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脊髓损伤住院后的社区锻炼计划:一项随机、多中心、双盲对照试验的初步研究

Community-Based Exercise Programs Post Spinal Cord Injury Hospitalization: A Pilot Study for a Randomized, Multicenter, Double-Blind Controlled Setting.

作者信息

Kang Dongheon, Park Jiyoung

机构信息

Department of Healthcare and Public Health Research, National Rehabilitation Center, Ministry of Health and Welfare, Seoul 01022, Republic of Korea.

Department of Safety and Health, Wonkwang University, Iksan 54538, Republic of Korea.

出版信息

Life (Basel). 2024 Sep 9;14(9):1135. doi: 10.3390/life14091135.

Abstract

This study explores the effectiveness of community-based exercise programs for individuals with spinal cord injury (SCI) following hospital discharge. Given the rising incidence of SCI, particularly in South Korea, and the associated long-term disabilities, the necessity for comprehensive post-discharge rehabilitation is paramount. The study focuses on a pilot randomized multicenter double-blind controlled trial, targeting SCI patients who have completed inpatient rehabilitation and are living in the community. The primary aim is to evaluate the impact of structured exercise programs on physical fitness, functional capacity, and overall recovery. The research introduces the SpinalFit program, a community-based intervention designed to enhance muscle strength, cardiopulmonary endurance, and mobility through a combination of aerobic and resistance training. This program addresses the critical need for safe and effective rehabilitation options outside the hospital setting, utilizing circuit training with resistance bands and body-weight exercises tailored to each participant's capacity. The study also investigates barriers to physical activity in the community for SCI patients and the potential role of community exercise centers in bridging this gap. Preliminary findings from this pilot trial are expected to provide valuable insights into optimizing exercise regimens for SCI patients, informing future large-scale studies and contributing to improved post-discharge rehabilitation strategies.

摘要

本研究探讨了基于社区的运动项目对脊髓损伤(SCI)患者出院后的有效性。鉴于脊髓损伤的发病率不断上升,尤其是在韩国,以及随之而来的长期残疾问题,出院后全面康复的必要性至关重要。该研究聚焦于一项试点随机多中心双盲对照试验,目标是已完成住院康复并居住在社区的脊髓损伤患者。主要目的是评估结构化运动项目对身体素质、功能能力和整体恢复的影响。该研究引入了SpinalFit项目,这是一种基于社区的干预措施,旨在通过有氧训练和阻力训练相结合的方式增强肌肉力量、心肺耐力和活动能力。该项目满足了在医院环境之外对安全有效的康复选择的迫切需求,利用弹力带循环训练和根据每个参与者能力量身定制的自重训练。该研究还调查了脊髓损伤患者在社区进行体育活动的障碍,以及社区运动中心在弥合这一差距方面的潜在作用。预计这项试点试验的初步结果将为优化脊髓损伤患者的运动方案提供有价值的见解,为未来的大规模研究提供参考,并有助于改进出院后康复策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/933c/11433440/0adcf3e8c09f/life-14-01135-g001.jpg

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