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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Graded Aerobic Treadmill Testing in Adolescent Traumatic Brain Injury Patients
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Graded Aerobic Treadmill Testing in Adolescent Traumatic Brain Injury Patients

机译：青少年创伤性脑损伤患者分级有氧跑步机检测

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摘要

Purpose: To examine the safety and tolerability of clinical graded aerobic treadmill testing in recovering adolescent moderate and severe traumatic brain injury (TBI) patients referred to a multidisciplinary pediatric concussion program. Methods: We completed a retrospective case series of two moderate and five severe TBI patients (mean age, 17.3 years) who underwent initial Buffalo Concussion Treadmill Testing at a mean time of 71.6 days (range, 55-87) postinjury. Results: Six patients completed one graded aerobic treadmill test each and one patient underwent initial and repeat testing. There were no complications. Five initial treadmill tests were completely tolerated and allowed an accurate assessment of exercise tolerance. Two initial tests were terminated early by the treatment team because of neurological and cardiorespiratory limitations. As a result of testing, two patients were cleared for aerobic exercise as tolerated and four patients were treated with individually tailored submaximal aerobic exercise programs resulting in subjective improvement in residual symptoms and/or exercise tolerance. Repeat treadmill testing in one patient performed after 1 month of treatment with submaximal aerobic exercise prescription was suggestive of improved exercise tolerance. One patient was able to tolerate aerobic exercise following surgery for posterior glottic stenosis. Conclusions: Preliminary results suggest that graded aerobic treadmill testing is a safe, well tolerated, and clinically useful tool to assess exercise tolerance in appropriately selected adolescent patients with TBI. Future prospective studies are needed to evaluate the effect of tailored submaximal aerobic exercise prescription on exercise tolerance and patient outcomes in recovering adolescent moderate and severe TBI patients.
机译：目的：研究临床分级有氧跑步机试验在康复期的青少年中重度创伤性脑损伤（TBI）患者中的安全性和耐受性，这些患者被纳入多学科儿童脑震荡项目。方法：我们完成了一个回顾性病例系列，包括两名中度和五名重度TBI患者（平均年龄17.3岁），他们在受伤后平均71.6天（范围55-87）进行了首次水牛脑震荡跑步机试验。结果：6名患者分别完成了一次有氧跑步机分级测试，1名患者接受了初始测试和重复测试。没有并发症。最初的五次跑步机试验完全可以耐受，并可以准确评估运动耐受性。由于神经和心肺功能的限制，治疗团队提前终止了两项初始测试。测试结果表明，两名患者被允许进行有氧运动，四名患者接受了单独定制的次最大有氧运动计划，从而主观改善了残余症状和/或运动耐受性。在一名患者接受次最大有氧运动处方治疗1个月后进行的重复跑步机试验表明，运动耐受性有所改善。一名患者在后声门狭窄手术后能够耐受有氧运动。结论：初步结果表明，分级有氧跑步机试验是一种安全、耐受性良好、临床有用的工具，可用于评估适当选择的青少年TBI患者的运动耐受性。未来的前瞻性研究需要评估定制的次极量有氧运动处方对恢复期青少年中重度TBI患者的运动耐受性和患者结局的影响。

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