Máté Suzanne, Sinan-Fornusek Canan, Dhopte Prakash, Singh Maria Fiatarone, Hackett Daniel, Fornusek Ché
Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Arch Phys Med Rehabil. 2023 Nov;104(11):1928-1940. doi: 10.1016/j.apmr.2023.03.026. Epub 2023 Apr 23.
To examine the evidence regarding the potential of hybrid functional electrical stimulation (FES) cycling for improving cardiorespiratory fitness for people with a mobility disability related to a central nervous system (CNS) disorder.
Nine electronic databases: MEDLINE, EMBASE, Web of Science, CINAHL, PsycInfo, SPORTDiscus, Pedro, Cochrane, and Scopus, were searched from inception until October 2022.
Search terms included multiple sclerosis, spinal cord injury (SCI), stroke, Parkinson's disease, cerebral palsy, synonyms of FES cycling, arm crank ergometry (ACE) or hybrid exercise, and V̇o. All experimental studies, including randomized controlled trials that included an outcome measure related to peak or sub-maximal V̇o were eligible.
From a total of 280 articles, 13 were studies included. The Downs and Black Checklist was used to assess study quality. Random effects (Hedges' g) meta-analyses were undertaken to determine whether there were differences in V̇o during acute bouts of hybrid FES cycling vs other modes of exercise and changes resulting from longitudinal training.
During acute bouts of exercise, hybrid FES cycling was moderately more effective than ACE (effect size [ES] of 0.59 (95% CI 0.15-1.02, P=.008) in increasing V̇o from rest. There was a large effect on the increase of V̇o from rest for hybrid FES cycling compared with FES cycling (ES of 2.36 [95% CI 0.83-3.40, P=.003]). Longitudinal training with hybrid FES cycling showed a significant improvement in V̇o from pre to post intervention with a large, pooled ES of 0.83 (95% CI 0.24-1.41, P=.006).
Hybrid FES cycling produced higher V̇o compared with ACE or FES cycling during acute bouts of exercise. Hybrid FES cycling can improve cardiorespiratory fitness in people with SCI. Additionally, there is emerging evidence that hybrid FES cycling might increase aerobic fitness in people with mobility disability related to CNS disorders.
探讨混合功能性电刺激（FES）骑行改善与中枢神经系统（CNS）疾病相关的行动不便者心肺适能的潜在证据。
检索了九个电子数据库：MEDLINE、EMBASE、科学网、护理学与健康领域数据库、心理学文摘数据库、体育文献数据库、PEDro数据库、考克兰系统评价数据库和Scopus数据库，检索时间从建库至2022年10月。
检索词包括多发性硬化症、脊髓损伤（SCI）、中风、帕金森病、脑瘫、FES骑行的同义词、手臂曲柄测力计运动（ACE）或混合运动以及最大摄氧量（V̇o）。所有实验研究，包括纳入了与峰值或次最大V̇o相关结局指标的随机对照试验均符合要求。
从总共280篇文章中，纳入了13项研究。使用唐斯和布莱克清单评估研究质量。采用随机效应（赫奇斯g值）荟萃分析，以确定在混合FES骑行急性运动期间与其他运动模式相比V̇o是否存在差异，以及纵向训练导致的变化。
在急性运动期间，混合FES骑行在使V̇o从静息状态增加方面比ACE更有效（效应量[ES]为0.59（95%可信区间0.15 - 1.02，P = 0.008））。与FES骑行相比，混合FES骑行对静息状态下V̇o增加的影响很大（ES为2.36 [95%可信区间0.83 - 3.40，P = 0.003]）。混合FES骑行的纵向训练显示，从干预前到干预后V̇o有显著改善，合并后的大效应量ES为0.83（95%可信区间0.24 - 1.41，P = 0.006）。
在急性运动期间，混合FES骑行比ACE或FES骑行产生更高的V̇o。混合FES骑行可改善SCI患者的心肺适能。此外，有新证据表明，混合FES骑行可能会提高与CNS疾病相关的行动不便者的有氧适能。
