Jankowski L W, Sullivan S J
Exercise Science Department, Concordia University, Montreal, Quebec, Canada.
Arch Phys Med Rehabil. 1990 Jun;71(7):500-4.
To assess the value of exercise training after traumatic brain injury (TBI), 14 sedentary adults with TBI performed a supervised circuit training program three times per week for 16 consecutive weeks. The program was designed to include equal volumes of both aerobic and neuromuscular training to increase the subjects' oxidative capacity and simultaneously improve their locomotor efficiency. Before and after the experimental training program, height, weight, blood pressure, skinfold thickness, grip strength, abdominal muscular endurance, and submaximal and peak rates of oxygen consumption were measured, and the index of physiological fatigue was calculated. The TBI patients manifested subnormal oxidative capacities and above-average oxygen costs locomotion. A 16-week circuit training program of moderate intensity and prolonged duration increased their oxidative capacity (p less than .01) and abdominal muscular endurance (p less than .01), but failed to reduce their oxygen cost of walking. Moderate and prolonged activity seems beneficial in the comprehensive rehabilitation of patients with TBI. The index of physiologic fatigability seems to be useful for the assessment, evaluation, and vocational placement of individuals with TBI.
为评估创伤性脑损伤（TBI）后运动训练的价值，14名久坐不动的TBI成年患者连续16周每周进行3次有监督的循环训练计划。该计划旨在包括等量的有氧训练和神经肌肉训练，以提高受试者的氧化能力，同时提高其运动效率。在实验训练计划前后，测量身高、体重、血压、皮褶厚度、握力、腹部肌肉耐力以及次最大耗氧率和峰值耗氧率，并计算生理疲劳指数。TBI患者表现出氧化能力低于正常水平，且运动时的氧气消耗高于平均水平。一项为期16周的中等强度和长时间的循环训练计划提高了他们的氧化能力（p<0.01）和腹部肌肉耐力（p<0.01），但未能降低他们行走时的氧气消耗。中等强度和长时间的活动似乎对TBI患者的综合康复有益。生理疲劳指数似乎有助于对TBI患者进行评估、评价和职业安置。
