在COPD中进行了20年的神经肌肉电刺激
Antonella LoMauro1, Fabrizio Gervasoni2
1Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy antonella.lomauro@polimi.it.
概括
神经肌肉电刺激 (NMES) 可能会改善COPD患者的四肢肌肉功能,这些患者不能容忍运动. 本综述分析了相互矛盾的数据,强调需要NMES指导方针来优化COPD并发症的治疗.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 运动生理学 运动生理学
背景情况:
- 慢性阻塞性肺病 (COPD) 超越肺部,导致肢体肌肉功能障碍,影响身体活动,运动耐受性,生活质量和生存.
- 降低条件是COPD肢体肌肉功能障碍的主要驱动因素,通过运动部分可逆. 然而,由于喘息而导致的运动不耐受性限制了它对某些患者的适用性.
- 神经肌肉电刺激 (NMES) 为患有呼吸障碍的COPD患者提供了替代的训练方式,旨在改善肌肉功能而不引起呼吸困难.
结论:
- 尽管有相互矛盾的数据,但NMES显示为增强COPD患者四头肌强度和运动能力的有效干预措施.
- NMES有可能中断疾病进展的有害循环和COPD特征的脱条件.
- 进一步的研究是必要的,以建立最佳的NMES参数和专门的指导方针,用于其在COPD管理中的应用.
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