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为截瘫患者开发带有自动功能性电刺激控制器的电动划船机:一项初步研究。

Development of a motor driven rowing machine with automatic functional electrical stimulation controller for individuals with paraplegia; a preliminary study.

作者信息

Jung Da-Woon, Park Dae-Sung, Lee Bum-Suk, Kim Min

机构信息

Department of Motor and Cognitive Function Rehabilitation, National Rehabilitation Research Institute, Seoul 142-884, Korea.

出版信息

Ann Rehabil Med. 2012 Jun;36(3):379-85. doi: 10.5535/arm.2012.36.3.379. Epub 2012 Jun 30.

Abstract

OBJECTIVE

To examine the cardiorespiratory responses of patients with spinal cord injury (SCI) paraplegia using a motor driven rowing machine.

METHOD

Ten SCI patients with paraplegia [A (n=6), B (n=1), and C (n=3) by the American Spinal Injury Association impairment scale] were selected. Two rowing techniques were used. The first used a fixed seat with rowing achieved using only upper extremity movement (fixed rowing). The second used an automatically moving seat, facilitating active upper extremity movement and passive lower extremity movement via the motorized seat (motor rowing). Each patient performed two randomly assigned rowing exercise stress tests 1-3 days apart. The work rate (WR), time, respiratory exchange ratio (R), oxygen consumption (VO(2)), heart rate (HR), metabolic equivalents (METs), and rating of perceived exertion (RPE) were recorded.

RESULTS

WR, time, VO(2), and METs were significantly higher after the motor rowing test than after fixed motor rowing test (p<0.05). HR after motor rowing was significantly lower than fixed rowing (p<0.05).

CONCLUSION

Cardiorespiratory responses as VO(2), HR and METs can be elicited by the motor rowing for people with paraplegic SCI.

摘要

目的

使用电动划船机检查脊髓损伤(SCI)截瘫患者的心肺反应。

方法

选取10例SCI截瘫患者[根据美国脊髓损伤协会损伤量表分为A组(n = 6)、B组(n = 1)和C组(n = 3)]。采用两种划船技术。第一种使用固定座椅,仅通过上肢运动完成划船动作(固定划船)。第二种使用自动移动座椅,通过电动座椅促进上肢主动运动和下肢被动运动(电动划船)。每位患者在1 - 3天内随机进行两次划船运动应激测试。记录工作率(WR)、时间、呼吸交换率(R)、耗氧量(VO₂)、心率(HR)、代谢当量(METs)和主观用力程度分级(RPE)。

结果

电动划船测试后的WR、时间、VO₂和METs显著高于固定划船测试后(p < 0.05)。电动划船后的HR显著低于固定划船(p < 0.05)。

结论

电动划船可引起SCI截瘫患者的心肺反应,如VO₂、HR和METs。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5b/3400878/45dc46578f7a/arm-36-379-g001.jpg

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