Self-monitoring has potential for home exercise programmes in patients with haemophilia
Self-monitoring has potential for home exercise programmes in patients with haemophilia
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DOI：
10.1111/hae.12355
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发表时间：
2014-03-01
期刊：
影响因子：
3.9
通讯作者：
Nitta, O.
中科院分区：
文献类型：
--
作者：
Goto, M.;Takedani, H.;Nitta, O.
由于儿童时期出血而不得不保持不运动生活方式的血友病患者可能缺乏运动的动力。本研究的目的是阐明血友病患者家庭运动自我监测的有效性。在日本的四家医院进行了为期8周的干预随机对照试验。研究对象包括32名年龄在26-64岁的无抑制剂的男性门诊患者，他们被随机分配到自我监测组和对照组。为改善两组患者的膝关节功能，均给予个体运动指导和体育活动。自我监控材料包括一个活动监测器和一个反馈系统，以便自我监控组可以通过互联网和手机发送反馈。自我监测通过检查运动依从性和身体活动水平、出血史和注射凝血因子进行。两组在运动依从性（P< 0.001）和身体功能方面均有显著改善，如膝关节伸直强度（P< 0.001）、膝关节伸直范围（P< 0.001）、踝关节背屈范围（P< 0.01）、改良的功能延伸（P< 0.05）和10米步态时间（P< 0.01）。与对照组相比，自我监测组在运动依从性（P< 0.05）、自我效能感（P< 0.05）和膝关节伸展强度（P< 0.05）方面的改善尤为显著。出血频率和疼痛程度未见增加。血友病患者家庭运动的自我监测有助于改善运动依从性、自我效能和膝关节伸展力量。
Haemophiliacs who have had to keep a physically inactive lifestyle due to bleeding during childhood are likely to have little motivation for exercise. The purpose of this study is to clarify the effectiveness of the self‐monitoring of home exercise for haemophiliacs. A randomized controlled trial was conducted with intervention over 8 weeks at four hospitals in Japan. Subjects included 32 male outpatients aged 26–64 years without an inhibitor who were randomly allocated to a self‐monitoring group and a control group. Individual exercise guidance with physical activity for improvement of their knee functions was given to both groups. The self‐monitoring materials included an activity monitor and a feedback system so that the self‐monitoring group could send feedback via the Internet and cellular phone. The self‐monitoring was performed by checking exercise adherence and physical activity levels, bleeding history and injection of a coagulation factor. Both groups showed significant improvements in exercise adherence (P< 0.001) and physical function such as the strength of knee extension (P< 0.001), range of knee extension (P< 0.001), range of ankle dorsiflexion (P< 0.01), a modified Functional Reach (P< 0.05) and 10 metre gait time (P< 0.01). In particular, improvements in exercise adherence (P< 0.05), self‐efficacy (P< 0.05), and strength of knee extension (P< 0.05) were significant in the self‐monitoring group compared with those in the control group. No increase in bleeding frequency and pain scale was noted. The self‐monitoring of home exercise for haemophilic patients is useful for the improvement of exercise adherence, self‐efficacy and knee extension strength.