为中风患者进行心肺呼吸和抵抗训练的联合训练
David H Saunders1, Sharon A Carstairs2, Joshua D Cheyne3
1Physical Activity for Health Research Centre (PAHRC), University of Edinburgh, Edinburgh, UK.
在中风后联合炼对死亡率没有影响,但可能会对残疾和步行速度有轻微的改善. 需要进一步的研究来证实长期益处和最佳的运动方案.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 脑卒中后,身体活动和健身水平通常会降低,与增加的残疾相关.
- 针对肌肉力量和心肺健康的多组分运动干预措施显示了改善功能和预防次要事件的潜力.
研究的目的:
- 评估心肺呼吸系统健身和力量训练对中风幸存者的死亡率,残疾,不良事件,健身和行走能力等结局的影响.
- 在中风后的个人中,将联合运动干预与非运动对照进行比较.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析,搜索了多个数据库和试验注册表.
- 包括30个涉及1519名参与者的RCT,比较了结合心肺呼吸和抵抗训练与通常的护理或没有干预的情况.
- 包括死亡,残疾,不良事件,健身,行走和身体功能在内的结果在干预和随访结束时进行了评估.
主要成果:
- 联合训练没有显著影响死亡率或二次心血管/脑血管事件.
- 在干预结束时观察到残疾指数和平衡的轻微改善,在随访时可能保持一些平衡的好处.
- 对心肺健康,肌肉强度和步行速度的改善的证据是不确定的或有限的,特别是在随访时. 干预措施被很好地容忍,没有严重的不良影响.
结论:
- 在中风后,结合心肺呼吸和抵抗训练并没有增加死亡率或二次事件.
- 虽然在残疾和平衡方面可能有很小的好处,但对显著的功能改善的证据的确定性低至非常低.
- 需要进行更大规模,更精心设计的试验,以建立最佳的运动方案,并确认中风幸存者的长期益处.
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