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COVID-19 大流行期间杜氏肌营养不良症男童和青年的远程呼吸康复

Respiratory Telerehabilitation of Boys and Young Men with Duchenne Muscular Dystrophy in the COVID-19 Pandemic.

机构信息

Department of Rehabilitation Medicine, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-219 Gdansk, Poland.

Department of Physical Therapy, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland.

出版信息

Int J Environ Res Public Health. 2021 Jun 8;18(12):6179. doi: 10.3390/ijerph18126179.

Abstract

BACKGROUND

The COVID-19 pandemic forced reorganization of the multidisciplinary healthcare system for Duchenne muscular dystrophy. Digital solutions seem to be optimal for providing rehabilitation at this time. The aim of this study was to investigate whether it is possible to conduct respiratory physical therapy with the use of telerehabilitation in Duchenne muscular dystrophy.

METHODS

The study was conducted during an online conference for families with DMD. During the physical therapy panel we showed the video with the instructions of respiratory exercises. All participants ( = 152) were asked to fill in the online survey evaluating the quality, acceptance, and understanding of the instructions.

RESULTS

The survey was filled in by 45 (29.6%) participants. The mean rating of satisfaction was 4.70/5, and for intelligibility was 4.78/5. Thirty-seven (82.2%) patients declared that they had performed the exercises, all caregivers declared that it was possible to perform the proposed exercises a few times a week or daily, and only two respondents replied to invitations to individual online sessions.

CONCLUSIONS

Findings from the study show that respiratory telerehabilitation may be implemented for DMD patients; however, the interest in digital rehabilitation among caregivers of DMD boys in Poland is low. The reasons for this situation require further research.

摘要

背景

COVID-19 大流行迫使杜氏肌营养不良症的多学科医疗保健系统进行重组。数字解决方案似乎是此时提供康复的最佳选择。本研究旨在探讨在杜氏肌营养不良症中使用远程康复进行呼吸物理治疗是否可行。

方法

该研究是在为 DMD 患者家庭举办的在线会议期间进行的。在物理治疗小组中,我们展示了带有呼吸练习说明的视频。所有参与者(n=152)都被要求填写在线调查,评估说明的质量、可接受性和理解程度。

结果

有 45 名(29.6%)参与者填写了调查问卷。满意度的平均评分为 4.70/5,可理解性的平均评分为 4.78/5。37 名(82.2%)患者表示他们已经完成了练习,所有照顾者都表示可以每周进行几次或每天进行建议的练习,只有两名受访者回复了参加个别在线会议的邀请。

结论

研究结果表明,呼吸远程康复可能适用于 DMD 患者;然而,波兰 DMD 男孩的照顾者对数字康复的兴趣较低。这种情况的原因需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c078/8229414/497a5b04ff11/ijerph-18-06179-g001.jpg

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