家庭康复运动计划对接受心脏手术的社区成年人心脏呼吸能力的影响:随机对照试验
Natsinee Sermsinsaithong1, Kornanong Yuenyongchaiwat1,2, Chusak Thanawattano3
1Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University, 99 Moo 18, Paholyothin Road, Klong Luang, Pathum Thani, 12120, Thailand, 66 824521680.
JMIR rehabilitation and assistive technologies
|March 31, 2025
概括
虚拟现实 (VR) 运动显著改善了开心手术 (OHS) 后患者的功能能力. 然而,在这个心脏康复组中,VR程序并没有显示呼吸肌肉强度或肺功能显著改善.
科学领域:
- 心脏病学 心脏病学
- 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:
- 接受开放心脏手术 (OHS) 的患者经常经历心肺呼吸能力受损.
- 第二阶段心脏康复 (CR) 旨在减轻这些不良的身体影响.
- 虚拟现实 (VR) 练习越来越多地融入CR程序.
研究的目的:
- 调查VR运动对第二阶段OHS后患者的功能能力,肺功能和呼吸肌肉强度的影响.
- 为了比较家庭VR炼计划与标准护理的有效性.
主要方法:
- 49名接受选择性OHS的患者被随机分配到VR组 (N=24) 或对照组 (N=25).
- 该VR小组参与了为期8周的家庭VR计划,包括动员和有氧训练.
- 对照组获得了运动信息. 功能能力和呼吸系统参数使用双向混合ANOVA进行评估.
主要成果:
- 与对照组相比,VR组表现出功能能力的显著改善 (P=.01).
- 这两组从基线显示出鼓动肌肉强度的增加.
- 与基线相比,VR组在1秒内显著改善了呼吸肌肉强度和强迫呼吸体积.
结论:
- 在家进行VR练习有效地提高了OHS后患者的功能能力.
- 目前的VR干预没有显著改善呼吸肌肉强度或肺功能.
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