自主干细胞移植后改善功能的预康复:试点随机对照试验 (PIRATE)
Amy M Dennett1,2, Judi Porter3, Stephen B Ting4,5
1School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia. amy.dennett@easternhealth.org.au.
概括
包括运动和营养在内的多学科预康复,显示出自主干细胞移植 (autoSCT) 后改善行走能力的希望. 这项试点研究发现,预康复是安全和可行的,支持进一步的研究.
科学领域:
- 在瘤学瘤学.
- 移植医学 移植医学
- 康复科学 康复科学 康复科学
背景情况:
- 自主干细胞移植 (autoSCT) 患者往往缺乏常规运动和营养支持.
- 在自动SCT人群中,预康复干预措施尚未得到充分探索.
- 这项研究解决了对自动SCT预康复疗法的有效性和安全性的证据的需求.
研究的目的:
- 评估接受自动SCT的患者预康复计划的效果,安全性和可行性.
- 改善身体能力和其他健康结果后自动SCT.
- 为更大,更确定的试验提供数据.
主要方法:
- 一项试点随机对照试验,将预康复 (运动和营养) 与通常护理进行比较.
- 在预康复组有11名参与者,在常规护理组有11名参与者.
- 测量结果包括身体能力 (6分钟步行测试),安全,坚持和生活质量.
主要成果:
- 在移植后4周,预康复显著提高了141米的行走能力.
- 观察到高招募率 (81%) 和坚持,没有重大不良事件.
- 偏好的结果包括体重改善和呼吸障碍和胃肠道症状的减少.
结论:
- 预康复是自动SCT患者的安全和可行的干预措施.
- 这种干预措施显示出增强行走能力和其他患者报告的结果的潜力.
- 结果支持进行更大规模的试验,以证实这些发现.
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