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

在运动功能障碍患者中，大部分运动和日常生活活动对符合心肺反应的患者来说是应激性的。当运动方式不同时，连续训练比间歇训练会产生更多的压力。然而，如果是间歇性的，低强度的等长运动会产生更少的压力，正如之前的报告所预期的那样。这一结果表明，即使患者年龄较大和/或运动功能障碍，间歇运动计划也可能是安全和有益的，适用于患者作为运动训练。此外，血次黄嘌呤水平被认为是评估运动后血管系统诱发损伤的良好标记物，因为血浆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。连续运动后，急性心肌梗死患者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。在脑梗塞和肥胖患者中也得到了类似的结果。失眠是与身体肌肉运动没有直接关系的压力之一，但这会在一定程度上影响大多数疾病对运动计划的心肺反应。在这一点上，还需要进一步的研究。

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.