College of Physical Education and Sport Sciences, University of Mosul, Mosul, Iraq.
LR 19JS01 EM2S, Education, Motricity, Sport and Health, High Institute of Sport and Physical Education, University of Sfax, Sfax, Tunisia.
Telemed J E Health. 2024 Aug;30(8):2181-2193. doi: 10.1089/tmj.2024.0078. Epub 2024 May 3.
The war caused huge devastation to rehabilitation centers in Mosul City, leading to a significant gap in rehabilitation services, which was further compounded by the COVID-19 pandemic. We sought to incorporate simple and safe clinical exercises by utilizing common household items, thereby maximizing effectiveness through a combination of psychological simulation and physical impact while ensuring safety, and evaluate its efficacy as a home telerehabilitation program (HTRP) for participants with spinal cord injury (SCI) following a 4- to 5-year rehabilitation interruption. Eighteen volunteers, including 13 with SCI (injuries sustained 53.4-55 months prior), were split into an experimental group (Exp., = 8), a first control group (first Con., = 5), and a second control group of healthy individuals (second Con., = 5), averaging 21.2 years old. The HTRP focused on muscles and whole-body joints, conducted with five weekly sessions gradually increasing from 45 to 120 min, with sufficient rest. Assessments occurred every 3 months. The Friedman test indicated no significant effect of HTRP on weight, body mass index, 3 of 4 anthropometric measures, and 4 of 19 muscle strength tests, > 0.05, and small effect sizes (ES). However, significant effects were observed in pelvic strength ( < 0.001, ES = 0.73), exceeding control groups (first Con. 1.6%, second Con. 1.0%). Muscle strength in the lower extremities, head, and trunk showed significant improvements (p < 0.05, ES = 18.3-81.8%), it is indicating functional enhancement despite morphological weaknesses, particularly in individuals with SCI. The HTRP demonstrated weak effects on muscle morphology but strong effects on functionality, highlighting its potential for long-term management and improvement of muscle functional outcomes in individuals with SCI, even after prolonged rehabilitation interruptions.
战争对摩苏尔市的康复中心造成了巨大破坏，导致康复服务出现重大缺口，而 COVID-19 大流行则使这一情况进一步恶化。我们试图利用常见的家用物品来进行简单且安全的临床锻炼，从而通过心理模拟和身体影响的结合来实现最大效果，同时确保安全，并评估其作为脊髓损伤（SCI）参与者的家庭远程康复计划（HTRP）的效果，这些参与者在经历了 4-5 年的康复中断后。18 名志愿者，包括 13 名 SCI 患者（受伤时间为 53.4-55 个月前），被分为实验组（Exp.，n=8）、第一对照组（第一 Con.，n=5）和第二对照组健康个体（第二 Con.，n=5），平均年龄为 21.2 岁。HTRP 侧重于肌肉和全身关节，每周进行 5 次，逐渐从 45 分钟增加到 120 分钟，并有足够的休息时间。每 3 个月进行一次评估。Friedman 检验表明，HTRP 对体重、体重指数、4 项人体测量指标中的 3 项和 19 项肌肉力量测试中的 4 项均无显著影响，>0.05，效应量较小（ES）。然而，骨盆力量（<0.001，ES=0.73）的影响显著，超过对照组（第一 Con.1.6%，第二 Con.1.0%）。下肢、头部和躯干的肌肉力量也有显著改善（p<0.05，ES=18.3-81.8%），这表明尽管存在形态弱点，但仍能增强功能，特别是在 SCI 患者中。HTRP 对肌肉形态的影响较弱，但对功能的影响较强，这突出了其在长期管理和改善 SCI 患者肌肉功能结果方面的潜力，即使在长时间的康复中断后也是如此。
