Handgrip exercise by the non-affected hand increases venous return in the contralateral axillary vein in patients with stroke: a pilot study.
Handgrip exercise by the non-affected hand increases venous return in the contralateral axillary vein in patients with stroke: a pilot study.
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DOI：
10.1186/s13104-018-3475-6
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发表时间：
2018-06-08
影响因子：
1.8
通讯作者：
Matsuoka B
中科院分区：
文献类型：
--
作者：
Hayashi H;Abe M;Matsuoka B
手部水肿的治疗对于维持中风患者的上肢功能非常重要，尽管许多此类治疗的效果有限。本研究旨在利用超音波检查中风患者非患手的握法运动对患侧上肢静脉回流的影响。7名男性在单侧首次中风后6个月内参与研究。患者仰卧位，对患侧腋静脉进行检查。在两种方案期间测量患侧腋静脉的直径和流速：在休息时或在由非患手进行的有节奏的抗阻运动（30%的最大握力持续20 s）期间。然后使用获得的数据计算腋静脉中的静脉流量。与基线相比，在非患侧进行抗阻运动期间，患侧的静脉流速（p = 0.01，d =-0.80）和体积（p = 0.01，d =-0.74）均显著增加。目前的初步研究发现，与非患手节律性抗阻运动增加静脉血流速度和体积在患上肢中风患者。
Treatment of hand edema is important for maintaining upper limb function in patients with stroke, although the effects of many such treatments have been limited. This study aimed to examine, using ultrasound, the effect of handgrip exercise by the non-affected hand of stroke patients on venous return in the affected upper limb. Seven men participated, within 6 months of a unilateral first-ever stroke. With the patient supine, examinations were performed on the axillary vein of the affected side. The diameter and flow velocity of the axillary vein on the affected side were measured during two regimens: at rest or during rhythmic resistance exercise (30% of maximum grip strength for 20 s) performed by the non-affected hand. The venous flow volume in the axillary vein was then calculated using the data obtained. During resistance exercise by the non-affected hand, there were significant increases in both venous flow velocity (p = 0.01, d = − 0.80) and volume (p = 0.01, d = − 0.74) on the affected side, compared with baseline. The present preliminary study found that rhythmic resistance exercise with the non-affected hand increased venous flow velocity and volume in the affected upper limb of patients with stroke.