The Value of High Intensity Locomotor Training Applied to Patients With Acute-Onset Neurologic Injury.
The Value of High Intensity Locomotor Training Applied to Patients With Acute-Onset Neurologic Injury.
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DOI：
10.1016/j.apmr.2020.09.399
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发表时间：
2022-07
影响因子：
4.3
通讯作者：
Hornby TG
中科院分区：
文献类型：
--
作者：
Fahey M;Brazg G;Henderson CE;Plawecki A;Lucas E;Reisman DS;Schmit BD;Hornby TG
对中风或不完全脊髓损伤（iSCI）的动物模型和人类的长期研究表明，特定的体育训练变量，如练习的特异性和量，可能会影响神经恢复和运动功能。最近的数据强调了运动强度的贡献，间接估计心血管运动，可能比以前认为的更重要。运动强度的影响在神经系统完整的个体中得到了很好的描述，尽管关于强度和安全性问题的定义的混乱限制了其在神经损伤患者的身体康复期间的实施。本综述的目的是描述运动训练中运动强度对脑卒中和脊髓损伤患者影响的一些证据。我们提供了文献中使用的运动强度的具体定义，描述了用于确保适当运动水平的方法，并讨论了其应用过程中的潜在不良事件和安全性问题。运动训练强度对临床结局以及对神经肌肉和心血管功能影响的更多详细信息将在可用时进行讨论。现有的多项研究和荟萃分析的文献表明，运动训练强度可能是影响神经损伤后运动功能的主要因素。为了扩展这些研究结果，我们描述了以前的尝试，实施中到高强度的干预措施，在身体康复的神经损伤患者，包括实用的具体策略，以促进实施，并浏览潜在的障碍，可能会出现在实施工作。
Long-standing research in animal models and humans with stroke or incomplete spinal cord injury (iSCI) indicate that specific physical training variables, such as the specificity and amount of practice, may influence neurologic recovery and locomotor function. More recent data highlight the contributions of exercise intensity, as estimated indirectly by cardiovascular exertion, as potentially more important than previously considered. The effects of exercise intensity are well described in neurologically intact individuals, although confusion regarding the definitions of intensity and safety concerns have limited its implementation during physical rehabilitation of patients with neurologic injury. The purpose of this review is to delineate some of the evidence regarding the effects of exercise intensity during locomotor training in patients with stroke and iSCI. We provide specific definitions of exercise intensity used within the literature, describe methods used to ensure appropriate levels of exertion, and discuss potential adverse events and safety concerns during its application. Further details on the effects of locomotor training intensity on clinical outcomes, and on neuromuscular and cardiovascular function will be addressed as available. Existing literature across multiple studies and meta-analyses reveals that exercise training intensity is likely a major factor that can influence locomotor function after neurologic injury. To extend these findings, we describe previous attempts to implement moderate to high intensity interventions during physical rehabilitation of patients with neurologic injury, including the utility of specific strategies to facilitate implementation, and to navigate potential barriers that may arise during implementation efforts.
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影响因子：
3.1
作者：
Abel, Mark;Hannon, James;Beighle, Aaron
通讯作者：
Beighle, Aaron
DOI：
10.1249/00005768-198205000-00012
发表时间：
1982-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
BORG, GAV
通讯作者：
BORG, GAV
影响因子：
2.2
作者：
Colombo, G;Wirz, M;Dietz, V
通讯作者：
Dietz, V
影响因子：
8.3
作者：
Eng, JJ;Chu, KS;Hepburn, KE
通讯作者：
Hepburn, KE
影响因子：
2.5
作者：
de Leon, RD;Hodgson, JA;Edgerton, VR
通讯作者：
Edgerton, VR