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The establishment of pulmonary rehabilitation program using the Locomotor Respiratory Coupling System.

使用运动呼吸耦合系统建立肺康复计划。

基本信息

批准号：
17500356
负责人：
TAMAKI Akira
金额：
$ 2.18万
依托单位：
Kyoto University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2006
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17500356/
关键词：
Pulmonary Rehabilitation LRC Therapeutic Exercise COPD 運動トレーニング

项目摘要

It is known that respiratory rhythm entrains to rhythmical movement, a phenomenon called Locomotor Respiratory Coupling (LRC). We investigated and reported on LRC in healthy subjects, and noted that the LRC phenomenon enhances ventilation efficiency during exercise. Another study has shown that LRC decreases oxygen consumption (VO_2) during cycling at a moderate workload. Therefore, we investigated whether LRC phenomenon may be applied to exercise training for patients with Chronic Obstructive Pulmonary Disease (COPD). We developed new ergometer system software (Strength Ergo 240BK-ERG003 : SE, Mitsubishi Electric Engineering, Japan), which facilitates LRC using visual and acoustic signals. The aim of our study was to investigate the effect of this system for pulmonary rehabilitation of patients with COPD.The properties of this new system software are as follow. 1) Voice and word signal such as "breathe in", "breathe out", appear on the PC display which is synchronized with the pedalin … More g angle. 2) The signal always appears at a settled pedaling position, because timing of the signal is controlled by the pedaling position.Therefore, the slower the pedaling rate per min., the slower the signal appearance. 3) This software can create various ratios (locomotion/respiration) and choose from the following : 1 : 1, 3 : 2, 2 : 1, 5 : 2, 3 : 1, 7 : 2, 4 : 1, 4) The software can change the signal setting during exercise.Seven patients with respiratory COPD participated in this study. We measured SpO2, RPE (Borg Scale), HR, and exercise tolerance (maximum duration of continuous exercise) both with and without this system during pedaling exercise, and compared the differences between outcome measures with and without this system.With this system, SpO2 was higher than without this system during exercise. RPE and HR with this system were lower than without this system during exercise. Exercise tolerance (duration) with this system was longer than without.We concluded that this LRC facilitatory system can be applied to pulmonary rehabilitation of patients with COPD. Less

众所周知，呼吸节律导致有节奏的运动，这种现象称为运动呼吸耦合（LRC）。我们调查并报告了健康受试者的LRC，并注意到LRC现象增强了运动期间的通气效率。另一项研究表明，LRC在中等负荷的自行车运动中可降低耗氧量（VO_2）。因此，我们研究LRC现象是否可以应用于慢性阻塞性肺疾病（COPD）患者的运动训练。我们开发了新的测力计系统软件（Strength Ergo 240 BK-ERG 003：SE，Mitsubishi Electric Engineering，Japan），该软件使用视觉和声音信号促进LRC。本研究的目的是探讨该系统对慢性阻塞性肺疾病（COPD）患者肺功能康复的作用。1)语音和文字信号，如“吸气”，“呼气”，出现在电脑显示器，这是同步的踏板。 ...更多信息 g角。2)信号总是出现在一个固定的踏板位置，因为信号的定时是由踏板位置控制的。因此，每分钟的踏板速度越慢，信号出现的速度越慢。3)该软件可以创建各种比例（运动/呼吸）并从以下中选择：1：1、3：2、2：1、5：2、3：1、7：2、4：1。4）该软件可以在运动期间改变信号设置。我们在蹬车运动中测量了使用和不使用该系统的SpO 2、RPE（博格量表）、HR和运动耐量（最大持续运动时间），并比较了使用和不使用该系统的结果测量值之间的差异。在运动过程中，使用该系统的RPE和HR低于不使用该系统的RPE和HR。结果表明，该系统可用于慢性阻塞性肺疾病患者的肺功能康复。少