Tele-Exercise as a Promising Tool to Promote Exercise in Children With Cystic Fibrosis

Tele-Exercise as a Promising Tool to Promote Exercise in Children With Cystic Fibrosis
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DOI:
10.3389/fpubh.2018.00269
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发表时间:
2018-09-28
影响因子:
5.2
通讯作者:
Radom-Aizik, Shlomit
Radom-Aizik, Shlomit
中科院分区:
医学3区
文献类型:
--
作者:
Chen, Jen Jen;Cooper, Dan M.;Radom-Aizik, Shlomit

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简介:接触暴露带来的交叉感染风险限制了囊性纤维化 (CF) 儿童的运动机会。本研究的目的是评估新的直播平台的可行性,该平台通过数字设备向 CF 儿童提供监督和互动的小组锻炼课程,同时避免接触暴露。方法:10 名 CF 儿童参加了为期 6 周的远程锻炼计划。该计划包括每周 3 次每次 30 分钟的课程,总共 18 次,包括有氧、阻力和灵活性练习。会议通过符合 HIPAA 的 VSee 远程医疗平台进行流式传输。讲师和参与者能够实时在线互动。心率 (HR) 监测器用于评估运动强度,目标是中等强度的体力活动 >= 10 分钟,占 70% 的训练时间。使用系统可用性量表 (SUS) 和定性调查问卷来衡量参与者的满意度和反馈。结果:参与者平均参加了 85% 的会议。在整个课程中,参与者进行 21.1 +/- 6.9 分钟的中等强度体力活动。十分之九的参与者在没有家长指导的情况下使用了锻炼平台。定性问卷和系统可用性量表(SUS)表明,所有参与者都喜欢远程锻炼项目,并对锻炼平台给予90.8分(满分100分)的高度评价(通过68分)。结论:远程锻炼平台是促进CF儿童锻炼的一种有前途的新方法。该在线平台允许在监督下进行虚拟团体锻炼体验,实现最佳参与,并且没有交叉感染的风险。这种方法可能被证明有助于加强运动疗法对 CF 儿童的治疗。
Introduction: Cross-infection risk from contact exposure limits exercise opportunities in children with cystic fibrosis (CF). The purpose of this study is to evaluate the feasibility of a new live-streamed platform which delivered supervised and interactive group exercise sessions to CF children via digital devices while avoiding contact exposure.Methods: Ten CF children participated in a 6-week tele-exercise program. The program consisted of three 30-min sessions per week for a total of 18 sessions and included aerobic, resistance, and flexibility exercises. Sessions were streamed via a HIPAA compliant VSee telemedicine platform. Instructors and participants were able to interact in real-time online. Heart rate (HR) monitors were used to evaluate exercise intensity with a goal of moderate-vigorous physical activity >= 10 min, 70% of the sessions. System usability scale (SUS) and qualitative questionnaires were used to gauge participants' satisfaction and feedback.Results: On average participants attended 85% of the sessions. For the overall sessions participants exercise 21.1 +/- 6.9 min at moderate-vigorous physical activity. Nine out of 10 participants used the exercise platform without parental guidance. Qualitative questionnaire and System Usability Scale (SUS) indicated that all participants enjoyed the tele-exercise program and highly rated the exercise platform 90.8 out of 100 (passing 68).Conclusions: Tele-exercise platform is a promising new approach to promote exercise in children with CF. The online platform allows supervised virtual group exercise experience with optimal participation and no risk for cross-infection. This approach might prove to be useful in enhancing the use of exercise as therapy in children with CF.