在患有冠状动脉疾病的患者中,运动后认知功能是否会影响功能能力和感知疲劳严重程度?
Dilara Saklıca1, Naciye Vardar-Yağlı1, Ahmet Hakan Ateş2
1Faculty of Physical Therapy and Rehabilitation, Department of Cardiorespiratory Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
概括
认知功能显著影响冠状动脉疾病 (CAD) 患者的运动能力和疲劳. 提高认知能力可能会改善心脏病患者的康复结果.
科学领域:
- 心脏病学 心脏病学
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 基于运动的心脏康复对于冠状动脉疾病 (CAD) 患者至关重要.
- 认知功能对于成功康复至关重要.
- 冠状动脉微血管功能障碍会损害大脑血流和认知能力.
研究的目的:
- 研究认知功能对CAD患者功能能力的影响.
- 检查CAD患者认知功能和疲劳感知之间的关系.
主要方法:
- 评估了50名CAD患者的并发症,CAD风险因素,认知表现 (蒙特利尔认知评估[MoCA]),功能能力 (增量穿步行测试[ISWT]) 和运动引起的疲劳.
- 数据分析的重点是MoCA分数,ISWT表现和疲劳感知之间的相关性.
主要成果:
- 在MoCA得分和ISWT表现之间发现了强烈的正相关性 (r=0.83,p<0.001).
- 在CRF和MoCA得分之间存在强烈的反向关系 (r=-0.95,p<0.001).
- 摩卡分数与疲劳感知的差异正相关 (r=0.88,p<0.001).
结论:
- 认知功能在决定CAD患者的功能能力和管理疲劳方面发挥着至关重要的作用.
- 认知干预可以作为心脏病患者的物理治疗计划的宝贵补充.
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