两种低频内透析循环训练计划对接受血液透析的受试者的功能能力的影响:随机对照试验
Ahmad Mahdi Ahmad1, Mona Mohammed Ghareeb2, Ahmed Ezzat Mansour3
1Department of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
概括
两个低频内透析循环计划,低到中等强度的持续训练 (L-MICT) 和中高强度的间歇训练 (M-HIIT),同样改善了血液透析患者的功能能力. 这两种运动干预措施在8周内显著提高了6分钟的步行距离.
科学领域:
- 肝脏病学
- 运动生理学
- 康复医学
背景情况:
- 血液透析患者的功能能力下降与死亡率的增加有关.
- 透运动是缓解功能衰退的潜在干预措施.
研究的目的:
- 为了比较低频内透析循环训练计划对血液透析患者功能能力的影响.
- 评估低到中等强度的持续训练 (L-MICT) 与中等到高强度的间歇训练 (M-HIIT).
主要方法:
- 67名血液透析患者 (35 - 55岁) 被随机分为L-MICT,M-HIIT或对照组.
- L-MICT:连续循环 (低至中等强度) 时间为20-30分钟.
- M-HIIT:间歇循环 (中度至高强度) 带有活跃恢复,每周两次,持续8周. 用6分钟步行测试 (6MWT) 评估功能能力.
主要成果:
- 与基线相比,所有组的6分钟步行距离 (6MWD) 都显著改善.
- L-MICT组:增加了18.2个 (p=0.004).
- M-HIIT组:增加了17.6m (p=0.001).
- 对照组:增加11.4米 (p=0.014).
- 在L-MICT和M-HIIT组之间没有观察到6MWD改善的显著差异.
结论:
- 在每周两次进行8周的L-MICT和M-HIIT,同样改善了血液透析患者的6MWD.
- 在6MWD中观察到的改善没有超过该群体的最小可检测变化.
- 低频内透析循环运动是一种可行的策略,可以提高血液透析患者的功能能力.
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