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首页> 外文期刊>Journal of cardiopulmonary rehabilitation >Feasibility and efficacy of home exercise training before lung volume reduction.
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Feasibility and efficacy of home exercise training before lung volume reduction.

机译:减少肺体积之前进行家庭运动训练的可行性和有效性。

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BACKGROUND: Exercise training is recommended before lung volume reduction surgery (LVRS) in patients with emphysema. Unfortunately, many of these patients are referred from remote areas where there is no available rehabilitation program. The authors evaluated the feasibility and efficacy of a minimally supervised home-based exercise training program. METHODS: Twenty-three emphysematous patients (age 61 +/- 6, forced expiratory volume in 1 second = 29 +/- 7% predicted [mean +/- SD]) were recruited from our LVRS program. Measurements of pulmonary function, maximal and submaximal exercise capacity, 6-minute walking distance (6-MWD), muscle strength, and quality of life with the Chronic Respiratory Questionnaire were obtained before and after training. Home-based exercise training program included muscle exercises and aerobic training, and started with detailed teaching while the follow-up was ensured through weekly phone calls and a diary filled by each patient. RESULTS: Significant increases in 6-MWD (P < 0.001), quality of life (P < 0.005), peak work rate (P < 0.05), peak oxygen consumption (P < 0.05), endurance time (P < 0.005), and muscle strength were observed in the home-based exercise training program. CONCLUSIONS: Home-based exercise training for patients in preparation for LVRS was feasible, and induced significant improvement in exercise tolerance and quality of life.
机译:背景:对于肺气肿患者,建议在肺减容术(LVRS)之前进行运动训练。不幸的是,这些患者中有许多是从没有可用康复计划的偏远地区转诊的。作者评估了最少监督的家庭锻炼计划的可行性和有效性。方法:从我们的LVRS计划中招募了23名气肿性气肿患者(年龄61 +/- 6,1秒内呼气量=预计的29 +/- 7%[平均值+/- SD])。在训练前后,通过慢性呼吸问卷对肺功能,最大和次最大运动能力,6分钟步行距离(6-MWD),肌肉力量和生活质量进行了测量。以家庭为基础的运动训练计划包括肌肉运动和有氧训练,并从详细的教学开始,同时通过每周电话和每位患者填写日记来确保随访。结果:6-MWD(P <0.001),生活质量(P <0.005),峰值工作率(P <0.05),峰值耗氧量(P <0.05),耐力时间(P <0.005)和显着增加在基于家庭的运动训练计划中观察到肌肉力量。结论:为患者准备的基于家庭的运动训练是可行的,并且可以显着改善运动耐力和生活质量。

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