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高强度吸气肌训练对健康受试者肺容积、膈肌厚度和运动能力的影响。

Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy.

作者信息

Enright Stephanie J, Unnithan Viswanath B, Heward Clare, Withnall Louise, Davies David H

机构信息

School of Healthcare Studies, Cardiff University, Ty Dewi Sant, Heath Park, Cardiff CF14 4XN, UK.

出版信息

Phys Ther. 2006 Mar;86(3):345-54.

Abstract

BACKGROUND AND PURPOSE

Previous investigations have demonstrated that a regimen of high-intensity inspiratory muscle training (IMT) resulted in changes in ventilatory function and exercise capacity in patients with chronic lung disease, although the effect of high-intensity IMT in subjects who are healthy is yet to be determined. The purpose of this study, therefore, was to examine whether high-intensity IMT resulted in changes in ventilatory function and exercise capacity in subjects who were healthy.

SUBJECTS

Twenty subjects were randomly assigned to 2 groups.

METHODS

The training group completed an 8-week program of IMT set at 80% of maximal effort. The control group did not participate in any form of training. Baseline and posttraining measures of body composition, pulmonary function, inspiratory muscle function (including maximal and sustained maximal inspiratory pressures [MIP and SMIP]), relaxed and contracted diaphragm thickness and thickening ratio (Tdi.rel, Tdi.cont, and TR), and exercise capacity were determined.

RESULTS

The training group demonstrated significant increases in MIP, SMIP, Tdi.cont, TR, VC, total lung capacity, and exercise capacity compared with the control group, which demonstrated no change from baseline measurements at 8 weeks.

DISCUSSION AND CONCLUSION

The findings of this study suggest that high-intensity IMT results in increased contracted diaphragm thickness and increased lung volumes and exercise capacity in people who are healthy.

摘要

背景与目的

先前的研究表明,高强度吸气肌训练(IMT)方案可使慢性肺病患者的通气功能和运动能力发生改变,尽管高强度IMT对健康受试者的影响尚待确定。因此,本研究的目的是检验高强度IMT是否会使健康受试者的通气功能和运动能力发生改变。

受试者

20名受试者被随机分为两组。

方法

训练组完成了一项为期8周的IMT计划,强度设定为最大努力的80%。对照组未参与任何形式的训练。测定了身体成分、肺功能、吸气肌功能(包括最大吸气压力和持续最大吸气压力[MIP和SMIP])、放松和收缩时的膈肌厚度及增厚率(Tdi.rel、Tdi.cont和TR)以及运动能力的基线和训练后指标。

结果

与对照组相比,训练组的MIP、SMIP、Tdi.cont、TR、肺活量(VC)、肺总量和运动能力显著增加,而对照组在8周时与基线测量值相比无变化。

讨论与结论

本研究结果表明,高强度IMT可使健康人的膈肌收缩厚度增加、肺容积增加以及运动能力增强。

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