Skip to main content
SpringerLink
Log in

Mesure instantanée, aisée et non invasive de la pression artérielle, de la fréquence cardiaque et du débit cardiaque: application en kinésithérapie

Instantaneous, easy, and non-invasive measurement of blood pressure, heart rate, and cardiac output: usefulness in physiotherapy

  • Paramédical / Healthcare
  • Published:
Réanimation

Résumé

La mesure continue et non invasive des principaux paramètres hémodynamiques (pression artérielle, fréquence cardiaque, volume d’éjection systolique) permet d’objectiver les modifications hémodynamiques survenant, soit au cours d’une séance d’exercices pour rechercher une variation hémodynamique bénéfique ou délétère, soit à la suite de plusieurs séances (approche longitudinale) pour évaluer l’effet d’un entraînement ou d’un traitement spécifique. Ces systèmes de mesure n’apportent pas plus de renseignements que les systèmes invasifs mais sont plus simples à mettre en oeuvre et peuvent s’adresser à des patients « intermédiaires », moins lourdement monitorés. Ils contribuent ainsi à renforcer les connaissances dans le domaine de la physiologie en quantifiant les réponses qui accompagnent les exercices de kinésithérapie, mais également à comparer les différentes stratégies de traitement et donc à améliorer la prise en charge du patient.

Abstract

The continuous and non-invasive measurement of the main hemodynamic parameters including heart rate, blood pressure, and stroke volume allows evaluating the hemodynamic changes occurring either during one workout in order to look for beneficial or deleterious hemodynamic effects, or after several sessions (longitudinal approach) to measure the effects of one specific training or treatment. These non-invasive devices do not provide more information than the invasive ones; however, they are easier to implement and may be used in “intermediate” and less monitored patients. They contribute not only to enhance knowledge in the field of physiology by quantifying the responses that accompany physiotherapy exercises but also to compare different management strategies, thus improving patient’s care.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Adler J, Malone D (2012) Early mobilization in the intensive care unit: a systematic review. Cardiopulm Phys Ther J 23:5–13

    PubMed  Google Scholar 

  2. Kayambu G, Boots RJ, Paratz JD (2011) Early rehabilitation in sepsis: a prospective randomised controlled trial investigating functional and physiological outcomes: The i-PERFORM Trial. BMC Anesthesiol 11:21

    Article  PubMed  Google Scholar 

  3. Chiang L, Wang L, Wu C, et al (2006) Effect of physical training on functional status in patients with prolonged mechanical ventilation. Phys Ther 86:1271–1281

    Article  PubMed  Google Scholar 

  4. Stiller K, Phillips AC, Lambert P (2004) The safety of mobilization and its effect on haemodynamic and respiratory status of intensive care patients. Physiother Theory Pract 20:175–185

    Article  Google Scholar 

  5. ACSM (1998) The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc 30:975–1008

    Article  Google Scholar 

  6. Baechle TR (2008) Essentials of strength training and conditioning. Human kinetics. England

  7. Braith RW, Beck DT (2008) Resistance exercise: training adaptations and developing a safe exercise prescription. Heart Fail Rev 13:69–79

    Article  PubMed  Google Scholar 

  8. Beniamini Y, Rubenstein JJ, Faigenbaum AD, et al (1999) Highintensity strength training of patients enrolled in an outpatient cardiac rehabilitation program. J Cardiopulm Rehabil 19:8–17

    Article  PubMed  CAS  Google Scholar 

  9. Fragnoli-Munn K, Savage PD, Ades PA (1998) Combined resistive aerobic training in older patients with CAD early after MI. J Cardiopulm Rehab 18:416–420

    Article  CAS  Google Scholar 

  10. Pierson LM, Cook JW (2001) Effect of combined aerobic and resistance training versus aerobic training alone in cardiac rehabilitation. J Cardiopulm Rehabil 21:101–110

    Article  PubMed  CAS  Google Scholar 

  11. Meyer K (2006) Resistance exercise in chronic heart failure — landmark studies and implications for practice. Clin Invest Med 29:166–169

    PubMed  Google Scholar 

  12. Verrill DE, Ribisl PM. (1996) Resistive exercise training in cardiac rehabilitation. Sports Med 21:347–383

    Article  PubMed  CAS  Google Scholar 

  13. Falcone RA, Stewart KJ (2003) Peripheral artery disease rehabilitation: a review. J Cardiopulm Rehabil 23:170–175

    Article  PubMed  Google Scholar 

  14. Troosters T, Gosselink R, Decraemer M (2004) Chronic obstructive pulmonary disease and chronic heart failure: two muscle disease? J Cardiopulm Rehabil 24:137–145

    Article  PubMed  Google Scholar 

  15. Hunter GR, Wetzstein CJ, McLafferty CL, et al (2001) High resistance versus variable resistance training in older adults. Med Sci Sports Exerc 33:1759–1764

    Article  PubMed  CAS  Google Scholar 

  16. Vincent KR, Braith RW, Feldman RA (2002) Resistance exercise and physical performance in adults aged 60 to 83. J Am Geriatr Soc 50:1100–1107

    Article  PubMed  Google Scholar 

  17. Miszko TA, Cress ME, Slade JM, et al (2003) Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci 58:171–175

    Article  PubMed  Google Scholar 

  18. de Vos NJ, Singh NA, Ross DA, et al (2005) Optimal load for increasing muscle power during explosive resistance training in older adults. J Gerontol 60A:638–645

