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吸气肌训练对慢性静脉疾病患者的有效性:一项随机对照研究。

Effectiveness of Inspiratory Muscle Training in Individuals with Chronic Venous Disease: A Randomized Controlled Study.

作者信息

Görünmezoğlu Cemre, Çinar Özdemir Özlem, Barğı Gülşah, Karabay Dündar Özalp

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, İzmir Democracy University, 35140 İzmir, Turkey.

Department of Cardiovascular Surgery, Faculty of Medicine, Dokuz Eylül University, 35220 İzmir, Turkey.

出版信息

Life (Basel). 2025 Feb 14;15(2):296. doi: 10.3390/life15020296.

Abstract

This study aimed to investigate the effects of 6-week inspiratory muscle training (IMT) on pain, pulmonary functions, respiratory muscle strength, lower extremity functionality, exercise capacity and quality of life (QoL) in individuals with chronic venous disease (CVD). Individuals were randomly assigned to training (TG) ( = 15, 45.53 ± 8.64 years) and control (CG) ( = 15, 47 ± 9.30 years) groups. While individuals in the TG performed IMT (30 min/everyday), individuals in the CG performed thoracic expansion exercises (TEEs) (10 respiratory cycles/set, four sets/day). Pain, pulmonary function and respiratory muscle strength tests, lower body strength and functional mobility, submaximal exercise capacity and QoL were assessed in all individuals. After 6 weeks, FEV/FVC, PEF, FEF and MIP significantly increased in the TG compared to the CG ( < 0.05). Within the TG, FEV, PEF, FEF, MIP, sit-to-stand number and 6-MWT distance significantly increased while resting pain, activity pain and QoL scores significantly decreased after 6 weeks ( < 0.05). Within the CG, FVC and sit-to-stand number significantly increased while activity pain and QoL scores decreased after 6 weeks ( < 0.05). Inspiratory muscle strength and pulmonary functions improved following IMT compared to TEE in individuals with CVD. As pulmonary functions, pain, lower extremity functionality and QoL may improve via IMT or TEE in individuals with CVD, submaximal capacity may improve following IMT.

摘要

本研究旨在探讨为期6周的吸气肌训练(IMT)对慢性静脉疾病(CVD)患者的疼痛、肺功能、呼吸肌力量、下肢功能、运动能力和生活质量(QoL)的影响。将个体随机分为训练组(TG)(n = 15,45.53±8.64岁)和对照组(CG)(n = 15,47±9.30岁)。TG组个体进行IMT(每天30分钟),而CG组个体进行胸廓扩张运动(TEEs)(每组10个呼吸周期,每天4组)。对所有个体进行疼痛、肺功能和呼吸肌力量测试、下肢力量和功能活动度、次最大运动能力和生活质量评估。6周后,与CG组相比,TG组的FEV1/FVC、PEF、FEF25%-75%和MIP显著增加(P < 0.05)。在TG组内,6周后FEV1、PEF、FEF25%-75%、MIP、起坐次数和6分钟步行试验(6-MWT)距离显著增加,而静息痛、活动痛和生活质量评分显著降低(P < 0.05)。在CG组内,6周后FVC和起坐次数显著增加,而活动痛和生活质量评分降低(P < 0.05)。与TEE相比,IMT可改善CVD患者的吸气肌力量和肺功能。由于IMT或TEE可能改善CVD患者的肺功能、疼痛、下肢功能和生活质量,IMT后次最大运动能力可能会提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df07/11856793/375ad18ebd9f/life-15-00296-g001.jpg

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