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代谢、通气和心血管对 FES 循环的反应:与 NMES 和被动循环的比较。

Metabolic, ventilatory and cardiovascular responses to FES-cycling: A comparison to NMES and passive cycling.

机构信息

Lauro Wanderley Hospital, Federal University of Paraíba, João Pessoa, PB, Brazil.

CLINAR Exercise Physiology, João Pessoa, PB, Brazil.

出版信息

Technol Health Care. 2022;30(4):909-918. doi: 10.3233/THC-213220.

DOI:10.3233/THC-213220
PMID:34744034
Abstract

BACKGROUND

Cyclergometry with functional electrical stimulation (FES-cycling) is a feasible method for rehabilitation. The concept is to promote exercise induced by depolarization of the motoneuron and muscular contraction.

OBJECTIVE

To measure acute physiological responses to FES-cycling.

METHODS

Retrospective study of data from ten healthy volunteers who performed FES-cycling, passive cycling and neuromuscular electrical stimulation (NMES) alone. Metabolic, ventilatory and cardiovascular parameters were analyzed.

RESULTS

Oxygen uptake enhanced 97 ± 15% during FES-cycling, with medium effect size compared to NMES and large effect size compared to passive cycling. Energy expenditure enhanced 102 ± 15% during FES-cycling, with medium effect size compared to NMES and large effect size compared to passive cycling. Minute ventilation enhanced 115 ± 26% during FES-cycling, with small effect size compared to NMES and medium effect size compared to passive cycling. Cardiac output enhanced 21 ± 4% during FES-cycling, with medium effect size compared to NMES and passive cycling. Arterial - mixed venous oxygen content difference enhanced 60 ± 8% during FES-cycling, with a medium effect size compared to NMES and large effect size compared to passive cycling.

CONCLUSIONS

FES-cycling enhances metabolic, ventilatory and cardiovascular demands and the physiological responses are higher than NMES and passive cycling.

摘要

背景

功能性电刺激(FES)自行车运动是一种可行的康复方法。其理念是通过去极化运动神经元和肌肉收缩来促进运动。

目的

测量 FES 自行车运动的急性生理反应。

方法

回顾性研究了 10 名健康志愿者进行 FES 自行车运动、被动自行车运动和单独神经肌肉电刺激(NMES)的数据。分析代谢、通气和心血管参数。

结果

FES 自行车运动时,耗氧量增加 97 ± 15%,与 NMES 相比具有中等效应量,与被动自行车运动相比具有较大效应量。FES 自行车运动时,能量消耗增加 102 ± 15%,与 NMES 相比具有中等效应量,与被动自行车运动相比具有较大效应量。FES 自行车运动时,分钟通气量增加 115 ± 26%,与 NMES 相比具有小效应量,与被动自行车运动相比具有中效应量。FES 自行车运动时,心输出量增加 21 ± 4%,与 NMES 和被动自行车运动相比具有中效应量。FES 自行车运动时,动脉-混合静脉血氧含量差增加 60 ± 8%,与 NMES 相比具有中效应量,与被动自行车运动相比具有大效应量。

结论

FES 自行车运动增加了代谢、通气和心血管需求,生理反应高于 NMES 和被动自行车运动。

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