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功能性电刺激腿部自行车测力计运动:对脊髓损伤受试者静息及次最大运动时心肺反应的训练效果。

Functional electrical stimulation leg cycle ergometer exercise: training effects on cardiorespiratory responses of spinal cord injured subjects at rest and during submaximal exercise.

作者信息

Faghri P D, Glaser R M, Figoni S F

机构信息

Rehabilitation Institute of Ohio, Miami Valley Hospital, Dayton 45409.

出版信息

Arch Phys Med Rehabil. 1992 Nov;73(11):1085-93.

PMID:1444777
Abstract

This study investigated the cardiorespiratory (CR) responses at rest and during submaximal (0-W) functional electrical stimulation (FES)-induced leg cycle ergometer (LCE) exercise prior to and following a progressive intensity FES-LCEa exercise training program in spinal cord injured (SCI) subjects. Seven quadriplegics and six paraplegics participated in FES-LCE training three sessions per week for approximately 12 weeks (36 sessions). Monitored CR responses, including oxygen uptake (VO2), pulmonary ventilation (VE), respiratory exchange ratio (RER), arteriovenous O2 difference (a-vO2), blood pressure (BP), heart rate (HR), stroke volume (SV), total peripheral resistance (TPR), and cardiac output (Q), were determined before and after training. Power output (PO) increased significantly (p < .05) over the duration of the training program, indicating increased in strength and endurance of the paralyzed muscles used. Respiratory responses were not significantly altered by training in both groups. FES-LCE training significantly increased resting HR and SBP in quadriplegics and lowered SBP, DBP, and MAP in paraplegics. In both groups, HR and BP during submaximal exercise significantly decreased and SV and Q significantly increased after completion of the training program. These results suggest that FES-LCE training improves peripheral muscular and central cardiovascular fitness in SCI subjects. Posttraining HR and BP may also be more stable in quadriplegics and alleviate hypotension. This therapeutic exercise may ultimately lead to improved rehabilitation outcome and reduced stress during activities of daily living, and possibly reduce the risks for secondary CR disabilities.

摘要

本研究调查了脊髓损伤(SCI)受试者在进行渐进式强度功能性电刺激腿部自行车测力计(FES-LCE)运动训练计划之前和之后,静息状态以及次最大强度(0-W)功能性电刺激(FES)诱发的腿部自行车测力计(LCE)运动期间的心肺(CR)反应。7名四肢瘫痪者和6名截瘫者每周参加3次FES-LCE训练,持续约12周(共36次训练)。监测训练前后的CR反应,包括摄氧量(VO2)、肺通气量(VE)、呼吸交换率(RER)、动静脉氧分压差(a-vO2)、血压(BP)、心率(HR)、每搏输出量(SV)、总外周阻力(TPR)和心输出量(Q)。在训练过程中,功率输出(PO)显著增加(p < .05),表明所用瘫痪肌肉的力量和耐力有所增强。两组的呼吸反应均未因训练而发生显著改变。FES-LCE训练使四肢瘫痪者的静息心率和收缩压显著升高,使截瘫者的收缩压、舒张压和平均动脉压降低。在两组中,训练计划完成后,次最大强度运动期间的心率和血压显著降低,每搏输出量和心输出量显著增加。这些结果表明,FES-LCE训练可改善SCI受试者的外周肌肉和中枢心血管适应性。训练后的心率和血压在四肢瘫痪者中可能也更稳定,并可缓解低血压。这种治疗性运动最终可能会改善康复效果,减轻日常生活活动中的压力,并可能降低继发CR残疾的风险。

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