名慢性中风患者.
- 参与者被分配到FE之后的RTP (FE+RTP,N=30) 或单独的RTP (N=30).
- FE涉及45分钟的自行车骑行60-80%的心率储备,随后是45分钟的RTP;对照组接受了90分钟的RTP.
主要成果:
- 50名参与者完成了这项研究. 与RTP组 (P=.020) 相比,FE+RTP组在峰值氧气消耗 (峰值V·o2) 中表现出显著更大的改善.
- 与RTP组相比,FE+RTP组也观察到无氧值 (AT) 的显著改善 (P=.020).
- 在年龄,性别,BMI,β阻塞剂使用或特定运动变量中,没有发现干预后峰值V·o2的显著预测因素.
结论:
- 将强制性有氧运动整合到中风康复中,可以有效地改善心肺呼吸能力.
- 这种新的康复模式显示了在中风幸存者中增强运动和心肺呼吸功能的潜力.
- 结合FE+RTP的方法可以提供更全面的恢复策略.
更多相关视频
12:59Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
Published on: July 5, 2017
00:07Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
相关概念视频
Exercise and Cardiac Output
Sustained exercise increases the muscles' oxygen demand, which can be...
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Exercise and Cardiovascular Response
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
