Cardiorespiratory fitness and training in quadriplegics and paraplegics.
DOI: 10.2165/00007256-198603050-00002
关键词: Physical therapy 、 Ambulation training 、 Cardiorespiratory fitness 、 Endurance training 、 Training effect 、 Physical fitness 、 Cardiovascular fitness 、 Population 、 Physical medicine and rehabilitation 、 Spinal cord injury 、 Medicine
摘要: With the growing interest in exercise and sport significance of cardiovascular disease spinal cord injured population, role endurance training improving health is particular interest. Ordinary daily activities those with injury are usually not adequate to maintain fitness, lack participation a regular activity programme may result debilitative cycle. As this occurs, there reduction functional work capacity which limit independence, fitness increase risk for disease. Work limited by loss muscle mass sympathetic control. Sympathetic nervous system impairment limits control regional blood flow cardiac output, maximum heart rate following cervical lesions be reduced 110 130 beats/min. However, quadriplegics paraplegics can elicit improvements performance similar observed able-bodied individuals. Review 13 cardiorespiratory studies involving subjects revealed average 20% VO2max 40% physical after 4 20 weeks training. Based upon positive results these studies, general guidelines normal population appear also appropriate population. These followed during number different sports including wheelchair pushing, arm crank ergometry, aerobic swimming, ambulation training, canoeing basketball. There no evidence that intense competition harmful, but special areas as impairments sensation, function, autonomic function temperature regulation must considered. The long term benefits has been adequately studied, suggestion physiological psychological changes occur
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