组合臂腿耐力训练与植入式心脏转动器除器患者的腿耐力训练:一项随机对照研究
Ayşe Akdal1, Yusuf Karavelioglu2, Teyyar Gokdeniz2
1Hitit University, Erol Olcok Education and Research Hospital, Cardiac Rehabilitation Center, Corum, Turkey.
Heart & lung : the journal of critical care
|December 1, 2024
概括
结合手臂和腿的耐力训练显著改善了植入式心脏转换器-除器 (ICD) 的患者的运动能力. 这种综合方法是安全的,并增强了手臂功能,用于心脏康复.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 对于植入式心脏转换器-除器 (ICD) 患者的联合手臂和腿部训练的益处,存在有限的证据.
- 评估对手臂运动能力,上肢功能和安全的影响对于这一群体至关重要.
研究的目的:
- 为了比较联合臂腿耐力训练 (ET臂+腿) 与单独的腿耐力训练 (ET腿) 的效果.
- 为了评估手臂运动能力的变化,心肺健康和ICD患者的安全性.
主要方法:
- 一项前性随机受控研究,涉及24名患有ICD (NYHAII-III类) 的患者.
- 干预包括6周的ET腿 (循环人体表) 或ET手臂+腿 (循环和手臂人体表).
- 用心肺运动测试和手臂人体测量来进行评估.
主要成果:
- ET手臂+腿>组在达到氧气消耗峰值 (VO2峰值),VO2峰值,工作负载峰值 (W峰值) 和手臂体能测量持续时间方面显著改善.
- 没有报告与ICD相关的不良事件,如电击或心室节律失常.
结论:
- 联合手臂和腿的耐力训练 (ET手臂+腿) 在ICD患者的心肺和手臂运动能力上表现出优异的效果.
- 手臂炼训练对于ICD患者来说是安全的,应该整合到心脏康复计划中.
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