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

运动功能障碍患者的大部分运动和日常生活活动都会对患者产生压力，这与心肺反应一致。当运动方式不同时，连续性训练比间歇性训练产生的应激更大.然而，低强度的等长收缩运动，如果间歇性地进行，则会产生较少的应力，这与以前的报告所预期的相同。这一结果表明，即使患者年龄较大和/或运动功能残疾，间歇性运动计划也可能是安全的，并有助于患者进行运动训练。此外，血清次黄嘌呤水平与运动强度相关，可作为运动后血管诱发性损伤的良好指标。心率变异性（Heart rate variability，HRV）是评价自主神经系统活动的技术之一。急性心肌梗死患者在持续运动后，静息时副交感神经系统较活跃，运动时交感神经系统较不活跃，反映在心率和血压上。脑梗死和肥胖患者也有类似的结果。睡眠不足是与肌肉锻炼无直接关系的应激之一，但在大多数疾病中，睡眠不足会在一定程度上影响运动对心肺功能的影响。在这一点上，需要进一步的研究。

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.