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运动训练对烧伤成年人肺功能和有氧能力的影响。

The effect of exercise training on pulmonary function and aerobic capacity in adults with burn.

机构信息

School of Sport Science, Exercise and Health, The University of Western Australia, Australia.

出版信息

Burns. 2012 Jun;38(4):607-13. doi: 10.1016/j.burns.2011.11.004. Epub 2012 Feb 16.

DOI:10.1016/j.burns.2011.11.004
PMID:22342175
Abstract

PURPOSE

Pulmonary function (PF) is compromised in some individuals following burn, which may result in impaired aerobic capacity. Exercise training improves PF and exercise capacity in children recovering from burns, yet it is unknown if adults will demonstrate the same response.

PROCEDURES

9 burn injured participants (%TBSA 42 ±18.38, 6.56 years ±3.68 post injury) and 9 matched controls participated in a 12-week goal directed interval training and resistance exercise programme. PF was measured using spirometry, and a graded exercise test quantified peak oxygen consumption (Vo(2peak)), both prior to and following the exercise training. The Canadian Occupational Performance Measure assessed the participant's goal attainment.

RESULTS

Burn injured participants had significantly lower PF (FEV(1)/FVC ratio) than the healthy controls both prior to and following the exercise intervention (F(1,16)=8.93, p=0.009). Exercise training did not improve PF in either group, however both groups had a significant improvement in their Vo(2peak), maximal minute ventilation, and work achieved on a graded exercise test (F(1,16)=19.325, p<0.001), (F(1,16)=51.417, p<0.001) and (F(1,16)=36.938, p<0.001), respectively, following the exercise training. All participants achieved their occupational performance goals.

CONCLUSION

Although the exercise training did not alter PF, both aerobic capacity and occupational performance were improved.

摘要

目的

烧伤后某些个体的肺功能(PF)受损,这可能导致有氧能力受损。运动训练可改善烧伤康复儿童的 PF 和运动能力,但尚不清楚成年人是否会产生相同的反应。

方法

9 名烧伤患者(%TBSA 42 ±18.38,受伤后 6.56 年 ±3.68 年)和 9 名匹配的对照者参加了为期 12 周的目标导向间歇训练和阻力运动方案。使用肺活量计测量 PF,并通过分级运动测试量化峰值耗氧量(Vo(2peak)),在运动训练之前和之后进行测量。加拿大职业表现测量评估了参与者的目标实现情况。

结果

烧伤患者的 PF(FEV(1)/FVC 比值)在运动干预之前和之后均明显低于健康对照组(F(1,16)=8.93,p=0.009)。运动训练并未改善两组的 PF,但两组的 Vo(2peak)、最大分钟通气量和分级运动测试中的功均有显著提高(F(1,16)=19.325,p<0.001),(F(1,16)=51.417,p<0.001)和(F(1,16)=36.938,p<0.001),分别在运动训练后。所有参与者都实现了他们的职业表现目标。

结论

尽管运动训练没有改变 PF,但有氧能力和职业表现都得到了改善。

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