    Google Scholar 

  19. Braith RW, Welsch MA, Mills RM et al (1998) Resistance exercise prevents glucocorticoid induced myopathy in heart transplant recipients. Med Sci Sports Exerc 30:483–489

    Article  Google Scholar 

  20. Dimeo F, Bertz H, Finke J, et al (1996) An aerobic exercise program for patients with haematological malignancies after bone marrow transplantation. Bone Marrow Transplant 18:1157–1160

    PubMed  CAS  Google Scholar 

  21. Tegtbur U, Busse MW, Jung K et al (2005) Time course of physical reconditioning during exercise rehabilitation late after heart transplantation. J Heart Lung Transplant 24:270–274

    Article  PubMed  Google Scholar 

  22. Rhea MR, Alvar BA, Burkett LN, Ball SD (2003) A Metaanalysis to determine the dose response for strength development. Med Sci Sports Exerc 35:456–464

    Article  PubMed  Google Scholar 

  23. Carpinelli RN (2002) Berger in retrospect: effect of varied weight training programmes on strength. Br J Sports Med 36:319–324

    Article  PubMed  CAS  Google Scholar 

  24. Winett RA, Carpinelli RN (2001) Potential health-related benefits of resistance training. Prev Med 33:503–513

    Article  PubMed  CAS  Google Scholar 

  25. Keeler LK, Finkelstein LH, Miller W, Fernhall B (2001) Earlyphase adaptations of traditional-speed vs superslow resistance training on strength and aerobic capacity in sedentary individuals. J Strength Cond Res 15:309–314

    PubMed  CAS  Google Scholar 

  26. Gordon NF, Kohl HW, Pollock ML, et al (1995) Cardiovascular safety of maximal strength testing in healthy adults. Am J Cardiol 76:851–853

    Article  PubMed  CAS  Google Scholar 

  27. Stiller K (2007) Safety issues that should be considered when mobilizing critical ill patients. Crit Care Clin 23:35–53

    Article  PubMed  Google Scholar 

  28. Morris PE (2007) Moving our critically ill patients: mobility barriers and benefits. Crit Care Clin 23:1–20

    Article  PubMed  Google Scholar 

  29. Burtin C, Clerckx B, Robbeets C, et al (2009) Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med 37:2499–2505

    Article  PubMed  Google Scholar 

  30. Baum K, Ruther T, Essfeld D (2003) Reduction of blood pressure response during strength training trough intermittent muscle relaxations. Int J Sports Med 24:441–445

    Article  PubMed  CAS  Google Scholar 

  31. Lamotte M, Niset G, van de Borne P (2005) The effect of different modalities of resistance training on beat to beat blood pressure in cardiac patients. Eur J Cardiovasc Prev Rehabil 12:12–17

    Article  PubMed  Google Scholar 

  32. Wiecek EM, Mc Cartney N, McKelvie RS (1990) Comparison of direct and indirect measures of systemic arterial pressure during weightlifting in coronary artery disease. Am J Cardiol 66:1065–1069

    Article  PubMed  CAS  Google Scholar 

  33. Teo KK, Hetherington MD, Haennel RG, et al (1985) Cardiac output measured by impedance cardiography during maximal exercise tests. Cardiovasc Res 19:737–743

    Article  PubMed  CAS  Google Scholar 

  34. Fortin J, Habenbacher W, Heller A, et al (2006) Non-invasive beat-to-beat cardiac output monitoring by an improved method of transthoracic bioimpedance measurement. Comput Biol Med 36:1185–1203

    Article  PubMed  CAS  Google Scholar 

  35. Imholz BPM, Wieling W, van Motnfrans GA, Wesseling K (1998) Fifteen years experience with finger arterial pressure monitoring: assessment on the technology. Cardiovasc Res 38:605–616

    Article  PubMed  CAS  Google Scholar 

  36. Lamotte M, Strulens G, Niset G, van de Borne P (2005) Influence of different resistive training modalities on blood pressure and heart rate responses of healthy subjects. Isokinetic and exercise. Science 13:273–277

    Google Scholar 

  37. Lamotte M, Fleury F, Pirard M, et al (2010) Acute cardiovascular response to resistance training during cardiac rehabilitation: effect of repetition speed and rest periods. Eur J Cardiovasc Prev Rehabil 17:329–336

    PubMed  Google Scholar 

  38. Narloch JA, Brandstater ME (1995) Influence of breathing technique on arterial blood pressure during heavy weight lifting. Arch Phys Med Rehabil 76:457–462

    Article  PubMed  CAS  Google Scholar 

  39. Piira OP, Huikuri H, Tulppo M (2011) Effects of emotional excitement on heart rate and blood pressure dynamics in patients with coronary artery disease. Auton Neurosurg 160:107–114

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de kinésithérapie, cardiologie médicochirurgicale, CUB, hôpital Erasme, 808, route de Lenik, B-1070, Bruxelles, Belgique

    M. Lamotte

Authors
  1. M. Lamotte
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Lamotte.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lamotte, M. Mesure instantanée, aisée et non invasive de la pression artérielle, de la fréquence cardiaque et du débit cardiaque: application en kinésithérapie. Réanimation 21, 765–771 (2012). https://doi.org/10.1007/s13546-012-0521-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13546-012-0521-6

Mots clés

Keywords

Search

Navigation