@article {Camillo2000639作者={卡洛斯·奥古斯托卡米洛•罗伯特和基督教Osadnik克里斯Burtin和斯蒂芬妮Everaerts Miek Hornikx本意和Demeyer和马提亚Loeckx Fernanda Machado罗德里格斯和凯伦Maes Ghislaine Gayan-Ramirez维姆·詹森和蒂埃里Troosters}, title ={下坡走在影响COPD患者肺康复:一个随机对照试验},体积= {56}= {3},elocation-id = {2000639} = {2020}, doi ={10.1183/13993003.00639 -2020},出版商={欧洲呼吸学会},文摘={收缩肌肉疲劳的发展(CMF)影响训练反应在慢性阻塞性肺疾病(COPD)患者。188bet官网地址下坡行走诱发CMF呼吸困难较低比水平行走和疲劳。本研究相比肺康复的效果(PR)组成的下坡行走训练(DT)组成的公关水平行走(常规培训(CT))在慢性阻塞性肺病患者。在这种随机对照试验,35例(62 {\ textpm} 8年;在1 s用力呼气容积(FEV1) 50 {\ textpm} \ %预计17日)被随机DT或CT。运动耐量(6分钟步行距离测试(6随钻测量);主要结果)、肌肉功能、症状、生活质量和身体活动水平评估公关。绝对训练前后的变化和患者的比例超过了30米6随钻测量最小(中期)组间比较重要的区别。股四头肌肌肉活检公关后收集病人的一个子集来检查生理反应长期古怪的培训。绝对6中没有观察到的差异随钻测量改进(意味着6随钻测量改变77 {\ textpm} 46米DT和56个{\ textpm} 47米CT;p = 0.45),但是94 \ %的患者相比,中期DT超过6随钻测量65 \ % CT (p = 0.03)。DT的患者往往有更大的改进比CT在其他结果。肌肉活检分析组没有差异。PR incorporating downhill walking confers similar magnitudes of effects to PR with conventional walking across clinical outcomes in patients with COPD, however, offers a more reliable stimulus to maximise the achievement of clinically relevant gains in functional exercise tolerance in people with COPD.Downhill walking is a feasible, acceptable and safe training modality that increases the likelihood of achieving clinically important gains in functional exercise tolerance in patients with COPD https://bit.ly/3d69N1k}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/56/3/2000639}, eprint = {//www.qdcxjkg.com/content/56/3/2000639.full.pdf}, journal = {European Respiratory Journal} }