Department of Physiotherapy, Bankstown-Lidcombe Hospital, NSW, Australia.
J Physiother. 2011;57(2):117-22. doi: 10.1016/S1836-9553(11)70022-4.
Are inpatients undergoing rehabilitation who appear able to count exercises able to quantify accurately the amount of exercise they undertake?
Observational study.
Inpatients in an aged care rehabilitation unit and a neurological rehabilitation unit, who appeared able to count their exercises during a 1-2 min observation by their treating physiotherapist.
Participants were observed for 30 min by an external observer while they exercised in the physiotherapy gymnasium. Both the participants and the observer counted exercise repetitions with a hand-held tally counter and the two tallies were compared.
Of the 60 people admitted for aged care rehabilitation during the study period, 49 (82%) were judged by their treating therapist to be able to count their own exercise repetitions accurately. Of the 30 people admitted for neurological rehabilitation during the study period, 20 (67%) were judged by their treating therapist to be able to count their repetitions accurately. Of the 69 people judged to be accurate, 40 underwent observation while exercising. There was excellent agreement between these participants' counts of their exercise repetitions and the observers' counts, ICC (3,1) of 0.99 (95% CI 0.98 to 0.99). Eleven participants (28%) were in complete agreement with the observer. A further 19 participants (48%) varied from the observer by less than 10%.
Therapists were able to identify a group of rehabilitation participants who were accurate in counting their exercise repetitions. Counting of exercise repetitions by therapist-selected patients is a valid means of quantifying exercise dosage during inpatient rehabilitation.
在接受康复治疗的住院患者中，那些看起来能够数出运动次数的人，是否能够准确地量化他们所进行的运动量？
观察性研究。
在老年护理康复病房和神经康复病房接受治疗的住院患者，他们在治疗物理治疗师观察 1-2 分钟期间能够数出自己的运动次数。
由一名外部观察者在物理治疗健身房对参与者进行 30 分钟的观察，参与者和观察者使用手持计算器数练习次数，并比较两个计数。
在研究期间，60 名接受老年护理康复治疗的患者中，49 名（82%）被治疗师判断为能够准确地数出自己的运动次数。在研究期间接受神经康复治疗的 30 名患者中，20 名（67%）被治疗师判断为能够准确地数出自己的重复次数。在 69 名被判断为准确的患者中，有 40 名在运动时接受了观察。这些参与者计数自己的运动次数与观察者计数的结果之间具有极好的一致性，ICC（3,1）为 0.99（95%CI 0.98 至 0.99）。有 11 名参与者（28%）与观察者完全一致。另外 19 名参与者（48%）与观察者的差异小于 10%。
治疗师能够识别出一组能够准确数出运动次数的康复参与者。由治疗师选择的患者进行的运动次数计数是量化住院康复期间运动剂量的有效方法。
