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Cardiopulmonary response to rehabilitation exercise and daily activities in patients with motor function disabilities.

运动功能障碍患者对康复运动和日常活动的心肺反应。

基本信息

批准号：
11835005
负责人：
HIWATARI Masao
金额：
$ 2.3万
依托单位：
International University of Health and Welfare (2000-2001)Tohoku University (1999)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

项目摘要

In patients with motor functionally disabled, most exercise and activities of daily living will be stressful for the patients according with cardiopulmonary response. When the mode of exercise different, continuous training will make more stress than intermittent one. However, isometric exercise in low intensity gave less stress as expected from previous reports if it has been given intermittently. This result suggests that even if patients were older and/or motor function disabled, intermittent exercise program might be safe and helpful to apply for the patient as exercise training. Furthermore, serum level of hypoxanthine has been suggested that the substance will good marker for assessment of evoked damage in the vasculature after exercise, as serum hypoxanthine levels correlates with those of exercise intensity.Heart rate variability (HRV) is one of the technique for assess the activity of autonomic nervous system. After the continuous exercise program, patients with acute myocardial infarction have shown more active parasympathetic system at rest and less active sympathetic system at exercise, which are reflected to heart rate and blood pressure. Similar results were obtained in patients with cerebral infarction and obesity.Sleepless is one of the stresses not directly related to physical muscular exercise, but this will affect to some extent on the cardiopulmonary response to exercise program in most kind of diseases. In this point, further research is required.

对于运动功能障碍的患者，根据心肺反应，大多数运动和日常生活活动都会给患者带来压力。当运动方式不同时，连续训练会比间歇训练产生更大的压力。然而，如果间歇性地进行低强度的等长运动，则正如之前报告所预期的那样，所产生的压力较小。这一结果表明，即使患者年龄较大和/或运动功能障碍，间歇性运动计划对于患者来说作为运动训练可能是安全且有帮助的。此外，血清次黄嘌呤水平被认为是评估运动后脉管系统诱发损伤的良好标志物，因为血清次黄嘌呤水平与运动强度相关。心率变异性（HRV）是评估自主神经系统活动的技术之一。经过持续的运动计划后，急性心肌梗死患者在休息时表现出较活跃的副交感系统，而在运动时表现出较少活跃的交感系统，这反映在心率和血压上。在脑梗塞和肥胖患者中也得到了类似的结果。失眠是与身体肌肉锻炼没有直接关系的应激之一，但在大多数疾病中，这会在一定程度上影响心肺对运动计划的反应。在这一点上，还需要进一步研究。