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接受异基因造血干细胞移植患者的抗阻训练 Borg 量表变化和运动耐量测试。

Changes in Borg scale for resistance training and test of exercise tolerance in patients undergoing allogeneic hematopoietic stem cell transplantation.

机构信息

Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.

Department of Physical Medicine and Rehabilitation, Hyogo College of Medicine, Nishinomiya, Japan.

出版信息

Support Care Cancer. 2018 Sep;26(9):3217-3223. doi: 10.1007/s00520-018-4168-3. Epub 2018 Apr 6.

Abstract

PURPOSE

We aimed to investigate the relationship between Borg scale and intensity of resistance training in patients who had undergone allogeneic hematopoietic stem cell transplantation (allo-HSCT). Furthermore, the relationship between Borg scale, heart rate (HR), and intensity of exercise tolerance test was also studied.

METHODS

The study included 28 patients (19 men and 9 women) who had undergone allo-HSCT between June 2015 and February 2017. Their knee extension strengths and exercise tolerances were evaluated. Patients were asked to grade between 0 and 10 on Borg scale based on the level of difficulty experienced during exercising, after 10 repetitions in randomized 20, 40, and 60% resistance training for knee extension. Additionally, we evaluated Borg scale, HR, and load intensity during exercise tolerance test, every minute of the exercise for 2 weeks before and 3 weeks after HSCT.

RESULTS

Knee extension strength and exercise tolerance were significantly decreased 3 weeks after HSCT from those before HSCT (p < 0.01). Additionally, rise in Borg scale with increase in load intensity during knee extension resistance training, both before and after HSCT (p < 0.01), was noted. Furthermore, Borg scale was found to be associated with HR and load intensity during exercise tolerance test in patients both before and after HSCT (p < 0.01).

CONCLUSIONS

A correlation was found between Borg scale with intensity of resistance training and exercise tolerance in patients who had undergone allo-HSCT. Therefore, Borg scale could be useful to determine the intensity of physical exercise in patients who have undergone allo-HSCT.

摘要

目的

本研究旨在探讨接受异基因造血干细胞移植(allo-HSCT)患者的 Borg 量表与抗阻训练强度之间的关系。此外,本研究还研究了 Borg 量表、心率(HR)与运动耐量试验强度之间的关系。

方法

本研究纳入了 2015 年 6 月至 2017 年 2 月期间接受 allo-HSCT 的 28 例患者(19 名男性,9 名女性)。评估了他们的膝关节伸肌力量和运动耐量。患者在接受随机 20%、40%和 60%膝关节伸肌抗阻训练的 10 次重复后,根据运动时的难度程度,在 Borg 量表上对自身感觉进行 0 到 10 的分级。此外,我们评估了患者在 allo-HSCT 前和后 2 周内,每隔 1 分钟进行的运动耐量试验期间的 Borg 量表、HR 和运动负荷强度。

结果

HSCT 后 3 周,患者的膝关节伸肌力量和运动耐量均明显低于 HSCT 前(p<0.01)。此外,我们还发现,在 allo-HSCT 前后的膝关节伸肌抗阻训练中,随着负荷强度的增加,Borg 量表评分也随之升高(p<0.01)。此外,我们发现,在 allo-HSCT 前后的患者中,Borg 量表与运动耐量试验期间的 HR 和负荷强度均相关(p<0.01)。

结论

本研究结果表明,接受 allo-HSCT 的患者的 Borg 量表与抗阻训练强度和运动耐量之间存在相关性。因此,Borg 量表可用于确定接受 allo-HSCT 患者的身体运动强度。

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