多发性硬化症退伍军人个性化运动远程训练项目的可接受性和结果:一项试点研究。

IF 2.1 Q1 REHABILITATION
Archives of physiotherapy Pub Date : 2020-10-01 eCollection Date: 2020-01-01 DOI:10.1186/s40945-020-00089-5
Shane Chanpimol, Kimberly Benson, Heidi Maloni, Susan Conroy, Mitchell Wallin
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引用次数: 9

摘要

背景:物理康复服务是多发性硬化症(PwMS)患者改善和维持身体活动能力的重要组成部分。然而,多发性硬化症患者在门诊物理治疗(PT)服务中往往存在重大障碍,包括行动不便和缺乏交通工具。将运动游戏(exergaming)和远程医疗整合到临床PT实践中可以克服这些障碍。本初步研究的主要目的是评估使用练习的个性化远程ept干预的可接受性和效果。方法:10例多发性硬化症(MS)患者完成了为期12周的exergaming (Jintronix®)远程康复干预。为了衡量远程康复干预的可接受性,通过基于平板的康复软件测量依从性,每位参与者完成满意度问卷。在基线和干预后评估临床结果。为了评估该干预措施的有效性,包括以下身体功能和疲劳指标;短时间物理性能测试(SPPB)、25英尺步行(25FW)、修正疲劳冲击量表(MFIS)、多发性硬化步行量表-12 (MSWS)和2分钟步行测试(2MWT)。临床结果分析采用Sign检验和Wilcoxon符号秩检验。所有其他数据采用描述性统计进行评估。结果:干预后,受试者在25FW时的行走速度(p = 0.04)和2MWT时的行走距离(p = 0.002)均有显著改善。SPPB总分和分评分均有统计学意义(p = 0.04)。干预后,参与者在MFIS (p = 0.31)或MSWS-12 (p = 0.06)方面没有表现出显著的变化。在干预期间,参与者的坚持率为58.3%,平均每周进行2.5次锻炼计划。所有参与者都报告说,他们对远程康复体验“满意”或“非常满意”,会再次使用远程康复,并会向他人推荐远程康复。结论:结合游戏和临床视频远程会议的个性化远程康复干预是患者可接受的,可能是传统PT治疗PwMS的可行选择。试验注册:NCT03655431,回顾性注册于2018年8月31日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study.

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study.

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study.

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study.

Background: Physical rehabilitation services are an important component of treatment for persons with multiple sclerosis (PwMS) to improve and maintain physical mobility. However, PwMS often have significant barriers to outpatient physical therapy (PT) services including mobility deficits and lack of transportation. The integration of exercise gaming (exergaming) and telehealth into clinical PT practices may overcome these barriers. The overarching purpose of this pilot study was to evaluate the acceptability and effects of an individualized telePT intervention using exergaming.

Methods: Ten individuals with multiple sclerosis (MS) completed a 12-week exergaming (Jintronix®) telerehabilitation intervention. In order to measure the acceptability of the telerehabilitation intervention, adherence was measured through the tablet-based rehabilitation software and each participant completed a satisfaction questionnaire. Clinical outcome measures were assessed at baseline and post-intervention. To evaluate the efficacy of this intervention, the following measures of physical function and fatigue were included; the Short Physical Performance Battery (SPPB), 25-Foot Walk (25FW), Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Walking Scale-12 (MSWS), and the 2-Minute Walk Test (2MWT). Clinical outcomes were analyzed using the Sign test and Wilcoxon signed rank test. All other data were evaluated using descriptive statistics.

Results: After the intervention, participants demonstrated significant improvements in ambulation speed during the 25FW (p = 0.04) and ambulation distance during the 2MWT (p = 0.002). Statistically significant increases of SPPB total score (p = .04) and sub-scores were also found. Participants did not demonstrate significant changes in the MFIS (p = 0.31) or MSWS-12 (p = 0.06) after the intervention. Participants had a 58.3% adherence rate during the intervention and performed their exercise program an average of 2.5 times per week. All participants reported that they were either 'satisfied or 'very satisfied' with their telerehabilitation experience, would use telerehabilitation again, and would recommend telerehabilitation to others.

Conclusion: This individualized telerehabilitation intervention which integrates exergaming and clinical video teleconferencing is acceptable to patients and may offer a viable alternative to traditional PT for PwMS.

Trial registration: NCT03655431, retrospectively registered on August 31st, 2018.

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