基于四肢联动训练的下肢血流限制对健康青年人心肺耐力、下肢肌耐力和平衡功能的影响

doi:10.3969/j.issn.1006-9771.2021.12.014

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (12): 1470-1475.doi: 10.3969/j.issn.1006-9771.2021.12.014

基于四肢联动训练的下肢血流限制对健康青年人心肺耐力、下肢肌耐力和平衡功能的影响

徐大卫,吴坚,桂沛君,谢瑛()

首都医科大学附属北京友谊医院康复医学科,北京市 100050

收稿日期:2020-04-08 修回日期:2021-08-17 出版日期:2021-12-25 发布日期:2021-12-29
通讯作者: 谢瑛 E-mail:xieying_rehab@hotmail.com
作者简介:徐大卫(1987-),男,汉族,北京市人,初级康复治疗师,主要研究方向：心脏康复,老年康复。
基金资助:
北京市卫生系统高层次卫生技术人才培养项目(2015-3-004)

Effects of Short-term Lower Extremity Blood Flow Restriction Based on Limb Linkage Training on Endurance of Cardiopulmonary Endurance, Lower Extremity Muscle Endurance and Balance Function of Healthy Young People

XU Da-wei,WU Jian,GUI Pei-jun,XIE Ying()

Department of Rehabilitation Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

Received:2020-04-08 Revised:2021-08-17 Published:2021-12-25 Online:2021-12-29
Contact: XIE Ying E-mail:xieying_rehab@hotmail.com
Supported by:
Program of the High-level Technical Talents in Beijing Health System(2015-3-004)

摘要/Abstract

摘要：

目的观察短期下肢血流限制(BFR)联合四肢联动训练对健康人心肺耐力、下肢肌耐力和平衡功能的影响。方法 2019年12月至2020年3月,选取本院健康青年人20例,随机分成对照组和试验组各10例。两组根据心肺运动试验(CPET)结果选择无氧阈水平强度进行四肢联动训练,每次20 min,每周3次,共2周;试验组于双侧大腿根部以血流加压训练带250 mmHg加压,对照组于相同位置佩戴无压力的血流加压训练带。训练前后采用CPET、6分钟步行测试、靠墙静蹲、座椅试验、功能性前伸试验进行评定。结果训练后,除功能性前伸试验外,两组各项测试成绩均提高(|t| > 2.321, P < 0.05),试验组靠墙静蹲和座椅试验成绩高于对照组(t > 2.660, P < 0.05)。结论下肢BFR基础上行四肢联动训练有助于进一步提高下肢肌耐力。

关键词: 血流限制训练, 四肢联动, 心肺耐力, 肌耐力

Abstract:

Objective To observe the effects of short-term blood flow restriction (BFR) based on limb linkage training on cardiopulmonary endurance, lower limb muscle endurance and balance function of healthy people.Methods From December, 2019 to March, 2020, 20 healthy young people were randomly divided into control group (n = 10) and experimental group (n = 10). They accepted limb linkage training with the loading of anaerobic threshold (AT) according to the results of cardiopulmonary exercise test (CPET), 20 minutes a time, three times a week, for two weeks; while the experimental group wore 250 mmHg blood pressure training belt at the root of both thighs; the control group wore blood pressure training belt with no pressure. They were assessed with CPET, 6-minute walking test, wall squatting, seat test and functional reach test before and after training.Results After training, all the indexes improved in both groups (|t| > 2.321, P < 0.05), except functional reach test, the results of wall squatting and seat test were better in the experimental group than in the control group (t > 2.660, P < 0.05).Conclusion Limb linkage training combined with lower extremity BFR could further improve lower limb muscle endurance.

Key words: blood flow restriction training, limbs linkage training, cardiopulmonary endurance, muscle endurance

中图分类号:

R165

徐大卫,吴坚,桂沛君,谢瑛. 基于四肢联动训练的下肢血流限制对健康青年人心肺耐力、下肢肌耐力和平衡功能的影响[J]. 《中国康复理论与实践》, 2021, 27(12): 1470-1475.

