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单次全身肌电刺激可增加早期帕金森病患者的肌肉力量、耐力和 proNGF。

A Single Session of Whole-Body Electromyostimulation Increases Muscle Strength, Endurance and proNGF in Early Parkinson Patients.

机构信息

Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.

Department of Motor, Human and Health Sciences, University of Rome "Foro Italico", 00197 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2021 May 20;18(10):5499. doi: 10.3390/ijerph18105499.

Abstract

Parkinson's disease (PD) patients lead a sedentary lifestyle, being unable or unwilling to exercise conventionally, due to physical and mental limitations. The aim of this study was to assess the acute effects of a single session of whole-body electromyostimulation (WB-EMS) on the physical performances and serum levels of the neurotrophic factors in PD patients. Ten subjects (aged 72.60 ± 6.82) underwent 20 min of physical activity with superimposed WB-EMS and, after four weeks, the same protocol with no WB-EMS. WB-EMS was conducted with intermittent stimulation, with 4 s WB-EMS/4 s rest, at 85 Hz, 350 μs. A physical fitness assessment and blood samples collection, to evaluate neurotrophic factors' levels (BDNF, FGF21, proNGF, mNGF), were collected before and after the intervention. The RM-ANOVA showed significant improvements in sit-to-stand ( < 0.01), arm curl ( < 0.01), handgrip ( < 0.01) and soda pop test ( < 0.01) after the WB-EMS intervention. Higher proNFG serum levels were observed in the WB-EMS condition compared to the no WB-EMS after 60 min post-intervention ( = 0.0163). The effect of WB-EMS confirmed the electrostimulation ability to modulate the proNGF quantity. The positive impact of the WB-EMS protocol on physical functioning, and eye-hand coordination, makes this intervention a promising strategy to improve motor and non-motor symptoms in PD patients.

摘要

帕金森病(PD)患者由于身体和精神上的限制,往往无法或不愿意进行常规运动,导致生活习惯久坐不动。本研究旨在评估全身肌电刺激(WB-EMS)单次疗程对 PD 患者身体机能和神经营养因子血清水平的急性影响。10 名受试者(年龄 72.60 ± 6.82 岁)接受了 20 分钟的带叠加 WB-EMS 的身体活动,四周后,进行同样的方案但没有 WB-EMS。WB-EMS 采用间歇刺激,4 s WB-EMS/4 s 休息,频率为 85 Hz,脉宽为 350 μs。干预前后采集身体机能评估和血液样本,以评估神经营养因子水平(BDNF、FGF21、proNGF、mNGF)。重复测量方差分析显示,在接受 WB-EMS 干预后,坐站(<0.01)、手臂卷曲(<0.01)、握力(<0.01)和苏打水测试(<0.01)都有显著改善。与无 WB-EMS 条件相比,在干预后 60 分钟,WB-EMS 条件下的 proNFG 血清水平更高(=0.0163)。WB-EMS 的效果证实了电刺激能够调节 proNGF 的数量。WB-EMS 方案对身体机能和手眼协调的积极影响,使其成为改善 PD 患者运动和非运动症状的一种有前途的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a112/8161270/a2acfc083fec/ijerph-18-05499-g001.jpg

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