在中风中体力活动期间的氧气消耗和代谢等价物:系统性审查
Natsuki Shimizu1,2, Masashi Kanai2,3, Tomohiro Ota4
1School of Physical Therapy, Department of Health and Medical Care, Saitama Medical University, Saitama, Japan.
概括
了解身体活动 (PA) 强度对于中风患者教育至关重要. 本综述澄清了中风幸存者的PA强度,发现即使是缓慢的步行也可能是中等到强烈的,而像坐到站这样的日常活动是轻度强度.
科学领域:
- 康复医学 康复医学 康复医学
- 运动生理学 运动生理学
- 神经科学是一个神经科学.
背景情况:
- 患者对体力活动 (PA) 强度的教育对于中风恢复至关重要.
- 目前还缺乏针对中风患者的PA强度的清晰,有组织的清单.
- 之前对中风幸存者的PAS期间的能量消耗 (EE) 的研究需要进一步总结.
研究的目的:
- 为了澄清中风患者各种体力活动 (PA) 的强度.
- 总结以前在中风幸存者中PAS期间的能量消耗 (EE) 研究中使用的方法.
- 在中风幸存者中,在PAS期间检查EE的研究中的参与者的特征.
主要方法:
- 在PubMed,CINAHL,Cochrane Library和PEDro数据库中进行系统的文献搜索 (搜索于2021年10月,重复于2024年2月).
- 审查符合条件的报告,以提取参与者特征,并总结每个PA类型的EE,按步行能力分类.
- 在可行的情况下,使用加权平均值集成EE数据.
主要成果:
- 包括55篇文章和1719名参与者;确定了21个PA,主要是步行/运动.
- 关于急性中风的数据有限 (1.2%的参与者).
- 在门诊患者中,最大努力的步行 (即使是缓慢的速度) 是中度至强烈的PA (>3METs);舒适的慢步行,坐立和伸手是轻的PA (1.6-2.9METs).
结论:
- 在中风幸存者中PA期间的能量消耗没有得到充分的研究,特别是对于非行走的日常活动.
- 涉及急性中风患者的研究仍然有限.
- 在门诊中风患者中,轻度PAS (伸手,坐立,慢步) 的EE与身体活动汇编值保持一致.
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