From the Rehabilitation Science, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama (YK); University of Alabama at Birmingham/Lakeshore Foundation Research Collaborative, Birmingham, Alabama (YK, BL, TM, MT, SP, JHR, RWM); Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama (BL, RWM); and Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama (TM, MT).
Am J Phys Med Rehabil. 2019 Jul;98(7):613-621. doi: 10.1097/PHM.0000000000001174.
The translation of knowledge from exercise training research into the clinical management of multiple sclerosis, stroke, and Parkinson disease requires evidence-based guidelines that are uniformly recognizable by healthcare practitioners and patients/clients. This article synthesized resources that reported aerobic and resistance training guidelines for people with multiple sclerosis, stroke, and Parkinson disease. Systematic searches yielded 25 eligible resources from electronic databases and Web sites or textbooks of major organizations. Data were extracted (exercise frequency, intensity, time, and type) and synthesized into three sets of recommendations. Exercise guidelines for multiple sclerosis consistently recommended 2-3 d/wk of aerobic training (10-30 mins at moderate intensity) and 2-3 d/wk of resistance training (1-3 sets between 8 and 15 repetition maximum). Exercise guidelines for stroke recommended 3-5 d/wk of aerobic training (20-40 mins at moderate intensity) and 2-3 d/wk of resistance training (1-3 sets of 8-15 repetitions between 30% and 50% 1 repetition maximum). Exercise guidelines for Parkinson disease recommended 3-5 d/wk of aerobic training (20-60 mins at moderate intensity) and 2-3 d/wk of resistance training (1-3 sets of 8-12 repetitions between 40% and 50% of 1 repetition maximum). This harmonization of exercise guidelines provides a prescriptive basis for healthcare providers, exercise professionals, and people with multiple sclerosis, stroke, and Parkinson disease regarding exercise programming.
将运动训练研究中的知识转化为多发性硬化症、中风和帕金森病的临床管理，需要基于证据的指南，这些指南应被医疗保健从业者和患者/客户统一认可。本文综合了报告多发性硬化症、中风和帕金森病患者有氧运动和抗阻训练指南的资源。系统搜索从电子数据库和网站或主要组织的教科书中共获得了 25 份合格资源。提取数据（运动频率、强度、时间和类型）并综合成三组建议。多发性硬化症的运动指南一致建议每周进行 2-3 天的有氧运动（中等强度持续 10-30 分钟）和 2-3 天的抗阻训练（8-15 次重复最大强度的 1-3 组）。中风的运动指南建议每周进行 3-5 天的有氧运动（中等强度持续 20-40 分钟）和 2-3 天的抗阻训练（30%-50%1 次重复最大强度的 1-3 组，重复 8-15 次）。帕金森病的运动指南建议每周进行 3-5 天的有氧运动（中等强度持续 20-60 分钟）和 2-3 天的抗阻训练（40%-50%1 次重复最大强度的 1-3 组，重复 8-12 次）。这些运动指南的协调为医疗保健提供者、运动专业人员以及多发性硬化症、中风和帕金森病患者提供了运动方案制定的规范性依据。
