将鼓舞性肌肉训练与深度隔膜呼吸练习相结合对患有多发性硬化症的受试者隔膜外游的影响
Ahmad Mahdi Ahmad1, Reham Ali Mohamed Ali Ahmed2, Mai Helmy Hassan3
1Department of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
NeuroRehabilitation
|May 14, 2025
概括
鼓舞性肌肉训练与深度隔膜呼吸练习相结合,显著改善了多发性硬化症患者的呼吸功能,减少了疲劳. 这种方法比单独的深层隔膜呼吸更有优势,用于管理MS相关的呼吸系统虚弱.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
背景情况:
- 多发性硬化症 (MS) 经常导致呼吸道肌肉衰弱,增加并发症风险.
- 启发性肌肉训练 (IMT) 是一种公认的增强呼吸肌肉力量的方法.
- 在MS中,IMT和深膜呼吸的有效性需要进一步研究.
研究的目的:
- 为了评估IMT与腹膜深呼吸练习相结合的有效性.
- 评估MS患者的隔膜外流,呼吸肌肉强度和疲劳的改善.
主要方法:
- 36名多发性硬化患者 (轻度至中度残疾) 被随机分配到IMT组或对照组.
- 干预包括15分钟的会议,每周三次,持续8周.
- 主要结局:隔膜外流;次要结局:最大吸气压 (Pimax),疲劳严重程度表 (FSS),肺功能障碍指数 (PDI).
主要成果:
- IMT组在隔膜外流方面表现出显著的改善 (p<0.001).
- 与对照组相比,在Pimax (p=0.002),FSS (p<0.001) 和PDI (p<0.001) 中观察到明显的增强.
- 综合干预在所有测量参数中产生了优异的结果.
结论:
- IMT加上深度隔膜呼吸练习为MS患者提供了增强的益处.
- 这种综合方法有效地改善了隔膜外游,吸气力和疲劳.
- 它为轻度至中度多发性硬化症患者的呼吸功能障碍管理提供了有价值的治疗策略.
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