物理治疗对血友病患者的益处。
Benefits of physical therapy for people living with hemophilia.
作者信息
Kikuchi Kazuko, Komachi Toshiharu, Honma Yoshinori, Fujitani Junko
机构信息
Japan Foundation for AIDS Prevention, Tokyo, Japan.
Department of Rehabilitation Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
出版信息
Glob Health Med. 2021 Dec 31;3(6):409-412. doi: 10.35772/ghm.2021.01026.
This crossover study investigated effects of physical therapy (PT) on motor function in patients with hemophilia infected with human immunodeficiency virus (HIV) due to treatment with non-heat-treated blood products. Patients were randomly divided into a PT-first group (PT once monthly for 6 months, then only home exercise (HE) for 6 months) and an HE-first group (HE for 6 months, then PT once monthly for 6 months). Carryover, period, and treatment effects were examined. Carryover effect was observed for flexion muscle strength of the right hip joint and fast walking cadence. Period effect was observed for extension Range of motion (ROM) of the left hip joint, dorsiflexion of the right ankle joint, and fast walking cadence. PT tended to be effective for abduction of the left shoulder joint and fast walking cadence. Compared with HE, PT tended to contribute to improving ROM of the shoulder joints and fast walking.
这项交叉研究调查了物理治疗（PT）对因使用未经热处理的血液制品而感染人类免疫缺陷病毒（HIV）的血友病患者运动功能的影响。患者被随机分为PT优先组（每月进行1次PT，共6个月，然后仅进行6个月的家庭锻炼（HE））和HE优先组（进行6个月的HE，然后每月进行1次PT，共6个月）。研究了残留效应、阶段效应和治疗效应。观察到右髋关节屈曲肌肉力量和快走节奏的残留效应。观察到左髋关节伸展活动范围（ROM）、右踝关节背屈和快走节奏的阶段效应。PT对左肩外展和快走节奏往往有效。与HE相比，PT往往有助于改善肩关节的ROM和快走能力。
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