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上肢振动训练单次治疗对脊髓损伤患者的初步可行性和急性生理影响。

Preliminary feasibility and acute physiological effects of a single session of upper limb vibration training for persons with spinal cord injury.

机构信息

Human Engineering Research Laboratories, Rehabilitation Research and Development Service, Department of Veterans Affairs, Pittsburgh, Pennsylvania, USA.

Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Science, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

J Spinal Cord Med. 2024 Jul;47(4):511-521. doi: 10.1080/10790268.2022.2122332. Epub 2022 Sep 21.

Abstract

CONTEXT

Strong upper limb musculature is essential for persons with spinal cord injury (SCI) to operate a manual wheelchair and live independently. Targeted upper limb vibration may be a viable exercise modality to build muscle efficiently while eliminating some of the barriers associated with exercise for persons with SCI.

OBJECTIVE

The purpose of this study was to assess preliminary feasibility of completing a single exercise session of upper limb vibration and compare the acute physiological effects to a single session of standard dumbbell resistance exercise.

METHODS

Individuals with SCI performed seven upper limb exercises (1) isometrically using a vibrating dumbbell at 30 Hz for 60 s ( = 22) and (2) using a standard isotonic resistance protocol ( = 15).

RESULTS

Nineteen (86.4%) of 22 participants were able to perform all vibration exercises at 30 Hz but hold time success rates varied from 33% (side flies and front raises) to 95% (internal rotation). No significant differences were found between vibration exercise and standard resistance protocol for blood lactate, power output, and heart rate (P > 0.05). Perceptions of the training were positive, with most participants (>70%) expressing interest to train with vibration in the future.

CONCLUSIONS

Vibration training was not feasible for all participants, suggesting an individualized approach to starting weight and progression may be necessary. Similar acute physiological changes were seen between vibration exercise and standard resistance protocol, suggesting they could have similar benefits. Additional research is needed to determine if vibration exercise is feasible and beneficial to incorporate into a long-term training program.

摘要

背景

强壮的上肢肌肉对于脊髓损伤(SCI)患者操作手动轮椅和独立生活至关重要。针对上肢的振动可能是一种可行的锻炼方式,可以有效地增强肌肉力量,同时消除与 SCI 患者运动相关的一些障碍。

目的

本研究旨在评估单次上肢振动运动的初步可行性,并将其急性生理效应与单次标准哑铃抗阻运动进行比较。

方法

SCI 患者进行了 7 项上肢运动(1)使用 30 Hz 的振动哑铃进行等长收缩 60 秒( = 22),(2)使用标准等张抗阻方案( = 15)。

结果

22 名参与者中的 19 名(86.4%)能够以 30 Hz 完成所有振动运动,但保持时间成功率从 33%(侧平举和前平举)到 95%(内旋)不等。振动运动和标准阻力方案在血乳酸、功率输出和心率方面没有显著差异(P > 0.05)。参与者对训练的反馈积极,大多数参与者(>70%)表示有兴趣将来进行振动训练。

结论

并非所有参与者都能进行振动训练,这表明可能需要针对起始重量和进展制定个性化方法。振动运动和标准阻力方案之间观察到类似的急性生理变化,表明它们可能具有相似的益处。需要进一步研究以确定振动运动是否可行并有益于纳入长期训练计划。

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