Učinkovitost aerobne vadbe in vadbe proti uporu pri bolnikih z mišičnimi distrofijami - pregled literature
Uvod: Mišične distrofije so skupina genetskih mišičnih bolezni, za katere je značilna progresivna degeneracija skeletnih mišičnih vlaken. Učinki vadbe na potek bolezni še niso popolnoma jasni. Namen: Pregledati dokaze o učinkovitosti različnih oblik vadb pri bolnikih z mišičnimi distrofijami. Metode: Literatura je bila pridobljena s podatkovnimi zbirkami Cobiss, PubMed in The Cochrane Library ter spletnega iskalnika Google Scholar. Iskanje je bilo omejeno na slovenski in angleški jezik. Vključene so bile randomizirane raziskave s kontrolno skupino. Rezultati: Vključitvenim merilom je ustrezalo devet raziskav. Od teh so v štirih preučevali učinke vadbe proti uporu, v štirih učinke aerobne vadbe in v eni učinke kombinirane vadbe. Rezultati pregleda kažejo, da vadba proti uporu lahko izboljša mišično jakost in vzdržljivost. Aerobna vadba izboljša aerobno zmogljivost, mišično jakost in vzdržljivost, podaljša prehojeno razdaljo ter izboljša oziroma ohranja funkcijsko sposobnost pacienta. Kombinirana vadba vpliva pozitivno na subjektivno oceno vitalnosti pacientov, ovrednoteno s SF-36 vprašalnikom. O neželenih učinkih vadbe v pregledanih raziskavah niso poročali. Zaključki: Rezultati kažejo, da so te oblike vadb s parametri, ki so bili uporabljeni v raziskavah, varne, izvedljive in zmerno učinkovite pri pacientih z različnimi oblikami mišičnih distrofij.
Introduction: Muscular dystrophies are a group of genetic muscular diseases with progressive degeneration of skeletal muscular fibres. The effects of exercise on the course of illness are not completely clear. Objectives: To review scientific evidence of the effects of exercise in patients with muscular dystrophy. Methods: Literature was obtained by using PubMed and Cochrane Library databases and web search engines Google Scholar and Cobiss. Search was limited to Slovenian and English language. The review was limited to randomized controlled trials only. Results: Nine studies met all the inclusion criteria of which four studies investigated effects of resistance training, four of aerobic training and one of a training programme combining both types of exercise. The results showed improved muscular strength and endurance with resistance training. The aerobic training was shown to enhance aerobic capacity, muscular strength and endurance, as well as keeping functional ability of the patient. The combined form of training positively influences vitality subscale of SF-36 questionnaire. No negative effects were reported. Conclusions: The type and volume of exercise training reported in reviewed studies is safe, feasible, and has modest positive effect on patients with different forms of muscular dystrophy.
2015
2020-03-06 12:31:00
1060
mišična distrofija, fizioterapija, vadba proti uporu, aerobna vadba
muscular dystrophy, physiotherapy, resistance training, cardiorespiratory training
Alan
Kacin
70
Nina
Tanšek
70
UDK
4
615.8
ISSN pri članku
9
1318-2102
URN
14
URN:NBN:SI:doc-DHKHNL2C
COBISS_ID
3
4977259
OceCobissID
13
30074880
RAZ_Kacin_Alan_2015.pdf
2259165
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