传统心脏康复和舞蹈治疗之间的心率变量的非线性动力学的比较:非随机交叉临床试验
João Pedro Lucas Neves Silva1, Júlio César de Ávila Soares1, Maria Júlia Lopez Laurino1
1Faculty of Science and Technology, Physiotherapy Department, São Paulo State University, Presidente Prudente, São Paulo, Brazil.
概括
基于舞蹈的心脏康复 (DP) 和传统计划 (CP) 在患有心血管风险因素的女性中同样影响心脏自主调制 (CAM). 虽然DP在运动期间诱导了更大的非线性动态,但在两种治疗方法之间,恢复仍然可比.
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:
- 心脏康复计划 (CRP) 对于控制心血管风险因素 (CRF) 是必不可少的.
- 舞蹈已经成为CRP的潜在治疗方式,需要评估其生理影响.
- 了解运动期间的心脏自主调制 (CAM) 对于安全有效的康复至关重要.
研究的目的:
- 为了比较心脏自主调制 (CAM) 的女性与心血管风险因素 (CRF) 在舞蹈 (DP) 期间和之后与传统 (CP) 心脏康复课程.
- 评估临床人群中对不同康复方案的生理反应.
主要方法:
- 这是一项非随机交叉试验,涉及19名至少有一个CRF的女性.
- 通过非线性方法使用心率变化 (HRV) 评估CAM:复发图,调试的趋势波动和符号分析.
- 对DP和CP会话进行比较,包括熟悉阶段.
主要成果:
- 在运动期间,与CP相比,舞蹈协议 (DP) 显示了DET,Alpha-1和0V%指数的较高值,以及1V%,2ULV%指数和测量的较低值.
- 在康复阶段,DP和CP之间没有观察到CAM的显著差异.
- 两种方案都对运动指数产生了显著影响,恢复模式相似.
结论:
- 基于舞蹈的心脏康复 (DP) 和传统的协议 (CP) 引起了相似的心脏自主调制 (CAM) 结果.
- 在运动期间,DP诱导了非线性动态的更大变化,但没有对运动后恢复产生负面影响.
- 舞蹈可以被认为是心脏康复计划中安全有效的替代模式.
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