Research of the exercise prescription on person with physical disabilities for life-style related diseases prevention

在这项研究中，通过根据残疾人的残疾程度制定运动处方，研究了连续三年的运动会对他们的身体健康产生什么样的影响。受试者为三名身体残疾者，患有成骨障碍、脑瘫或脊髓损伤。他们是3名35至43岁的人。每7-10天进行一次规定的运动。在运动过程中，每40天记录一次心率（HR）、摄氧量、总血红蛋白（Total Hb）、氧饱和血红蛋白占总血红蛋白的比值（简称氧饱和度，StO_2）、血压、血乳酸和身体状况自我评价。所有受试者的心率和摄氧量在第三年均显示出较高的相关系数。与此类似，第三年心率与主观用力度（RPE）呈高度相关，总Hb和StO 2在休息时、运动中和运动后均无明显变化。运动后收缩压和舒张压均较运动前有升高趋势。运动后血乳酸比运动前增加约4- 5 mmol/l。运动后自我评估显示对所有科目的感觉良好。总之，为身体残疾人规定的三年锻炼表明，使锻炼成为习惯的生活习惯可能会对身体残疾人的心理和生理产生理想的影响。这些影响将有效地预防与生活方式有关的疾病，使身体残疾人积极健康地生活。

In this study, by making prescriptions of exercises for persons with disabilities depending on individual impairment levels, what kind of influences of physical fitness on them the exercises for three years continuation would cause was examined. Subjects were three persons with physical disabilities, suffered from osteogenesis imperfecta, cerebral palsy, or spinal cord injury. They are three persons of 35 to 43 years old. Prescribed exercises were performed with the frequency of every 7-10 days. During the exercises, the heart rate(HR), the oxygen uptake, the total haemoglobin (Total Hb), the ratio of oxygen-saturated haemoglobin among Total Hb (simplified as oxygen saturation, or StO_2), the blood pressure, the lactic acid in the blood and self-assessment of physical conditions were recorded at the frequency of approximately every 40 days. The heart rate and oxygen uptake of all subjects showed high correlation coefficients in the third year. And similar to that, the heart rate and rating of perceived exertion(RPE) showed high correlation coefficients in the third year.Total Hb and StO_2 did not change significantly at the rest, during exercise and after exercise. The post-exercise caused the higher tendency than pre-exercise for both systolic and diastolic blood pressure. Lactic acid in the blood showed increase of about 4-5mmol/l post-exercise compared with pre-exercise. Self-assessment of post-exercise revealed good feeling about all subjects. In conclusion, prescribed exercises for three years for persons with physical disabilities showed the possibilities that the life habits making custom of exercises give desirable influences in both psychologically and physiologically for persons with physical disabilities. The influences would be effective for prevention of life-style related diseases and making active healthy lives for persons with physical disabilities.