Impact of Association between Functional Training and Respiratory Muscle Training in Elderly: A Randomized Controlled Trial

The elderly population in Brazil has been growing exponentially according to data presented by the IBGE. It is estimated that by 2025 the population will have reached 32 million, placing the country sixth in the world in the population of elderly people. To assess the results of respiratory training associated with functional training on respiratory muscle strength, lung function, and functionality of the elderly. The sample was composed of 40 elderlies, divided into four groups, the experimental group with functional training, one experimental group with functional training associated with respiratory training, one experimental group with respiratory training, and the fourth group, the control group. After the initial and final evaluations, the variables measured were: The Breathing Test, Sit to Stand Test, the SF-36 Quality of Life Questionnaire, and Spirometry. Twenty appointments were conducted twice a week. There were significant differences for variables maximum inspiratory and expiratory pressure;more accentuated in the associated group when compared to the respiratory group;forced vital capacity and forced expiratory volume in the first second/forced vital capacity were meaningful in the associated group;peak expiratory flow means values increased after the intervention;in the six-minute walk test, we noticed a trend to increase values after the intervention. Functional training as well as associated respiratory muscle training provide the most beneficial changes compared only to functional and respiratory training. Therefore, this may be an effective clinical training method for patients’ elderly.

Isolated Lumbar Extension Resistance Training Is Effective at Improving Extension Power and Disability in Subjects with Diagnosed Lumbar Multifidus Dysfunction

Background: Lumbar multifidus dysfunction is a prevalent cause of disability in individuals with lower back pain. Previous research highlights the benefits of isolated lumbar extension training for non-specific lower back pain, however, studies examining its efficacy in lumbar multifidus dysfunction are lacking. Objective: To evaluate the effectiveness of isolated lumbar extension resistance training on disability and strength in individuals with lumbar multifidus dysfunction. Methods: Subjects underwent a physiotherapy led structured rehabilitation program incorporating isolated lumbar extension. Sessions were conducted twice weekly targeting momentary muscular failure with time under load 90 - 120 seconds and progressions aimed at 5 - 10 lbs increments. Outcomes were assessed using the Oswestry Disability Index and lumbar extension strength testing at baseline and after 12 weeks, with statistical analysis using t-test and chi-squared 2 × 2. Results: Forty-five subjects (24 male, 21 female) with a median age of 48 completed the intervention. Improvements were noted in Oswestry Disability Index scores (median pre: 24, post: 15) and maximal lumbar extension strength (median pre: 122 lb, post: 186 lb), with p ≤ 0.05. Overall, 89% showed improvement in disability scores, 67% moved to a better disability category, and 51% saw at least a 50% increase in strength. No significant gender differences were observed. Conclusions: Isolated lumbar extension resistance training is effective at improving extension power and disability in subjects with lumbar multifidus dysfunction.

Effectiveness of progressive resistance training in improving muscle strength in myasthenia gravis:a single subject study design

Background:To investigate the effectiveness of the progressive resistance training(PRT)using thera band in improving muscle strength in myasthenia gravis(MG).Methods:In this prospective study,12 MG patients with generalised stable disease performed progressive resistance training with thera band for four times per week for 24 weeks.The isometric muscle force of shoulder abductors,biceps brachii and knee extensors using handheld dynamometer,Myasthenia Gravis Composite(MGC)score,Quantitative myasthenia gravis score(QMG),were assessed before and after the training period.Results:Progressive resistance training was well tolerated,and the isometric muscle strength was significantly improved in shoulder abductors,biceps brachii and knee extensors(P<0.05).The disease course(QMG and MGC)was slowed down and improved(P<0.05).Conclusion:Progressive resistance training is effective in improving muscle strength specifically in most affected muscles in MG.