XU Da-wei,WU Jian,GUI Pei-jun,XIE Ying. Effects of Short-term Lower Extremity Blood Flow Restriction Based on Limb Linkage Training on Endurance of Cardiopulmonary Endurance, Lower Extremity Muscle Endurance and Balance Function of Healthy Young People[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(12): 1470-1475.

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组别	n	年龄(岁)	性别(男/女,n)	体质量指数(kg/m²)
对照组	10	24.10±3.35	3/7	20.81±2.56
试验组	10	24.30±3.80	5/5	20.63±2.48
t/χ²值		0.125		-0.160
P值		0.606	0.650^a	0.911

项目		对照组(n = 10)	试验组(n = 10)	t值	P值
无氧阈运动强度(W)	干预前	56.60±27.24	57.90±29.66	0.102	0.920
	干预后	79.70±41.19^a	81.10±42.87^b	0.074	0.941
	差值	23.10±17.14	23.20±16.59	0.013	0.990
无氧阈耗氧量〔ml/(min·kg)〕	干预前	26.24±6.12	25.64±6.04	-0.221	0.828
	干预后	30.11±6.91^c	30.34±6.79^d	0.075	0.941
	差值	3.87±2.47	4.70±2.73	0.713	0.485
无氧阈代谢当量(metabolite equivalents, METs)	干预前	5.65±0.30	6.17±0.63	2.345	0.031
	干预后	6.68±0.61^e	7.35±1.17^f	1.604	0.126
	差值	1.03±0.56	1.18±0.78	0.495	0.626
峰值耗氧量〔ml/(min·kg)〕	干预前	37.92±7.35	38.47±7.20	0.169	0.868
	干预后	42.99±5.61^g	42.71±7.41^h	-0.095	0.925
	差值	5.07±4.48	4.24±4.70	-0.404	0.691
6分钟步行试验(m)	干预前	563.80±32.90	577.50±57.45	0.654	0.521
	干预后	577.90±45.96ⁱ	614.00±42.28^j	1.828	0.084
	差值	14.10±19.21	36.50±34.45	1.796	0.089

项目		对照组(n = 10)	试验组(n = 10)	t值	P值
靠墙静蹲(s)	干预前	53.95±16.32	54.77±24.77	0.087	0.932
	干预后	57.50±17.1^a	84.43±23.67^b	2.914	0.009
	差值	3.55±4.05	29.67±16.67	4.815	< 0.001
座椅试验(次)	干预前	26.90±3.18	27.10±2.51	0.156	0.878
	干预后	28.50±3.10^c	31.30±2.87^d	2.096	0.050
	差值	1.60±1.43	4.20±2.74	2.660	0.016

项目		对照组(n = 10)	试验组(n = 10)	t值	P值
左大腿围(cm)	干预前	48.90±9.01	50.40±6.54	0.426	0.675
	干预后	48.65±8.67^a	49.50±6.57^b	0.247	0.808
	差值	-0.25±1.59	-0.90±1.91	-0.828	0.419
右大腿围(cm)	干预前	49.60±7.75	52.70±2.95	1.183	0.252
	干预后	49.30±7.54^c	51.50±4.89^d	0.811	0.428
	差值	-0.30±1.42	-1.10±2.42	-0.901	0.380
功能性前伸试验(cm)	干预前	36.00±6.49	35.90±5.65	-0.037	0.971
	干预后	36.00±6.57^e	35.70±6.31^f	-0.104	0.918
	差值	0.0±1.05	0.2±1.14	-0.408	0.688

基于四肢联动训练的下肢血流限制对健康青年人心肺耐力、下肢肌耐力和平衡功能的影响

Effects of Short-term Lower Extremity Blood Flow Restriction Based on Limb Linkage Training on Endurance of Cardiopulmonary Endurance, Lower Extremity Muscle Endurance and Balance Function of Healthy Young People

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