Bateman A, Culpan F J, Pickering A D, Powell J H, Scott O M, Greenwood R J
Department of Health Sciences, University of East London, London, England.
Arch Phys Med Rehabil. 2001 Feb;82(2):174-82. doi: 10.1053/apmr.2001.19744.
To examine the impact of fitness training with recently brain-injured inpatients on exercise capacity and functional and psychologic outcome measures.
A randomized controlled trial of exercise versus relaxation training for 3 months. Blind assessments were conducted before and after the end of a 12-week training program, as well as at follow-up assessment 12 weeks posttraining.
Four regional neurologic inpatient rehabilitation units.
Of 157 patients recruited 24 +/- 14 weeks after single-incident brain injury, 142 patients were assessed at week 12, and 128 patients at follow-up.
Patients were randomized between cycle ergometer aerobic training and a relaxation training control condition, which was theoretically inert with respect to cardiovascular fitness.
Validation of exercise training (peak work rate, peak heart rate, body mass index); mobility and physical function (modified Ashworth scale, Berg balance scale, Rivermead Mobility Index, 10-m walk velocity); disability and dependency (Barthel index, FIMtrade mark instrument, Nottingham Extended Activities of Daily Living); and psychologic function (fatigue questionnaire, Hospital Anxiety and Depression Scale).
Significant improvements in exercise capacity (p <.05) in the exercise training group (n = 70) relative to the control group (n = 72) were not matched by greater improvements in functional independence, mobility, or psychologic function, at either 12 weeks or follow-up.
The benefits of improved cardiovascular fitness did not appear to extend to measurable change in function or psychologic state.
探讨对近期脑损伤住院患者进行体能训练对运动能力以及功能和心理结局指标的影响。
一项为期3个月的运动训练与放松训练的随机对照试验。在为期12周的训练计划结束前后以及训练后12周的随访评估时进行盲法评估。
四个地区性神经科住院康复单元。
在单次脑损伤后24±14周招募的157例患者中，142例患者在第12周接受评估，128例患者接受随访。
患者被随机分配至自行车测力计有氧训练组和放松训练对照组，后者在心血管健康方面理论上无活性。
运动训练的验证指标（峰值工作率、峰值心率、体重指数）；活动能力和身体功能（改良Ashworth量表、Berg平衡量表、Rivermead活动能力指数、10米步行速度）；残疾和依赖程度（Barthel指数、FIM商标工具、诺丁汉日常生活扩展活动量表）；以及心理功能（疲劳问卷、医院焦虑抑郁量表）。
运动训练组（n = 70）相对于对照组（n = 72）在运动能力方面有显著改善（p <.05），但在12周或随访时，功能独立性、活动能力或心理功能方面并未有更大改善与之匹配。
心血管健康状况改善的益处似乎并未扩展至功能或心理状态的可测量变化。
