关键词： distance   OG training   rehabilitation   walking speed  

摘要： Outcomes of training are thought to be related to the amount of training (training dose). Although various approaches to locomotor training have been used to improve walking function in persons with spinal cord injury (SCI), little is known about the relationship between dose of locomotor training and walking outcomes. This secondary analysis aimed to identify the relationship between training dose and improvement in walking distance and speed associated with locomotor training in participants with chronic motor-incomplete spinal cord injury (MISCI). We compared the dose-response relationships associated with each of four different locomotor training approaches. Participants were randomized to either: treadmill-based training with manual assistance (TM=17), treadmill-based training with stimulation (TS=18), overground training with stimulation (OG=15), and treadmill-based training with locomotor robotic device assistance (LR=14). Subjects trained 5 days/week for 12 weeks, with a target of 60 training sessions. The distance-dose and time-dose were calculated based on the total distance and total time, respectively, participants engaged in walking over all sessions combined. Primary outcome measures included walking distance (traversed in 2min) and walking speed (over 10m). Only OG training showed a good correlation between distance-dose and change in walking distance and speed walked over ground (r=0.61, p=0.02;r=0.62, p=0.01). None of the treadmill-based training approaches were associated with significant correlations between training dose and improvement of functional walking outcome. The findings suggest that greater distance achieved over the course of OG training is associated with better walking outcomes in the studied population. Further investigation to identify the essential elements that determine outcomes would be valuable for guiding rehabilitation.

关键词： 帕金森病   运动障碍   运动疗法   康复  

摘要： 目的探讨水中运动训练对帕金森病患者运动功能、平衡功能和行走能力的康复作用。方法共40例原发性帕金森病患者随机接受常规陆上康复训练(陆上组,20例)和水中运动训练(水中组,20例),分别于训练前和训练8周时采用统一帕金森病评价量表第三部分(UPDRSⅢ)评价运动功能、Berg平衡量表(BBS)和起立-行计时走测验(TUGT)评价平衡功能、6分钟步行试验(6MWT)和10米步行试验(10MWT)评价行走能力。结果两组患者训练8周时UPDRSⅢ评分(P=0.000)和TUGT时间(P=0.000)低于训练前,BBS评分(P=0.000)、6MWT时间(P=0.000)和10MWT步速(P=0.000)高于训练前;训练8周时水中组患者UPDRSⅢ评分(P=0.037)和TUGT时间(P=0.013)低于陆上组,BBS评分高于陆上组(P=0.018)。结论常规陆上康复训练和水中运动训练均可以改善帕金森病患者运动功能、平衡功能和行走能力,特别是在运动功能和平衡功能方面水中运动训练效果优于常规陆上康复训练。

关键词： 减量运动训练   急性肺栓塞患者   康复状况  

摘要： 研究减量运动训练对急性肺栓塞患者康复状况的影响,选择某大型综合医院的急性肺栓塞患者80例作为研究对象,随机将其划分成减量运动组和对照组,对照组在实验期间不进行任何形式的运动,减量运动组共进行6周的减量运动训练。结果减量运动组实验前后形态学指标之间的差异有统计学意义(P<0.05);实验后减量运动组BMI、腰臀比和对照组相比差异有统计学意义(P<0.05),腰围、臀围与对照组相比存在显著性差异(P<0.01)。减量运动组血脂指标、血糖和胰岛素实验后与实验前相比,差异有统计学意义(P<0.05),尿酸实验前后有显著性差异(P<0.01);实验后减量运动组甘油三酯、胆固醇、低密度脂蛋白胆固醇、血糖和胰岛素与对照组相比差异有统计学意义(P<0.05),高密度脂蛋白胆固醇、尿酸与对照组相比存在显著性差异(P<0.01)。减量运动组实验后静脉血流速度明显高于实验前,差异具有显著性(P<0.01);减量运动组实验后静脉血流速度明显高于对照组,差异具有显著性(P<0.01)。减量运动组肺容量指标实验后与实验前相比,差异有统计学意义(P<0.05);实验后减量运动组VC、IRV、TV与对照组相比差异有统计学意义(P<0.05)。减量运动组FVC%实验后与实验前相比,差异有统计学意义(P<0.05),MVV实验前后有显著差异(P<0.01);实验后减量运动组FVC、MVV与对照组相比存在显著性差异(P<0.01)。减量运动训练有助于急性肺栓塞患者的康复。

关键词： 运动训练   信息管理系统   系统设计   信息处理  

摘要： 为了提高体育运动训练信息化的管理效能,进行运动训练信息管理系统的优化开发设计,提出基于物联网技术和嵌入式系统设计的运动训练信息管理系统开发设计方法。首先进行信息管理系统的总体设计描述,构建系统的开发环境和软件平台,系统设计包括信息统计模块、信息处理模块、数据存储模块和信息访问及输出模块等,结合多线程技术进行信息管理系统的物联网访问控制,在系统的集成度和可靠性方面进行优化。测试结果表明,该系统可靠稳定。

