为肺移植候选人和接受者提供鼓舞人心的肌肉训练
Massimiliano Polastri1, Esra Pehlivan, Robert M Reed
1>From the Department of Continuity of Care and Integration, Physical Medicine and Rehabilitation, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
概括
鼓舞性肌肉训练改善了肺功能和肺移植患者的运动耐受性. 这种可访问的康复可以在家中进行,增强移植前后的结果.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 移植医学 移植医学 移植医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 启发性肌肉训练 (IMT) 是一种康复策略,用于加强呼吸道肌肉.
- 在各种疾病中,有限的呼吸储备是常见的,包括肺移植后.
研究的目的:
- 对肺移植候选人和接受者的鼓舞性肌肉训练的应用和结果进行审查.
主要方法:
- 在5个数据库中使用关键词"肺移植"和"鼓舞肌肉训练"进行了系统的搜索.
- 最终分析包括了涉及64名患者的7篇相关文章.
主要成果:
- 参与者在肺功能 (FEV1,FVC),功能表现和运动耐受性方面表现出改善.
- 肺移植接受者和候选人使用不同方案的门训练器,显示出灵感肌肉力量的显著增长.
- 在成年接受者中观察到最大吸气压的显著改善31.8±14.6cmH2O.
结论:
- 鼓舞性肌肉训练是肺移植候选人和接受者的一种有效且易于执行的干预措施.
- IMT可以在家中进行,提供方便的康复选择.
- 建议进行进一步的严格研究来验证这些积极的发现.
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