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巴西膝关节骨关节炎的远程康复:一项可行性研究。

Telerehabilitation for Knee Osteoarthritis in Brazil: A Feasibility Study.

作者信息

Aily Jéssica Bianca, Barton Christian John, Mattiello Stela Marcia, De Oliveira Silva Danilo, De Noronha Marcos

机构信息

Department of Physical Therapy, Federal University of São Carlos, Center of Biological and Health Sciences, São Carlos, São Paulo, Brazil.

La Trobe University - School of Allied Health, Lasem Research Centre, Melbourne, Victoria, Australia.

出版信息

Int J Telerehabil. 2020 Dec 8;12(2):137-148. doi: 10.5195/ijt.2020.6323.

Abstract

BACKGROUND

The effectiveness of telerehabilitation for a patient with knee osteoarthritis may depend upon the person's adherence to intervention. Thus, the aim of this study was to investigate whether people with knee osteoarthritis would adhere to exercise-therapy facilitated via multiple media in Brazil, a newly industrialized country.

METHOD

This is a feasibility study, pre-post intervention. Middle aged (40-50 years) and elderly (≥70 years) people with knee osteoarthritis received in-person exercise-therapy instructions on the first day, along with a booklet and DVD (videos) to take home. Participants also received six motivational phone calls throughout the 12-week treatment. Satisfaction and adherence were assessed one week after intervention with the Exercise Adherence Rating Scale (EARS), sections B and C. Preference on the method used to adhere to exercises was recorded.

CONCLUSION

Telerehabilitation was well accepted by middle-aged and elderly Brazilians with knee osteoarthritis. The preferred media to enhance adherence, was a booklet with descriptions of the exercises, especially for the elderly cohort.

摘要

背景

远程康复对膝骨关节炎患者的有效性可能取决于患者对干预措施的依从性。因此,本研究的目的是调查在巴西这个新兴工业化国家,膝骨关节炎患者是否会坚持通过多种媒介进行的运动疗法。

方法

这是一项干预前后的可行性研究。中年(40 - 50岁)和老年(≥70岁)膝骨关节炎患者在第一天接受了面对面的运动疗法指导,并收到一本手册和一张DVD(视频)带回家。在为期12周的治疗过程中,参与者还接到了6次激励电话。干预一周后,使用运动依从性评定量表(EARS)的B和C部分评估满意度和依从性。记录了对坚持锻炼所使用方法的偏好。

结论

远程康复受到巴西中年和老年膝骨关节炎患者的广泛接受。提高依从性的首选媒介是一本带有运动描述的手册,尤其是对老年人群体而言。

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