Kesiktaş Fatma Nur, Kaşıkçıoğlu Erdem, Paker Nurdan, Bayraktar Bülent, Karan Ayşe, Ketenci Ayşegül, Müslümanoğlu Lütfiye
Department of Physical Medicine and Rehabilitation, Istanbul Physical Therapy Rehabilitation Training and Research Hospital, Istanbul, Turkey.
Istanbul Faculty of Medicine, Sports Medicine, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2021 Sep 1;67(3):275-282. doi: 10.5606/tftrd.2021.6533. eCollection 2021 Sep.
The aim of this study was to compare the efficacy of home-based upper extremity circuit training exercises (CTEs) with supervised hospital program in male patients with traumatic complete paraplegia.
Twenty men with paraplegia (mean age: 38±10.1 years; range, 30 to 43 years) between January 2007 and November 2007 were randomized into two groups. The first group had supervised hospital CTE program, whereas the second group had home-based CTE. The effects of the upper extremity CTE by using elastic bands 60 min per day, five days a week, for a total of eight weeks (70% maximal oxygen consumption [VO]) were examined. The Cybex was used for the isokinetic testing of the upper extremities. The VO and maximum heart rate (HR) were assessed using an arm ergometer. The Craig Handicap Report Technique Short Form (CHART-SF) was used for the evaluation of functional independence and mobility. Serum lipid profiles were measured.
The mean injury duration was 7.9±2 years. The peak torque values of the upper extremities, VO, maximum HR, CHART-SF physical independence and mobility scores, and serum lipid profile were all improved in both groups (p<0.05). There were no significant differences in terms of the increase in the muscle strength and serum lipid levels between the groups (p>0.05). The improvement in the VO, physical independence, and mobility scores were greater in the supervised exercise group.
Upper extremity strength, cardiovascular endurance, and lipid profile were improved after supervised and home-based CTE in the men with paraplegia. Home-based exercise programs may be good alternatives to the hospital rehabilitation for this patient population.
本研究旨在比较居家上肢循环训练运动（CTE）与医院监督项目对创伤性完全性截瘫男性患者的疗效。
2007年1月至2007年11月期间，20名截瘫男性患者（平均年龄：38±10.1岁；范围30至43岁）被随机分为两组。第一组接受医院监督的CTE项目，而第二组进行居家CTE。研究了每天使用弹力带进行60分钟上肢CTE，每周五天，共八周（最大耗氧量[VO₂]的70%）的效果。使用Cybex对上肢进行等速测试。使用手臂测力计评估VO₂和最大心率（HR）。采用克雷格残疾报告技术简表（CHART-SF）评估功能独立性和活动能力。测量血清脂质谱。
平均损伤持续时间为7.9±2年。两组上肢的峰值扭矩值、VO₂、最大HR、CHART-SF身体独立性和活动能力评分以及血清脂质谱均得到改善（p<0.05）。两组之间肌肉力量增加和血清脂质水平方面无显著差异（p>0.05）。监督运动组的VO₂、身体独立性和活动能力评分改善更大。
截瘫男性患者在接受监督的和居家的CTE后，上肢力量、心血管耐力和脂质谱得到改善。居家运动项目可能是该患者群体医院康复的良好替代方案。