关键词： 帕金森病   步行   康复/方法   日常生活活动   生活质量   护理  

摘要： 目的研究探讨康复运动训练对帕金森病患者生活自理能力的影响。方法选择该科2014年3月至2015年9月收治的帕金森病患者271例,按入院先后顺序分为对照组(135例)和研究组(136例)。对照组患者给予帕金森病常规护理和康复指导,研究组患者在此基础上进行康复运动训练干预。比较两组患者治疗前及干预后3个月、6个月、1年的日常生活能力,出院时及干预1年后赫-雅分级以及治疗有效率。结果治疗前,两组患者Barthel指数、赫-雅分级比较,差异无统计学意义(P>0.05);干预3个月、6个月及1年后研究组Barthel指数评分高于对照组,差异均有统计学意义(P<0.01);研究组干预1年后,研究组赫-雅分级及治疗有效率均优于对照组,差异有统计学意义(P<0.01)。结论对帕金森病患者进行康复训练干预,有助于改善患者的临床症状,提高生活自理能力,减轻家庭负担。

关键词： human   intermittent hypoxia   plasticity   rehabilitation   spinal cord injuries  

摘要： Incomplete spinal cord injuries (iSCI) leave spared synaptic pathways below the level of injury. Intermittent hypoxia (IH) elicits plasticity in the spinal cord and strengthens spared synaptic pathways, expressed as respiratory and somatic functional recovery in experimental animals and humans with iSCI. This study is a randomized, triple-blind, two-arm parallel clinical trial performed in Santiago, Chile. We compared the effects of a 4-week protocol of IH combined with body weight-supported treadmill training (BWSTT), with continuous normoxia (Nx) and BWSTT on 10-meter walk test (10MWT), 6-minute walk test (6MWT), and timed up and go (TUG) test in American Spinal Injury Association C and D individuals with iSCI. Subjects received daily IH (cycling 9%/21% O-2 every 1.5 min, 15 cycles/day) or continuous Nx (21% O-2) combined with 45 min BWSTT for 5 consecutive days, followed by IH/Nx 3 x per week (3 x wIH/Nx) for 3 additional weeks. Subjects were assessed at day 5, weekly from weeks 2-4, and at a 2-week follow-up. Daily IH plus BWSTT enhanced walking speed, expressed as decreased 10MWT time at day 5 versus baseline (IH: -10.2 +/- 3.0 vs. Nx: -1.7 +/--1.7 sec, p = 0.006), and walking endurance expressed as increased 6MWT distance at day 5 versus baseline (IH: 43.0 +/- 10.7 vs. Nx: 6.1 +/- 3.4 m, p = 0.012), but not TUG time. Further, 3 x wIH maintained the daily IH-induced walking speed, and enhanced the daily IH-induced walking endurance, which is maintained up to the 2-week follow-up. We conclude that daily IH enhances walking recovery in subjects with iSCI, confirming previous findings. Moreover, 3 x wIH prolonged or enhanced daily IH-induced walking speed and endurance improvements, respectively, up to 5 weeks post-daily IH. Repetitive IH may be a safe and effective therapeutic alternative for persons with iSCI.

关键词： 帕维尔康复训练器运动训练系统   帕金森患者   日常生活能力  

摘要： 目的分析帕金森疾病治疗中行帕维尔康复运动训练的意义。方法选择该院治疗的40例帕金森患者,采用随机数字表法将其均分为观察组和对照组,对照组给予院内常规康复训练方法,观察组在对照组基础上增加帕维尔康复运动训练,在治疗3个月后对两组治疗前、后日常生活能力进行对比分析研究。结果治疗后两组者日常生活能力均明显优于治疗前,其中观察组(77.91±16.73)分,对照组(53.13±15.21)分,比较差异有统计学意义(P<0.05),观察组生活能力BI评分(61.37±10.25)分,明显优于对照组(51.22±8.73)分(P<0.05)。结论应用帕维尔康复训练器运动训练,能显著改善患者日常生活能力,故值得在临床中应用。

关键词： 运动训练方法   功能训练   变革  

摘要： 当前中国的运动训练方式在理论上比较比较薄弱，一些已经研究完成的相关成果无法对训练中发现的部分问题加以解决。理论迟迟无法突破的原因在于对于项目本身的特质和规律认识不够到位。而伴随科学技术在运动训练中的更多应用，运动训练方法将会迎来新的格局。要在训练方法上创新，就必须对运功项目的规律了如指掌。文章将对运动训练理论进行介绍，并对训练方法的变革和功能训练进行概括阐述，希望为进行相关研究的学者提供一些理论参考。