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在患有神经肌肉疾病的儿童中进行启发性肌肉训练
Anri Human1,2,3, Lieselotte Corten2,4, Eleonora Lozano-Ray5
1Department of Physiotherapy, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
The South African journal of physiotherapy
|September 4, 2024
概括
启发性肌肉训练 (IMT) 对患有神经肌肉疾病 (NMD) 的儿童来说是安全有效的,可以改善呼吸肌肉强度和咳. 这种干预措施为NMD患者的呼吸护理提供了一种具有成本效益的补充.
科学领域:
- 儿科肺病学 儿科肺病学
- 神经肌肉疾病 神经肌肉疾病
- 康复医学 康复医学 康复医学
背景情况:
- 患有神经肌肉疾病 (NMD) 的儿童经常经历渐进的呼吸道肌肉衰弱和无效的咳,导致显著的发病率和死亡率.
- 启发性肌肉训练 (IMT) 是一种治疗方法,旨在增强呼吸肌肉力量,并减轻这些脆弱患者的呼吸道并发症.
研究的目的:
- 评估一个为期3个月的启发性肌肉训练 (IMT) 计划在被诊断为神经肌肉疾病 (NMD) 的儿科患者中的安全性和有效性.
主要方法:
- 采用随机交叉研究设计,将3个月的IMT干预期与没有IMT的对照期进行比较.
- 参与者 (年龄在5-18岁) 每天两次以30%的最大吸入口腔压力 (Pimax) 执行30次呼吸,使用电子值装置.
主要成果:
- 23名患有NMD的儿童参与了这项研究;没有报告IMT相关的不良事件.
- 与非训练期相比,IMT导致最大吸入口腔压力 (Pimax) 和咳峰值流量的显著改善.
- 干预期和对照期之间的患者住院或呼吸道感染率没有显著差异. 螺旋测量结果没有显示显著变化.
结论:
- 3个月的IMT计划在患有NMD的儿童中是安全的,并且耐受良好.
- 在这个人群中,IMT证明了提高呼吸肌肉强度和咳有效性的有效性.
- 启发性肌肉训练为NMD儿童的呼吸管理提供了潜在的成本效益高的辅助疗法.
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