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比较多组分运动联合或不联合力量训练对脑卒中患者心肺适能、身体功能和肌肉力量的影响:一项随机对照试验。

Comparing the effects of multicomponent exercise with or without power training on the cardiorespiratory fitness, physical function, and muscular strength of patients with stroke: a randomized controlled trial.

作者信息

Kang Dongheon, Park Jiyoung, Jeong Irully, Eun Seon-Deok

机构信息

Department of Healthcare and Public Health Research, Korea National Rehabilitation Hospital, Ministry of Health and Welfare, Seoul, South Korea.

Department of Sport Education, College of Physical Education, Kookmin University, Seoul, South Korea.

出版信息

J Sports Med Phys Fitness. 2022 May;62(5):722-731. doi: 10.23736/S0022-4707.21.12306-0. Epub 2021 Mar 15.

DOI:10.23736/S0022-4707.21.12306-0
PMID:33721986
Abstract

BACKGROUND

Literature studies concerning the effect of implementing a multicomponent program with different individual exercise intensities are insufficient. This study aimed to examine the effects of performing a multicomponent exercise program incorporating high-speed power training on cardiorespiratory fitness, physical function, and muscular strength in poststroke patients. We compared the results of two different exercise regimens: high-speed power training and traditional low-speed strength training.

METHODS

Forty-five poststroke patients were randomly assigned to the high-speed, low-speed, and control groups. A 60-min multicomponent exercise program was conducted three times per week for 8 weeks in the two exercise groups, whereas static stretching was performed in the control group. Cardiorespiratory fitness, physical function, and muscular strength were assessed before and after the intervention.

RESULTS

Significant improvements were observed in the peak oxygen consumption values and results of the Berg balance scale, Korean version of the Trunk Impairment Scale, and Timed Up-and-Go test. The aforementioned were evaluated as a measure of cardiorespiratory function and functional ability in the exercise groups and compared to those obtained in the control group. High-speed power training led to greater improvement in patients compared with low-speed strength training.

CONCLUSIONS

Multicomponent exercise involving high-speed power training was beneficial in helping patients with stroke regain cardiorespiratory fitness, physical function, and muscular strength.

摘要

背景

关于实施具有不同个体运动强度的多组分计划的效果的文献研究不足。本研究旨在探讨实施一项包含高速力量训练的多组分运动计划对中风后患者心肺功能、身体功能和肌肉力量的影响。我们比较了两种不同运动方案的结果:高速力量训练和传统的低速力量训练。

方法

45名中风后患者被随机分配到高速组、低速组和对照组。两个运动组每周进行3次60分钟的多组分运动计划,共8周,而对照组进行静态拉伸。在干预前后评估心肺功能、身体功能和肌肉力量。

结果

在运动组中,作为心肺功能和功能能力指标的峰值耗氧量值以及伯格平衡量表、韩国版躯干损伤量表和计时起立行走测试的结果均有显著改善,并与对照组获得的结果进行比较。与低速力量训练相比高速力量训练使患者有更大的改善。

结论

包含高速力量训练的多组分运动有助于中风患者恢复心肺功能、身体功能和肌肉力量。

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