Freedive Training Gives Additional Physiological Effect Compared to Pulmonary Rehabilitation in COPD.
Freedive Training Gives Additional Physiological Effect Compared to Pulmonary Rehabilitation in COPD.
复制标题
DOI：
10.3390/ijerph191811549
复制
发表时间：
2022-09-14
影响因子：
--
通讯作者：
Varga, Janos Tamas
中科院分区：
文献类型：
--
作者：
Csizmadia, Zoltan;Acs, Pongrac;Szollosi, Gergo Jozsef;Toth, Blanka;Kerti, Maria;Kovacs, Antal;Varga, Janos Tamas
关键词：
简介：肺康复（PR）有利于肺力学，胸部运动学，代谢，吸气和外周肌肉功能。自由潜水训练（FD）可以有效地提高运动员的屏气时间。目的：我们试图确定自由潜水训练在COPD患者肺康复中的有效性。患者和方法：23例COPD患者（15名男性和8名女性;中位年龄63岁; FEV 1：41% pred; BMI：28 kg/m2）参与FD + PR组（3周PR和3周FD + PR）和46例COPD患者（25名男性和21名女性;中位年龄66岁; FEV 1：43% pred; BMI：27 kg/m2）参与了住院PR计划（6周）。患者进行舒适区屏气30分钟/天。检测肺功能、胸廓扩张（CWE）、吸气肌压（MIP）、外周肌功能（GS）、运动能力（6 MWD），包括屏气时间（BHT）、生活质量评分（QOL）、呼吸功能（COPD评估测试（CAT））、改良医学研究呼吸困难量表（mMRC）评分和通过BODE指数评估的疾病严重程度（FEV 1、BMI、6 MWD和mMRC）和替代量表（FEV 1、BMI、6 MWD和CAT）。结果：两组患者的特征有显著性差异。除肺功能外，两组的所有功能和生活质量参数均显著改善。在CWE、GS、6 MWD、BHT、CAT、mMRC、替代量表和MIP中检测到显著较高的改善。用力肺活量（FVC）的改善不显著。FD训练没有副作用。结论：FD法可增强PR的效果，不仅改善BHT，而且改善其他参数。试验注册：ISRCTN ISRCTN 13019180。于2017年12月19日注册。
Introduction: Pulmonary rehabilitation (PR) is beneficial for lung mechanics, chest kinematics, metabolism, and inspiratory and peripheral muscle function. Freediving training (FD) can be effective in sportsmen and can improve breath-holding time. Aims: We sought to determine the effectiveness of freediving training in the pulmonary rehabilitation of COPD patients. Patients and methods: Twenty-three COPD patients (15 men and 8 women; median age 63 years; FEV1: 41% pred; BMI: 28 kg/m2) participated in the FD + PR group (3 weeks PR and 3 weeks FD + PR) and 46 patients with COPD (25 men and 21 women; median age 66 years; FEV1: 43% pred; BMI: 27 kg/m2) participated in an inpatient PR program (6 weeks). Patients performed comfort zone breath holding for 30 min/day. Patients increased their breath-holding time within their comfort zone for 30 min. We detected lung function, chest expansion (CWE), inspiratory muscle pressure (MIP), peripheral muscle function (GS), and exercise capacity (6MWD), and we included breath-holding time (BHT), quality of life score (COPD Assessment Test (CAT)), modified Medical Research Dyspnea Scale (mMRC) score, and the severity of the disease assessed by the BODE index (FEV1, BMI, 6MWD, and mMRC) and an alternative scale (FEV1, BMI, 6MWD, and CAT). Result: There were significant differences in the characteristics of the two groups. Significant improvement was detected in all functional and quality of life parameters except lung function in both groups. Significantly higher improvement was detected in CWE, GS, 6MWD, BHT, CAT, mMRC, alternative scale, and MIP. The improvement in forced vital capacity (FVC) was not significant. There were no side effects of FD training. Conclusion: The FD method can potentiate the effect of PR, improving not only BHT but also other parameters. Trial registration: ISRCTN ISRCTN13019180. Registered 19 December 2017.
登录
查看更多内容
影响因子：
--
作者：
Shingai K;Kanezaki M
通讯作者：
Kanezaki M
DOI：
10.1183/20734735.009817
发表时间：
2017-12
期刊：
Breathe (Sheffield, England)
影响因子：
--
作者：
Russo MA;Santarelli DM;O'Rourke D
通讯作者：
O'Rourke D
影响因子：
0.6
作者：
Vagvolgyi Attila;Rozgonyi Zsolt;Varga Janos Tamas
通讯作者：
Varga Janos Tamas
DOI：
10.2147/copd.s153525
发表时间：
2018
影响因子：
2.8
作者：
Kerti M;Balogh Z;Kelemen K;Varga JT
通讯作者：
Varga JT
影响因子：
4.5
作者：
Acs, Pongrac;Betlehem, Jozsef;Premusz, Viktoria
通讯作者：
Premusz, Viktoria