The effects of 12 weeks of functional strength training on muscle strength,volume and activity upon exposure to elevated Gz forces in high-performance aircraft personnel

Background:Technological advancements in modern military and acrobatic jet planes have resulted in extraordinary psychophysiological loads being exerted upon flying personnel,including inducing neck and back pain.The purpose of this study was to examine the effects of 12 weeks of functional strength training on 1)the volume and strength of the neck and shoulder muscles and 2)muscular activity upon exposure to helmets of different masses and elevated Gz forces in a long-arm centrifuge in high-performance aircraft personnel.Methods:Eighteen participants underwent 12 weeks of functional strength training(n=12)or the control protocol(n=6)without additional strength training.Pre-and post-intervention tests included evaluations of isometric strength of the head extensor muscles,flexion,and lateral flexion and rotation,as well as magnetic resonance imaging(MRI)to measure the volume of the m.sternocleidomastoideus,m.trapezius,and deep neck muscles.Furthermore,during a long-arm centrifuge(+1.4 and+3Gz)protocol,the muscular activity levels of the m.sternocleidomastoideus,m.trapezius and m.erector spinae muscles were assessed without a flight helmet,with a helmet,and with a helmet and night vision goggles.Each participant’s perception of muscular strain was noted immediately after the long-arm centrifuge protocol.Results:The maximal isometric strength in all exercises and muscle volumes increased in the training group but not the control group(P<0.05).Relative muscle activity(%MVC)with a helmet decreased after the intervention in the training but not the control group(P=0.01).Relative muscle activity while wearing a helmet and night vision goggles was higher after intervention in the control group than in the training group(P<0.01).The perceived muscular strain of the neck muscles induced by the long-arm centrifuge did not differ between the groups.Conclusions:Twelve weeks of functional strength training improves the maximal isometric strength and volume of neck and shoulder muscles and leads to lower relative muscle activation upon exposure to elevated Gz forces in a long-arm centrifuge.

Perioperative respiratory muscle training improves respiratory muscle strength and physical activity of patients receiving lung surgery:A meta-analysis

BACKGROUND The clinical role of perioperative respiratory muscle training(RMT),including inspiratory muscle training(IMT)and expiratory muscle training(EMT)in patients undergoing pulmonary surgery remains unclear up to now.AIM To evaluate whether perioperative RMT is effective in improving postoperative outcomes such as the respiratory muscle strength and physical activity level of patients receiving lung surgery.METHODS The PubMed,EMBASE(via OVID),Web of Science,Cochrane Library and Physiotherapy Evidence Database(PEDro)were systematically searched to obtain eligible randomized controlled trials(RCTs).Primary outcome was postoperative respiratory muscle strength expressed as the maximal inspiratory pressure(MIP)and maximal expiratory pressure(MEP).Secondary outcomes were physical activity,exercise capacity,including the 6-min walking distance and peak oxygen consumption during the cardio-pulmonary exercise test,pulmonary function and the quality of life.RESULTS Seven studies involving 240 participants were included in this systematic review and meta-analysis.Among them,four studies focused on IMT and the other three studies focused on RMT,one of which included IMT,EMT and also combined RMT(IMT-EMT-RMT).Three studies applied the intervention postoperative,one study preoperative and the other three studies included both pre-and postoperative training.For primary outcomes,the pooled results indicated that perioperative RMT improved the postoperative MIP(mean=8.13 cmH_(2)O,95%CI:1.31 to 14.95,P=0.02)and tended to increase MEP(mean=13.51 cmH_(2)O,95%CI:-4.47 to 31.48,P=0.14).For secondary outcomes,perioperative RMT enhanced postoperative physical activity significantly(P=0.006)and a trend of improved postoperative pulmonary function was observed.CONCLUSION Perioperative RMT enhanced postoperative respiratory muscle strength and physical activity level of patients receiving lung surgery.However,RCTs with large samples are needed to evaluate effects of perioperative RMT on postoperative outcomes in patients undergoing lung surgery.

The impact of inspiratory muscle training on exercise capacity and inspiratory muscle strength in heart failure patients:a meta-analysis

