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首页> 外文期刊>BMC Musculoskeletal Disorders >A prospective pilot study to evaluate an animated home-based physical exercise program as a treatment option for patients with rheumatoid arthritis
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A prospective pilot study to evaluate an animated home-based physical exercise program as a treatment option for patients with rheumatoid arthritis

机译:一项前瞻性前瞻性研究,以评估基于动画的家庭体育锻炼计划作为类风湿关节炎患者的治疗选择

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摘要

Background Physical exercises and physiotherapy are of great importance for maintenance of joint function in patients with rheumatoid arthritis (RA). However, many RA patients complain about problems to receive prescriptions or have a lack of access to physiotherapy. Recent reports have shown positive effects of the Wii game console on physical and psychosocial conditions of patients with other underlying diseases. The primary objectives of this prospective controlled pilot study were to investigate feasibility and patients’ assessment using an animated home-based exercise program. Method This pilot study was conducted as a single-center, cross-over trial with two treatment arms over 24?weeks. Eligibility criteria included patients with RA reaching low disease activity under therapy with a biological disease modifying anti-rheumatic drug (bDMARD). After detailed instruction, 15 patients started with a conventional home-based physical exercise program and 15 patients began with a predefined animated exercise program by using the Wii game console for 12?weeks. Afterwards, patients were crossed-over to the other treatment arm for another period of 12?weeks. Multi-methodical assessments were performed by qualitative analysis of the interview-data as well as statistical analysis of functional tests and patient reported outcomes (PRO’s). Results Evaluation of the interviews indicated feasibility and usefulness of the chosen animated home-based exercise program. Forefoot disabilities were identified as a main limiting factor for performing some of the animated exercises. After 12?weeks, both treatment arms showed improvement of functional tests without significant differences between groups: Overall muscle strength improved for a mean value of 10 Newton (+12?%) and the mean 6-min walk test (6-MWT) distance increased for 28 meters (+5?%). Conclusion This study showed that an animated home-based exercise program by using a Wii game console was feasible and beneficial for RA patients. Compared to standard physical home exercises, similar effects were observed indicating that such an animated program might be an alternative supportive option for RA patients. Trial registration ClinicalTrials.gov ID: NCT02658370 (19-Jan-2016).
机译:背景体育锻炼和理疗对于维持类风湿关节炎(RA)患者的关节功能非常重要。但是,许多RA患者抱怨接受处方有问题或缺乏理疗手段。最近的报道表明,Wii游戏机对患有其他潜在疾病的患者的身体和心理状况具有积极作用。这项前瞻性对照试验研究的主要目标是使用基于动画的家庭锻炼程序来调查可行性和患者评估。方法该试验研究是作为一个单中心,交叉试验,在24周内使用两个治疗臂进行。入选标准包括患有RA的患者在接受生物疾病修饰抗风湿药(bDMARD)的治疗后疾病活动度较低。经过详细的指导,有15位患者开始使用Wii游戏机进行常规的基于家庭的体育锻炼程序,并有15位患者开始使用预定义的动画运动程序进行12周的锻炼。之后,将患者转移到另一个治疗组另外12周。通过对访谈数据进行定性分析,以及对功能测试和患者报告的结局(PRO)进行统计分析,从而进行多方法评估。结果对访谈的评估表明,选择的基于动画的家庭锻炼程序的可行性和实用性。前脚残疾被确定为进行某些动画锻炼的主要限制因素。 12周后,两个治疗组的功能测试均改善,各组之间无显着差异:整体肌肉力量得到改善,平均值为10牛顿(+ 12%),平均步行6分钟(6-MWT)增加了28米(+ 5%)。结论这项研究表明,使用Wii游戏机进行基于家庭动画的锻炼程序是可行的,并且对RA患者有益。与标准的体育锻炼相比,观察到相似的效果,表明这种动画程序可能是RA患者的另一种支持选择。试用注册ClinicalTrials.gov ID:NCT02658370(2016年1月19日)。

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