定量评估有氧运动对脊髓损伤患者心肺功能的影响

doi:10.3969/j.issn.1006-9771.2017.04.011

Abstract

Abstract: Objective To quantitatively assess the cardiopulmonary exercise function of spinal cord injury (SCI) patients and observe the effect of aerobic exercise on cardiopulmonary function, motor function and activities of daily living. Methods From December, 2014 to June, 2016, 34 incomplete SCI patients (ASIA C and D) and 23 healthy controls received cardiopulmonary exercise test (CPET). SCI patients were randomly divided into conventional rehabilitation group (n=17) and aerobic exercise group (n=17). The aerobic exercise group received aerobic exercise for four weeks. They were assessed with CPET, motor and sensory function, walking index for spinal cord injury II(WISCI II) and spinal cord independence measure (SCIM) before and four weeks after training. Results Oxygen uptake (VO2)peak, anaerobic threshold (AT), metabolic equivalent of energy (METpeak), VO2/heart rate (HR)peak, respiratory exchange rate (RER)peak, minute ventilation (VE)peak, work rate (WR)peak and systolic blood pressure (SBP)peak were lower in the patients than in the controls (t>2.714, P<0.05). VO2peak、AT、METpeak、VO2/HRpeak、WRpeak increased in the aerobic exercise group after training (t>2.431, P<0.05). METpeak and WRpeak improved in the conventional rehabilitation group after training (t>3.282, P<0.01). The scores of motor in ASIA and SCIM improved in both groups after training (t>2.985, P<0.05). Conclusion The cardiopulmonary function decreased in incomplete SCI patients, which could be improved by moderate intensity aerobic exercise.

Key words: spinal cord injury, cardiovascular disease, cardiopulmonary exercise test, aerobic exercise

CLC Number:

R651.2

PAN Yu, XU Quan, YANG Xiao-hui, XIAO Yan-qing, WU Qiong, YAN Shu-yu, TU Yuan-yuan. Cardiopulmonary Quantitatively Assessment for Spinal Cord Injury during Aerobic Exercise[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(4): 415-419.

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Cardiopulmonary Quantitatively Assessment for Spinal Cord Injury during Aerobic Exercise

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