在第一次缺血性中风后的三个月内,心肺健康,体育活动和疲劳
Petra Larsson1,2, Elisabeth Edvardsen3,4, Caryl L Gay5,6
1Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Topics in stroke rehabilitation
|March 27, 2024
概括
在中风幸存者中,更高的心肺呼吸能力 (CRF) 与增加的体力活动 (PA) 和减少疲劳有关. 通过运动改善CRF可能会增强中风后的恢复和幸福感.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 关于心肺呼吸能力 (CRF),体力活动 (PA) 和中风后疲劳的研究有限.
- 了解这些关系对于优化中风康复和患者结果至关重要.
研究的目的:
- 在缺血性中风后三个月评估CRF,PA和疲劳水平.
- 要区分患有受损CRF的患者与没有受损CRF的患者.
- 检查中风幸存者的CRF,PA和疲劳之间的关联.
主要方法:
- 横截面研究设计. 截面研究设计.
- 进行心肺运动测试,以测量高峰氧气吸收 (VO2峰值) 以评估CRF.
- 用于测量PA的加速度计和用于评估疲劳的疲劳严重程度表 (FSS).
主要成果:
- 与参考值相比,中风患者表现出较低的CRF (86%的预测).
- 较高的CRF与较高的中度至强度体力活动 (MVPA) 和较低的疲劳水平有显著的关联.
- 损坏的CRF与更高的身体脂肪百分比和更少的MVPA有关,疲劳增加的趋势.
结论:
- 卒中幸存者往往减少了CRF,经常与超重和肥胖有关.
- 升高的CRF与增加的PA和减少疲劳相关,这表明炼有好处.
- 针对性炼干预措施对于中风患者具有受损的CRF来说可能特别有利,以改善功能恢复.
相关概念视频
Exercise and Cardiovascular Response
802
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
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...
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...
802
Muscle Recovery and Fatigue
2.1K
Muscle fatigue refers to the decline in a muscle's ability to maintain the force of contraction after prolonged activity. It primarily stems from changes within muscle fibers. Even before experiencing muscle fatigue, one may feel tired and have the urge to stop the activity. This response, known as central fatigue, occurs due to changes in the central nervous system, namely the brain and spinal cord. While there is no single mechanism that induces fatigue, it may serve as a protective...
2.1K
Exercise and Cardiac Output
1.0K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.0K
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
883
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
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...
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...
883
Assessment of the Cardiovascular System I: Subjective Data
323
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
323
Ischemic Heart Disease: Overview
1.3K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K


