Heart Institute do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, (InCor-HCFMUSP).
Cardiovasc Ther. 2012 Dec;30(6):351-6. doi: 10.1111/j.1755-5922.2011.00285.x. Epub 2011 Jul 10.
Conventional cardiac rehabilitation program consist of 15 min of warm-up, 30 min of aerobic exercise and followed by 15 min calisthenics exercise. The Pilates method has been increasingly applied for its therapeutic benefits, however little scientific evidence supports or rebukes its use as a treatment in patients with heart failure (HF).
Investigate the effects of Pilates on exercise capacity variables in HF.
Sixteen pts with HF, left ventricular ejection fraction 27 ± 14%, NYHA class I-II were randomly assigned to conventional cardiac rehabilitation program (n = 8) or mat Pilates training (n = 8) for 16 weeks of 30 min of aerobic exercise followed by 20 min of the specific program.
At 16 weeks, pts in the mat Pilates group and conventional group showed significantly increase on exercise time 11.9 ± 2.5 to 17.8 ± 4 and 11.7 ± 3.9 to 14.2 ± 4 min, respectively. However, only the Pilates group increased significantly the ventilation (from 56 ± 20 to 69 ± 17 L/min, P = 0.02), peak VO(2) (from 20.9 ± 6 to 24.8 ± 6 mL/kg/min, P = 0.01), and O(2) pulse (from 11.9 ± 2 to 13.8 ± 3 mL/bpm, P = 0.003). The Pilates group showed significantly increase in peak VO(2) when compared with conventional group (24.8 ± 6 vs. 18.3 ± 4, P = 0.02).
The result suggests that the Pilates method may be a beneficial adjunctive treatment that enhances functional capacity in patients with HF who are already receiving standard medical therapy.
常规心脏康复方案包括 15 分钟的热身、30 分钟的有氧运动，然后是 15 分钟的健身操。普拉提方法因其治疗益处而越来越多地被应用，然而，很少有科学证据支持或反对将其作为心力衰竭（HF）患者的治疗方法。
研究普拉提对 HF 患者运动能力变量的影响。
16 名 HF 患者（左心室射血分数 27±14%，NYHA Ⅰ-Ⅱ级）随机分为常规心脏康复组（n=8）或垫上普拉提训练组（n=8），两组均接受 16 周 30 分钟有氧运动，随后进行 20 分钟特定方案。
在 16 周时，垫上普拉提组和常规组的患者运动时间分别显著增加了 11.9±2.5 至 17.8±4 和 11.7±3.9 至 14.2±4 分钟，但只有普拉提组的通气量（从 56±20 升至 69±17 L/min，P=0.02）、峰值 VO2（从 20.9±6 升至 24.8±6 mL/kg/min，P=0.01）和 O2 脉搏（从 11.9±2 升至 13.8±3 mL/bpm，P=0.003）显著增加。普拉提组的峰值 VO2 与常规组相比显著增加（24.8±6 比 18.3±4，P=0.02）。
结果表明，普拉提方法可能是一种有益的辅助治疗方法，可增强已经接受标准药物治疗的 HF 患者的功能能力。
