Kapusta Joanna, Kowalski Jan, Irzmański Robert
Medical University of Lodz: Department of Internal Diseases and Cardiac Rehabilitation.
Pol Merkur Lekarski. 2019 May 27;46(275):213-216.
Currently, the most common cause of death among highly developed countries are cardiovascular diseases. In terms of incidence, they take epidemic proportions. The main cause of the development of cardiovascular disease in 90% of cases is atherosclerotic lesions. The most important complications of atherosclerosis in addition to myocardial infarction and stroke include peripheral arterial disease, including arteries of the lower limbs. It is estimated that 3-10% of the general population suffers from atherosclerotic peripheral vascular disease. In people over 70, the number of patients with peripheral vascular disease increases up to 15-20%.
The aim of the study was to evaluate the influence of vortex massages and physical training on the temperature of lower limbs and selected haemodynamic parameters of the circulatory system in patients with atherosclerotic peripheral vascular disease.
The study included 50 patients, both sexes, aged from 39 to 79 years, with impaired peripheral circulation of the lower limbs. The subjects were randomly divided into two groups. In group I, a series of 10 lower limb massage vortex procedures and an individually selected training including breathing, relaxation and active exercises of the lower limbs were used. In Group II, individually selected training was conducted. Measurements of blood pressure and heart rate (HR) were carried out before and after the series of treatments. The technique of performing the measurements was consistent with the recommendations of the Polish Society of Arterial Hypertension regarding blood pressure measurements.
After the end of the series of treatments, in group I there was a statistically significant decrease in systolic blood pressure (SBP) and heart rate (HR).
The applied eddy massage treatments significantly influenced the improvement of the hemodynamic parameters of the cardiovascular system.
目前,在高度发达国家中,最常见的死亡原因是心血管疾病。就发病率而言,它们呈流行态势。在90%的病例中,心血管疾病发展的主要原因是动脉粥样硬化病变。除心肌梗死和中风外,动脉粥样硬化最重要的并发症包括外周动脉疾病,包括下肢动脉。据估计,普通人群中有3% - 10%患有动脉粥样硬化性外周血管疾病。在70岁以上的人群中,外周血管疾病患者数量增加到15% - 20%。
本研究的目的是评估涡旋按摩和体育锻炼对动脉粥样硬化性外周血管疾病患者下肢温度及循环系统选定血流动力学参数的影响。
该研究纳入了50名年龄在39至79岁之间、下肢外周循环受损的患者,男女不限。受试者被随机分为两组。在第一组中,采用了一系列10次下肢涡旋按摩程序以及包括呼吸、放松和下肢主动运动的个性化训练。在第二组中,进行了个性化训练。在一系列治疗前后测量血压和心率(HR)。测量技术符合波兰动脉高血压学会关于血压测量的建议。
在一系列治疗结束后,第一组的收缩压(SBP)和心率(HR)有统计学意义的下降。
应用的涡旋按摩治疗对心血管系统血流动力学参数的改善有显著影响。