An 8-Week Virtual Exercise Training Program for Pediatric Solid Organ Transplant Recipients.

IF 1.4 4区 医学 Q3 PEDIATRICS
Pediatric Exercise Science Pub Date : 2023-12-14 Print Date: 2024-08-01 DOI:10.1123/pes.2023-0066
Nikol K Grishin, Astrid M De Souza, Julie Fairbairn, A William Sheel, E Puterman, Tom Blydt-Hansen, James E Potts, Kathryn R Armstrong
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引用次数: 0

Abstract

Purpose: Musculoskeletal strength can be impaired in pediatric solid organ transplant recipients. Exercise training programs can be beneficial but in-person delivery can be challenging; virtual exercise programs can alleviate some of these challenges. This feasibility study aimed to deliver an 8-week virtual exercise program in pediatric solid organ transplant recipients.

Method: Program delivery occurred 3 times per week for 30 minutes. An exercise stress test was completed prior to program start. The Bruininks-Oseretsky Test of Motor Proficiency strength subtest and self-report surveys were used to assess musculoskeletal strength, quality of life, fatigue, and physical activity. Contact was maintained through a text messaging platform. Z scores were calculated using standardized normative data. Medians (interquartile range) are reported for all other data.

Results: Eleven participants completed the program (2 liver, 5 kidney, 4 heart; 58% females; median age = 11.5 [10.3-13.8] y). Six participants attended ≥60% of classes, 5 participants attended <50% of classes. After 8 weeks, strength scores improved (Z score, Pre: -1.0 [-1.65 to -0.60] to Post: -0.2 [-1.30 to 0.40]; P = .007) with no change in other outcome measures.

Conclusion: The virtual exercise program was delivered without technical issues and received positive participant feedback. Engagement and costs need to be considered.

针对小儿实体器官移植受者的 8 周虚拟运动训练计划。
目的:小儿实体器官移植受者的肌肉骨骼力量可能会受损。运动训练计划可能会带来益处,但亲临现场进行训练可能具有挑战性;虚拟运动计划可以缓解其中的一些挑战。这项可行性研究旨在为小儿实体器官移植受者提供为期8周的虚拟运动计划:方法:每周实施 3 次,每次 30 分钟。项目开始前完成运动压力测试。Bruininks-Oseretsky运动能力测试强度子测试和自我报告调查用于评估肌肉骨骼强度、生活质量、疲劳和运动量。通过短信平台保持联系。采用标准化常模数据计算 Z 值。所有其他数据均报告了中位数(四分位数间距):结果:11 名参与者完成了项目(2 名肝脏患者、5 名肾脏患者、4 名心脏患者;58% 为女性;中位年龄 = 11.5 [10.3-13.8] 岁)。6名参与者的听课率≥60%,5名参与者的听课率≥60%,5名参与者的听课率≥60%:虚拟锻炼计划的实施没有出现技术问题,并获得了参与者的积极反馈。需要考虑参与度和成本。
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来源期刊
Pediatric Exercise Science
Pediatric Exercise Science 医学-生理学
CiteScore
2.80
自引率
0.00%
发文量
33
审稿时长
>12 weeks
期刊介绍: Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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