为老年慢性呼吸系统疾病患者设计的基于短期体能测试的问题解决锻炼计划的可行性：多中心试点临床试验。

IF 2.4 Q2 RESPIRATORY SYSTEM

Respiratory investigation Pub Date : 2024-10-02 DOI:10.1016/j.resinv.2024.09.016

Masatoshi Hanada , Tadayoshi Nonoyama , Tomoyuki Ikeuchi , Koki Sasaki , Kazuaki Suyama , Masaki Nakashita , Ryota Shiroishi , Ryosuke Segawa , Kengo Tanaka , Hideki Aoki , Chika Kitagawa , Yuichi Hori , Shuhei Hashimoto , Toshiro Matsuzaki , Shuntaro Sato , Shinichi Arizono , Takako Tanaka , Ryo Kozu

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引用次数: 0

摘要

背景：本研究旨在评估基于短期体能测试（SPPB）项目的问题解决锻炼计划对老年慢性呼吸系统疾病（CRDs）患者的可行性和安全性，为未来的随机对照试验提供参考：这是一项多中心、前瞻性、非随机的可行性研究。患有慢性呼吸系统疾病的参与者接受了一项基于 SPPB 下降项目（平衡、行走和/或椅子站立）的增强计划，为期 4 周。研究评估了问题解决运动项目在改善 SPPB 评分、身体功能和步数（使用计步器测量）方面的可行性、安全性和有效性：本研究共招募了 36 名患者，他们对运动计划的依从性很高（100%）。没有观察到与运动计划相关的不良事件。运动计划的执行率从 70% 到 100% 不等。平均每日步数从第一周的 2152 ± 1498 步增加到最后一周的 2899 ± 1865 步（p 结论：基于问题解决的运动计划能够帮助患者在运动过程中提高身体素质：基于 SPPB 的问题解决运动计划对于患有慢性阻塞性肺病的老年患者是可行且安全的。然而，这项运动计划的有效性应在未来的大规模随机对照试验中得到验证：试验注册：大学医院医疗信息网络中心（UMIN-CTR）UMIN：批准号：UMIN000048761：UMIN000048761。

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Feasibility of a problem-solving exercise program based on short physical performance battery for older patients with chronic respiratory diseases: A multicenter, pilot clinical trial

Background

This study aimed to assess the feasibility and safety of a problem-solving exercise program based on the items in the short physical performance battery (SPPB) for older patients with chronic respiratory diseases (CRDs) to inform future randomized controlled trials.

Methods

This was a multicenter, prospective, non-randomized feasibility study. Participants with CRD received an enhancement program based on the SPPB decline items (balance, walk, and/or chair stand) for 4 weeks. The feasibility, safety, and efficacy of the problem-solving exercise program in improving the SPPB score, physical function, and step count (measured using a pedometer) were assessed.

Results

Overall, 36 patients were enrolled in this study, and adherence to the exercise program was high (100%). No exercise program-related adverse events were observed. The implementation of the exercise program ranged from 70 to 100%. The mean daily step count increased from 2152 ± 1498 steps during the first week to 2899 ± 1865 steps in the last week (p<0.01). Additionally, the SPPB total score increased from 8.9 ± 1.8 points to 10.7 ± 1.3 points at the end of the program (p<0.001).

Conclusions

The problem-solving exercise program based on SPPB is feasible and safe for older patients with CRDs. However, the effectiveness of this exercise program should be validated in large-scale, randomized-controlled trials in the future.