Cider Asa, Schaufelberger Maria, Sunnerhagen Katharina Stibrant, Andersson Bert
Department of Cardiology, Institution for Community Medicine, The Sahlgrenska Academy at Göteborg University, Sahlgrenska University Hospital, Goteborg, Sweden.
Eur J Heart Fail. 2003 Aug;5(4):527-35. doi: 10.1016/s1388-9842(03)00048-5.
Hydrotherapy, i.e. exercise in warm water, as a rehabilitation program has been considered potentially dangerous in patients with chronic heart failure (CHF) due to the increased venous return caused by the hydrostatic pressure. However, hydrotherapy has advantages compared to conventional training. We studied the applicability of an exercise programme in a temperature-controlled swimming pool, with specific reference to exercise capacity, muscle function, quality of life and safety.
Twenty-five patients with CHF (NYHA II-III, age 72.1+/-6.1) were randomised into either 8 weeks of hydrotherapy (n=15), or into a control group (n=10). The training program was well tolerated with no adverse events. Patients in the hydrotherapy group improved their maximal exercise capacity (+6.5 vs.-5.9 W, P=0.001), isometric endurance in knee extension (+4 vs.-9 s, P=0.01) together with an improvement in the performance of heel-lift (+4 vs. -3 n.o., P=<0.01), shoulder abduction (+12 vs. -8 s, P=0.01) and shoulder flexion (+6 vs. +4, P=0.01) in comparison to patients in the control group.
Physical training in warm water was well tolerated and seems to improve exercise capacity as well as muscle function in small muscle groups in patients with CHF. This new approach broadens the variety of training regimes for older patients with CHF.
水疗法，即在温水中进行锻炼，作为一种康复方案，由于静水压力导致静脉回流增加，一直被认为对慢性心力衰竭（CHF）患者有潜在危险。然而，与传统训练相比，水疗法具有优势。我们研究了在温度可控的游泳池中进行锻炼方案的适用性，特别关注运动能力、肌肉功能、生活质量和安全性。
25例CHF患者（纽约心脏协会心功能II - III级，年龄72.1±6.1岁）被随机分为两组，一组接受为期8周的水疗法（n = 15），另一组为对照组（n = 10）。训练方案耐受性良好，未出现不良事件。与对照组患者相比，水疗法组患者的最大运动能力有所提高（+6.5 vs. -5.9瓦，P = 0.001），膝关节伸展等长耐力增加（+4 vs. -9秒，P = 0.01），同时足跟抬起表现（+4 vs. -3次，P < 0.01）、肩外展（+12 vs. -8秒，P = 0.01）和肩屈曲（+6 vs. +4，P = 0.01）也有所改善。
温水中的体育训练耐受性良好，似乎能提高CHF患者的运动能力以及小肌肉群的肌肉功能。这种新方法拓宽了老年CHF患者的训练方式种类。