Objective:To systematically evaluate the therapeutic effects of inspiratory muscle training(IMT)on cardiopulmonary functions in patients with heart failure.Methods:PubMed,EMbase,the Cochrane Library,Web of Science,CBM,WanFang Data,VIP,and CNKI databases were searched to collect randomized controlled trials about the effects of IMT on cardiopulmonary function in patients with heart failure.Meta-analysis was performed using RevMan 5.3 software after two researchers independently screened the literatures,extracted the data,and evaluated the risk of bias.Results:A total of 20 articles with 1,415 patients were included.Meta-analysis showed that IMT was able to increase the 6-minute walking distance(mean difference(MD)=59.41,95%confidence interval(CI)(51.02–67.80),P<0.001)and maximum inspiratory pressure(MD=15.59,95%CI(12.96–18.21),P<0.001)in patients with heart failure compared with the control group.But there was no statistical difference in peak oxygen uptake(MD=1.37,95%CI(?0.57–3.30),P=0.17),first second forced expiratory volume(MD=?5.79,95%CI(?12.23–0.65),P=0.08)and forced vital capacity(MD=?0.45,95%CI(?6.39–5.49),P=0.88)between the control and the experimental group.Conclusion:Available evidence suggested that IMT seemed to be a useful strategy for improving exercise capacity and inspiratory muscle strength in heart failure patients.Limited by the quantity and quality of the included studies,the above conclusions need to be verified by more high-quality studies.

Responsiveness of functional performance and muscle strength,power,and size to resistance training:A systematic review

There is a recent and growing interest in assessing differential responders to resistance training(RT)for diverse outcomes.Thus,the individual ability to respond to an intervention for a specific measurement,called responsiveness,remains to be better understood.Thus,the current study aimed to summarize the available information about the effects of RT on functional performance and muscle strength,power,and size in healthy adults,through the prevalence rate in different responsiveness classifications models.A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)and was registered at the International Prospective Register of Systematic Reviews(PROSPERO,CRD42021265378).PubMed/MEDLINE,Scopus,and Embase databases were systematically searched in October 2023.A total of 13 studies were included,totaling 921 subjects.Only two studies presented a low risk of bias.Regarding the effectiveness of RT,the prevalence rate for non-responders ranged from 0%to 44%for muscle strength,from 0%to 84%for muscle size,and from 0%to 42%for functional performance,while for muscle power,the only study found showed a responsiveness rate of 37%.In conclusion,a wide range of differential responders is described for all variables investigated.However,the evidence summarized in this systematic review suggested some caution while interpreting the findings,since the body of evidence found seems to be incipient,and widely heterogeneous in methodological and statistical aspects.

The Progress of the Study on the Effect of Vibration Training on Muscle Strength Exercise

Vibration training is more and more extensively applied to the field of strength training. It, as a beneficial supplement to the traditional strength, is able to improve specific strength or the strength of weak positions, for the purpose of achieving the muscle strength development in an all-round way. In this paper, the anatomy, physiology, and biomechanics foundations for vibration training to increase muscle strength are mainly analyzed, and then the principle of vibration training to increase muscle strength is further expounded, and also the increase of muscle strength is discussed from the aspects such as vibration frequency, vibration amplitude, vibration posture, vibration intermittent time, and vibration mode, so as to clarify the domestic and foreign progress of the study on vibration training.

Low-Load Bench Press Training to Fatigue Results in Muscle Hypertrophy Similar to High-Load Bench Press Training

The purpose of this study was to determine whether the training responses observed with low-load resistance exercise to volitional fatigue translates into significant muscle hypertrophy, and compare that response to high-load resistance training. Nine previously untrained men (aged 25 [SD 3] years at the beginning of the study, standing height 1.73 [SD 0.07] m, body mass 68.9 [SD 8.1] kg) completed 6-week of high load-resistance training (HL-RT) (75% of one repeti-tion maximal [1RM], 3-sets, 3x/wk) followed by 12 months of detraining. Following this, subjects completed 6 weeks of low load-resistance training (LL-RT) to volitional fatigue (30% 1 RM, 4 sets, 3x/wk). Increases (p 0.05) in magnetic resonance imaging-measured triceps brachii and pectorals major muscle cross-sectional areas were similar for both HL-RT (11.9% and 17.6%, respectively) and LL-RT (9.8% and 21.1%, respectively). In addition, both groups increased (p 0.05) 1RM and maximal elbow extension strength following training;however, the percent increases in 1RM (8.6% vs. 21.0%) and elbow extension strength (6.5% vs. 13.9%) were significantly (p 0.05) lower with LL-RT. Both protocols elicited similar increases in muscle cross-sectional area, however differences were observed in strength. An explanation of the smaller relative increases in strength may be due to the fact that detraining after HL-RT did not cause strength values to return to baseline levels thereby producing smaller changes in strength. In addition, the results may also suggest that the consistent practice of lifting a heavy load is necessary to maximize gains in muscular strength of the trained movement. These results demonstrate that significant muscle hypertrophy can occur without high-load resistance training and suggests that the focus on percentage of external load as the important deciding factor on muscle hypertrophy is too simplistic and inappropriate.

