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旋转成形术后骨肿瘤患者的体育活动与耐力能力

Sports activities and endurance capacity of bone tumor patients after rotationplasty.

作者信息

Hillmann Axel, Weist Roger, Fromme Albert, Völker Klaus, Rosenbaum Dieter

机构信息

Orthopaedic Department, Klinikum Ingolstadt, Ingolstadt, Germany.

出版信息

Arch Phys Med Rehabil. 2007 Jul;88(7):885-90. doi: 10.1016/j.apmr.2007.04.004.

DOI:10.1016/j.apmr.2007.04.004
PMID:17601469
Abstract

OBJECTIVES

To investigate the preferred types of sports activities of patients with rotationplasty and to measure their physiologic performance characteristics through treadmill ergometry.

DESIGN

Cross-sectional, descriptive analysis and repeated measures of different velocities.

SETTING

Biomechanics research laboratory.

PARTICIPANTS

Patients (n=61) with rotationplasty after bone tumor surgery, 30 of whom participated in a functional trial (treadmill), and a control group (n=20).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Patients' participation in sports compared with that of the healthy population, treadmill performance at 2 or 3 different speeds, heart rate, lactate accumulation, oxygen consumption, ventilatory equivalent, efficiency, respiratory minute volume, and respiratory quotient.

RESULTS

High activity in sports participation (85%) in most common sports (8 competitive, 17 sports club members, the remaining subjects were recreational athletes). At the same treadmill speed, lactate accumulation and all cardiorespiratory functions were higher in rotationplasty patients than in the control group.

CONCLUSIONS

Patients can re-engage in a high level of physical activity after rotationplasty for bone tumor treatment. This physical activity is necessary if patients want to maintain or improve a desired level of sports activity.

摘要

目的

调查旋转成形术患者偏好的体育活动类型,并通过跑步机运动测试来测量其生理性能特征。

设计

横断面、描述性分析以及对不同速度的重复测量。

地点

生物力学研究实验室。

参与者

骨肿瘤手术后接受旋转成形术的患者(n = 61),其中30人参与了功能试验(跑步机测试),以及一个对照组(n = 20)。

干预措施

不适用。

主要观察指标

与健康人群相比患者参与体育运动的情况、在2种或3种不同速度下的跑步机运动表现、心率、乳酸堆积、耗氧量、通气当量、效率、每分通气量和呼吸商。

结果

大多数常见运动项目(8名竞技运动员、17名体育俱乐部成员,其余为业余运动员)的体育参与度较高(85%)。在相同的跑步机速度下,旋转成形术患者的乳酸堆积和所有心肺功能均高于对照组。

结论

接受旋转成形术治疗骨肿瘤后,患者能够重新参与高水平的体育活动。如果患者想要维持或提高期望的体育活动水平,这种体育活动是必要的。

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