Rehabilitation, Academic Medical Center Amsterdam, 1105 AZ Amsterdam, The Netherlands.
J Rehabil Med. 2019 Jul 8;51(7):518-524. doi: 10.2340/16501977-2567.
To evaluate the current application of aerobic exercise in adult neuromuscular rehabilitation.
Cross-sectional survey.
Dutch rehabilitation specialists and physical therapists in specialized centres for slowly progressive neuromuscular diseases and in primary care.
Participants received a self-designed, web-based, questionnaire, including 27 close-ended questions covering 4 categories: respondent profile, application of aerobic exercise, barri-ers to prescribing aerobic exercise, and need for support to improve the application of aerobic exercise.
All respondents (n = 52) prescribed aerobic exercise and in a wide variety of neuromuscular diseases, mostly applying sessions of more than 20 min, 2 days per week, over a period of 9-16 weeks, using different exercise modes and methods to target intensity. The majo-rity (81%) agreed that aerobic exercise should be incorporated into neuromuscular rehabilitation. However, all respon-dents perceived barriers to the application of aerobic exercise in one or more domains, and 77% of the respondents indicated needing support to improve application of this type of training, mostly with respect to screening procedures (54%) and dosing of exercise programmes (48%).
Aerobic exercise is widely applied, yet our results raise awareness of the necessity of more evidence based knowledge, in order to develop and implement guidelines in adult neuromuscular rehabilitation.
评估有氧运动在成人神经肌肉康复中的应用现状。
横断面调查。
荷兰康复专家和专门中心及初级保健中治疗慢性进行性神经肌肉疾病的物理治疗师。
参与者收到一份自我设计的、基于网络的问卷，包括 27 个封闭式问题，涵盖 4 个类别：受访者特征、有氧运动的应用、开具有氧运动处方的障碍以及改善有氧运动应用的支持需求。
所有受访者（n=52）均开具有氧运动处方，应用于多种神经肌肉疾病，主要应用 20 分钟以上、每周 2 天、9-16 周的疗程，采用不同的运动模式和方法来达到运动强度。大多数（81%）人认为有氧运动应纳入神经肌肉康复。然而，所有受访者都认为在一个或多个领域应用有氧运动存在障碍，77%的受访者表示需要支持来改善这种类型的训练应用，主要是在筛查程序（54%）和运动方案剂量（48%）方面。
有氧运动的应用非常广泛，但我们的结果表明需要更多基于证据的知识，以便在成人神经肌肉康复中制定和实施指南。
