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比较多发性硬化症患者的耐力和抗阻训练:一项随机先导研究。

Comparing endurance- and resistance-exercise training in people with multiple sclerosis: a randomized pilot study.

机构信息

School of Physiotherapy and Exercise Science, Griffith University, Australia.

出版信息

Clin Rehabil. 2011 Jan;25(1):14-24. doi: 10.1177/0269215510375908. Epub 2010 Aug 16.

Abstract

OBJECTIVE

The purpose of this study was to compare adaptations in functional and quality of life measures following endurance- and resistance-exercise training in people with multiple sclerosis.

DESIGN

Cross-over design with an eight-week washout period.

SETTING

Community health centre.

SUBJECTS

Sixteen individuals with multiple sclerosis.

INTERVENTION

Subjects completed both an eight-week endurance- and an eight-week resistance-exercise training programme in a randomized order. The exercise training comprised individualized progressive programmes that were completed twice weekly in a supervised group setting.

MAIN MEASURES

Grip strength, functional reach, four step square, timed up and go and six-minute walk tests, Multiple Sclerosis Impact and Modified Fatigue Impact Scales, Becks Depression Inventory and the Health Status Questionnaire Short Form-36.

RESULTS

Sixteen of 21 (76%) subjects completed the study. Subjects attended 13.2 ± 1.6 endurance- and 15.8 ± 1.9 resistance-exercise training sessions. No adverse events were reported. No significant differences (P < 0.05) in any outcome measures were observed between the two exercise training programmes either at baseline or following the completion of both training programmes.

CONCLUSION

Both endurance- and resistance-exercise training were well tolerated and appear to provide similar effects for people with multiple sclerosis, but larger studies are required to confirm these findings.

摘要

目的

本研究旨在比较耐力和抗阻训练对多发性硬化症患者功能和生活质量指标的适应性。

设计

交叉设计,八周洗脱期。

地点

社区保健中心。

受试者

16 名多发性硬化症患者。

干预措施

受试者以随机顺序完成了八周的耐力和八周的抗阻训练计划。运动训练包括个体化的渐进方案,每周在监督小组环境中完成两次。

主要措施

握力、功能伸展、四步广场、计时起立行走测试和六分钟步行测试、多发性硬化症影响量表和改良疲劳影响量表、贝克抑郁量表和健康状况问卷简表 36。

结果

21 名受试者中有 16 名(76%)完成了研究。受试者参加了 13.2±1.6 次耐力和 15.8±1.9 次抗阻训练。未报告不良事件。在基线或完成两项训练计划后,两种运动训练方案在任何结局指标上均无显著差异(P<0.05)。

结论

耐力和抗阻训练均耐受良好,似乎对多发性硬化症患者具有相似的效果,但需要更大的研究来证实这些发现。

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