面肱骨营养不良症患者接受有氧和下肢力量训练后的体能和行走效果:病例系列。

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-03-01 Epub Date: 2024-01-06 DOI:10.1097/MRR.0000000000000614
Nicolas Prieur-Blanc, Maëva Cotinat, Sebastien Vansteenkiste, Virginie de Bovis Milhe, Jean-Michel Viton, Sharam Attarian, Laurent Bensoussan
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引用次数: 0

摘要

面肩胛肱肌营养不良症(FSHD)是一种常见的成人肌肉营养不良症,通常也会导致心肺功能减退和下肢无力。尽管以往的研究对旨在改善心肺功能或肌肉力量的干预措施的结果进行了研究,但针对这两种情况的康复计划的潜在益处仍未得到探讨。因此,本研究旨在评估参加有氧运动和力量锻炼相结合的康复计划后的变化。我们对2018年和2019年期间参加康复计划的10名FSHD受试者进行了回顾性分析。在20节课中,每节课都包括在单车计上进行有氧训练,以及在等速机上进行中等强度的下肢力量练习,并与传统疗法相结合。主要结果是步行速度、有氧运动表现以及膝关节伸屈肌的等速力量。次要结果是疲劳和失眠。VO2max 和步行速度分别显著提高了 2.125 ml-kg-1-min-1 [95% 置信区间 (CI):0.75-3.62,P = 0.022] 和 0.28 m/s(95% CI:0.16-0.4,P = 0.002)。对 V02max 的影响较小(Hedge's g,0.44;95% CI:-0.5 至 1.37),而对步行速度的影响较大(Hedge's g,0.99;95% CI:0.06-1.92)。康复出院时,膝关节屈肌力量明显增加(重复测量方差分析 P = 0.004)。在疲劳和失眠方面也观察到了积极的变化。我们的初步研究结果证明,针对心肺功能和膝关节肌力的综合康复计划疗程相对较短,对前列腺肥大症患者有益,值得进一步开展前瞻性研究。
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Fitness and walking outcomes following aerobic and lower extremity strength training in facioscapulohumeral dystrophy: a case series.

Facioscapulohumeral muscular dystrophy (FSHD) is a common form of adult muscular dystrophy often resulting also in cardiorespiratory deconditioning and weakness of the lower limbs. Although previous studies examined outcomes of interventions aimed at improving either cardiorespiratory fitness or muscle strength, the potential benefits of a rehabilitation program targeting both remain unexplored. Thus, the aim of this study was to evaluate changes following participation in a rehabilitation program combining aerobic and strength exercises. We conducted a retrospective analysis of 10 subjects with FSHD who participated in our rehabilitation program during 2018 and 2019. Each of the 20 sessions consisted of aerobic training on a cycloergometer and a moderate lower limb strength exercises on an isokinetic machine in combination with conventional therapy. The primary outcomes were walking speed, aerobic performance and isokinetic strength of the knee extensors and flexors. The secondary outcomes were fatigue, insomnia. VO2max and walking speed increased significantly by 2.125 ml·kg-1·min-1 [95% confidence interval (CI): 0.75-3.62, P = 0.022] and 0.28 m/s (95% CI: 0.16-0.4, P = 0.002), respectively. The effect size was small for V02max (Hedge's g, 0.44; 95% CI: -0.5 to 1.37) and large for walking speed (Hedge's g, 0.99; 95% CI: 0.06-1.92). The knee flexor strength significantly increased at rehabilitation discharge (repeated measures analysis of variance P = 0.004). Positive changes in fatigue and insomnia were also observed. Our preliminary results provide evidence that a relatively short course of a comprehensive rehabilitation program targeting both cardiorespiratory fitness and knee muscle strength can be beneficial for people with FSHD, which warrants further prospective studies.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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