Norwegian National Advisory Unit on Pregnancy and Rheumatic diseases, Department of Rheumatology, St. Olavs hospital, Trondheim University Hospital, , 7006 Trondheim, Norway.
J Rehabil Med. 2020 Apr 14;52(4):jrm00040. doi: 10.2340/16501977-2666.
To investigate if an intensive rehabilitation programme, including intensive exercise and patient education, for young adults with inflammatory arthritis, conducted in a warm climate, has long-term effects on general health status compared with usual care.
Open randomized controlled trial.
A total of 64 patients with inflammatory arthritis, aged 20-35 years.
Patients underwent randomized allocation to an intensive 17-day rehabilitation programme in a warm climate (intervention group) or to usual care with no structured rehabilitation (control group). The primary outcomes were physical function, assessed by the "30-second Sit to Stand test"(30sSTS), and coping, measured by the "Effective Musculoskeletal Consumer Scale" (EC17).
A total of 64 patients (mean age 27.5 years, 62.5% female) were randomized. Thirty out of 32 patients completed the intervention. At 12-month follow-up, 7 patients were lost to follow-up; 4 from the intervention group and 3 from the control group. The intervention group showed significant improvement in the physical function test at 3 months; estimated mean difference (95% confidence interval): 5.5 (2.8-8.1), 6 months 3.6 (0.4-6.8) and 12 months 4.0 (0.0-7.9), compared with the control group. There were no differences in coping between the 2 groups at 3, 6 or 12 months.
Rehabilitation in a warm climate improves physical functioning, but not coping, in young adults with inflammatory arthritis.
探究在温暖气候下进行的、包括强化运动和患者教育的针对年轻炎症性关节炎患者的强化康复方案是否与常规护理相比具有长期的整体健康状况影响。
开放性随机对照试验。
共 64 名年龄在 20-35 岁之间的炎症性关节炎患者。
患者被随机分配至在温暖气候下进行的强化 17 天康复方案（干预组）或无结构化康复的常规护理（对照组）。主要结局为通过“30 秒坐站测试”（30sSTS）评估的身体功能和通过“有效肌肉骨骼消费者量表”（EC17）测量的应对能力。
共纳入 64 名患者（平均年龄 27.5 岁，62.5%为女性）并进行随机分组。32 名患者中的 30 名完成了干预。在 12 个月随访时，7 名患者失访；其中 4 名来自干预组，3 名来自对照组。干预组在 3 个月时的身体功能测试中显示出显著改善；估计平均差异（95%置信区间）：5.5（2.8-8.1），6 个月时为 3.6（0.4-6.8），12 个月时为 4.0（0.0-7.9），与对照组相比。两组在 3、6 和 12 个月时的应对能力均无差异。
温暖气候下的康复可改善年轻炎症性关节炎患者的身体机能，但不能改善应对能力。
