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一项为期六周的电动功能性电子刺激划船计划可改善脊髓损伤患者的肌肉力量和身体成分:一项试点研究。

A six-week motor-driven functional electronic stimulation rowing program improves muscle strength and body composition in people with spinal cord injury: a pilot study.

作者信息

Kim D-I, Park D-S, Lee B S, Jeon J Y

机构信息

Department of Sport and Leisure Studies, Yonsei University, Seoul, Korea.

Department of Physical Therapy, Konyang University, Daejeon, Korea.

出版信息

Spinal Cord. 2014 Aug;52(8):621-4. doi: 10.1038/sc.2014.76. Epub 2014 Jun 3.

DOI:10.1038/sc.2014.76
PMID:24891008
Abstract

STUDY DESIGN

Preclinical and postclinical intervention and outcomes measure design.

OBJECTIVE

To investigate the efficacy of six weeks of motor-driven functional electronic stimulation (FES) rowing exercise intervention on cardiopulmonary fitness, upper body strength and body composition in people with spinal cord injury (SCI).

SETTING

The National Rehabilitation Center in Korea.

METHODS

A total of 12 people with SCI (ten males, two females) participated in 42.5-minute training sessions on motor-driven FES rowing machine, 5 days a week for 6 weeks. Peak oxygen consumption, body mass index, percent body fat, waist circumference, shoulder abduction and adduction, shoulder flexion and extension and elbow flexion and extension were measured at baseline and after the intervention.

RESULTS

The six weeks of training with a motor-driven FES rowing machine significantly decreased percent body fat (Pre: 23.9±8.5 vs. Post: 20.4±7.9, P=0.028) and increased lean body mass (Pre: 50.4±9.4 vs. Post: 53.3±10.0, P=0.001), muscular strength of the shoulder flexors (Pre: 147.5±68.5 vs. Post: 180.9±71.8, P=0.002), extensors (Pre: 132.7±51.8 vs. Post: 160.6±67.9, P=0.010), abductors (Pre: 126.1±52.6 vs. Post: 163.7±77.8, P=0.002) and adductors (Pre: 172.3±69.0 vs. Post: 215.2±95.7, P=0.003), as well as elbow flexors (Pre: 212.7±66.6 vs. Post: 256.6±76.1, P=0.004) and extensors (Pre: 190.6±65.0 vs. Post: 221.9±63.9, P=0.002).

CONCLUSIONS

Exercise using a motor-driven FES rowing machine may be used as a new exercise modality to improve body composition and upper body muscle strength in people with SCI.

SPONSORSHIP

This research was supported by a grant (code# 08-B-03, #10-B-01) from the National Rehabilitation Research Institute.

摘要

研究设计

临床前和临床后干预及结果测量设计。

目的

探讨为期六周的电动功能性电刺激(FES)划船运动干预对脊髓损伤(SCI)患者心肺适能、上肢力量和身体成分的疗效。

地点

韩国国家康复中心。

方法

共有12名SCI患者(10名男性,2名女性)参加了在电动FES划船机上进行的42.5分钟训练课程,每周5天,共6周。在基线和干预后测量峰值耗氧量、体重指数、体脂百分比、腰围、肩部外展和内收、肩部屈伸以及肘部屈伸。

结果

为期六周的电动FES划船机训练显著降低了体脂百分比(训练前:23.9±8.5 vs. 训练后:20.4±7.9,P = 0.028),增加了瘦体重(训练前:50.4±9.4 vs. 训练后:53.3±10.0,P = 0.001)、肩部屈肌的肌肉力量(训练前:147.5±68.5 vs. 训练后:180.9±71.8,P = 0.002)、伸肌(训练前:132.7±51.8 vs. 训练后:160.6±67.9,P = 0.010)、外展肌(训练前:126.1±52.6 vs. 训练后:163.7±77.8,P = 0.002)和内收肌(训练前:172.3±69.0 vs. 训练后:215.2±——95.7,P = 0.003),以及肘部屈肌(训练前:212.7±66.6 vs. 训练后:256.6±76.1,P = 0.004)和伸肌(训练前:190.6±65.0 vs. 训练后:221.9±63.9,P = 0.002)。

结论

使用电动FES划船机进行运动可作为一种新的运动方式,用于改善SCI患者的身体成分和上肢肌肉力量。

资助

本研究由国家康复研究所的一项拨款(编号# 08 - B - 03,#10 - B - 01)支持。

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