Effectiveness of an exercise therapy program based on sports in adults with acquired brain injury: a randomized controlled trial.

IF 3.6 2区 医学 Q1 REHABILITATION Archives of physical medicine and rehabilitation Pub Date : 2024-10-22 DOI:10.1016/j.apmr.2024.10.003
Andrea Gutiérrez Suárez, Marta Pérez Rodríguez, Cristina Silva José, Beatriz Rodríguez-Romero
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Abstract

Objective: To examine the effects of a sport-based exercise therapy program combined with usual care (sET+UC) compared with usual care alone (UC) on health-related quality of life, upper limb motor control, functional capacity, mobility, balance, and physical activity participation in ambulant adults with acquired brain injury (ABI).

Design: Single-blind, parallel-group, randomized controlled trial.

Setting: Rehabilitation center.

Participants: Twenty-three adults with ABI (82.6% stroke; 17 males; mean age of 59.6±10.3 yr) INTERVENTION: Participants received either sET+UC (n=11) or UC (n=12). The sET+UC group received sixteen 60-minute sessions of a sport-based ET program in addition to sixteen 60-minute sessions of usual care, whereas the UC group attended usual care only.

Main outcome measures: Primary outcome measures were health-related quality of life (Short Form-36, SF-36) and upper limb motor control (Fugl Meyer-Upper Extremity; FM-UE), while the secondary included functional capacity (6-Minute Walk Test, 10-Meter Walk Test), mobility (Timed Up and Go Test), balance (Berg Balance Scale) and physical activity participation (Global Physical Activity Questionnaire).

Results: Significant differences were found in all outcome analyses at post-intervention when comparing between groups. The sET+UC group showed significant improvements in both the physical (p=.027, r=.46) and mental component summary (p=.001, r=.71) of the SF-36 as well as FM-UE (p=.004, r=.60), with large effect sizes. In turn, all secondary outcomes were also significantly improved in this group (all p<.05 r>.05). In contrast, the UC group showed slight improvements in post-intervention scores but did not reach significance in any of these measures.

Conclusions: This study shows that a sport-based exercise therapy program combined with usual care can effectively improve all the aforementioned outcomes measures in ABI population. Further research with larger sample sizes and follow-up assessments is crucial to gain a more comprehensive understanding of the long-term effects of the intervention in this specific population.

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后天性脑损伤成人运动治疗计划的有效性:随机对照试验。
目的研究运动疗法项目与常规护理相结合(sET+UC)与单纯常规护理(UC)相比,对后天性脑损伤(ABI)成人的健康相关生活质量、上肢运动控制能力、功能能力、活动能力、平衡能力和体育活动参与度的影响:设计:单盲、平行组、随机对照试验:地点:康复中心:干预:参与者接受 sET+UC(11 人)或 UC(12 人)。sET+UC组除了接受16次60分钟的常规治疗外,还接受16次60分钟的体育ET项目治疗,而UC组只接受常规治疗:主要结果测量指标:与健康相关的生活质量(SF-36 短表)和上肢运动控制能力(Fugl Meyer-Upper Extremity; FM-UE),次要结果测量指标包括功能能力(6 分钟步行测试、10 米步行测试)、活动能力(定时上下楼测试)、平衡能力(Berg 平衡量表)和体育活动参与度(全球体育活动问卷):在干预后的所有结果分析中,各组之间均存在显著差异。sET+UC组在SF-36的体能(p=.027,r=.46)和精神部分总结(p=.001,r=.71)以及FM-UE(p=.004,r=.60)方面均有显著改善,且效应大小较大。反过来,该组的所有次要结果也都得到了显著改善(均为 p.05)。相比之下,UC 组的干预后得分略有提高,但在这些指标中均未达到显著性:本研究表明,以运动为基础的运动疗法项目与常规护理相结合,可有效改善 ABI 患者的上述各项指标。要想更全面地了解干预措施对这一特殊人群的长期影响,必须开展样本量更大的后续评估研究。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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