呼吸训练对肺功能,咳和功能独立性的影响 缩性侧面硬化症患者的呼吸训练
Eleonora Magni1,2, Anja Hochsprung3, Rocío Cáceres-Matos1,4
1Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Avenzoar 8 Street, 41008 Seville, Spain.
Neurology international
|November 25, 2024
概括
使用组合技术的呼吸器物理治疗 (RP) 可以改善肌缩性侧面硬化症 (ALS) 患者的肺功能. 虽然FVC增长,但其他措施显示持续收益有限,这表明稳定化潜力.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
背景情况:
- 肌缩侧面硬化症 (ALS) 是一种进展性神经退行性疾病.
- 呼吸道肌肉衰弱是ALS患者死亡的主要原因.
- 呼吸系统物理治疗 (RP) 旨在减轻ALS的呼吸系统并发症.
研究的目的:
- 评估ALS患者全面RP干预的有效性.
- 这项干预措施结合了启发性肌肉训练,肺体积招募,手动辅助咳和腹膜呼吸训练.
主要方法:
- 一项准实验性研究涉及15名ALS患者,持续了三个月.
- 干预包括每周12次RP技术和家庭炼计划.
- 呼吸功能 (FVC,PECF) 和功能状态 (ALSFRS-R,MBI) 在干预前,干预后和随访时进行测量.
主要成果:
- 强迫生命能力 (FVC) 在干预后显示非显著增加 (p=0.30).
- 在三个月后的随访中,这种FVC改善并没有维持下来.
- 其他呼吸和功能参数在干预后基本保持不变,并在随访时下降.
结论:
- 特定的RP干预可以为ALS患者的呼吸功能提供好处.
- 它可能会减少肺部感染和住院治疗.
- 这些技术可能有助于稳定功能衰退,并保持ALS的呼吸能力.
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