Department Of Physiotherapy And Rehabilitation, Faculty of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey.
Department Of Physiotherapy And Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey.
J Int Med Res. 2020 Dec;48(12):300060520979211. doi: 10.1177/0300060520979211.
We aimed to compare functional exercise capacity, respiratory and peripheral muscle strength, pulmonary function and quality of life between patients with stable angina and healthy controls.
We compared 33 patients with stable angina (55.21 ± 6.12 years old, Canada Class II-III, left ventricular ejection fraction: 61.92 ± 7.55) and 30 healthy controls (52.70 ± 4.22 years old). Functional capacity (6-minute walk test (6-MWT)), respiratory muscle strength (mouth pressure device), peripheral muscle strength (dynamometer), pulmonary function (spirometer) and quality of life (Short Form 36 (SF-36)) were evaluated.
6-MWT distance (499.20 ± 51.91 m versus 633.05 ± 57.62 m), maximal inspiratory pressure (85.42 ± 20.52 cmHO versus 110.44 ± 32.95 cmHO), maximal expiratory pressure (83.33 ± 19.05 cmHO versus 147.96 ± 54.80 cmHO) and peripheral muscle strength, pulmonary function and SF-36 sub-scores were lower in the angina group versus the healthy controls, respectively.
Impaired peripheral and respiratory muscle strength, reduction in exercise capacity and quality of life are obvious in patients with stable angina. Therefore, these parameters should be considered in stable angina physiotherapy programmes to improve impairments.
比较稳定性心绞痛患者与健康对照者的功能运动能力、呼吸和外周肌肉力量、肺功能和生活质量。
我们比较了 33 例稳定性心绞痛患者(55.21±6.12 岁,加拿大 II-III 级,左心室射血分数:61.92±7.55)和 30 例健康对照者(52.70±4.22 岁)。评估了功能能力(6 分钟步行试验(6-MWT))、呼吸肌肉力量(口腔压力仪)、外周肌肉力量(测力计)、肺功能(肺活量计)和生活质量(健康调查简表 36 项(SF-36))。
6-MWT 距离(499.20±51.91 m 与 633.05±57.62 m)、最大吸气压力(85.42±20.52 cmHO 与 110.44±32.95 cmHO)、最大呼气压力(83.33±19.05 cmHO 与 147.96±54.80 cmHO)和外周肌肉力量、肺功能和 SF-36 子评分在心绞痛组均低于健康对照组。
稳定性心绞痛患者的外周和呼吸肌肉力量受损,运动能力和生活质量降低。因此,在稳定性心绞痛的物理治疗方案中应考虑这些参数,以改善损伤。