血液流量限制和电刺激在横体髓炎患者的使用:一个病例报告
Paul Mintken1, Winter Ball2, Mark M Mañago3
1Doctor of Physical Therapy Program, Graduate College of Health Sciences, Hawaii Pacific University, Honolulu, HI, USA.
Physiotherapy theory and practice
|February 20, 2025
概括
血液流量限制 (BFR) 训练,有或没有神经肌肉电刺激 (NMES),在患有慢性横侧髓炎 (TM) 的患者中改善了功能移动性和力量. 这种方法为那些患有神经疾病而限制传统炼的人提供了一个有希望的替代方案.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动生理学 运动生理学
背景情况:
- 横髓炎 (TM) 是一种罕见的脊髓炎症疾病,导致显著的运动和运动障碍.
- 血流限制 (BFR) 训练是神经病患者的一种可行的干预措施,可以增强力量和功能表现.
- 将BFR与神经肌肉电刺激 (NMES) 结合起来,可能会产生更好的结果.
研究的目的:
- 评估使用BFR和NMES进行为期8周的下肢抵抗训练计划对慢性TM患者的功能表现的影响.
- 为了评估干预后的力量,步态和运动能力的改善.
主要方法:
- 一名31岁的男性有17年的TM病史参与了这项研究.
- 这项干预涉及8周的低强度抵抗训练:4周的BFR (2x/周),然后4周的BFR+NMES (2x/周) 组合.
- 功能性能的测量使用标准化测试,包括10米步行测试 (10MWT),定时上升和去 (TUG),和30秒坐到站 (30STS).
主要成果:
- 在步行速度 (10MWT: 1.17 到 1.43 m/s) 中观察到显著的改善.
- 功能移动性增强,TUG时间提高了17.5%,30STS性能增加了两次重复.
- 患者报告的结果在患者特异性功能尺度 (PSFS) 和SF-36上也有所改善.
结论:
- 血液流量限制 (BFR) 训练,单独或与NMES相结合,可以有效地改善慢性横侧髓炎 (TM) 和下肢虚弱的个体的功能结果.
- 这种训练模式为神经疾病患者提供了一个有前途的低强度替代方案,这些患者不能容忍高强度的运动.
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