核心肌群训练配合呼吸训练对脊髓损伤病人心肺功能及下肢表面肌电的影响
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[关键词] 脊髓损伤；抗阻训练；耐力训练；呼吸锻炼；运动试验[中图分类号]R651.2；R455 [文献标志码］A [文章编号]2096-5532（2025）05-0743-05doi：10.11712/jms.2096-5532.2025.61.166 [开放科学（资源服务）标识码（OSID）][网络出版] https：//link.cnki.net/urlid/37.1517.R.20251121.0912.001; 2025-11-2115：38：40
Efectofcore muscle traiingcombinedwithrespiratory trainingoncardiopulmonaryfunctionandlowerlimbsurfaceelectromyogaphy in patients with spinal cord injuryTANG Zewen，QIN Chengyi，JIN Biao，CHEN Dongdong（Rehabilitation Medicine De partment of Hefei Second People's Hospital，Anhui 23oooo，China）
[Abstract]ObjectiveToinvestigatetheefectofcore muscletrainingcombinedwith respiratorytrainingoncardiopulmo naryfunctionandlowerlimbsurfaceelectromyographyinpatients withspinalcordinjury（SCI）.MethodsAtotalof80 SCIpatients whowerediagnosedandtreated inourhospitalfrom May2021toMay2024wereenrolledandrandomlydividedintoobservationgroup（40patientsreceivingcore muscletrainingcombined withrespiratory training）andcontrolgroup（4Opatientsreceiving conventionalfunctional training）using theblockrandomization method.Thetwogroups werecompared intermsofcardiacfunction，pulmonary function，lower limb surface electromyography parameters，andrehabilitation training compliance. Results Compared withthecontrol group，theobservation grouphadsignificantlygreaterchanges inresting heartrate，diastolic blod pressure，systolic blood pressure，blood oxygen saturation，maximumvoluntary ventilation，forced expiratory volume inone se cond（FEV1），FEVl/forced vitalcapacity（FVC）rate，average electromyography（AEMG）of the tibialisanterior muscle，and AEMG of the quadriceps femoris after training （t=3.661-14.871，P<0.05） . The observation group had a significantly higher score of rehabilitation training compliance than the control group 76.85±6.38 points us 64.78±5.72 points， t=8.915，P<0.05; ： ConclusionCoremuscle training combinedwithrespiratory trainingcan improvecardiacfunctionandpulmonary function in SCI patients and increase the AEMG values of the tibialis anterior and the quadriceps femoris in lower limbs.
[Key words]spinal cord injuries；resistance training;endurance training；breathing exercises； exercise test
脊髓损伤（SCI作为一种严重的神经系统损伤，常导致病人损伤平面以下的感觉和运动功能出现严重障碍，极大地影响了其日常生活和身体健康[]。（剩余7830字）
