上肢有氧训练对因伤停训运动员康复早期心肺功能的影响

发布时间：2018-06-28 02:51

本文选题：有氧训练 + 停训　；参考：《中国运动医学杂志》2015年09期

【摘要】：目的:采用运动心肺试验(CPET)和上肢功率车有氧训练方案对膝关节交叉韧带重建术后停训运动员的有氧耐力和心肺功能进行评价和干预,为改善该类患者早期康复训练方案提供依据。方法:25名行膝关节交叉韧带重建术运动员分为3组:(1)对照组(7人),术后第一天起按常规康复训练处方训练(包括床旁训练、肌力训练、关节活动度训练等,每次30 min至1 h,每天2次,每周5天,共4周);(2)持续训练组(8人),加入持续上肢功率车有氧训练,强度为60%~70%VO2peak,30 min/组,1组/天,3~5天/周,共4周;(3)间歇训练组(10人),加入间歇上肢功率车有氧训练,4 min 50%~60%VO2peak+1 min 90%~100%VO2peak,30 min/组,1组/天,3~5天/周,共4周。受试者均在术前1周内和有氧训练4周后1周内完成上肢功率车CPET的监测,采集其有氧耐力和心肺功能指标。结果:4周后,对照组峰值摄氧量(VO2peak)、相对峰值摄氧量(VO2peak/kg)、代谢当量(MET)、氧脉搏(O2Plus)、每搏输出量(SV)较4周前显著性降低(P0.05),且初始VO2peak与其下降幅度高度负相关;持续训练组O2Plus较4周前显著性降低(P0.05),间歇训练组VO2peak、VO2peak/kg、MET、O2Plus、SV较4周前均显著性增加(P0.05,P0.01)。结论 :运动员术后4周常规康复训练心肺功能显著降低,且VO2peak的下降程度与初始VO2peak成高度负相关;加入4周上肢功率车有氧训练组心肺耐力显著改善,且间歇训练组较持续训练组效果更佳。
[Abstract]:Objective: to evaluate and intervene the aerobic endurance and cardiopulmonary function of the athletes who stopped training after cruciate ligament reconstruction with exercise cardiopulmonary test (CPET) and upper limb power vehicle aerobic training program. To provide the basis for improving the early rehabilitation training program of this kind of patients. Methods Twenty five athletes undergoing knee cruciate ligament reconstruction were divided into three groups: (1) control group (n = 7). Routine rehabilitation training prescriptions (including bedside training, muscle strength training, joint movement training, etc.) were performed on the first day after operation. From 30 min to 1 h, 2 times a day, 5 days a week, for 4 weeks,); (2) continuous training group (8 persons) was added to continuous upper limb power vehicle aerobic training, the intensity was 6070 VO 2 peak-30 min/ group for 3 days a week. (3) in the intermittent training group (10 persons), 10 people were added to the aerobic training group of intermittent upper limb power vehicle for 4 min and 5 min for 5 days a week, and 5 days a week for 4 weeks. The rest of them were as follows: group 1, VO 2 peak-30 min/ group (5 days / week). The CPET was monitored within 1 week before operation and within 4 weeks after aerobic training. The indexes of aerobic endurance and cardiopulmonary function were collected. Results after 4 weeks, the peak oxygen uptake (VO2peak), relative peak oxygen uptake (VO2peak / kg), metabolic equivalent (met), oxygen pulse (O2Plus), stroke output (SV) in the control group were significantly lower than those before 4 weeks (P0.05). O2Plus in continuous training group was significantly lower than that in 4 weeks before training (P0.05). In intermittent training group, VO2peak-VO2peak-VO2peak / kg METX O2Plusus SV was significantly higher than that before 4 weeks (P0.05 / P0.01). Conclusion: the cardiopulmonary function of athletes decreased significantly after 4 weeks of routine rehabilitation training, and the decrease of VO2peak was negatively correlated with the initial VO2peak, and the cardiopulmonary endurance was significantly improved in the 4-week aerobic training group. The effect of intermittent training group was better than that of continuous training group.
【作者单位】：国家体育总局运动医学研究所;
【分类号】：R87

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