癫痫患者坚持运动

IF 1.5 Q3 REHABILITATION European Journal of Physiotherapy Pub Date : 2022-02-11 DOI:10.1080/21679169.2022.2038264
S. Vooturi, A. Lakshmi, S. Jayalakshmi
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引用次数: 4

摘要

摘要目的我们评估成年癫痫患者(PWE)对量身定制的短期家庭锻炼计划的依从性,并通过抗癫痫药物(ASM)控制癫痫发作。方法116例PWE患者的人口学、临床、生活质量和体质资料。参与者被要求进行为期3个月的量身定制的家庭锻炼。在随访中,使用自我报告的运动依从性评定量表(EARS)评估对运动的依从性。结果研究人群的平均年龄为29.93岁 ± 10.20(18-52)岁;女性46例(39.6%)。在登记时,没有一名参与者报告有体育活动,平均体重指数(BMI)为28.40 ± 5.79(18.2-41.4)。6分钟步行测试中的平均步行距离为385.95 ± 63.48(240–510)米。在生活质量分析中,平均身体成分得分为45.57 ± 8.72(25.7-62.6),心理成分核心为45.41 ± 10.37(20.9-64.9)。在EARS中,31名(26.7%)参与者报告按照建议进行了锻炼。在不坚持锻炼的PWE中,68人(58.6%)表示担心可能会癫痫发作作为锻炼的障碍,63人(54.3%)表示缺乏家人和朋友的支持。不怕运动(r = 0.640;p < 0.001)和家人的鼓励与坚持锻炼有关(r = 0.463;p < 0.001)。结论四分之一的PWE患者坚持家庭体育锻炼。PWE中不遵守锻炼是多因素的,家人和朋友的支持以及咨询可能会有所帮助。试验注册CTRI/2014/10/005125
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Adherence to exercise in people with epilepsy
Abstract Objective We evaluate adherence to tailor made, short-term home exercise programme in adult people with epilepsy (PWE), with seizures controlled on anti-seizure medications (ASM). Methods Demographic, clinical, quality of life (QoL) and physical fitness data of 116 PWE. Participants were prescribed tailor-made home-based exercises for 3 months. At follow-up, adherence to exercise was evaluated using self-reported Exercise Adherence Rating Scale (EARS). Results Average age of the study population was 29.93 ± 10.20(18–52) years; with 46 (39.6%) women. At enrolment, none of the participants reported to be physically active and the average body mass index (BMI) was 28.40 ± 5.79(18.2–41.4). The average distance walked in a six-minute walk test was 385.95 ± 63.48(240–510) metres. On QoL analysis, the mean Physical component score was 45.57 ± 8.72(25.7–62.6) and Mental component core was 45.41 ± 10.37(20.9–64.9). On EARS, 31(26.7%) participants reported doing exercises as recommended. Among PWE who were non-adherent to exercise, 68(58.6%) reported fear of possible seizure as a barrier for exercise, 63(54.3%) reported lack of support from family and friends. Having no fear about exercise (r = 0.640; p < 0.001) and encouragement of family were associated with adherence to exercise (r = 0.463; p < 0.001). Conclusion Adherence to home-based physical exercise is reported in one-fourth of PWE. Non-compliance to exercise in PWE is multi-factorial, support from family and friends and counselling may be helpful. Trial Registration CTRI/2014/10/005125
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CiteScore
2.80
自引率
0.00%
发文量
29
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