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治疗性运动后立即摄入豆浆可改善慢性中风患者的康复效果:一项随机对照试验。

Soymilk ingestion immediately after therapeutic exercise enhances rehabilitation outcomes in chronic stroke patients: A randomized controlled trial.

作者信息

Liao Yi-Hung, Chen Chiao-Nan, Hu Chia-Yueh, Tsai Shiow-Chwen, Kuo Yu-Chi

机构信息

Department of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.

Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan.

出版信息

NeuroRehabilitation. 2019;44(2):217-229. doi: 10.3233/NRE-182574.

Abstract

PURPOSE

This study investigates the effects of an 8-weeks rehabilitation exercise plus soymilk ingestion immediately after exercise on functional outcomes in chronic stroke patients.

METHODS

Twenty-two stroke patients (age: 57-84 yrs; time since stroke onset: 2-19 yrs) participated and completed the study. A randomized, placebo-controlled and double-blind design was used. Participants were randomly allocated to either soymilk (SMS; n = 11) or placebo (PLA; n = 11) group and received identical 8-weeks rehabilitation intervention (3 sessions/week; 120 min/session) with corresponding treatment beverages. The physical and functional outcomes were evaluated before, during, and after the intervention.

RESULTS

The 8-weeks rehabilitation program enhanced functional outcomes of participants. The immediate soymilk ingestion after exercise additionally improved hand grip strength (p = 0.021), 8-feet walking speed (p = 0.019), walking performance per unit lean mass (p = 0.024), and 6-minute walk performance (6MWT, p = 0.016) compared with PLA after the intervention. However, the improvements in the total score for short physical performance battery (SPPB) and lean mass did not differ between groups.

CONCLUSION

Compared with rehabilitation alone, the 8-week rehabilitation program combined with immediate soymilk ingestion further improved walking speed, exercise endurance, grip strength, and muscle functionality in chronic stroke patients.

摘要

目的

本研究调查了为期8周的康复锻炼以及运动后立即摄入豆浆对慢性中风患者功能结局的影响。

方法

22名中风患者(年龄:57 - 84岁;中风发病时间:2 - 19年)参与并完成了该研究。采用随机、安慰剂对照和双盲设计。参与者被随机分配到豆浆组(SMS;n = 11)或安慰剂组(PLA;n = 11),并接受相同的为期8周的康复干预(每周3次;每次120分钟),同时饮用相应的治疗饮品。在干预前、干预期间和干预后对身体和功能结局进行评估。

结果

为期8周的康复计划提高了参与者的功能结局。与干预后安慰剂组相比,运动后立即摄入豆浆还额外改善了握力(p = 0.021)、8英尺步行速度(p = 0.019)、单位瘦体重的步行表现(p = 0.024)和6分钟步行表现(6MWT,p = 0.016)。然而,两组在简短体能状况量表(SPPB)总分和瘦体重的改善方面没有差异。

结论

与单纯康复相比,为期8周的康复计划结合运动后立即摄入豆浆进一步改善了慢性中风患者的步行速度、运动耐力、握力和肌肉功能。

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