Association between IGF-2 gene and fat-free mass in response to resistance training

BACKGROUND: It is well established that the human aging process is associated with a significant decline in neuromuscular function and performance. Twin studies demonstrate that genetic factors partially explain the inter-individual variation of fat-free mass (FFM) and muscle strength. PURPOSE: To examine the association between the polymorphism of the gene IGF-2 with phenotypes strength and muscle mass of elderly women pre and post resistance training. METHODS: 76 elderly women participated in this analysis. These volunteers, who should be sedentary for at least 6 months before the study, were assigned four groups in relation to allele GAGG, AA, GAAA and GG. The first analysis compared 60 elderly women with GG and GA allele (GAGG) versus 16 elderly women with AA allele. The second analysis compared 54 elderly women with GA and AA (GAAA) versus 22 elderly women GG allele. The Body mass index, fat free mass, fat mass and Isokinetic Muscle Peak Torque were measured. All volunteers were participating in the Resistance Training program. The DNA was extracted from peripheral venous blood leukocytes using a salting out protocol. The primer for IGF-II gene exon 9 was 5’-GTCCCTGAACCAGCAAAGAG-3’ 0.5 μM (0.625 μl) Primer R-5’-TGATGGAAAAGGGAGTGAGG-3’ 0.5 μM (0.625 μl), Taq DNA Polimerase enzime 0.5 U (0.1 μl), água milli-Q (3.8 μl) 5 hg de DNA (3 μl). PCR amplification was performed in a programmable thermal cycler GeneAmp? PCR System 9700. RESULTS: The results of the first analysis GAGG × AA versus the group AA showed the relative increase in knee extensor peak torque relative and also in the fat-free mass and showed a decrease in the fat mass percentage in the GAGG group. The second analysis considered the group GAAA versus group GG showed decreases in the fat-free mass percentage in the GAAA group, also showed the relative increase in the fat-free mass in the GG group and decrease in the fat mass percentage in the GG group. CONCLUSIONS: The results of this study show that 24 weeks of the resistance training improved strength and muscle mass and decreased the fat mass. The results confirm this assertion and suggest the G allele presents more influence over the A allele, in relation to phenotypes strength and muscle mass in elderly women after resistance training.

线上产后康复促进项目活动方案的设计及实施

目的探讨线上产后康复促进项目活动方案对产妇产后母乳喂养、形体恢复的效果。方法以便利抽样法抽取符合纳入及排除标准的产妇70例,将产妇随机分为产康组与对照组各35例。对照组实施常规产褥期护理及随访,产康组按照线上产后康复促进项目活动方案实施护理干预。产后6个月比较两组纯母乳喂养率、婴儿体格发育情况、产妇盆底肌肌力及形体恢复情况。结果产后6个月,纯母乳喂养率对照组为42.86%,产康组为88.57%,两组差异有统计学意义(P<0.05)。产康组产妇臀围、腰围显著小于对照组,而盆底肌肌力评分显著高于对照组(均P<0.05)。两组婴儿身长及体质量差异无统计学意义(均P>0.05)。结论对产妇实施线上产后康复促进项目,可提升产妇纯母乳喂养率,促进产后形体恢复、改善盆底肌肌力。

