吸气肌训练疗法对住院成年脑瘫患者的益处:双盲随机对照试验

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Carlos Martin-Sanchez, Fausto Jose Barbero-Iglesias, Victor Amor-Esteban, Marta Martin-Sanchez, Ana Maria Martin-Nogueras
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引用次数: 0

摘要

背景:呼吸健康问题是成年脑瘫患者发病和死亡的主要原因之一。目前尚未研究呼吸肌训练对这一人群的影响。本研究旨在评估和比较低强度和高强度两种吸气肌训练(IMT)方案对改善成年 CP 患者呼吸强度和肺功能的效果。研究人员招募了 27 名住院的 CP 患者,并将他们随机分配到高强度训练组(HIT)或低强度训练组(LIT)。在为期 8 周的时间里,每周 5 天按照 IMT 方案进行训练,每组 10 次,每次 1 分钟,中间休息 1 分钟。HIT 组的训练负荷为最大吸气压力(MIP)的 40%,LIT 组为 20%。结果在 IMT 干预后,两组的 MIP、最大呼气压力、1 秒内用力呼气容积(FEV1)和呼气流量峰值均有所增加;HIT 分别增加了 29%、19%、13% 和 8%(P = 0.000、P = 0.000、P = 0.002、P = 0.001),LIT 分别为 17%、7%、3% 和 4%(P = 0.000、P = 0.000、P = 0.049、P = 0.113)。结论呼吸肌训练可改善成年 CP 患者的呼吸肌力量和肺功能。使用 40% MIP 负荷进行训练可改善所有评估参数,是对成年脊髓灰质炎患者最有效的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Benefits of inspiratory muscle training therapy in institutionalized adult people with cerebral palsy: A double-blind randomized controlled trial

Benefits of inspiratory muscle training therapy in institutionalized adult people with cerebral palsy: A double-blind randomized controlled trial

Background

Respiratory health problems are one of the main causes of morbidity and mortality in adult people with cerebral palsy (CP). The influence of respiratory muscle training has not yet been studied in this population group. The objective of the study was to evaluate and compare the efficacy of two protocols with inspiratory muscle training (IMT), low intensity and high intensity, to improve respiratory strength and pulmonary function in adults with CP.

Methods

The study was a controlled, randomized, double-blind trial with allocation concealment. Twenty-seven institutionalized CP patients were recruited and randomly distributed in the high-intensity training group (HIT) or low-intensity training group (LIT). Over 8 weeks, an IMT protocol was followed 5 days/week, 10 series of 1 min with 1 min rest between them. HIT trained with a load of 40% of the maximum inspiratory pressure (MIP) and LIT with 20%. Respiratory strength and pulmonary function were evaluated.

Results

After IMT intervention, MIP, maximum expiratory pressure, forced expiratory volume in 1 s (FEV1) and peak expiratory flow increased in both groups; in HIT 29%, 19%, 13%, and 8%, respectively (p = 0.000, p = 0.000, p = 0.002, p = 0.001) and in LIT 17%, 7%, 3%, and 4%, respectively (p = 0.000, p = 0.000, p = 0.049, p = 0.113). All the improvements were significantly higher in HIT than in LIT.

Conclusion

Inspiratory muscle training improved respiratory muscle strength and pulmonary function in adults with CP. Training with a 40% MIP load improved all the evaluated parameters and was the most effective treatment for adults with CP.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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