在中风后制定密集的有氧运动计划:试点研究
Brian Schibler1, Michael Spinner1, Imama A Naqvi2
1Department of Rehabilitation and Regenerative Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
概括
高强度的家庭有氧运动在中风幸存者中显示出可行性挑战,其消耗率高,特别是在对照组中. 未来的试验需要积极的控制和改进的策略,以提高无监督培训的质量.
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:
- 在全世界,中风是导致长期残疾的主要原因.
- 定期炼与减少中风复发和改善功能结果有关.
- 目前的康复经常强调监督的临床培训,而不是无监督的家庭计划.
研究的目的:
- 评估一项随机试验的可行性,比较无人监督的高强度家庭有氧训练与中风幸存者的等候名单对照.
- 识别对中风后家庭运动干预措施的挑战和潜在改进.
主要方法:
- 进行了一项评估者盲目的随机控制试点研究.
- 轻度至中度中风的参与者 (n=23) 被随机分配到8周的家庭有氧训练或等候名单对照.
- 主要结局是坚持和保留;次要结局包括心肺健康 (VO2max),步态,平衡和功能测试.
主要成果:
- 在23名参与者中,有15人完成了这项研究,等候名单对照组的学率更高.
- 虽然坚持持续时间和频率很高,但只有50%的人达到目标炼强度.
- 在VO2max (1.7mL/kg/min) 中观察到适度的改善,在盒子和块测试中观察到显著的增长,可能受基线差异的影响.
结论:
- 对中风幸存者的无监督家庭有氧训练提出了可行性挑战,包括高消耗率,需要为更大的试验进行调整.
- 建议在未来的研究中使用一个活跃的对照组,以减轻脱学率.
- 通过激励性指导和技术 (例如可穿戴追踪器) 提高无监督培训质量对于改善坚持和结果至关重要.
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