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远程医疗锻炼干预对唐氏综合征成人平衡的影响。

The effect of a telehealth exercise intervention on balance in adults with Down syndrome.

机构信息

Department of Physical Therapy, University of Nevada, Las Vegas, Nevada, USA.

Mann Method PT and Fitness, Arvada, Colorado, USA.

出版信息

J Appl Res Intellect Disabil. 2023 Mar;36(2):385-393. doi: 10.1111/jar.13068. Epub 2022 Dec 30.

Abstract

BACKGROUND

People with Down syndrome often present with balance deficits, which compromise safety during daily activity. While evidence shows that exercise can improve balance in the Down syndrome population, it is unclear if a telehealth method will elicit similar benefits. We aimed to examine the effects of a virtual exercise program on balance in adults with Down syndrome.

METHODS

Eighteen low-active participants with Down syndrome completed a 12-week telehealth exercise program based on the Mann Method. Balance testing took place before and after the intervention, which included: TUG, MCTSIB, FICSIT-4, and FRT. This study was registered as a clinical trial on ClinicalTrials.gov, identifier: NCT04647851.

RESULTS

Significant improvement was seen in the TUG (p = .043), FICSIT-4 (p = .019) and FRT (p = .019). All participants achieved maximum scores on the MCTSIB in pre- and post-testing.

CONCLUSIONS

Balance in low-active adults with Down syndrome significantly improved following the telehealth exercise program, which we attribute to the tailored exercises that address visual/vestibular deficits and hip muscle weakness.

摘要

背景

唐氏综合征患者常存在平衡缺陷,这会影响其日常活动的安全性。虽然有证据表明运动可以改善唐氏综合征患者的平衡能力,但远程医疗方法是否能产生类似的效果尚不清楚。我们旨在研究虚拟运动计划对唐氏综合征成人平衡能力的影响。

方法

18 名低活跃的唐氏综合征患者完成了基于曼恩方法的 12 周远程医疗运动计划。干预前后进行平衡测试,包括 TUG、MCTSIB、FICSIT-4 和 FRT。本研究在 ClinicalTrials.gov 上注册为临床试验,标识符:NCT04647851。

结果

TUG(p=.043)、FICSIT-4(p=.019)和 FRT(p=.019)均有显著改善。所有参与者在预测试和后测试中均达到 MCTSIB 的最高分数。

结论

在接受远程医疗运动计划后,低活跃的唐氏综合征成年人的平衡能力显著提高,我们将其归因于针对视觉/前庭缺陷和髋关节肌肉无力的量身定制的运动。

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