A Tele-Rehabilitation Home Exercise Program for Ambulatory Adults with Cerebral Palsy: A Feasibility Study.

IF 1.7 4区医学 Q2 PEDIATRICS

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-30 DOI:10.1080/01942638.2025.2552137

Margaret E O'Neil, Mary E Gannotti, Lauren Winterbottom, Jessica Byrnes, Jasmin Russo, Noelle DeMartini, Nicole Shatsky, Elisabeth Bellissimo, Michael Spinner, Heakyung Kim

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引用次数: 0

Abstract

Aims: Examine adherence, facilitators and barriers, satisfaction and trends in effectiveness of a telerehabilitation home exercise program (TRHExP) with remote coaching for adults with cerebral palsy (CP).

Methods: Six ambulatory adults with CP (range: 21-38 years, mean: 27, SD: 6.9; 4 females), participated in an 8-week TRHExP designed to increase physical activity (PA) to 150 min per week (min/wk). Pre, post, and process measures included functional mobility tests, patient reported measures, semi-structured interviews, and exercise observation. Individualized programs were based on clinical guidelines and personal goals. Weekly coaching sessions reviewed adherence, performance, and progression.

Results: Four of six participants completed the 8-week program; two dropped out midway through due to life circumstances. PA frequency was a median of 4 ×/wk and a median of 150 min/wk. TRHExP was the primary contributor to PA. Participant time and energy were barriers. Completing activity logs and perceived improvement were facilitators. Personal goal performance increased to 75% and satisfaction to 100%. Changes to self-report measures and functional tests were equivocal.

Conclusion: Ambulatory adults with CP may benefit from individualized TRHExP with weekly remote coaching to increase PA. Tailored telerehabilitation PA programs with remote coaches may foster health promotion for adults with CP.

查看原文本刊更多论文

脑性瘫痪成人远程康复家庭运动方案的可行性研究。

目的：研究成人脑瘫（CP）远程辅导远程康复家庭锻炼计划（TRHExP）的依从性、促进因素和障碍、满意度和有效性趋势。方法：6名CP患者（范围：21-38岁，平均：27岁，SD: 6.9； 4名女性）参加了为期8周的TRHExP，旨在将体力活动（PA）增加到每周150分钟（min/ week）。事前、事后和过程测量包括功能活动能力测试、患者报告测量、半结构化访谈和运动观察。个体化方案是基于临床指南和个人目标。每周的辅导课程回顾了坚持、表现和进步。结果：六名参与者中有四名完成了为期8周的计划；其中两人因为生活环境的原因中途退学。PA频率中位数为4次/周，中位数为150分钟/周。TRHExP是PA的主要贡献者。参与者的时间和精力是障碍。完成活动日志和感知到的改进是促进因素。个人目标绩效提高到75%，满意度提高到100%。自我报告措施和功能测试的变化是模棱两可的。结论：门诊成年CP患者可能受益于个体化TRHExP和每周远程指导以增加PA。量身定制的远程康复PA计划与远程教练可以促进成人CP的健康促进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical & Occupational Therapy in Pediatrics PEDIATRICS-REHABILITATION

CiteScore

3.70

自引率

4.80%

发文量

审稿时长

>12 weeks

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