不同远程康复方法对慢性阻塞性肺病患者外周肌力和有氧能力的影响:随机对照试验

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2024-09-20 DOI:10.3390/arm92050035
Amine Ataç, Esra Pehlivan, Fulya Senem Karaahmetoğlu, Zeynep Betül Özcan, Halit Çınarka, Mustafa Çörtük, Kürsad Nuri Baydili, Erdoğan Çetinkaya
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引用次数: 0

摘要

肺部疾病对老年人群影响深远。我们的目的是假设并研究远程肺远程康复以及运动想象(MI)和行动观察(AO)方法对老年慢性阻塞性肺病(COPD)患者临床状态的影响。26 名患者被随机分配到肺远程康复(PtR)组或认知远程康复(CtR)组。项目每周进行 3 天,为期 8 周。主要结果包括 6 分钟步行测试(6MWT)、医学研究委员会修改后的呼吸困难评分、血乳酸水平(BLL)、外周肌力测量(PMS)和辅助呼吸肌肌电图激活水平。除血乳酸水平外,两组患者在 6MWT 距离和次要结果方面均有明显改善(P < 0.05)。一般来说,在课程结束后,通过肌电图测量获得的平均肌肉活动量在统计学上铂铑组有明显增加,而铂铑组则有所减少(P < 0.05)。据统计,两组的 PMS 均有明显增加。积极的肌肉强化计划与将肌肉强化计划应用于患者身上的MI和AO具有相同的益处。对于不能耐受主动运动项目的呼吸系统患者来说,CtR 是一种强有力的替代康复方法。
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The Impact of Different Telerehabilitation Methods on Peripheral Muscle Strength and Aerobic Capacity in COPD Patients: A Randomized Controlled Trial.

Lung diseases have profound effects on the aging population. We aimed to hypothesize and investigate the effect of remote pulmonary telerehabilitation and motor imagery (MI) and action observation (AO) methods on the clinical status of elderly chronic obstructive pulmonary disease (COPD) patients. Twenty-six patients were randomly assigned to pulmonary telerehabilitation (PtR) or cognitive telerehabilitation (CtR) groups. The programs were carried out 3 days a week for 8 weeks. The 6-min walk test (6MWT), modified Medical Research Council dyspnea score, blood lactate level (BLL), measurement of peripheral muscle strength (PMS), and electromyography activation levels of accessory respiratory muscles were the main outcomes. There was a statistically significant improvement (p < 0.05) in both groups in the 6MWT distance and in secondary results, except for BLL. Generally, in the mean muscle activity obtained from the electromyography measurement after the program, there were statistically significant increases in the PtR group and decreases in the CtR group (p < 0.05). There was a statistically significant increase in PMS in both groups. An active muscle-strengthening program has the same benefits as applying the muscle-strengthening program to the patient as MI and AO. CtR can be a powerful alternative rehabilitation method in respiratory patients who cannot tolerate active exercise programs.

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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
期刊最新文献
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