髋膝踝关节周围肌群肌力训练联合肌内效贴在前交叉韧带重建术后的应用效果分析

目的探讨前交叉韧带重建术后患者采用髋膝踝关节周围肌群肌力训练联合肌内效贴的应用效果。方法选取2022年3月至2023年3月延安大学附属医院收治的123例前交叉韧带损伤患者,均行前交叉韧带重建术,按简单随机数法分为两组。对照组(62例)术后进行髋膝踝关节周围肌群肌力训练,研究组(61例)在对照组基础上应用肌内效贴。训练4周后,评估并比较两组的关节肿胀程度、疼痛视觉模拟评分(Visual analogue scale,VAS)、膝关节活动度、等速肌力、膝关节功能及生活质量变化情况。结果训练后,与对照组比较,研究组关节肿胀程度与VAS评分降低(P<0.05),屈伸、内旋、外旋关节活动度提升(P<0.05),伸膝力矩峰值、屈膝力矩峰值、Lysholm膝关节评分、Barthel指数(Barthel index,BI)评分提高(P<0.05)。结论对前交叉韧带重建术后患者采用髋膝踝关节周围肌群肌力训练联合肌内效贴有助于减轻肿胀和疼痛,促进膝关节功能的恢复,提高患者生活质量。

中药督脉熏蒸联合生物反馈训练对产后盆底功能障碍患者盆底肌肌力及尿动力学的影响

目的:观察中药督脉熏蒸联合生物反馈训练治疗产后盆底功能障碍(PPFD)的效果。方法:选取PPFD患者180例,依照随机数字表法分为中药熏蒸组(A组)、生物反馈训练组(B组)、联合治疗组(C组)3组,每组60例。3组均给予常规治疗,即凯格尔运动法及阴道哑铃盆底肌肉锻炼。在常规治疗基础上A组再给予中药督脉熏蒸治疗;B组再给予生物反馈训练;C组再给予中药督脉熏蒸联合生物反馈训练,均治疗8周。治疗前后比较3组患者的盆底肌肌力、尿动力学、盆底神经肌电生理指标、盆底功能障碍影响问卷简版(PFIQ-7)、盆底症状影响量表简版(PFDI-20)、盆腔器官脱垂与尿失禁性功能问卷简版(PISQ-12)评分。结果:治疗后,3组患者的盆底肌肌力正常率、尿道最大闭合压力(MUCP)、功能尿道长度(FUL)、膀胱顺应性(BC)、应力性漏尿点压力(SLPP)、快肌收缩最大值、10s慢肌收缩平均值、PISQ-12评分均高于治疗前(P<0.05),且C组高于A组、B组(P<0.05);3组患者PFIQ-7、PFDI-20均低于治疗前(P<0.05),且C组低于A组、B组(P<0.05)。结论:中药督脉熏蒸联合生物反馈训练可减轻PPFD相关症状,改善PPFD患者盆底功能、性功能。

弹力带抗阻训练对脑卒中下肢运动功能障碍患者肌力水平和运动耐力的影响

目的 探讨弹力带抗阻训练对脑卒中下肢运动功能障碍患者肌力水平、运动耐力的影响。方法 选择2021-06—2022-12在南京市江宁医院接受治疗的80例脑卒中下肢运动功能障碍患者进行研究,采用随机数表法分为试验组(n=40)和对照组(n=40)。对照组给常规运动指导治疗,试验组加用弹力带抗阻训练治疗。比较2组临床疗效、肌力水平、峰值摄氧量(VO_(2)peak)、无氧阈值(AT)、6 min步行距离、步态参数及Barthel指数、平衡功能评分变化情况。结果 治疗后,试验组总有效率85%,高于对照组的65%,差异有统计学意义(P<0.05);试验组下肢肌力评分低于对照组[(1.40±0.23)分比(1.98±0.63)分],Fugl Meyer运动量表评分高于对照组[(29.87±3.58)分比(24.15±3.74)分],差异均有统计学意义(P<0.05);试验组VO_(2)peak、AT及6 min步行距离分别为(20.42±1.71)m L/(min·kg)、(13.89±1.01)mL/(min·kg)、(140.56±23.78)m,均高于对照组的(18.46±1.23)m L/(min·kg)、(13.02±1.21)mL/(min·kg)、(116.58±29.61)m,差异均有统计学意义(P<0.05);试验组步长、步速、步频及单支撑相水平分别为(36.87±4.71)cm、(57.78±7.23)cm/s、(69.31±5.41)step/s、(31.05±3.01)%,均高于对照组的(31.52±3.67)cm、(52.84±6.09)cm/s、(63.05±6.08)step/s、(27.21±3.08)%,差异均有统计学意义(P<0.05);试验组Barthel指数、平衡功能评分分别为(78.61±5.61)分、(41.15±2.31)分,均高于对照组的(67.59±6.13)分、(32.56±5.47)分,差异均有统计学意义(P<0.05)。结论 在脑卒中下肢运动功能障碍患者中弹力带抗阻训练治疗有较好的效果,可有效改善肌力水平、运动耐力水平。

