轻度慢性阻塞性肺部疾病的运动与手动治疗的长期益处:一项随机对照试验
Roger Mark Engel1, Peter Gonski, Subramanyam Vemulpad
1Author Affiliations: Department of Chiropractic, Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, Australia (Dr Engel); Southcare, Sutherland Hospital, Sydney, Australia (Associate Professor Gonski); Department of Natural Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, Australia (Associate Professor Vemulpad); School of Mathematical and Physical Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, Australia (Associate Professor Graham).
仅仅运动可以改善轻度慢性阻塞性肺病 (COPD) 患者的运动能力和生活质量. 将手动治疗 (MT) 添加到运动中,对COPD患者没有提供额外的益处.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 临床试验 临床试验
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响运动能力和生活质量 (QoL).
- 以前的研究表明,将运动与手动治疗 (MT) 结合起来,可以在中度慢性肺炎中提高运动能力,而不是单独运动.
- 这种结合方法在轻度慢性肺炎的疗效仍有待确定.
研究的目的:
- 调查手动治疗 (MT) 与运动的结合是否会在轻度COPD患者中比单独运动更大程度地提高运动能力和生活质量 (QoL).
主要方法:
- 一项随机对照试验涉及71名参与者 (年龄在50-65岁之间) 患有轻度慢性慢性肺炎.
- 参与者被分配到单独运动 (Ex) 组或手动治疗加运动 (MT + Ex) 组,持续16周.
- 结果措施包括肺功能 (FEV1,FVC),运动能力 (6分钟步行测试 [6MWT]),和QoL (圣乔治呼吸问卷 [SGRQ],医院焦虑和抑郁量表 [HADS]).
主要成果:
- 随着时间的推移,在肺功能,炼能力或QoL方面没有观察到群体之间的显著差异.
- 然而,在6MWT,SGRQ和HADS焦虑评分中,在整个队列中,在48周后注意到了临床上有意义的改善.
- 这些改善表明研究的干预措施的持续益处.
结论:
- 将手动治疗 (MT) 添加到炼中,对于轻度COPD的患者来说,没有提供额外的益处.
- 仅仅运动就证明了该人口的运动能力和生活质量的持续,适度的改善.
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