Oncu Jülide, Durmaz Berrin, Karapolat Hale
Ege University Medical Faculty Physical Medicine and Rehabilitation Department, Izmir, Turkey.
Clin Rehabil. 2009 Feb;23(2):155-63. doi: 10.1177/0269215508098893.
To investigate and compare the impact of hospital and home exercise programmes on aerobic capacity, fatigue, and quality of life in patients with post-polio syndrome.
A prospective, randomized controlled trial.
Department of Physical Medicine and Rehabilitation, University Hospital.
Thirty-two patients were divided into two groups for either hospital- or home-based aerobic exercise programme.
Patients were assessed before and after the rehabilitation programme, with respect to functional capacity (pVo2), fatigue (Fatigue Severity Scale, Fatigue Impact Scale) and quality of life (Nottingham Heath Profile).
After the exercise programme, improvement was observed in the hospital exercise group compared to a pre-exercise period in all Nottingham Heath Profile scores (except sleep scores), pVo2, Fatigue Severity Scale and Fatigue Impact Scale (cognitive, physical, psychosocial, total) (P<0.05). In contrast, in the home exercise group a decrease was observed in pVo2 scores after the rehabilitation programme, compared to a pre-rehabilitation period (P<0.05). In addition, a significant improvement was observed in the home exercise group after the rehabilitation programme in all parameters excluding Fatigue Impact Scale-physical, Fatigue Impact Scale-psychosocial, and Nottingham Heath Profile-sleep (P<0.05). When the two exercise groups were compared, improvement was observed in the hospital exercise group compared to the home exercise group in pVo2 and Fatigue Severity Scale-total, Fatigue Impact Scale-physical, Fatigue Impact Scale-psychosocial, Fatigue Impact Scale-total, and Nottingham Heath Profile-energy scores (P<0.05).
Fatigue and quality of life were both improved in the home and hospital exercise groups. An increase was also found in the functional capacity in the hospital exercise group. A regular exercise programme is beneficial to patients with post-polio syndrome.
研究并比较住院锻炼计划和家庭锻炼计划对小儿麻痹后遗症患者有氧运动能力、疲劳及生活质量的影响。
一项前瞻性随机对照试验。
大学医院物理医学与康复科。
32例患者被分为两组，分别接受住院或家庭有氧运动计划。
在康复计划前后，对患者的功能能力（pVo2）、疲劳（疲劳严重程度量表、疲劳影响量表）和生活质量（诺丁汉健康量表）进行评估。
锻炼计划后，住院锻炼组在所有诺丁汉健康量表评分（睡眠评分除外）、pVo2、疲劳严重程度量表和疲劳影响量表（认知、身体、心理社会、总分）方面与锻炼前相比均有改善（P<0.05）。相比之下，家庭锻炼组在康复计划后，pVo2评分与康复前相比有所下降（P<0.05）。此外，家庭锻炼组在康复计划后，除疲劳影响量表-身体、疲劳影响量表-心理社会和诺丁汉健康量表-睡眠外的所有参数均有显著改善（P<0.05）。当比较两个锻炼组时，住院锻炼组在pVo2、疲劳严重程度量表-总分、疲劳影响量表-身体、疲劳影响量表-心理社会、疲劳影响量表-总分和诺丁汉健康量表-能量评分方面与家庭锻炼组相比有改善（P<0.05）。
家庭和住院锻炼组的疲劳和生活质量均得到改善。住院锻炼组的功能能力也有所提高。定期锻炼计划对小儿麻痹后遗症患者有益。
