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心血管健康与创伤性脑损伤后能走动的人的活动能力受限无关。

Cardiovascular fitness is unrelated to mobility limitations in ambulant people with traumatic brain injury.

机构信息

Epworth Healthcare (Dr Williams and Ms Weragoda); The University of Melbourne (Drs Williams and Clark); and Centre of physical activity across the lifespan (COPAAL), School of Exercise Science, Australian Catholic University (Dr Paterson), Melbourne, Australia.

出版信息

J Head Trauma Rehabil. 2013 Nov-Dec;28(6):E1-7. doi: 10.1097/HTR.0b013e318279536d.

Abstract

OBJECTIVE

The aim of this study was to evaluate the relationship between mobility, activity levels, and cardiovascular fitness in patients with traumatic brain injury (TBI) currently undergoing rehabilitation, and to determine whether mobility and cardiovascular fitness differs between people with TBI and matched healthy controls (HCs).

DESIGN

Cross-sectional cohort study.

PARTICIPANTS

Twenty-eight people with TBI and 28 matched HCs.

OUTCOME MEASURES

The primary outcome measure for mobility was the high-level mobility assessment tool. Steps per day was the outcome measure for activity level, and the physical work capacity at 130 (PWC130) submaximal VO2 Monark bike test was the primary outcome measure for cardiovascular fitness.

RESULTS

Results revealed no relationship (P > .05) between mobility, activity levels, and cardiovascular fitness in the TBI cohort. Participants with TBI had significantly reduced capacity for mobility (P < .001) and performed less physical activity (P = .002) than matched HCs; however, there was no significant difference in cardiovascular fitness (P = .094) between groups.

CONCLUSIONS

Despite reduced physical activity and a wide range in capacity to mobilize, no relationship was identified between mobility and cardiovascular fitness following TBI.

摘要

目的

本研究旨在评估正在接受康复治疗的创伤性脑损伤(TBI)患者的活动水平和心血管健康之间的关系,并确定 TBI 患者与匹配的健康对照组(HCs)之间的移动性和心血管健康是否存在差异。

设计

横断面队列研究。

参与者

28 名 TBI 患者和 28 名匹配的 HCs。

结果测量

移动性的主要结果测量是高水平移动性评估工具。每天的步数是活动水平的结果测量,而心血管健康的主要结果测量是 130 次物理工作能力(PWC130)Monark 自行车测试中的次最大 VO2。

结果

结果显示,TBI 队列中移动性、活动水平和心血管健康之间没有关系(P>0.05)。TBI 患者的移动能力明显降低(P<0.001),活动量较少(P=0.002),但两组之间的心血管健康没有显著差异(P=0.094)。

结论

尽管活动量减少且移动能力范围广泛,但 TBI 后移动性和心血管健康之间未发现关系。

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