持续时间是否重要? 评估短期和长期远程医疗对功能运动障碍的影响
Angela Sandri1, Ilaria Antonella Di Vico1, Christian Geroin2
1Department of Neurosciences, Biomedicine and Movement Sciences, Neurology Unit, University of Verona, Verona, Italy.
Parkinsonism & related disorders
|July 10, 2025
概括
与12周相比,延长功能运动障碍 (FMDs) 的远程医疗24周持续感知改善. 这表明,较长的课程可能会提高患者在治疗口病时的自我认知.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 功能运动障碍 (FMDs) 是一种慢性神经疾病,影响期望,注意力和行动能力.
- 对于口和口病来说,长期管理至关重要.
- 虽然12周的远程医疗计划显示出有效性,但持续益处的最佳持续时间尚不清楚.
研究的目的:
- 为了比较延长24周远程医疗计划与标准12周口热管理计划的有效性.
- 评估远程医疗持续时间对运动和非运动症状,生活质量 (QoL) 和自我感知的影响.
主要方法:
- 52名口病患者接受了密集的康复治疗,随后进行了远程医疗.
- 参与者被随机分配到12周的标准远程医疗组 (对照组) 或24周的延长远程医疗组 (实验组).
- 包括运动/非运动症状,生活质量和自我感知在内的结果在基线,12周和36周被评估.
主要成果:
- 对于大多数结果,观察到显著的时间效应,除了心理健康 QoL.
- 对TAS-20的显著时间×组相互作用表明,对照组的减少在实验组中没有看到.
- 与实验组相比,对照组在36周后报告了自我感知改善的恶化.
结论:
- 扩展 FMD 的远程医疗计划,即使是每两周一次的会议,也可能维持患者感知到的改善.
- 观察到的感知改善和运动结果之间的断开可能与口和口病的改变期望和注意力有关.
- 需要进一步的研究来优化远程医疗的持续时间,以对口病进行管理.
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