以障碍点为指导的个性化综合训练对老年全髋关节置换伴肌少症患者运动能力及预后的影响

目的 探讨以障碍点为指导的个性化综合训练用于老年全髋关节置换伴肌少症围术期的康复效果。方法 选取2020年2月—2023年4月收治的84例老年全髋关节置换伴肌少症,根据康复训练方法不同分为对照组、观察组,各42例。对照组给予常规康复训练,观察组给予以障碍点为指导的个性化综合训练。比较2组术前及术后1个月Fugl-Meyer运动功能量表(FMA)、Berg平衡量表(BBS)、髋关节残疾和骨关节炎预后评分(HOOS)、肌力相关指标、肌肉相关康复指标及肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC、FEV1占预计值的百分比(FEV1%pred)]。结果 术后1个月,观察组FMA、BBS、HOOS评分较对照组升高,优势手握力、四肢骨骼肌质量、患肢骨骼肌质量和全身肌肉质量均较对照组升高,胫前屈肌厚度、肱二头肌厚度较对照组均降低(P<0.05);术后1个月,观察组FVC、FEV1、FEV1/FVC、FEV1%pred与对照组比较均升高(P<0.05)。结论 以障碍点为指导的个性化综合训练能提高老年全髋关节置换伴肌少症患者肌力与运动能力,利于改善肺功能及患者预后。

水平减速能力研究进展

水平减速能力是人体在水平方向运动过程中快速改变速度和方向的基础,对运动表现具有重要影响。对国内外相关研究进行系统梳理,归纳总结水平减速能力的测试评估、影响因素和训练策略的研究现状发现:(1)水平减速能力的测试方法主要有最大水平减速能力测试、特定距离内水平减速能力测试和变向能力测试;直接测评指标主要有减速度、制动距离和制动时间,衍生性指标包括制动力、制动冲量、制动功率、减速指数和减速赤字等;(2)水平减速能力影响因素主要包括下肢肌肉力量、肌力不对称和制动技术;(3)水平减速能力的训练策略可运用下肢离心力量训练结合向心快速力量训练提高制动力的产生与运用能力和动态姿势控制能力;采用超等长收缩训练结合离心落地控制能力训练,有效提升制动过程中的拉长-缩短周期运动能力;选择单侧和双侧力量训练,改善肢体间离心制动的不对称性;运用专门性水平减速训练,并结合抗阻训练,针对性地提高运动员面对不同外部刺激时的预测和响应能力,改善制动技术动作,显著优化制动力分配和调控能力。

场景互动电子生物反馈训练在女性压力性尿失禁中的临床应用研究

目的探讨场景互动电子生物反馈训练在尿失禁治疗中的作用。方法选取2020年12月—2023年6月之间福建省龙岩市第二医院妇产科收治的患有尿失禁的女性患者120例为研究对象,随机分为2组,各60例。对照组按常规在静卧体位下分步完成电刺激、生物反馈训练;试验组在场景互动下同步进行电刺激、生物反馈和场景生物反馈联合治疗。对比2组患者的盆底肌肌力、子宫脱垂分度、压力性尿失禁、个人生活社会功能评定量表(personal and social performance scale,PSP)、负性情绪[视觉模拟评分法(visual analogue scale,VAS)、文字描述评价量表(verbal descriptors scale VDS)]评价。结果试验组患者的盆底肌肌力、子宫脱垂分度、压力性尿失禁等指标均优于对照组,差异有统计学意义(P<0.05)。PSP评分试验组高于对照组,而试验组VAS评分(32.02±3.26)分、VDS评分(32.23±3.08)分,均低于对照组的(43.23±2.63)分、(44.63±3.09)分,差异有统计学意义(P<0.05)。结论场景互动电子生物反馈训练能有效改善女性尿失禁症状,降低子宫脱垂分度,提高盆底肌肌力与生活社会功能水平,改善不良情绪。

