AEROBIC EXERCISE IN ADULT NEUROMUSCULAR REHABILITATION: A SURVEY OF HEALTHCARE PROFESSIONALS
AEROBIC EXERCISE IN ADULT NEUROMUSCULAR REHABILITATION: A SURVEY OF HEALTHCARE PROFESSIONALS
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DOI：
10.2340/16501977-2567
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发表时间：
2019-07-01
影响因子：
3.5
通讯作者：
Brehm, Merel A.
中科院分区：
文献类型：
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作者：
Voorn, Eric L.;Koopman, Fieke;Brehm, Merel A.
目的：评估目前有氧运动在成人神经肌肉康复中的应用。设计：横断面调查。参与者：荷兰康复专家和物理治疗师，在专门的中心缓慢进行性神经肌肉疾病和初级保健。方法：参与者收到了一份自行设计的，基于网络的问卷，包括27个封闭式问题，涵盖4类：受访者概况，有氧运动的应用，有氧运动处方的障碍，以及需要支持来改善有氧运动的应用。所有受访者（n = 52）规定有氧运动和各种神经肌肉疾病，大多数应用超过20分钟的会议，每周2天，为期9-16周，使用不同的运动模式和方法来达到目标强度。大多数（81%）同意有氧运动应纳入神经肌肉康复。然而，所有受访者都认为有氧运动在一个或多个领域的应用存在障碍，77%的受访者表示需要支持来改善这种类型的培训的应用，主要是关于筛选程序（54%）和运动计划的剂量（48%）。有氧运动被广泛应用，但我们的研究结果提高了人们对更多循证知识的必要性的认识，以便制定和实施成人神经肌肉康复指南。
Objective: To evaluate the current application of aerobic exercise in adult neuromuscular rehabilitation.Design: Cross-sectional survey.Participants: Dutch rehabilitation specialists and physical therapists in specialized centres for slowly progressive neuromuscular diseases and in primary care.Methods: Participants received a self-designed, web-based, questionnaire, including 27 close-ended questions covering 4 categories: respondent profile, application of aerobic exercise, barriers to prescribing aerobic exercise, and need for support to improve the application of aerobic exercise.Results: All respondents (n = 52) prescribed aerobic exercise and in a wide variety of neuromuscular diseases, mostly applying sessions of more than 20 min, 2 days per week, over a period of 9-16 weeks, using different exercise modes and methods to target intensity. The majority (81%) agreed that aerobic exercise should be incorporated into neuromuscular rehabilitation. However, all respondents perceived barriers to the application of aerobic exercise in one or more domains, and 77% of the respondents indicated needing support to improve application of this type of training, mostly with respect to screening procedures (54%) and dosing of exercise programmes (48%).Conclusion: Aerobic exercise is widely applied, yet our results raise awareness of the necessity of more evidence based knowledge, in order to develop and implement guidelines in adult neuromuscular rehabilitation.