在慢性中风中,在上肢重复性任务实践期间表征心率反应
Sara Davidson1, Andrea Bischof-Bockbrader2, Eric Zimmerman3
1Sara Davidson, PTA, BSAS, is Administrative Program Coordinator, Concussion Center, Cleveland Clinic, Cleveland, OH; davidss@ccf.org.
概括
在中风康复中,重复性任务练习可以增加有氧强度. 将总运动任务纳入站立姿势,目标在肩高度或以上,可以最大限度地提高这种反应.
科学领域:
- 神经学 神经学
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 有氧运动中风后的心肺益处已经确立.
- 典型的中风康复缺乏足够的有氧反应.
研究的目的:
- 在上肢重复任务练习 (RTP) 期间描述心率反应.
- 确定预测RTP期间有氧强度更高的因素.
主要方法:
- 随机临床试验数据的二次分析.
- 19名参与者患有慢性中风.
- 90分钟的RTP为8周的24次会议.
- 通过心率储备 (HRR) 测量的有氧强度.
主要成果:
- 79.5%的任务引起了非常轻的有氧反应 (<30%HRR).
- 10.3%的任务引起了中度至强烈的有氧反应 (≥40%HRR).
- 站立姿势,总运动任务和肩高度或以上的目标预测更高的HRR (p < .001).
结论:
- 为了在中风后的RTP期间最大限度地提高有氧强度,治疗师应该在站立姿势中整合总运动任务,目标在肩高度或以上.
- 监测心率可以提高训练期间对有氧反应的认识.
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