原名「台灣學術線上」
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題名:運動訓練對周邊動脈疾病患者周邊循環之療效:系統回顧與統合分析     (26點)
Effects of Exercise Training on Peripheral Circulation in Patients with Peripheral Arterial Disease:A Systematic Review and Meta-Analysis
著者:趙婉茹(Wan-Ju Chao) ;吳英黛(Ying-Tai Wu) ;劉千綺(Cian-Ci Liou)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:周邊動脈疾病 ; 有氧運動訓練 ; 阻力運動訓練 ; 周邊循環 ; 統合分析 ; Peripheral arterial disease ; Aerobic training ; Resistance training ; Peripheral circulation ; Meta-analysis
刊名:物理治療
卷期:35卷1期(2010.3)
頁碼:38-50
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

背景及目的:有氧運動訓練已被證實可提升周邊動脈疾病患者的行走能力,近年來阻力運動訓練 亦多用於心血管疾病,然而無論何種運動對周邊循環之效果均尚未有定論。本文探統合分析方 式,探討有氧運動與阻力訓練對周邊動脈疾病患者周邊循環之成效。方法:搜尋1989 年至2009 年 監測式運動訓練比一般療法之隨機分配對照試驗,進行系統回顧與統合分析,主要探討的量測結 果為運動訓練後周邊循環相關的參數。結果:發現11 篇隨機分配對照試驗的文獻,其中一篇含有 氧和阻力訓練各一組,故納入有氧運動訓練9 組(n=291 )和阻力運動訓練3 組(n=97 )分析。大多 數研究的病患年紀在中老年,運動介入以三個月和六個月居多。有氧運動顯著改善患肢最大充血 時的小腿血流量2.83 ml/100ml/min ( 95% 信賴區間0.18 至5 .49) ,但是未改變休息時和運動後躁眩 血壓比;阻力運動訓練對於休息時和運動後的蝶眩血壓比,亦無顯著影響。結論:有氧運動訓練 可增加周邊動脈疾病患者之最大充血時之小腿血流量,阻力訓練仍有待更多隨機分配對照試驗來 驗證。(物理治療2010;35(1):38-50 )
Background and Purpose: Exercise therapy, mainly aerobic training, has been proved to be effective in improving the walking capability in patients with peripheral arterial disease (PAD). Resistance exercise has been introduced and used in individuals with cardiovascular diseases, including PAD in recent years. However, th巴effect of exercise on peripheral circulation was inconclusive. The purpose of this study was to review the evidence of aerobic and resistance training on parameters of peripheral circulation and make meta-analysis in patients with PAD. Method: A systematic review and meta-analysis were conducted, after searching for randomized controlled trials (RCT) of comparing supervised exercise therapy with usual medicine regimens between 1989 and 2009. Main outcome measurement included indices of peripheral circulation. Results: Eleven articles published were included, while one study investigated the effects of aerobic and resistance training respectively comparing with the control group. It came out with 9 studies in aerobic training (n=291) and 3 studies in resistance exercise (n=97). In most studies, participants were older adults and the exercise programs ranged from 6 week to 12 months with the majority of 3 months or 6 months. Aerobic training significantly improved maximal hyperemic calf blood flow by 2.83 ml/100ml/min (95% CI 0.18 to 5.49), but not the resting or post-exercise ABI. No beneficial effects on limb blood flow or ABI at rest or post-exercise were found after resistance training. Conclusion: Aerobic exercise training increased maximal hyperemic calf blood flow in PAD patients. More RCTs are needed to provide evidence of effects on peripheral circulation, especially the resistance training. (FJPT 2010;35(1 ):38-50)


    

本卷期目次
物理治療 35卷1期 (2010.3)
台灣老人身體活動能力與日常生活功能之階層相關探討/ 葉婷婷王靜怡林志峰陳惠雅
嚴重阻塞性睡眠呼吸中止症患者其呼吸道發炎反應與肺功能之探討/ 林珮君李佩玲吳惠東莊雅惠王儷穎
前十字韌帶重建術後穿戴膝護具之必要性探討--系統性回顧與統合分析/ 邱馨儀高宜暄郭曉縈陳佳琳施怡芬李雪楨陳文英
運動訓練對周邊動脈疾病患者周邊循環之療效:系統回顧與統合分析/ 趙婉茹吳英黛劉千綺
發展性舞蹈運動訓練對於發展障礙兒童的動作精練程度之影響:可行性報告/ 劉文瑜陳怡蓁彭曼筠黃維彬林燕慧連恒裕
中華民國物理治療學會第六十次學術研討會--論文摘要/ 陽明大學
原發性肺動脈高壓患者運動能力與生活品質相關因素之探討/ 蕭淑芳吳英黛徐紹勛賴玉玫
 
   
 
   

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