有氧运动配合核心肌群训练对脊髓损伤患者心肺功能及下肢肌力的影响

doi:10.3969/j.issn.1006-6233.2022.01.018

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Abstract Objective: To explore the effects of aerobic exercise combined with core muscle training on the cardiopulmonary function and muscle strength of the lower extremities in patients with spinal cord injury (SCI). Method: A retrospective analysis was conducted with the clinical data of 88 patients with incomplete spinal cord injury (ISCI) admitted to our hospital from January 2018 to December 2020. According to different rehabilitation training methods, they were divided into study group and control group. Among them, 41 patients who underwent conventional rehabilitation measures were the control group, and 47 patients who had aerobic exercise and core muscle training based on conventional rehabilitation measures were the study group. ECG monitors were used to monitor and compare the resting heart rate (RHR), systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation (SaO₂), and maximum oxygen uptake (VO₂ Max) before and after rehabilitation training interventions. Pulmonary function tester was used to compare the vital capacity (VC), forced vital capacity (FVC), maximum voluntary ventilation (MVV) before and after rehabilitation training intervention. Forced expiratory volume in 1s (FEV1) accounted for the percentage of the predicted value. Manual muscle testing (MMT) was performed to evaluate and compare the quadriceps and hamstring muscle strength of the two groups of patients. The ASIA Lower Extremity Motor Function Assessment Scale (ASIA-LEMS) was used to evaluate and compare the lower extremity motor function of the two groups of patients. Results: Comparison of cardiac function index levels after intervention in the study group was significantly lower than the control group, SBP, DBP, SaO₂, VO₂ Max levels and the level difference before and after intervention was significantly higher than the control group (P<0.05); lung function index levels were compared after intervention. The levels of VC%, FVC%, MVV%, FEV1% and the level difference before and after the intervention in the study group were significantly higher than those in the control group (P<0.05); quadriceps MMT, hamstring Muscle MMT, ASIA-LEMS scores of the study group after intervention of comparison of muscle strength and motor function of the lower limbs significantly higher than those of the control group (P<0.05). Conclusion: Compared with conventional rehabilitation training, aerobic exercise combined with core muscle training can further improve the cardiopulmonary function of patients with SCI, strengthen the muscle strength of their lower extremities, and help patients recover their standing and walking abilities, and ultimately improve the quality of life of patients.

Key words： Aerobic exercise Core muscle training Spinal cord injury Heart function Lung function

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2022.01.018 OR http://www.hbyxzzs.cn/EN/Y2022/V28/I1/86

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