脊髓损伤患者的体力活动水平与运动能力和呼吸参数之间的关系。

IF 2.4 4区医学 Q2 CRITICAL CARE MEDICINE

Respiratory care Pub Date : 2024-11-12 DOI:10.4187/respcare.12060

Kubra Kardes, Yunus Emre Tutuneken, Yasemin Buran Cırak, Emine Atıcı, Nurgul Durustkan Elbası

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引用次数: 0

摘要

背景：脊髓损伤（SCI）会对人的运动能力和呼吸参数造成不利影响，这取决于感觉、运动和自主神经功能障碍。有规律的体育锻炼（PA）对这些人的心血管健康和肺功能有积极影响。本研究确定了 SCI 患者的 PA 与运动能力和呼吸参数之间的关系：这项横断面研究包括 40 名截瘫患者。评估包括肢体残疾人体力活动量表（PASIPD）、6 分钟手动轮椅推进测试（MWPT6min）、MWPTslalom 测试（MWPTslalom）、20 米 MWPT 推进测试（MWPT20m）、肺功能测试（FVC、FEV1、FEV1/FVC 和呼气流量峰值 [PEF]）、最大吸气压力（PImax）和最大呼气压力（PEmax）：受试者的平均年龄和体重指数分别为 46 ± 13 岁和 26.8 ± 5.2 kg/m2。PASIPD 总分与 MWPT6min（r = 0.657，P < .001）、MWPTslalom（r = 0.403，P = .17）和 MWPT20m（r = 0.477，P = .056）、FEV1（r = 0.552，P < .001）、FEV1/FVC（r = 0.532，P = .02）、PEF（r = 0.683，P = .004）、PImax（r = 0.484，P = .01）和 PEmax（r = 0.481，P = .16）。然而，PASIPD 总分与 FVC（r = 0.168，P = .41）无明显关联：结论：PA水平影响了SCI患者的运动能力和肺功能，并可能在界定体能方面发挥重要作用。

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The Relationship Between Physical Activity Level and Exercise Capacity and Respiratory Parameters in Individuals With Spinal Cord Injury.

Background: Spinal cord injury (SCI) detrimentally impacts individuals' exercise capacity and respiratory parameters depending on sensory, motor, and autonomic dysfunctions. Regular physical activity (PA) positively impacts cardiovascular health and pulmonary function in these individuals. This study determined the relationship between PA and exercise capacity and respiratory parameters in individuals with SCI.

Methods: This cross-sectional study included 40 individuals with paraplegia. Assessments included the Physical Activity Scale for Individuals With Physical Disabilities (PASIPD), 6-min manual wheelchair propulsion test (MWPT_6min), MWPT slalom test (MWPT_slalom), 20-m MWPT propulsion test (MWPT_20m), pulmonary function test (FVC, FEV₁, FEV₁/FVC, and peak expiratory flow [PEF]), maximum inspiratory pressure (P_Imax), and maximum expiratory pressure (P_Emax).

Results: Subjects' mean age and body mass index were 46 ± 13 y and 26.8 ± 5.2 kg/m², respectively. PASIPD total score was significantly associated with MWPT_6min (r = 0.657, P < .001), MWPT_slalom (r = 0.403, P = .17) and MWPT_20m (r = 0.477, P = .056), FEV₁ (r = 0.552, P < .001), FEV₁/FVC (r = 0.532, P = .02), PEF (r = 0.683, P = .004), P_Imax (r = 0.484, P = .01), and P_Emax (r = 0.481, P = .16). However, PASIPD total score was not significantly associated with FVC (r = 0.168, P = .41).

Conclusions: PA level influenced exercise capacity and pulmonary function in individuals with SCI and may play an important role in delimiting physical fitness.

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来源期刊

Respiratory care 医学-呼吸系统

CiteScore

4.70

自引率

16.00%

发文量

209

审稿时长

1 months

期刊介绍： RESPIRATORY CARE is the official monthly science journal of the American Association for Respiratory Care. It is indexed in PubMed and included in ISI''s Web of Science.