不同运动方案对慢性中风幸存者的有氧能力,血压,生化参数和体重的影响:一项随机对照试验
Susanne Palmcrantz1, Anna Cremoux2, Thomas Kahan3
1Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division Rehabilitation Medicine, Stockholm, Sweden.
Topics in stroke rehabilitation
|June 3, 2024
概括
六周的步行训练,包括电机辅助步行训练 (EAGT),改善了中风幸存者的行走耐力和体重减轻. 传统的步行训练也对血压和耐力有好处.
科学领域:
- 神经康复疗法 神经康复疗法
- 脑中风恢复 脑中风恢复
- 心血管健康 心血管健康
背景情况:
- 运动受限的中风幸存者面临复发性中风的风险增加.
- 步行训练是一种常见的康复策略,但它对严重受影响个体的风险因素的影响不太清楚.
研究的目的:
- 研究电机辅助步行训练 (EAGT) 与传统步行训练对慢性中风和运动限制患者中风风险因素的影响.
主要方法:
- 一项随机对照试验比较了EAGT (n=12),常规步行训练 (n=15) 和常规护理对照组 (n=11) 在6周内.
- 评估包括6分钟步行测试,血压,体重和血脂概况 (总胆固醇,高血脂,甘油三) 和HbA1c.
主要成果:
- 与传统培训相比,EAGT组的步行距离显著增加.
- 传统的训练显示,在行走耐力方面得到了最大的改善,并适度降低了静缩血压.
- EAGT群体体重量下降最为显著,影响大小较大.
结论:
- 六周的步行训练可以积极影响中风风险因素,即使在具有明显运动障碍的个体中也是如此.
- 不同的步行训练模式 (EAGT与传统) 似乎对特定的风险因素有不同的影响.
- 这些发现支持对这种未经研究的中风子组进行进一步的步行训练研究.
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