运动治疗对外周动脉疾病的运动治疗
Neela D Thangada1, Mary M McDermott2
1Feinberg School of Medicine, Northwestern University, 750 N Lake Shore Dr, 10th floor, Chicago, IL, 60611, USA.
监督和在家进行步行炼是对外围动脉疾病 (PAD) 的有效治疗方法. 有行为支持的结构化家庭计划显示,PAD患者的步行距离显著改善.
科学领域:
- 血管医学 血管医学
- 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:
- 周围动脉疾病 (PAD) 通常会导致下肢疼痛和行走障碍.
- 运动是PAD管理的基石,但最佳方式需要澄清.
研究的目的:
- 审查目前关于运动干预下肢外围动脉疾病 (PAD) 的证据.
主要方法:
- 随机临床试验和实践指南的系统审查.
- 对结果的分析,包括步行距离和患者的坚持.
主要成果:
- 被监督的跑步机炼可以提高约180米的步行距离.
- 在家进行散步炼与行为支持,改善6分钟的步行距离40-54m.
- 与步行运动相比,手臂/腿人体工程学的有效性尚不清楚.
结论:
- 步行运动,监督或在家进行,是PAD相关的步行障碍的主要治疗方法.
- 基于家庭的计划可以提高可访问性和坚持性.
- 需要进一步的研究来比较人体力测量与步行运动.
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