激发性肌肉训练对COPD患者周围组织氧化行为的急性影响:一项随机交叉研究
Natália Mota da Silva Borges1, Dyego Tavares de Lima1, Arthur Bruno de Abreu Morais2
1Postgraduate Program in Physical Therapy, Universidade Federal da Paraíba, João Pessoa, Paraíba, Brazil.
概括
高强度鼓舞性肌肉训练 (IMT) 可能会降低COPD患者的外周肌肉氧化,而耐力IMT可能会改善它. 个性化IMT处方对于治疗COPD至关重要.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
- 肌肉新陈代谢 肌肉新陈代谢
背景情况:
- 慢性阻塞性肺病 (COPD) 涉及气流阻塞和系统性变化,包括改变的肌肉新陈代谢.
- 在COPD患者中,启发性代谢反射可能会被激活.
- 近红外光谱 (NIRS) 可以评估周围肌肉的氧化.
研究的目的:
- 调查不同激发性肌肉训练 (IMT) 对COPD患者外周肌肉代谢的急性影响.
- 为了评估高负荷 (强度) 和低负荷 (耐力) IMT 与使用NIRS的虚假协议的影响.
主要方法:
- 一个随机的,盲目的交叉研究,涉及29名COPD参与者.
- 进行了三次会议:高负荷IMT (60%MIP),低负荷IMT (30%MIP) 和假装.
- 用NIRS进行干预前后的测量,测量了胃半腹肌的氧化度.
主要成果:
- 低负荷IMT (耐力) 显示了最终组织氧和的差异.
- 高负荷IMT (强度) 导致更短的氧气脱时间.
- 晚期COPD患者 (GOLD 3-4) 在强度IMT期间显示出更高的氧气脱率.
结论:
- 急性高强度IMT可能会降低周围输液,可能会激活COPD中的代谢反射.
- 耐久性IMT似乎可以增强外周 perfusion.
- 针对性IMT协议对于COPD管理至关重要,考虑到疾病的严重程度.
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