■许多研究表明,有氧运动结合抗阻训练对慢性心力衰竭(CHF)患者有益。在这个人群中,中国传统运动八段锦结合松紧带的好处尚不清楚。评价八段锦配合松紧带对运动能力的影响,物理功能,上肢和下肢的肌肉力量,生活质量(QoL),在家庭环境中CHF患者的运动自我效能感。
■本研究进行了一项前瞻性随机对照试验。总共136名CHF患者被随机分配到运动组或对照组。运动组慢性心力衰竭患者接受八段锦联合松紧带和CHF社区护理,对照组接受CHF社区护理。干预时间为24周。测量的结果包括运动能力,物理功能,上肢和下肢的肌肉力量,QoL,锻炼自我效能感。采用广义估计方程模型来检验八段锦结合弹性带对结果变量的影响。慢性心力衰竭患者在身体机能测试(PPT)方面表现出显著改善(P=0.023),30-s臂卷曲试验(30ACT)(P=0.035),10个坐-站-坐测试(STS10)(P=0.017),6分钟步行试验(6MWT)(P<0.001),QoL(P<0.001),运动组的运动自我效能感(P=0.009),而这些变量在对照组中没有差异。在第12周和第24周,两组之间的这些变量也存在显着差异(P<0.05)。运动组中有明显的逐组时间互动,PPT增强(F=5.40,P=0.032),6MWT(F=9.04,P<0.001),30ACT和STS10的肌肉力量(F=5.32,P=0.037;F=6.69,P=0.005),QoL(F=6.69,P<0.001),和自我效能(F=4.60,P=0.038)显示在这一组CHF患者从基线到第24周。
结论:八段锦结合松紧带锻炼可以提高运动能力,物理功能,肌肉力量,QoL,和运动自我效能的CHF患者在以家庭为基础的设置,对于临床稳定且不能参加以中心为基础的基于运动的心脏康复计划的家庭CHF患者,这可能是一种补充运动模式。
UNASSIGNED: Many studies show that aerobic exercise combined with resistance training is beneficial for patients with chronic heart failure (CHF). The benefits of traditional Chinese exercise Baduanjin combined with an elastic band in this population are not known. To evaluate the effects of Baduanjin in conjunction with an elastic band on exercise capacity, physical function, muscle strength of the upper and lower extremities, quality of life (QoL), and exercise self-efficacy among CHF patients in a home-based setting.
UNASSIGNED: A prospective randomized controlled trial was conducted in this study. A total of 136 CHF patients were randomly assigned to the exercise or the control group. Chronic heart failure patients in the exercise group received Baduanjin combined with elastic band and CHF community care, while those in the control group accepted CHF community care. The duration of the interventions was 24 weeks. The measured outcomes included exercise capacity, physical function, muscle strength of the upper and lower extremities, QoL, and exercise self-efficacy. A generalized estimating equation model was employed to examine the effects of Baduanjin combined with the elastic band on the outcome variables. Chronic heart failure patients showed significant improvements in physical performance testing (PPT) (P = 0.023), 30-s arm curl test (30ACT) (P = 0.035), 10 sit-stand-to-sit tests (STS10) (P = 0.017), 6-min walk test (6MWT) (P < 0.001), QoL (P < 0.001), and exercise self-efficacy (P = 0.009) in the exercise group, while these variables did not differ in the control group. There were also significant differences in these variables between the two groups at Weeks 12 and 24 (P < 0.05). There were significant group-by-time interactions in the exercise group, with enhancements in PPT (F = 5.40, P = 0.032), 6MWT (F = 9.04, P < 0.001), muscle strength in the 30ACT and STS10 (F = 5.32, P = 0.037; F = 6.69, P = 0.005), QoL (F = 6.69, P < 0.001), and self-efficacy (F = 4.60, P = 0.038) revealed in CHF patients in this group from baseline to Week 24.
CONCLUSIONS: Baduanjin combined with elastic band exercise may improve exercise capacity, physical function, muscle strength, QoL, and exercise self-efficacy for CHF patients in a home-based setting, which may be a complementary exercise model for home-based CHF patients who are clinically stable and cannot participate in centre-based exercise-based cardiac rehabilitation programmes.