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Vpliv okluzijske vadbe za moč na žilno delovanje, izbrane krvne parametre, hipertrofijo in mišično moč pri koronarnih bolnikih : magistrsko delo
Kambič, Tim (Author), Jug, Borut (Mentor) More about this mentor... This link opens in a new window

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Abstract
Koronarna bolezen predstavlja enega izmed poglavitnih vzrokov smrti na svetu, zato sta preventiva in zdravljenje po srčnem infarktu ključnega pomena. Zdravljenje neposredno po dogodku večinoma poteka v programih srčne rehabilitacije, kjer je glavni poudarek na aerobni vadbi. Manjši poudarek se daje vadbi za moč, ki je velikokrat zaradi uporabe velikih bremen kontraindicirana. Uporaba okluzijske vadbe za moč dokazano omogoča izboljšanje mišične moči in hipertrofije že pri velikosti bremena 20 % 1RM. Namen dela je bilo raziskati vpliv 8-tedenskega programa okluzijske vadbe za moč pri intenzivnosti 30-40 % 1RM na fiziološke in mišične kazalce ter na subjektivno oceno zdravja koronarnih bolnikov. Rezultati potrjujejo varnost vadbe in nakazujejo pozitiven učinek vadbe na zdravje koronarnih bolnikov. Vpliv se v večini izmerjenih kazalnikov kaže v smeri tendenc izboljšanja. Zaznali smo izboljšanje žilnega delovanja, mišične hipertrofije in značilno izboljšanje mišične moči. Dodatno smo ugotovili zmanjšan akutni in kronični odziv krvnih označevalcev (fibrinogena, D-dimera in natriuretičnega peptida tipa B) na vadbo. Poleg vseh objektivno merjenih kazalnikov smo s pomočjo vprašalnika spoznali, da se je splošno zdravje ljudi v vadbeni skupini značilno izboljšalo glede na začetno stanje. Okluzijsko vadbo za moč z majhnimi bremeni lahko priporočamo kot dopolnimo k že obstoječi strukturi srčne rehabilitacije s predhodno oceno ogroženosti bolnika s strani kardiologa, in sicer v okviru organizirane oblike srčne rehabilitacije pod nadzorom strokovnega zdravstvenega osebja.

Language:Slovenian
Keywords:koronarna bolezen, srčno-žilna rehabilitacija, okluzijska vadba za moč
Work type:Master's thesis/paper (mb22)
Tipology:2.09 - Master's Thesis
Organization:FŠ - Faculty of Sport
Year:2018
COBISS.SI-ID:5320881 Link is opened in a new window
Views:625
Downloads:512
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Secondary language

Language:English
Title:Effect of blood flow restricted resistance exercise on vascular function, selected blood parameters, hypertrophy and muscle strength in coronary artery disease patients
Abstract:
Coronary artery disease is a leading cause of mortality worldwide. Therefore prevention and treatment after myocardial infarction are crucial. Treatment and prevention are usually implemented through cardiac rehabilitation, which is mostly based on aerobic exercise training. Resistance training is currently discouraged in this population due to high training loads. Blood flow restricted resistance exercise has shown that improvements in muscle strength and hypertrophy can be achieved with loads as low as 20 % 1 RM. The aim of this study was to examine the effect of 8 weeks of blood flow restricted resistance exercise with training loads between 30 % to 40 % 1 RM on physiological parameters, muscle parameters and subjective health assessment of coronary artery disease patients. The results confirm the safety of examined method and indicate positive effect of exercise on the health of coronary heart disease patients. Moreover, exercise training was associated with trends in improvement for most appraised parameters, namely vascular function, muscle hypertrophy and strength, which was found significant. Additionally, we have demonstrated a decreased in acute and chronical responses of blood biomarkers (fibrinogen, D-dimer and natriuretic peptides) to exercise. Alongside all objectively measured parameters, we have also observed significant improvement of experimental group in overall health through the results of SF-36 questionnaire. Blood flow restricted resistance exercise can be recommended as a complement to the core components of cardiac rehabilitation. Risk assessment by a cardiologist and supervision by healthcare professionals is advised to assure safety of the training programme.

Keywords:coronary artery disease, cardiac rehabilitation, blood flow restriction resistance exercise

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