运动康复计划用于治疗关疼痛. 一个元分析
1Department of Medicine, Claude Pepper Older Americans Independence Center, University of Maryland at Baltimore, USA.
JAMA
|September 27, 1995
概括
运动康复显著改善了患有外周动脉疾病的患者的步行距离. 最佳的计划涉及更长的持续时间,更高的频率,并走到近最大的疼痛超过六个月.
科学领域:
- 心血管康复心血管康复
- 运动生理学 运动生理学
- 周围动脉疾病管理管理
背景情况:
- 周围动脉疾病 (PAD) 通常会在运动期间引起腿部疼痛,称为音.
- 运动康复是PAD的关键非药物治疗方法.
- 确定炼计划的有效组成部分对于患者的治疗结果至关重要.
研究的目的:
- 为了确定运动康复计划中哪些元素最有效地缓解PAD患者的关节痛.
- 为最佳的炼方案提供基于证据的建议.
主要方法:
- 系统审查和英语语言研究的元分析.
- 纳入标准侧重于在康复前后测量步行距离/时间的研究.
- 数据提取包括程序特征和患者结果.
主要成果:
- 运动康复增加了179%的关节开始距离和122%的最大疼痛距离.
- 持续时间较长 (>30分钟/会话),频率较高 (≥3次/周),作为运动行走,接近最大疼痛终点和>6个月长度的程序显示出最大的改善.
- 程序长度,疼痛终点和运动模式是改善的独立预测因素.
结论:
- 对PAD的最佳运动计划包括至少六个月的间歇性步行到接近最大的疼痛.
- 这些结构化炼方案应纳入间歇性音的标准医疗护理.
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