Ludovico Pedullà, Carme Santoyo-Medina, Klara Novotna, Lousin Moumdjian, Tori Smedal, Ellen Christin Arntzen, Marietta L van der Linden, Yvonne Learmonth, Alon Kalron, Feray Güngör, Una Nedeljkovic, Daphne Kos, Johanna Jonsdottir, Susan Coote, Andrea Tacchino
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引用次数: 5
摘要
背景与目的:有规律的身体活动(PA)有助于减轻多发性硬化症(PwMS)患者身体和精神症状的严重程度，改善生活质量。根据目前的证据和专家意见，最近的多发性硬化症指南建议每周至少150分钟的PA。本研究介绍了一项调查的结果，该调查分析了PwMS在大流行之前和期间是否以及如何符合准则。方法:我们在2020年12月至2021年7月期间开展并传播了一项国际在线调查，调查了不同残疾水平的PwMS中因COVID-19爆发而自我报告的PA类型、持续时间、频率和强度的变化。结果:在调查对象中(n = 3810)，有3725人符合条件。在两个时间点(治疗前和治疗中)，进行至少一项活动的患者比例随着残疾程度的增加而下降。总体而言，60%的答复国在大流行前符合指南(轻度:64.43%;中度:51.53%;严重:39.34%;χ 2(2) = 109.13, p < 0.01);在大流行期间，所有残疾群体的死亡率都下降了约10%(轻度残疾:54.76%;中度:42.47%;严重:29.48%;χ 2(2) = 109.67, p < 0.01)。在两个时间点上，残疾程度较高的受访者更多地参与物理治疗，而较少地参与步行、骑自行车和跑步。大多数受访者报告在两个时间点都以中等强度练习PA;随着残疾程度的增加，治疗的频率和持续时间减少。讨论和结论:符合准则的百分比随着残疾程度的增加和大流行期间而减少。不同残疾类别的PA类型和强度差异很大。需要考虑残疾水平的干预措施，以使更多的残疾人能够从残疾人福利中获益。视频摘要可获得作者的更多见解(参见视频，补充数字内容1,http://links.lww.com/JNPT/A415)。
Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic.
Background and purpose: Regular physical activity (PA) helps to reduce the severity of physical and mental symptoms and improves quality of life in people with multiple sclerosis (PwMS). Based on current evidence and expert opinion, the recent multiple sclerosis guidelines recommend at least 150 minutes/week of PA. This study presents the results of a survey analyzing whether and how PwMS met the guidelines before and during the pandemic.
Methods: We developed and disseminated an international online survey between December 2020 and July 2021, investigating changes in self-reported PA type, duration, frequency, and intensity due to the COVID-19 outbreak in PwMS with differing disability levels.
Results: Among respondents (n = 3810), 3725 were eligible. The proportion of those who conducted at least one activity decreased with increasing disability level at both time points (pre and during). Overall 60% of respondents met the guidelines before the pandemic (mild: 64.43%; moderate: 51.53%; severe: 39.34%; χ 2(2) = 109.13, P < 0.01); a reduction of approximately 10% occurred during the pandemic in all disability groups (mild: 54.76%; moderate: 42.47%; severe: 29.48%; χ 2(2) = 109.67, P < 0.01). Respondents with higher disability participated more in physical therapy and less in walking, cycling, and running at both time points. Most respondents reported practicing PA at a moderate intensity at both time points; frequency and duration of sessions decreased as disability level increased.
Discussion and conclusions: The percentage of those meeting the guidelines reduced with increasing disability level and during the pandemic. PA type and intensity varied widely across the disability categories. Interventions accounting for disability level are required to enable more PwMS to reap the benefits of PA.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A415 ).
期刊介绍：
The Journal of Neurologic Physical Therapy (JNPT) is an indexed resource for dissemination of research-based evidence related to neurologic physical therapy intervention. High standards of quality are maintained through a rigorous, double-blinded, peer-review process and adherence to standards recommended by the International Committee of Medical Journal Editors. With an international editorial board made up of preeminent researchers and clinicians, JNPT publishes articles of global relevance for examination, evaluation, prognosis, intervention, and outcomes for individuals with movement deficits due to neurologic conditions. Through systematic reviews, research articles, case studies, and clinical perspectives, JNPT promotes the integration of evidence into theory, education, research, and practice of neurologic physical therapy, spanning the continuum from pathophysiology to societal participation.
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