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北欧健走训练对急性冠状动脉综合征后早期短期住院心脏康复男性患者运动能力和健康状况的影响——一项对照试验。

Effects of Nordic walking training on exercise capacity and fitness in men participating in early, short-term inpatient cardiac rehabilitation after an acute coronary syndrome--a controlled trial.

机构信息

Department of Kinesiotherapy, University School of Physical Education, Ul. Królowej Jadwigi 27/39, 61-871 Poznań, Poland.

出版信息

Clin Rehabil. 2009 Nov;23(11):995-1004. doi: 10.1177/0269215509337464. Epub 2009 Sep 28.

DOI:10.1177/0269215509337464
PMID:19786418
Abstract

OBJECTIVE

To investigate the effects of Nordic Walking training supplemental to a standard, early rehabilitation programme on exercise capacity and physical fitness in men after an acute coronary syndrome.

DESIGN

A controlled trial.

SETTING

Cardiac rehabilitation service of a provincial hospital.

SUBJECTS

Eighty men 2-3 weeks after an acute coronary syndrome, with good exercise tolerance.

INTERVENTIONS

Three-week, inpatient cardiac rehabilitation programme (control group) supplemented with Nordic Walking (Nordic Walking group), or with traditional walking training (walking training group).

MAIN MEASURES

Exercise capacity was assessed as peak energy cost (in metabolic equivalents) in symptom-limited treadmill exercise test, and physical fitness with the Fullerton Functional Fitness Test.

RESULTS

Exercise capacity after the rehabilitation programme was higher in the Nordic Walking group than in the control group (10.8 +/- 1.8 versus 9.2 +/- 2.2 metabolic equivalents, P =0.025). The improvement in exercise capacity in the Nordic Walking group was higher than in the control group (1.8 +/- 1.5 versus 0.7 +/- 1.4 metabolic equivalents, P =0.002). In contrast to the control group, the results of all components of the Fullerton test improved in the Nordic Walking and walking training groups. After the programme, lower body endurance, and dynamic balance were significantly better in the Nordic Walking group in comparison with the walking training and control groups, and upper body endurance was significantly better in the Nordic Walking and walking training groups than in the control group.

CONCLUSIONS

Nordic Walking may improve exercise capacity, lower body endurance and coordination of movements in patients with good exercise tolerance participating in early, short-term rehabilitation after an acute coronary syndrome.

摘要

目的

研究北欧健走训练对急性冠状动脉综合征后男性患者运动能力和身体适应性的影响,该训练是对标准早期康复方案的补充。

设计

对照试验。

地点

省级医院心脏康复服务处。

对象

80 名急性冠状动脉综合征后 2-3 周、运动耐量良好的男性患者。

干预

为期 3 周的住院心脏康复方案(对照组),联合北欧健走(北欧健走组),或传统步行训练(步行训练组)。

主要观察指标

在症状限制跑步机运动试验中评估运动能力,即峰值能量消耗(代谢当量);在富尔顿功能适应性测试中评估身体适应性。

结果

康复方案后,北欧健走组的运动能力高于对照组(10.8 ± 1.8 比 9.2 ± 2.2 代谢当量,P =0.025)。北欧健走组运动能力的改善程度也高于对照组(1.8 ± 1.5 比 0.7 ± 1.4 代谢当量,P =0.002)。与对照组相比,北欧健走组和步行训练组的富尔顿测试所有组成部分的结果都有所改善。在方案结束后,与步行训练组和对照组相比,北欧健走组的下肢耐力和动态平衡明显更好,北欧健走组和步行训练组的上肢耐力也明显优于对照组。

结论

北欧健走可改善运动能力、下肢耐力和动作协调性,对于运动耐量良好、急性冠状动脉综合征后接受早期短期康复的患者有益。

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