改善多发性硬化症患者的睡眠质量和心理状态的上下肢和呼吸练习计划:一个试点随机对照试验
Tanja Grubić Kezele1, Zrinka Trope2, Valentina Ahel2
1Department of Physiology and Immunology, University of Rijeka, Faculty of Medicine, Rijeka, Croatia.
概括
在患有多发性硬化症 (MS) 的个体中,一个为期8周的运动计划改善了睡眠质量,并减少了失眠,心理困扰和疲劳. 该计划表现出良好的可行性,需要进一步调查.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 多发性硬化症 (MS) 是一种慢性神经疾病,影响生活质量.
- 睡眠障碍,心理困扰和疲劳是MS患者常见和衰弱的症状.
- 目前对多发性硬化症症状的管理策略往往存在局限性,需要探索非药物干预措施.
研究的目的:
- 评估为患有多发性硬化症的个体实施8周运动计划的可行性.
- 调查该计划对睡眠质量,失眠严重程度和心理困扰的影响.
- 评估该计划对MS人口疲劳水平的影响.
主要方法:
- 一项受控的前后可行性研究,涉及24名多发性硬化症患者 (扩展残疾状况表[EDSS] 1.0-7.5).
- 参与者被分为运动组 (n=13) 和对照组 (n=11).
- 运动组在8周内每周两次进行上肢,下肢和呼吸练习,使用匹兹堡睡眠质量指数 (PSQI),失眠严重程度指数 (ISI),常规评估结果测量中的临床结果 (CORE-OM) 和修改疲劳影响量表 (MFIS) 进行评估.
主要成果:
- 与对照组相比,在运动组的失眠严重程度 (ISI) 和心理困扰 (CORE-OM) 中观察到有统计学意义的改善.
- 睡眠质量,特别是白天睡眠障碍 (PSQI),显著改善.
- 在运动组中,体力,认知和总疲劳影响 (MFIS) 显著减少.
结论:
- 这项为期8周的炼计划是可行的,并且在MS患者中对失眠,心理困扰和疲劳产生了显著的积极影响.
- 日间睡眠功能障碍的改善表明对睡眠质量有更广泛的积极影响.
- 这些发现支持进一步研究用于管理MS相关症状的运动干预措施.
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