运动影像实践以改善呼吸和咳功能
Cara Donohue1,2
1Innovative Research in Aerodigestive Disorders Laboratory, Vanderbilt University Medical Center, Nashville, TN, USA. cara.donohue@vumc.org.
Dysphagia
|February 26, 2025
概括
运动影像练习 (MP) 是可行的改善自愿咳 (VC) 和呼吸肌肉力量训练 (EMST). 这项研究发现MP在成年人中增强了咳功能,这表明呼吸系统康复的潜力.
科学领域:
- 呼吸系统生理学 呼吸系统生理学
- 康复医学 康复医学 康复医学
- 发动机控制器的控制器
背景情况:
- 运动影像实践 (MP) 是一种已建立的干预措施,用于肢体和舌头的运动功能.
- 对呼吸功能,特别是呼吸道肌肉力量训练 (EMST) 和自愿咳 (VC) 的MP的应用仍然未被探索.
- 评估MP对肺和咳功能的可行性和影响对于扩大康复策略至关重要.
研究的目的:
- 研究自发性咳 (VC) 的运动影像实践 (MP) 和呼吸肌肉力量训练 (EMST) 对肺和咳功能的可行性和影响.
- 为了评估治疗的坚持,远程医疗的出席,以及与MP干预相关的负担.
- 为了探索呼吸系统参数的潜在改善,例如最大呼气流量 (PEF) 和咳有效性.
主要方法:
- 20名社区成年人参与了为期五周的干预,每天在家里进行VC或EMST的MP.
- 参与者接受了最大呼气压 (MEP),最大呼气压 (MIP),强迫生命能力 (FVC),PEF和咳螺旋计的基线和治疗后评估.
- 每周的远程医疗会议支持了坚持,运动治疗负担问卷 (ETBQ) 评估了感知负担.
主要成果:
- 记录了高坚持率 (95%) 和远程医疗出席率 (91%),感知负担最小 (ETBQ中位数:8分).
- 在MP组中,使用手持设备 (p=0.03) 和咳螺旋计 (p=0.04) 观察到PEF显著增加.
- 特别地,MP VC组从咳螺旋测试中显著改善了PEF (p=0.04).
结论:
- 在社区居住的成年人中,自愿咳和呼吸肌肉力量训练的运动影像实践是可行的.
- MP干预措施对自愿咳功能产生了积极影响,特别是在增强峰值呼气流量方面.
- 需要对更大的样本大小和多样化的患者群体进行进一步的研究,包括患有肺,咳和吞障碍的人.
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