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渐进式抗阻训练对唐氏综合征患者腿部力量、有氧能力和日常生活功能任务的影响。

The effect of progressive resistance training on leg strength, aerobic capacity and functional tasks of daily living in persons with Down syndrome.

机构信息

Department of Exercise Science, Syracuse University, Syracuse, NY 13244, USA.

出版信息

Disabil Rehabil. 2011;33(23-24):2229-36. doi: 10.3109/09638288.2011.563820. Epub 2011 Mar 29.

Abstract

PURPOSE

The purpose of this study was to examine the effect of progressive resistance training on leg strength, aerobic capacity and physical function in persons with Down syndrome (DS).

METHOD

Thirty persons with DS (age 28 SD 8 years) were assigned to an intervention or control group. The intervention group performed resistance training 2 days per week for 10 weeks. Participants performed tests to measure isometric and isokinetic knee extensor and flexor peak torque, peak aerobic capacity and timed performance on chair rise, walking and stair ascent and descent.

RESULT

Persons with DS receiving the intervention significantly increased their isokinetic knee extensor and flexor peak torque [Absolute change (post minus pre-value) was 17.0 SD 29.6 and 12.6 SD 18.9 N m, respectively] and isometric knee extensor peak torque at angles of 45° (2.9 SD 23.2 N m), 60° (3.0 SD 22.9 N m) and 75° (14.2 SD 30.0 N m). These changes were significantly greater than in the control group. In addition, the time to ascend (-0.3 SD 0.8 s) and descend (-0.6 SD 0.9 s) stairs significantly decreased in the intervention group compared to the control group.

CONCLUSION

These findings show that progressive resistance training is an effective intervention for persons with DS to improve leg strength and stair-climbing ability.

摘要

目的

本研究旨在探讨渐进式抗阻训练对唐氏综合征(Down syndrome,DS)患者腿部力量、有氧能力和身体功能的影响。

方法

30 名 DS 患者(年龄 28 ± 8 岁)被分配到干预组或对照组。干预组每周进行 2 天的抗阻训练,共 10 周。参与者进行测试,以测量等速和等动膝关节伸肌和屈肌峰值扭矩、峰值有氧能力以及椅子上升、行走和上下楼梯的计时表现。

结果

接受干预的 DS 患者的等速膝关节伸肌和屈肌峰值扭矩显著增加[绝对变化(后值减去前值)分别为 17.0 ± 29.6 N m 和 12.6 ± 18.9 N m],等长膝关节伸肌在 45°(2.9 ± 23.2 N m)、60°(3.0 ± 22.9 N m)和 75°(14.2 ± 30.0 N m)时的峰值扭矩也显著增加。这些变化明显大于对照组。此外,与对照组相比,干预组上下楼梯的时间(上升-0.3 ± 0.8 s,下降-0.6 ± 0.9 s)显著缩短。

结论

这些发现表明,渐进式抗阻训练是改善 DS 患者腿部力量和爬楼梯能力的有效干预措施。

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