Cheung Leo Chin-Ting, Jones Alice Yee-Men
Department of Physiotherapy, Alice Ho Mui Ling Nethersole Hospital, Hong Kong.
Complement Ther Med. 2007 Jun;15(2):109-14. doi: 10.1016/j.ctim.2006.09.004. Epub 2006 Oct 27.
This study aims to investigate the effect of transcutaneous electrical nerve stimulation, applied at bilateral acupuncture points PC6 (Acu-TENS), on recovery heart rate (HR) in healthy subjects after treadmill running exercise.
A single blinded, randomized controlled trial.
Laboratory with healthy male subjects (n=28).
Each subject participated in three separate protocols in random order. PROTOCOL A: The subject followed the Bruce protocol and ran on a treadmill until their HR reached 70% of their maximum (220-age). At this 'target' HR, the subject adopted the supine position and Acu-TENS to bilateral PC6 was commenced. PROTOCOL B: Identical to protocol A except that Acu-TENS was applied in the supine position for 45min prior to, but not after exercise. PROTOCOL C: Identical to protocol A except that placebo Acu-TENS was applied.
Heart rate was recorded before and at 30s intervals after exercise until it returned to the pre-exercise baseline. The time for HR to return to baseline was compared for each protocol.
Acu-TENS applied to bilateral PC6 resulted in a faster return to pre-exercise HR compared to placebo. Time required for HR to return to pre-exercise level in protocols A-C was 5.5+/-3.0; 4.8+/-3.3; 9.4+/-3.7 min, respectively (p<0.001). There was no statistical difference in HR recovery time between protocols A and B. Subjects expressed the lowest rate of perceived exertion score (RPE) at 70% maximum HR with protocol B.
This study suggests that Acu-TENS applied to PC6 may facilitate HR recovery after high intensity treadmill exercise.
本研究旨在探讨在双侧穴位内关(经皮穴位电刺激,Acu-TENS)施加经皮电神经刺激对健康受试者在跑步机跑步运动后心率(HR)恢复的影响。
单盲随机对照试验。
有健康男性受试者(n = 28)的实验室。
每位受试者按随机顺序参与三个独立方案。方案A:受试者遵循布鲁斯方案,在跑步机上跑步直至心率达到其最大值(220 - 年龄)的70%。在这个“目标”心率下,受试者采取仰卧位并开始对双侧内关进行经皮穴位电刺激。方案B:与方案A相同,不同之处在于经皮穴位电刺激在运动前而非运动后仰卧位施加45分钟。方案C:与方案A相同,不同之处在于施加安慰剂经皮穴位电刺激。
在运动前及运动后每隔30秒记录心率,直至心率恢复到运动前基线水平。比较每个方案中心率恢复到基线的时间。
与安慰剂相比,对双侧内关施加经皮穴位电刺激可使心率更快恢复到运动前水平。方案A - C中心率恢复到运动前水平所需时间分别为5.5±3.0;4.8±3.3;9.4±3.7分钟(p < 0.001)。方案A和B之间的心率恢复时间无统计学差异。在方案B中,受试者在最大心率70%时的主观用力感觉评分(RPE)最低。
本研究表明,对内关施加经皮穴位电刺激可能有助于高强度跑步机运动后心率的恢复。