在慢性阻塞性肺部疾病患者中进行家庭认知身体炼计划的可行性:可行性和试点随机对照试验的协议
Dmitry Rozenberg1,2, Josh Shore3, Encarna Camacho Perez3
1Respirology and Lung Transplantation, Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.
JMIR research protocols
|July 12, 2023
概括
这项研究探讨了一项家庭计划,将慢性阻塞性肺病 (COPD) 患者的认知和体力训练结合起来. 综合方法可以提高双重任务的能力,并改善COPD患者的日常活动.
科学领域:
- 肺部医学 肺部医学
- 神经康复疗法 神经康复疗法
- 老年学是一门学科.
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种渐进的疾病,导致身体和认知障碍,影响日常活动.
- 目前的肺部康复主要集中在体育训练上,忽视了导致功能限制的认知方面.
- 慢性肺炎患者的认知能力下降会影响与健康相关的生活质量 (HRQL) 和功能独立性.
研究的目的:
- 评估一个为期8周的家庭认知物理训练计划对中度至重度的COPD的可行性.
- 估计这种干预措施对身体和认知功能,双重任务性能,ADL和HRQL的初步疗效.
- 为未来的临床试验提供COPD综合培训方法的信息.
主要方法:
- 一项随机对照试验,涉及24名中度至重度COPD的参与者.
- 干预组:认知体育训练与单独的体育训练.
- 两组都接受了家庭体育炼;干预组还通过BrainHQ完成了每周5天的认知训练.
- 通过招募,坚持,满意度,消耗和安全性评估可行性;在基线,4周和8周评估有效性.
主要成果:
- 报名开始于2022年1月,预计报名时间为24个月.
- 预计数据收集将于2023年12月结束.
- 将对双重任务性能,身体功能,ADL和HRQL的初步疗效数据进行分析.
结论:
- 一个监督的家庭认知物理培训计划显示,它有望改善COPD患者的双重任务.
- 这种方法可能是一个可访问和有效的干预措施,以提高日常功能和生活质量.
- 对可行性和效果的估计对于设计COPD管理的未来临床试验至关重要.
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