Swan P D, Spitler D L, Todd M K, Maupin J L, Lewis C L, Darragh P M
Human Performance Laboratory, University of North Carolina, Greensboro.
Arch Phys Med Rehabil. 1989 Sep;70(9):678-80.
The purpose of this study was to determine postural effects on upper and lower limb peripheral resistance (PR) after submaximal exercise. Twelve subjects (six men and six women) completed submaximal cycle ergometer tests (60% age-predicted maximum heart rate) in the supine and upright seated positions. Each test included 20 minutes of rest, 20 minutes of cycling, and 15 minutes of recovery. Stroke volume and heart rate were determined by impedance cardiography, and blood pressure was measured by auscultation during rest, immediately after exercise, and at minutes 1-5, 7.5, 10, 12.5, and 15 of recovery. Peripheral resistance was calculated from values of mean arterial pressure and cardiac output. No significant (p less than 0.05) postural differences in PR were noted during rest for either limb. Immediately after exercise, PR decreased (55% to 61%) from resting levels in both limbs, independent of posture. Recovery ankle PR values were significantly different between postures. Upright ankle PR returned to 92% of the resting level within four minutes of recovery, compared to 76% of the resting level after 15 minutes in the supine posture. Peripheral resistance values in the supine and upright arm were not affected by posture and demonstrated a gradual pattern of recovery similar to the supine ankle recovery response (85% to 88% of rest within 15 minutes). The accelerated recovery rate of PR after upright exercise may result from local vasoconstriction mediated by a central regulatory response to stimulation from gravitational pressure on lower body circulation.
本研究的目的是确定次最大运动后姿势对上下肢外周阻力(PR)的影响。12名受试者(6名男性和6名女性)在仰卧位和直立坐位完成了次最大运动的蹬车试验(60%年龄预测最大心率)。每次试验包括20分钟的休息、20分钟的骑车和15分钟的恢复。通过阻抗心动图测定每搏输出量和心率,在休息时、运动后立即以及恢复的第1 - 5分钟、7.5分钟、10分钟、12.5分钟和15分钟通过听诊测量血压。外周阻力由平均动脉压和心输出量的值计算得出。在休息时,两肢的PR均未发现显著(p小于0.05)的姿势差异。运动后立即,两肢的PR均从休息水平下降(55%至61%),与姿势无关。恢复过程中,踝关节PR值在不同姿势间存在显著差异。直立位踝关节PR在恢复4分钟内恢复到休息水平的92%,而仰卧位姿势下15分钟后恢复到休息水平的76%。仰卧位和直立位手臂的外周阻力值不受姿势影响,并且呈现出与仰卧位踝关节恢复反应相似的逐渐恢复模式(15分钟内恢复到休息水平的85%至88%)。直立运动后PR的加速恢复率可能是由对下身循环重力压力刺激的中枢调节反应介导的局部血管收缩所致。