慢性阻塞性肺病和过度训练综合征:叙述性综述
Bruno Bordoni1, Enricomaria Mattia2, Bruno Morabito3
1Department of Physical Medicine and Rehabilitation, Fondazione Don Carlo Gnocchi, Milan, ITA.
Cureus
|March 13, 2026
概括
慢性阻塞性肺病 (COPD) 的肺部康复应该包括波形训练,而不仅仅是增加负载. 这种方法有助于预防过度训练综合征 (OTS) 并改善患者的表现.
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
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 导致空气流量受限,导致全球显著的死亡率和发病率.
- 康复训练是COPD患者的关键非药物治疗方法,刺激四肢和呼吸道肌肉.
- 目前的康复计划往往涉及到培训工作负载的不断增加.
研究的目的:
- 在接受康复的COPD患者中审查肌肉适应.
- 在肺部康复计划中引入和强调波形训练的概念.
- 突出了用于恢复和表现的减少负载会话的潜在好处.
主要方法:
- 关于COPD患者肌肉适应的文献综述.
- 对当前肺部康复培训方案的分析.
- 关于波形训练模型与线性模型的概念建议.
主要成果:
- 在没有充分恢复的情况下,训练负载的线性增加可能导致过度训练综合征 (OTS).
- OTS的特点是患者表现的不明原因下降.
- 作为替代方案,建议采用类似波浪的训练结构,包括减少负载的训练.
结论:
- 临床医生应该考虑以波形而不是线性的方式构建COPD康复计划.
- 纳入训练强度降低的时期可以帮助恢复并降低OTS的风险.
- 波形训练可以提高患者在肺部康复期间的表现和坚持.
关键词:
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