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中风后15天患者进行有氧运动干预后的心血管健康和身体功能测量

Measures of Cardiovascular Health and Physical Function after an Aerobic Exercise Intervention in a Patient Fifteen Days Post-Stroke.

作者信息

Lentz Angela A, Mattlage Anna E, Ashenden Abigail L, Rippee Michael A, Billinger Sandra A

机构信息

University of Kansas Medical Center, Dept. of Physical Therapy and Rehabilitation Science.

University of Kansas Medical Center, School of Medicine.

出版信息

J Stud Phys Ther Res. 2012;5(2):72-78.

Abstract

: Case Study : Changes in cardiorespiratory (CR) fitness post-stroke severely impact an individual's quality of life. The purpose of this case study was to demonstrate whether a moderate to high intensity aerobic exercise program would improve cardiovascular fitness, and physical performance measures in a participant following discharge from acute stroke rehabilitation. The participant is a 58 year-old female who experienced an ischemic stroke 15 days prior to beginning the exercise intervention. : The participant was provided a supervised 8-week exercise intervention on a Total Body Recumbent Stepper (TBRS). The exercise intervention consisted of three sessions per week; the first 4 weeks the participant exercised at a moderate intensity of 50-59% heart rate reserve (HRR) calculated from the baseline exercise test; the last 4 weeks the intensity was increased to 60-69% HRR. Exercise duration began at 20 minutes with the goal of reaching 30 minutes of continuous exercise at a specified workload. : Following 8-weeks of intervention, the participant showed improvement in cardiovascular measures including: resting blood pressure (BP), resting heart rate (HR), VO peak, and the maximum distance walked (6-MWT). : The use of a moderate to high intensity aerobic exercise intervention may be effective for participants in the sub-acute phase of stroke recovery in order to improve cardiovascular health and physical function.

摘要

病例研究

中风后心肺(CR)功能的变化严重影响个人生活质量。本病例研究的目的是证明中度至高强度有氧运动计划是否能改善急性中风康复出院后参与者的心血管健康状况和身体表现指标。参与者是一名58岁女性,在开始运动干预前15天发生缺血性中风。

为参与者提供了一项在全身卧式踏步机(TBRS)上进行的为期8周的有监督运动干预。运动干预包括每周三次训练;前4周参与者以根据基线运动测试计算出的心率储备(HRR)的50 - 59%的中等强度进行运动;最后4周强度增加到HRR的60 - 69%。运动时长从20分钟开始,目标是在特定工作量下达到30分钟的持续运动。

经过8周的干预,参与者在心血管指标方面有所改善,包括:静息血压(BP)、静息心率(HR)、峰值摄氧量(VO₂)和6分钟步行试验(6 - MWT)的最大步行距离。

对于处于中风恢复亚急性期的参与者,使用中度至高强度有氧运动干预可能对改善心血管健康和身体功能有效。

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