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使用回弹运动在社区居住的神经障碍成年人中的可行性。

Feasibility of Using Rebound Exercise in Community-Dwelling Adults With Neurological Disorders.

机构信息

School of Health and Social Care Professions, Buckinghamshire New University, High Wycombe, UK.

School of Human and Social Sciences-Sports, Buckinghamshire New University, High Wycombe, UK.

出版信息

Nurs Health Sci. 2024 Dec;26(4):e70004. doi: 10.1111/nhs.70004.

DOI:10.1111/nhs.70004
PMID:39611320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605673/
Abstract

Rebound exercise (RE) increases mobility in hospitalized adults with neurological disorders (AwND), but its feasibility in community settings remains largely unexplored. This study evaluates the practicality of implementing RE in the community, particularly for AwND. The feasibility study involved 53 community-dwelling AwND engaging in RE sessions for 30 min, once- or twice-weekly, over 12 weeks. Feasibility was assessed through recruitment rates, adherence, attrition, and participant feedback. The study measured blood pressure (BP), walking speed (WS), and physical activity level (PAL) at baseline, 6 weeks, and 12 weeks. Repeated measures ANOVA and the Friedman tests were used to test for significant differences across the time points. The study demonstrated high recruitment (70.59%) and retention (98.1%) rates, with most participants (76.9%) preferring once-weekly sessions due to time constraints. There were no reported injuries or adverse events. Most participants were older adults (50%), females (67.3%), and retired (55.8%). Significantly lower resting BP (p < 0.001), higher WS (p < 0.001), and PAL (p = 0.000) were observed after 12 weeks of RE. In conclusion, RE is a feasible, safe, and acceptable intervention for supervised community-dwelling AwND and could be a valuable tool for promoting PAL in this population.

摘要

反弹运动(RE)可提高住院神经障碍成年人(AwND)的活动能力,但在社区环境中的可行性仍在很大程度上未得到探索。本研究评估了在社区中实施 RE 的实际情况,特别是对于 AwND。这项可行性研究涉及 53 名居住在社区的 AwND,他们每周进行 1 到 2 次、每次 30 分钟的 RE 训练,持续 12 周。通过招募率、依从性、脱落率和参与者反馈来评估可行性。该研究在基线、6 周和 12 周时测量了血压(BP)、步行速度(WS)和身体活动水平(PAL)。使用重复测量方差分析和 Friedman 检验来测试各时间点的显著差异。研究表明,招募率(70.59%)和保留率(98.1%)较高,由于时间限制,大多数参与者(76.9%)更喜欢每周一次的训练。没有报告受伤或不良反应。大多数参与者为老年人(50%)、女性(67.3%)和退休人员(55.8%)。经过 12 周的 RE,休息时的 BP(p < 0.001)、WS(p < 0.001)和 PAL(p = 0.000)明显降低。总之,RE 对于社区居住的 AwND 是一种可行、安全且可接受的干预措施,它可能是促进该人群 PAL 的一种有价值的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3619/11605673/28a6d7da9b9f/NHS-26-e70004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3619/11605673/afbbc939392c/NHS-26-e70004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3619/11605673/28a6d7da9b9f/NHS-26-e70004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3619/11605673/afbbc939392c/NHS-26-e70004-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3619/11605673/28a6d7da9b9f/NHS-26-e70004-g001.jpg

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本文引用的文献

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Global, regional, and national burden of neurological disorders in 204 countries and territories worldwide.全球 204 个国家和地区的神经障碍全球、区域和国家负担。
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Inter-rater reliability and agreement of 6 Minute Walk Test and 10 Meter Walk Test at comfortable walk speed in patients with acute stroke.急性脑卒中患者舒适步行速度下 6 分钟步行试验和 10 米步行试验的组内信度和一致性。
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