在家进行的短时间高强度间歇启发性肌肉训练改善了慢性心力衰竭患者的运动能力:一项双盲研究
Yi-Chen Wu1, Yung-Hsin Chen1,2, Wei-Ming Huang3
1Department of Physical Therapy and Assistive Technology, School of Biomedical Science and Engineering, National Yang-Ming Chiao Tung University, Taipei, Taiwan.
European journal of cardiovascular nursing
|July 7, 2025
概括
在慢性心力衰竭患者中,短时间高强度间歇启发性肌肉训练 (IMT) 显著改善了运动能力,启发性肌肉力量和生活质量. 这个节省时间的家庭计划为管理心力衰竭症状提供了一种新的方法.
科学领域:
- 心脏病学 心脏病学
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
背景情况:
- 慢性心力衰竭 (CHF) 显著影响运动能力和生活质量.
- 鼓舞性肌肉训练 (IMT) 是一种潜在的干预措施,可以改善心血管衰竭的结果.
- 基于家庭的短期培训为流动性有限的患者提供了一种实际的方法.
研究的目的:
- 为了研究一个新的家庭,短时间,高强度间歇启发性肌肉训练 (IMT) 计划的效果.
- 评估这项IMT干预措施对心血管疾病患者的运动能力,呼吸肌功能和生活质量的影响.
- 为了确定一个时间效率高的IMT治疗方案的可行性和有效性,用于CHF管理.
主要方法:
- 一项随机对照试验,涉及36名患有CHF (NYHA II-III) 的成年患者.
- 参与者被分配到高强度间隔IMT (H-IMT) 或假 IMT (S-IMT) 进行12周,每周6天.
- 训练包括每次30次呼吸,总持续时间不到10分钟,利用H-IMT的最大吸气压力 (PImax) 的60%.
主要成果:
- 与S-IMT组相比,H-IMT组在峰值氧气消耗 (VO2峰值) 和六分钟步行距离 (6MWD) 中显著改善.
- 在H-IMT组中观察到最大吸气压 (PImax) 的显著增加.
- 通过明尼苏达州生活心力衰竭问卷 (MLHFQ) 评估的生活质量,在H-IMT组显示出显著的改善.
结论:
- 基于家庭,高强度间隔IMT是一种有效和时间效率的干预措施,用于提高CHF患者的运动能力.
- 这项研究强调IMT有潜力改善慢性心力衰竭患者的启发性肌肉力量和整体生活质量.
- 这种短时间,高强度间隔的方法代表了肺部康复在CHF管理中的有希望的策略.
相关概念视频
01:17Exercise and Cardiac Output
1.3K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.3K
01:22Heart Failure VI: Adjunct Therapies
27
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
27
01:26Heart Failure Drugs: Inotropic Agents
716
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
716
01:20Exercise and Cardiovascular Response
1.1K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
1.1K
01:27Exercise and Muscle Performance
1.6K
Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
1.6K
01:29Cardiomyopathy V: Interprofessional Care
30
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
30