改良型加压冰敷袋联合等速髋周肌力训练对踝关节骨折病人术后康复的影响

目的:探讨改良型加压冰敷袋联合等速髋周肌力训练在踝关节骨折术后病人中的应用效果。方法:采用随机数字编号法将82例2020年3月—2023年3月在医院接受手术治疗的踝关节骨折病人分为对照组(n=41,给予改良型加压冰敷袋联合常规干预,观察组n=41,在对照组基础上增加等速髋周肌力训练),对两组病人的等速相对峰力矩、步态功能、踝关节功能、生活质量进行比较。结果:干预8周后,两组病人髋关节外展、伸展等速相对峰力矩均高于干预前,且观察组高于对照组(P<0.05);干预8周后,两组病人步速、患侧步长均高于干预前,且观察组高于对照组(P<0.05),步行周期均低于干预前,且观察组低于对照组(P<0.05);干预8周后,两组病人的Baird-Jackson踝关节与美国足踝外科协会踝-后足评分以及世界卫生组织生存质量调查表4个维度的评分均高于干预前,且观察组高于对照组(P<0.05)。结论:改良型加压冰敷袋和等速髋周肌力训练的联合应用可进一步改善踝关节骨折病人的步态功能及踝关节功能,有利于生活质量水平的提升。

血流限制训练对上肢肌肉适能效益的影响

背景:血流限制训练在提高肢体肌肉力量方面有广阔的应用前景,其中上肢应用血流限制训练的效果较为理想,且具体应用方案具有较高的研究价值。目的:阐述血流限制训练对上肢肌肉适能效益的影响,总结上肢应用血流限制训练的具体方案,试图依据现有研究给出应用方案的建议。方法:检索中国知网(CNKI)、万方、维普、CBM、PubMed、Embase、EBSCO、Cochrane Library及Web of Science数据库中发表的上肢应用血流限制训练的相关文献,中文检索词为“血流限制,血流限制训练,加压训练,上肢,上臂,前臂,手臂,小臂”,英文检索词为“Blood Flow Restriction Training,Blood Flow Restriction Exercise,Blood Flow Restriction Therapy,BFR Therapy,Occlusion training,KAATSU training,BFRT,Upper Extremity,Upper Limb,Arm,Forearm”。选择各数据库建库至2022年12月收录的上肢应用血流限制训练的相关文章,并根据纳入标准和排除标准对所得文献进行筛选。结果与结论:①目前血流限制训练在上肢应用的人群以健康人、专项运动员和上肢损伤人群为主;②血流限制训练对上肢肌肉适能的影响主要体现在增加上肢的肢体围度、肌肉的力量、肌肉耐力、肌肉厚度、肌肉横截面积以及上肢爆发力,其次是引起上肢出现交叉迁移现象;③上肢应用血流限制训练多使用充气型的血流限制装置,袖带宽度为3-5 cm,加压位置在大臂上1/3处,限制压力为40%-60%动脉闭塞压(AOP)或80-160 mmHg,训练负荷为20%-30%1RM,训练量为4组(30-15-15-15次),间歇时间为30-60 s,训练频率为每周两三次。

盆底康复训练联合电刺激生物反馈治疗轻度子宫脱垂的效果分析

目的:分析盆底康复训练联合电刺激生物反馈治疗轻度子宫脱垂的效果。方法:选取2019年2月—2022年1月钟祥市人民医院收治的轻度子宫脱垂患者80例作为研究对象,随机分为研究组与对照组,各40例。对照组予以电刺激生物反馈治疗及常规护理康复措施,研究组在对照组基础上进行盆底康复训练。比较两组康复效果。结果:治疗后,两组Ⅰ类、Ⅱ类肌纤维肌电值高于治疗前,且研究组高于对照组,两组Ⅰ类、Ⅱ类肌纤维疲劳度低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于对照组,差异有统计学意义(P=0.043)。治疗后,两组焦虑、抑郁评分低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:盆底康复训练联合电刺激生物反馈治疗轻度子宫脱垂的效果显著,能够增强患者盆底肌力,改善负性情绪。