Use of the modified Balke treadmill protocol for determining the aerobic capacity of women with fibromyalgia.
Use of the modified Balke treadmill protocol for determining the aerobic capacity of women with fibromyalgia.
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DOI：
10.1002/anr.1790020412
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发表时间：
1989-12-01
期刊：
影响因子：
--
通讯作者：
Padrick, K P
中科院分区：
文献类型：
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作者：
Burckhardt, C S;Clark, S R;Padrick, K P
最近，我们完成了一项自行车测力测试期间有氧能力测量的研究[I，21。尽管研究中的纤维肌痛受试者能够以最小的不良副作用进行测试，但对许多人来说，骑自行车并不是一项熟悉的活动。因此，大多数受试者在达到最大耗氧量（Vo，max）之前因腿部疲劳而停止。有强有力的证据表明，跑步机测试可以更准确地测量真实的有氧能力，因为它更接近地复制正常的步行活动，并且是一种负重活动。此外，它没有自行车测功法的一些缺点。除了腿部疲劳之外，大多数人认为骑自行车比步行需要更多的努力，即使实际耗氧量相同 [3]。尽管跑步机测功法可能会产生更接近人的 Vo、max 的值，但风湿病学研究人员一直不太愿意使用它，因为他们认为有损坏负重关节的危险 [4]。 Minor 和她的同事 [5] 在将跑步机测试与自行车测力法进行比较时发现不良反应没有增加。然而，他们使用了诺顿方案，该方案最初是为已知的心脏病患者开发的。因此，该方案将运动强度增加得非常缓慢，以至于心血管状况正常的人在达到无氧阈值之前可能会出现肌肉疲劳。因此，对于患有纤维肌痛的女性来说，这可能不是最好的测试，因为她们中的大多数人没有心脏病。我们报告了一项试点研究的结果，该研究测试了改良巴尔克方案的安全性、可行性和有效性，以确定患有纤维肌痛的女性的有氧能力。
Recently we completed a study of aerobic capacity measurement during bicycle ergometry testing [I, 21. Although the fibromyalgia subjects in the study were able to do the testing with a minimum of adverse side effects, for many, riding a bicycle was not a familiar activity. Consequently, most subjects stopped because of leg fatigue before reaching maximum oxygen consumption (Vo, max). There is strong evidence that treadmill testing gives a more accurate measurement of true aerobic capacity because it replicates more closely the normal activity of walking and is a weight-bearing activity. Also, it does not have some of the drawbacks of bicycle ergometry. Along with leg fatigue, pedaling a bicycle is perceived by most people to require more exertional effort than walking even when the actual oxygen consumption is the same [3]. Although treadmill ergometry may produce a value closer to a person’s Vo, max, rheumatology researchers have been somewhat reticent to use it because of the perceived danger of damage to the weight-bearing joints [4]. Minor and her colleagues [5] found no increase in adverse effects when they compared treadmill testing to bicycle ergometry. However, they used the Naughton protocol, which was developed originally for known cardiac patients. As such, the protocol increases the intensity of the exercise so slowly that persons with normal cardiovascular status are likely to experience muscle fatigue before they reach anaerobic threshold. Thus, it probably is not the best test to use with women who have fibromyalgia, since most of them have no cardiac pathology. We report the results of a pilot study that tested the safety, feasibility, and efficacy of the modified Balke protocol for determining the aerobic capacity of women with fibromyalgia.