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为期6周的动态神经肌肉稳定训练对超重及肥胖女性运动控制、心血管适能和呼吸功能的影响

The Effect of 6 Weeks of Dynamic Neuromuscular Stabilization Exercises on Motor Control, Cardiovascular Fitness, and Respiratory Performance in Overweight and Obese Women.

作者信息

Binabaji Sara, Mohammad Rahimi Nasser, Esfahani Mahdi

机构信息

Department of Sports Sciences, Faculty of Literature and Humanities, Imam Reza International University, Mashhad, Iran.

Department of Sports Injuries and Corrective Exercises, Ayandegan-e-Sharq Healthcare Center, Mashhad, Iran.

出版信息

Biol Res Nurs. 2025 Oct;27(4):581-591. doi: 10.1177/10998004251337451. Epub 2025 Apr 25.

Abstract

Obesity is linked to impairments in motor control, cardiovascular fitness, and respiratory function. Dynamic Neuromuscular Stabilization (DNS) aims to enhance core stability, diaphragmatic breathing, and neuromuscular coordination. This study investigated the effects of a 6-week DNS program on these functional outcomes in overweight and obese women. Thirty-six participants (aged 35-50 years, BMI: 25-34 kg/m) were randomly assigned to either an experimental group ( = 18), which underwent DNS training, or a control group ( = 18), which received no intervention. The DNS program consisted of six weekly sessions (three supervised, three home-based), emphasizing core stabilization, diaphragmatic breathing, and neuromuscular coordination. Motor control (lumbar movement control tests), cardiovascular fitness (two-minute step test), and respiratory performance (breath-hold time, respiratory rate, and respiratory muscle strength) were assessed before and after the intervention. The DNS group demonstrated significant improvements compared to the control group, with notable increases in motor control scores ( .001) and cardiovascular fitness ( .001). Additionally, inspiratory and expiratory breath-hold times ( .001 for both), respiratory rate ( .001), and maximum inspiratory and expiratory pressures ( .001) showed substantial enhancements. No significant changes were observed in the control group. A 6-week DNS exercise program significantly improved motor control, cardiovascular fitness, and respiratory performance in overweight and obese women. These findings support DNS training as an effective intervention for enhancing core stability, breathing efficiency, and neuromuscular coordination, with potential applications in rehabilitation and health promotion.

摘要

肥胖与运动控制、心血管健康和呼吸功能受损有关。动态神经肌肉稳定化(DNS)旨在增强核心稳定性、膈肌呼吸和神经肌肉协调性。本研究调查了一项为期6周的DNS计划对超重和肥胖女性这些功能指标的影响。36名参与者(年龄35 - 50岁,体重指数:25 - 34 kg/m²)被随机分为实验组(n = 18),接受DNS训练,或对照组(n = 18),不接受任何干预。DNS计划包括每周六次课程(三次由监督,三次在家进行),重点是核心稳定化、膈肌呼吸和神经肌肉协调性。在干预前后评估运动控制(腰部运动控制测试)、心血管健康(两分钟台阶测试)和呼吸性能(屏气时间、呼吸频率和呼吸肌力量)。与对照组相比,DNS组有显著改善,运动控制得分(p <.001)和心血管健康(p <.001)显著增加。此外,吸气和呼气屏气时间(两者均p <.001)、呼吸频率(p <.001)以及最大吸气和呼气压力(p <.001)都有显著提高。对照组未观察到显著变化。一项为期6周的DNS锻炼计划显著改善了超重和肥胖女性的运动控制、心血管健康和呼吸性能。这些发现支持将DNS训练作为一种有效的干预措施,用于增强核心稳定性、呼吸效率和神经肌肉协调性,在康复和健康促进方面具有潜在应用价值。

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