结构化的不同炼方案可以改善中风患者的肺功能,呼吸肌肉强度和厚度. 一个随机对照试验
Abdurrahim Yildiz1, Rengin Demir2, Rustem Mustafaoglu3
1Department of Physiotherapy and Rehabilitation, Sakarya University of Applied Sciences, Sakarya, Türkiye.
Topics in stroke rehabilitation
|May 23, 2024
概括
核心稳定运动 (CSE) 与神经肌肉电刺激 (NMES) 或Kinesio taping (KT) 结合,并没有显著改善中风患者的肺功能或呼吸能力. 这些额外的疗法对单独的CSE没有任何额外的好处.
科学领域:
- 康复医学 康复医学 康复医学
- 神经学 神经学
- 肺部病理学 肺部病理学
背景情况:
- 核心稳定运动 (CSE) 单独或与神经肌肉电刺激 (NMES) 和Kinesio taping (KT) 对中风患者呼吸功能的影响尚不清楚.
- 研究这些综合疗法对于优化中风后恢复至关重要.
研究的目的:
- 为了比较NMES和KT的有效性,当与CSE一起用于改善中风幸存者的肺功能,呼吸肌肉强度和厚度时.
- 为了确定辅助疗法是否能提高单独CSE之外的结果.
主要方法:
- 45名中风患者被随机分为三个组:CSE,CSE+KT或CSE+NMES.
- 干预时间为30-45分钟,每周3次,持续6周.
- 评估了肺功能,呼吸道肌肉强度 (MIP,MEP),咳峰值流量和呼吸道肌肉厚度.
主要成果:
- 在大多数肺功能和呼吸道肌肉强度指标中,没有发现群体之间的统计学上显著差异.
- 虽然一些参数,如FVC (%pred),FEV1 (%pred) 和MEP,最初显示了按时间的群体相互作用,但事后分析显示没有显著的群体间差异.
结论:
- 将NMES或KT添加到CSE并没有为中风患者的肺功能,呼吸肌肉强度或厚度提供额外的好处.
- 对于这个人群,单独的核心稳定运动可能与这些辅助疗法相结合时同样有效.
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