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工作日和周末多发性硬化症患者的身体活动。

Physical Activity during Weekdays and Weekends in Persons with Multiple Sclerosis.

机构信息

Laboratory of Clinical Functional Exploration of Movement, Department of Physical Medicine and Rehabilitation, University Hospital of Besançon, F-25000 Besançon, France.

Laboratory of Integrative Research in Neurosciences and Congnitive Psycology EA481, Faculty of Medicine and Health Sciences, Bourgogne Franche-Comte University, F-25000 Besançon, France.

出版信息

Sensors (Basel). 2021 May 22;21(11):3617. doi: 10.3390/s21113617.

Abstract

The assessment of the functional performance status of persons with multiple sclerosis (PwMS) is a useful tool to optimize healthcare. This concept does not seem to be extensively explored in this population. This study aimed to determine the level of activity of PwMS during weekdays and weekends, and to establish associations between clinical parameters. Forty-one PwMS and 16 healthy persons participated in this study. Their physical activity in real-life conditions was assessed with an accelerometer. For the clinical evaluations, the quality of life, fatigue, gait, and balance were assessed. The level of activity between PwMS for weekdays, weekends, Saturdays, and Sundays was significantly reduced compared with the reference group ( = 0.001-0.00001, d = 0.95-1.76). PwMS had a constant level of activity throughout the week, whereas the reference group increased its level of activity on Saturdays ( = 0.04, d = 0.69). The level of activity was correlated in descending order with multiple sclerosis disability, body mass index, gait velocity, six-minute walk test, and timed up and go test. This study showed that PwMS had a stable level of activity throughout the week, contrary to healthy persons. It could be necessary to develop programs to facilitate physical activity and participation during the weekdays, but especially during weekends.

摘要

评估多发性硬化症患者(PwMS)的功能表现状态是优化医疗保健的有用工具。这一概念在该人群中似乎并未得到广泛探讨。本研究旨在确定 PwMS 在工作日和周末的活动水平,并确定临床参数之间的关联。41 名 PwMS 和 16 名健康人参加了这项研究。他们的日常生活中的身体活动通过加速度计进行评估。对于临床评估,评估了生活质量、疲劳、步态和平衡。与对照组相比(= 0.001-0.00001,d = 0.95-1.76),PwMS 的工作日、周末、周六和周日的活动水平显著降低。PwMS 整个星期的活动水平保持不变,而对照组在周六增加了活动水平(= 0.04,d = 0.69)。活动水平与多发性硬化症残疾、体重指数、步态速度、6 分钟步行测试和计时起立行走测试呈递减相关。本研究表明,与健康人相比,PwMS 整个星期的活动水平保持稳定。可能有必要制定方案,以促进工作日期间,特别是周末期间的身体活动和参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae15/8197006/34127dc23d9f/sensors-21-03617-g001.jpg

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