Camilo Fabio, Scorza Fúlvio Alexandre, de Albuquerque Marly, Vancini Rodrigo Luiz, Cavalheiro Esper Abrão, Arida Ricardo Mario
Núcleo de Pesquisas Tecnológicas, Universidade de Mogi das Cruzes, Mogi das Cruzes, SP, Brazil.
Arq Neuropsiquiatr. 2009 Dec;67(4):1007-12. doi: 10.1590/s0004-282x2009000600009.
People with epilepsy have been discouraged from participating in physical activity due to the fear that it will exacerbate seizures. Although the beneficial effect of aerobic exercise in people with epilepsy, little objective evidence regarding the intensity of exercise has been reported. We investigated the effect of incremental physical exercise to exhaustion in people with epilepsy. Seventeen persons with temporal lobe epilepsy and twenty one control healthy subjects participated in this study. Both groups were submitted to echo-color-doppler and electrocardiogram at rest and during physical effort. None of patients reported seizures during physical effort or in the recovery period of ergometric test. Both groups presented physiological heart rate and blood pressure responses during the different stages of the ergometric test. Only few patients presented electrocardiography or echocardiography alterations at rest or during effort. In conclusion, this work suggests that physical effort to exhaustion is not a seizure-induced component.
由于担心运动会加重癫痫发作，癫痫患者一直被劝阻不要参加体育活动。尽管有氧运动对癫痫患者有益，但关于运动强度的客观证据报道较少。我们研究了递增性体育锻炼至力竭对癫痫患者的影响。17名颞叶癫痫患者和21名健康对照者参与了本研究。两组在休息时和体力活动期间均接受了超声心动图和心电图检查。没有患者在体力活动期间或运动试验恢复期报告癫痫发作。两组在运动试验的不同阶段均呈现出生理性心率和血压反应。只有少数患者在休息或运动期间出现心电图或超声心动图改变。总之，这项研究表明，运动至力竭并非癫痫发作的诱发因素。
