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Self-Paced Walking within a Diverse Topographical Environment Elicits an Appropriate Training Stimulus for Cardiac Rehabilitation Patients

机译:在不同的地形环境中自行起搏行走,可为心脏康复患者提供适当的训练刺激

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Purpose. To assess the effect of a self-paced walking intervention within a topographically varied outdoor environment on physiological and perceptual markers in cardiac rehabilitation (CR) patients.Methods. Sixteen phase II CR patients completed twelve self-paced one-mile walking sessions over a four-week period within a community-based CR programme. Walking velocity, heart rate (HR), and ratings of perceived exertion (RPE) were reported at eight stages throughout the self-paced walks.Results. The study showed a significant increase in walking velocity from week 1 (~4.5 km/h) to week 4 (~5.1 km/h) of the self-paced walking programme (P<.05). A significantly higher HR was also observed in week 4 (111±13 b·min−1;~69% of maximal HR) compared to week 1 (106±14 b·min−1;~65% of maximal HR,P<.001). There were no changes in the average RPE across the course of the 4-week self-paced walking programme (P>.05).Conclusion. A self-paced walking programme may elicit an appropriate training stimulus for CR patients when exercising within a diverse topographical environment. Participants completed a one-mile walk within a shorter period of time and at a higher physiological intensity than that elicited at the onset of the programme, despite no observed changes in participants' subjective perception of exertion.
机译:目的。评估在地形变化的户外环境中自定进度的步行干预对心脏康复(CR)患者的生理和知觉标志的影响。在基于社区的CR计划中,十六名II期CR患者在四个星期内完成了十二次自定进度的一英里步行会议。在整个自定步调的步行过程中,共分八个阶段报告了步行速度,心率(HR)和感知劳累等级(RPE)。研究显示,自定进度的步行计划从第1周(〜4.5 km / h)到第4周(〜5.1 km / h)的步行速度显着提高(P <.05)。与第1周(106±14 b·min-1;〜最大HR的65%)相比,第4周的HR也显着升高(111±13 b·min-1;〜最大HR的69%)。 .001)。在为期4周的自定步调步行计划过程中,平均RPE没有变化(P> .05)。当在多样化的地形环境中运动时,自定进度的步行计划可能会激发CR患者的适当训练刺激。尽管没有观察到参与者对运动的主观感觉有所改变,但参与者在短时间内以比计划开始时更高的生理强度完成了一英里的行走。

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