A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome.

A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome.
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DOI:
10.1016/s0004-9514(05)70002-7
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发表时间:
2005
期刊:
The Australian journal of physiotherapy
影响因子:
--
通讯作者:
Hui DS
Hui DS
中科院分区:
其他
文献类型:
--
作者:
Lau HM;Ng GY;Jones AY;Lee EW;Siu EH;Hui DS

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本研究的目的是评估运动训练计划对严重急性呼吸综合征(SARS)康复患者的心肺和肌肉骨骼功能以及健康相关生活质量的有效性。为期6周的监督运动训练计划在一所大学教学医院的理疗科进行。其中包括 133 名从 SARS 复查诊所转诊至仅接受物理治疗的患者。测量和评估心肺健康(6 分钟步行测试、预测最大摄氧量的切斯特步测试)、肌肉骨骼性能(三角肌和臀肌等长肌力、握力、1 分钟弯举和俯卧撑测试)以及健康相关生活质量 (SF-36)。患者被随机分配到对照组(有关运动康复的标准化教育课程)或运动组。 6周后,运动组在6分钟步行测试(77.4 m vs 20.7 m,p < 0.001)、最大摄氧量(3.6 ml/kg/min vs 1 ml/kg/min,p = 0.04)和肌肉骨骼表现(握力、弯举和俯卧撑测试,p < 0.05)方面显示出显着更大的改善。对健康相关生活质量的影响没有统计学意义。结论是,运动训练计划可有效改善 SARS 康复患者的心肺和肌肉骨骼健康。然而,与健康相关的生活质量并没有受到体育锻炼的影响。
The aim of this study was to evaluate the effectiveness of an exercise training program on cardiorespiratory and musculoskeletal performance and health-related quality of life of patients who were recovering from severe acute respiratory syndrome (SARS). A 6-week supervised exercise training program was carried out in the physiotherapy department of a university teaching hospital. One hundred and thirty-three patients referred from a SARS Review Clinic solely for physiotherapy were included. Cardiorespiratory fitness (6-minute walk test, Chester Step Test for predicting VO2max), musculoskeletal performance (isometric deltoid and gluteal muscles strength, handgrip strength, 1-minute curl-up and push-up tests) and health-related quality of life (SF-36) were measured and evaluated. Patients were assigned randomly to either a control group (standardised educational session about exercise rehabilitation) or an exercise group. After 6 weeks, significantly greater improvement was shown in the exercise group in the 6-minute walk test (77.4 m vs 20.7 m, p < 0.001), VO2max (3.6 ml/kg/min vs 1 ml/kg/min, p = 0.04), and musculoskeletal performance (handgrip strength, curl-up and push-up tests, p < 0.05). Effects on health-related quality of life were not statistically significant. It was concluded that the exercise training program was effective in improving both the cardiorespiratory and musculoskeletal fitness in patients recovering from SARS. However, health-related quality of life was not affected by physical training.
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