改编阻力训练提高力量在八周内的个人与多发性硬化症
Summary
髋关节弱点是一种常见的症状影响多发性硬化患者行走能力。隔离肌肉强化是针对特定弱点的有效方法。本协议描述用健身带，以增加臀部肌肉力量的渐进性训练计划。
Abstract
髋关节弱点是一种常见的症状影响人与多发性硬化症（MS）的行走能力。据了解，抵抗力量训练（RST）可提高强度与然而MS，个人;目前还不清楚RST的是需要进行强度收益和如何适应髋加强锻炼仅使用阻力带的不同强度的个人时间。本文介绍的方法来建立和实施适应性力量训练计划，用阻力带，为了与MS的个体。方向前后的强度测试，以评估所述力量训练方案的功效也包括在内。安全功能和详细说明，勾勒出每周的节目内容和进展。目前的证据提出表明显著强度增益可以8周开始RST计划内提出。证据也提出表明抵抗力量训练可以成功adapted代表了不同强度的小设备MS个人。
Introduction
在MS，受损的神经功能通常会导致运动功能障碍，导致无力。已知的是，肌肉无力有助于在MS患者和非活动进一步妥协功能能力1降低每日活性 ; 2。我们的实验室已经表明，弱髋屈肌个体与MS影响行走速度 3，特别是在最薄弱的个体4。弱近端臀部肌肉的走路的意义已显示，在MS以及在其它神经变性条件4; 5。这种恶性循环有助于提高残疾和生活6质量下降; 7。经常锻炼可以提高日常活动8，心肺功能8，9，肌肉力量10，和疲劳8; 11人与MS 12。力量训练是已知的，以促进神经适应性，可导致有利的功能结果，在MS参与者13-16。＆＃160;由于身体康复往往是提供给个人与MS的功能恢复的唯一的治疗方法，它确定什么是最有效的方式来提高强度是至关重要的。
抵抗力量训练进行了评估与上看到肌肉力量或优化增强的最好方法显著变化所需的时间最小量没有明确的共识。的电流审查报告说，阻力训练的研究已经从3〜26周变化的长度，主要针对下肢与来自低MS患中度损伤（具有0-6.5的扩展残疾状态量表）14人; 17; 18 。这些研究主要使用的等速设备进行直接监督健身房训练场所。利用等速设备是分离，强化单一肌肉的一种方式，但它限制一个人的能力来完成练习，而不使用昂贵的设备是不总是访问。阻力带提供控制阻力的方向，以及放置在肢体上的阻力，从而避免应力远侧关节的优点。阻力带还提供了机会，等级在更小增量的电阻，然后与其他设备如与袖口的权重。
对准和运动模式认真解决在运动员的训练，但很少注意了这些因素在慢性变性条件的个体，部分是因为它们的局限性是如此复杂（例如，感觉，运动控制，认知）。需要解决对准演习，以及在日常活动是至关重要的19。很简单，但精心挑选那些在肌肉骨骼综合征与完整的神经系统19个人的分辨率精确地进行救援演习。虽然许多通用锻炼项目阿瓦伊吊牌，它们没有解决在MS中的特定损伤，影响移动性和必要的修改，考虑到疾病的进步性。对于这个计划，我们强调姿势的调整，以及该在的位置上最理想如何肌肉的功能用于完成具体的练习。
在这项研究的目标是创造一个方便，价格低廉，阻力训练的臀部肌肉是推广到有不同程度残疾的个人计划。简单而准确地描述髋加强锻炼在这里适应强调孤立的肌肉加强，并提供了个人进一步适应取决于他们目前的肌肉力量练习的指导方针。建议是由这样的个体可以行使与阻力带中，很容易适应于家庭和复制指定的程序所需的信息的系统方法。
Protocol
Representative Results
Discussion
该协议描述了使用隔离的肌肉加强与阻力带的人与MS渐进性训练计划。该协议具有与退化性疾病，其强度的限制可损害其走动并维持他们的生活质量能力的个人独特的功能。焦点是关于改善在下肢即用于行走速度，在MS 21重要近端肌肉强度; 4。此协议的一个优点是，它强调孤立的肌肉中适当对准（例如，髋部外展与臀部延伸）。该协议可以个性化，以适应不对称的弱点，深?…
Disclosures
The authors have nothing to disclose.
Acknowledgements
作者谨感激地承认Rhul酒店Marasigan和所有的研究参与者。这次演习插图是由Tziporah汤普森提供的。
Materials
| microFET2 | Hoggan Scientific, LLC | Digital hand held muscle tester | |
| REP Bands (all colors) | Power Systems | 5600-011 | Resistance bands for the exercise program |
| TheraBand Latex-Free Exercise Bands (all colors) | TheraBand | 11726-11730 | Resistance bands for the exercise program |
| 8'' Cable Ties | Lowes Home Improvement | 76329 | Tied into the resistance bands to provide places for the carabiner to clip onto |
| Door Anchor | GoFit | Anchors the REP bands to doors | |
| Hollow-Braid Poly Rope | Home Depot | 140538 | Anchors REP bands to table legs/other fixtures |
| Zinc-Plated Steel Hang All | Home Depot | 550768 | Thigh straps for the hip exercises |
| Neoprene Ankle Strap | TKO | 106 BK | Ankle strap for leg exercises |
| Positron Carabiner | Black Diamond | BD2102610000ALL1 | Carabiners to link ankle/thigh strap to REP bands |
| Fitness Gear 3mm Mat | Dick's Sporting Goods | 41857546 | Yoga mat for exercises on the ground |
| 1/2 inch, 2 by 2 Exercise Tiles | FoamTiles | Gym matting for exercies on the ground | |
| Spirit LT Portable Massage Table | EarthLite | Table for hip extension and other exercises that required a raised platform | |
| Performa Treatment Table | Sammons Preston | 553736 | Heavy treatment table for testing/anchoring REP bands |
| STATA SE 11 | STATA | Software for statistical analysis | |
| STATISTICA | Dell Software | Software for statistical analysis |
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