Daltroy L H, Robb-Nicholson C, Iversen M D, Wright E A, Liang M H
Division of Rheumatology/Immunology, Brigham & Women's Hospital, Boston, MA, USA.
Br J Rheumatol. 1995 Nov;34(11):1064-9. doi: 10.1093/rheumatology/34.11.1064.
The effectiveness of an exercise prescription and unsupervised home exercise programme was tested on 37 subjects with rheumatoid arthritis and 34 with systemic lupus erythematosus. Subjects were randomly assigned to control or stationary bicycling at home, using loaned bicycles. Exercise subjects (with bicycles) did better than controls, but not significantly, on all outcomed measures (exercise tolerance test, fatigue, depression and helplessness) at 3 months. Bicycles were reclaimed at 3 months and all subjects in both groups given instructions for home exercise. Exercise in the second 3 months was predicted primarily by baseline exercise habits and fatigue. It is concluded that although safe, unsupervised home exercise programmes may benefit few patients. Future research should address methods of stimulating and maintaining unsupervised exercise programmes in patients with systemic rheumatic disease.
对37名类风湿性关节炎患者和34名系统性红斑狼疮患者测试了运动处方和无监督家庭运动计划的效果。受试者被随机分配到对照组或使用借来的自行车在家中进行固定自行车运动。在3个月时，运动组受试者（配备自行车）在所有结果指标（运动耐力测试、疲劳、抑郁和无助感）方面比对照组表现更好，但差异不显著。3个月时收回自行车，并向两组所有受试者提供家庭运动指导。第二个3个月的运动情况主要由基线运动习惯和疲劳程度预测。研究得出结论，尽管无监督家庭运动计划是安全的，但可能使很少患者受益。未来的研究应探讨在系统性风湿病患者中激发和维持无监督运动计划的方法。
