Functional Neurosurgery Division, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Rehabilitation, Jen-Teh Junior College of Medicine, Nursing and Management, Houlong, Taiwan.
NeuroRehabilitation. 2024;55(1):59-68. doi: 10.3233/NRE-240083.
Although rehabilitation exercise is known to be beneficial for cardiovascular and mental health, it remains a daunting challenge for patients with spinal cord injury (SCI) who rely on wheelchairs for mobility.
This study aimed to examine the effectiveness of a 4-week para table tennis program in enhancing self-efficacy and health outcomes in adults with SCI.
A total of 39 SCI patients were included and divided into the experimental group (n = 18, a 4-week para table tennis training program) and the control group (n = 21). Frequency domain indices of heart rate variability (HRV) were used to evaluate the function of the autonomic nervous system.
Following para table tennis training, there was a significant reduction in the physical stress index (PSI, P < 0.001), accompanied by shifts in autonomic regulation of vagal dominance. Additionally, the para table tennis training led to significant improvements in vessel state, differential pulse wave index, atrial elasticity, eccentric constriction power, remaining blood volume, and self-efficacy (all P < 0.05).
Para table tennis training results in favorable changes in sympathetic tone, enhanced self-efficacy, improved cardiovascular well-being, and an overall positive transformation in HRV.
尽管康复运动有益于心血管和心理健康，但对于依赖轮椅移动的脊髓损伤（SCI）患者来说，这仍然是一个令人生畏的挑战。
本研究旨在探讨四周的桌上网球项目对增强 SCI 成人的自我效能和健康结果的有效性。
共纳入 39 名 SCI 患者，分为实验组（n=18，进行四周的桌上网球训练计划）和对照组（n=21）。心率变异性（HRV）的频域指数用于评估自主神经系统的功能。
在进行桌上网球训练后，生理压力指数（PSI）显著降低（P<0.001），同时自主调节的迷走神经优势发生转变。此外，桌上网球训练还导致血管状态、差动脉搏指数、心房弹性、离心收缩力、剩余血量和自我效能的显著改善（均 P<0.05）。
桌上网球训练可改善交感神经张力，增强自我效能，改善心血管健康，总体上改变 HRV。
