Department of Kinesiology, McMaster University, Hamilton, Canada.
Peter Harrison Centre for Disability Sport, School for Sport, Exercise, and Health Sciences, Loughborough University, Loughborough, United Kingdom.
Arch Phys Med Rehabil. 2022 Jul;103(7):1398-1409. doi: 10.1016/j.apmr.2022.03.008. Epub 2022 Apr 6.
To analyze and summarize the effect of regulating exercise training interventions with subjective measures of intensity on cardiorespiratory fitness, measured by peak oxygen uptake (V̇O) and peak power output (PO) in adults with spinal cord injury (SCI).
Four databases (MEDLINE, Embase, PsycINFO, SPORTDiscus) were searched from inception up until September 1, 2020, and updated November 18, 2021.
Searches combined keywords relating to the topics: SCI, subjective measures of exercise intensity, and exercise.
Two reviewers independently conducted eligibility screening, data extraction, and assessed the risk of bias. Nine studies were included in the systematic review and meta-analysis, resulting in the inclusion of data from 95 adults with SCI representing both sexes and a diverse range of age, time since injury, lesion level, and lesion completeness classifications.
Data were extracted and added to summary tables with 3 outcomes: V̇O, PO, and Other. Mean and SD values for V̇O and PO were extracted from pre- and post-perceptually regulated exercise training.
All studies used ratings of perceived exertion scale to prescribe exercise intensity. Seven of 8 studies concluded an improvement in V̇O, and 5 studies of 7 concluded an improvement in PO. In the outcome Other, 5 studies concluded an improvement, and 3 studies concluded no change. There was evidence for an improvement in cardiorespiratory fitness, measured by V̇O and PO after perceptually regulated exercise training in adults with SCI (Grading of Recommendations, Assessment, Development, and Evaluation ratings: Low) (mean difference [MD], 2.92mL/kg/min; 95% confidence interval [CI], 1.30-4.54; P=.0004 and MD, 9.8W; 95% CI, 5.5-14.3; P<.0001, respectively). This review provides critically appraised, cumulative evidence on the use of perceptually regulated exercise training in individuals with SCI.
分析和总结使用主观强度测量指标调节运动训练干预对脊髓损伤（SCI）成年人心肺功能的影响，心肺功能通过峰值摄氧量（V̇O）和峰值功率输出（PO）进行测量。
从建库起至 2020 年 9 月 1 日，在 MEDLINE、Embase、PsycINFO 和 SPORTDiscus 这 4 个数据库中进行检索，并于 2021 年 11 月 18 日进行更新。
检索关键词组合涉及 SCI、运动强度的主观测量和运动这三个主题。
两位评审员独立进行了资格筛选、数据提取和偏倚风险评估。系统评价和荟萃分析共纳入 9 项研究，共纳入 95 名 SCI 成年人的数据，涵盖了不同性别、年龄、受伤时间、损伤水平和损伤完整性分类。
从感知调节运动训练的前后提取数据并添加到汇总表中，共 3 个结果：V̇O、PO 和其他。从 V̇O 和 PO 的预感知调节运动训练中提取均值和标准差。
所有研究均使用主观感觉用力程度量表来规定运动强度。8 项研究中有 7 项研究得出 VO2 有改善，7 项研究中有 5 项研究得出 PO 有改善。在“其他”结果中，有 5 项研究得出改善，3 项研究得出无变化。有证据表明，在 SCI 成年人中，经过感知调节运动训练后，心肺功能得到改善，VO2 和 PO 得到测量（推荐分级评估、发展与评估评分：低）（平均差异[MD]，2.92mL/kg/min；95%置信区间[CI]，1.30-4.54；P=.0004 和 MD，9.8W；95% CI，5.5-14.3；P<.0001）。这篇综述提供了对 SCI 患者使用感知调节运动训练的关键评估、累积证据。
