与多发性硬化症患者身体活动密切相关的功能因素：一项试点研究。
Functional factors that are important correlates to physical activity in people with multiple sclerosis: a pilot study.
作者信息
Ketelhut Nathaniel B, Kindred John H, Pimentel Richard E, Hess Ann M, Tracy Brian L, Reiser Raoul F, Rudroff Thorsten
机构信息
a Department of Health and Exercise Science , Colorado State University , Fort Collins , CO , USA.
b Department of Statistics , Colorado State University , Fort Collins , CO , USA.
出版信息
Disabil Rehabil. 2018 Oct;40(20):2416-2423. doi: 10.1080/09638288.2017.1336647. Epub 2017 Jun 7.
PURPOSE
Identify functional factors that are important correlates to physical activity levels among people with multiple sclerosis.
METHODS
A total of eight functional tests were conducted and physical activity was objectively measured (Actigraph GT3X accelerometer) for one week in 34 people with multiple sclerosis. A corrected Akaike Information Criterion analysis was performed to identify the strongest correlates with moderate-to-vigorous physical activity, total activity and sedentary time.
RESULTS
The multiple regression analysis converged on a model for moderate-to-vigorous physical activity (R = 0.31, F = 6.97, p= 0.003) that included total strength of the less-affected leg (partial r = 0.46, p = 0.007) and average peg test performance (partial r = -0.30, p = 0.087). The model for total activity (R = 0.40, F = 10.51, p < 0.001) included five times sit-to-stand performance (partial r= -0.44, p = 0.010) and total strength of the less-affected leg (partial r = 0.31, p = 0.077). The model for sedentary time (R=0.22, F = 9.23, p = 0.005) only included total strength of the more affected leg (r= -0.47, p = 0.005).
CONCLUSION
These results suggest that leg strength, manual dexterity and the ability to perform functional tasks may be important correlates with physical activity levels in people with multiple sclerosis. The findings of this pilot study can inform future investigations aiming to increase physical activity levels or develop improved rehabilitation protocols for people with multiple sclerosis. Implications for Rehabilitation Physical activity is an effective means of improving the symptoms associated with multiple sclerosis. Participation in physical activity by people with multiple sclerosis may be affected by functional factors such as leg strength, manual dexterity and the ability to rise from a seated position. Bilateral leg strength differences should be assessed and addressed in people with multiple sclerosis.
目的
确定与多发性硬化症患者身体活动水平密切相关的功能因素。
方法
对34例多发性硬化症患者进行了总共八项功能测试，并使用Actigraph GT3X加速度计客观测量其一周的身体活动情况。进行了校正的赤池信息准则分析，以确定与中度至剧烈身体活动、总活动量和久坐时间最密切相关的因素。
结果
多元回归分析得出了一个中度至剧烈身体活动的模型（R = 0.31，F = 6.97，p = 0.003），该模型包括患侧较轻腿部的总力量（偏相关系数r = 0.46，p = 0.007）和平均钉板测试表现（偏相关系数r = -0.30，p = 0.087）。总活动量模型（R = 0.40，F = 10.51，p < 0.001）包括五次坐立测试表现（偏相关系数r = -0.44，p = 0.010）和患侧较轻腿部的总力量（偏相关系数r = 0.31，p = 0.077）。久坐时间模型（R = 0.22，F = 9.23，p = 0.005）仅包括患侧较重腿部的总力量（r = -0.47，p = 0.005）。
结论
这些结果表明，腿部力量、手部灵活性和执行功能任务的能力可能与多发性硬化症患者的身体活动水平密切相关。这项初步研究的结果可为未来旨在提高多发性硬化症患者身体活动水平或制定改进康复方案的研究提供参考。对康复的启示身体活动是改善多发性硬化症相关症状的有效手段。多发性硬化症患者参与身体活动可能会受到腿部力量、手部灵活性和从坐姿起身能力等功能因素的影响。应评估和解决多发性硬化症患者双侧腿部力量差异的问题。
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