Effects of activity strategy training on pain and physical activity in older adults with knee or hip osteoarthritis: a pilot study.
Effects of activity strategy training on pain and physical activity in older adults with knee or hip osteoarthritis: a pilot study.
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活动策略训练对患有膝关节或髋关节骨关节炎的老年人的疼痛和身体活动的影响：一项试点研究。
DOI：
10.1002/art.24105
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发表时间：
2008
影响因子：
--
通讯作者：
Wallis,SusanM
中科院分区：
文献类型：
--
作者：
Murphy,SusanL;Strasburg,DebraM;Lyden,AngelaK;Smith,DylanM;Koliba,JessicaF;Dadabhoy,DinaP;Wallis,SusanM
目的探讨活动策略训练（AST），结构化的康复计划，职业治疗师教，旨在教适应性策略的症状控制和参与体力活动（PA）。MethodsA随机对照试点试验进行了4个网站（3高级住房设施和1高级中心）在东南部，密歇根州南部。54名患有髋关节或膝关节骨关节炎的老年人（平均值± SD，年龄75.3 ± 7.1岁）参与了研究。在每个研究中心，老年人被随机分配到2个项目之一：运动加AST（Ex + AST）或运动加健康教育（Ex +艾德）。这些项目包括4周内的8次会议和6个月内的2次随访会议，并在每个研究中心同时进行。疼痛、总PA和PA强度在基线和后测时评估关节炎自我效能和身体功能（通过体动记录仪客观测量，通过老年人社区健康活动模型项目问卷主观测量）。接受Ex + AST治疗的受试者的客观峰值PA水平显著高于接受Ex + AST治疗的受试者，（P= 0.02）相比，参与者接受Ex + Ed。虽然没有统计学意义，参与者在Ex + AST往往有更大的疼痛减少，增加总的客观和主观PA，并增加身体功能。关节炎self-efficacy.ConclusionAlthough参与者参与了相同的运动计划，参与者谁收到AST往往有较大的增加PA在posttest相比，参与者谁收到健康教育。未来的研究将需要检查更大的样本和AST的长期影响。
ObjectiveTo examine effects of activity strategy training (AST), a structured rehabilitation program taught by occupational therapists and designed to teach adaptive strategies for symptom control and engagement in physical activity (PA).MethodsA randomized controlled pilot trial was conducted at 4 sites (3 senior housing facilities and 1 senior center) in southeastern, lower Michigan. Fifty‐four older adults with hip or knee osteoarthritis (mean ± SD age 75.3 ± 7.1 years) participated. At each site, older adults were randomly assigned to 1 of 2 programs: exercise plus AST (Ex + AST) or exercise plus health education (Ex + Ed). The programs involved 8 sessions over 4 weeks with 2 followup sessions over a 6‐month period, and were conducted concurrently within each site. Pain, total PA and PA intensity (measured objectively by actigraphy and subjectively by the Community Healthy Activities Model Program for Seniors questionnaire), arthritis self‐efficacy, and physical function were assessed at baseline and posttest.ResultsAt posttest, participants who received Ex + AST had significantly higher levels of objective peak PA (P= 0.02) compared with participants who received Ex + Ed. Although not statistically significant, participants in Ex + AST tended to have larger pain decreases, increased total objective and subjective PA, and increased physical function. No effects were found for arthritis self‐efficacy.ConclusionAlthough participants were involved in identical exercise programs, participants who received AST tended to have larger increases in PA at posttest compared with participants who received health education. Future studies will be needed to examine larger samples and long‐term effects of AST.
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身体活动对疾病的二级预防。
影响因子：
--
作者：
Katrine Karmisholt;P. Gøtzsche
通讯作者：
P. Gøtzsche
骨关节炎的非药物疗法。
DOI：
--
发表时间：
1997
期刊：
Baillière's Clinical Rheumatology
影响因子：
--
作者：
G. Bálint;B. Szebenyi
通讯作者：
B. Szebenyi
DOI：
10.1002/art.22098
发表时间：
2006-08-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Wilcox, Sara;Ananian, Cheryl Der;Brady, Teresa
通讯作者：
Brady, Teresa
影响因子：
4.2
作者：
Bellg, AJ;Borrelli, B;Czajkowski, S
通讯作者：
Czajkowski, S
影响因子：
3
作者：
Anthony K Clarke
通讯作者：
Anthony K Clarke