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物理治療

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篇名 運動、生活模式改變及儀器治療對於小兒麻痺患者之體適能和小兒麻痺後期症候群之療效:統合分析
卷期 33:6
並列篇名 Effects of Exercise Training, Lifestyle Modification and Modality on Fitness and Post-polio Syndrome in Polio Survivors: Meta Analysis
作者 林吟亮李晶邱亭熒李淑貞李雪楨蔡美文王子娟
頁次 409-420
關鍵字 ModalityMeta-analysisLifestyle modificationExercise trainingPolio survivors統合分析儀器治療生活模式改變運動訓練小兒麻痺倖存者TSCI
出刊日期 200812

中文摘要

背景與研究目的:小兒麻痺患倖存者在發生急性脊髓灰白質炎的數年後,出現了新的問題,例如疲勞,新發生的肌肉無力,肌肉與關節疼痛等。這些症狀稱作小兒麻痺後期症候群。這些進行性的症狀會影響小兒麻痺倖存者的日常生活能力,例如走路,上樓梯與穿衣。許多的治療建議用於減輕他們的症狀,包括運動訓練,生活模式改變,新輔具的使用與儀器的治療。但是,目前並沒有清楚的確認上述治療的療效。因此,本篇的目的為:以統合分析的方式探討運動訓練、生活模式改變、輔具使用、儀器治療對於小兒麻痺倖存者體適能與小兒麻痺後期症候群症狀的療效。方法:利用EMBASE、MEDLINE、CINAHL、CEPS等資料庫進行文獻搜尋,並以肌力、心肺功能、疲勞與疼痛為主要的探討變項。結果:肌力訓練運動顯示無法顯著增加肌肉力量,但有氧運動可以明顯增進心肺功能;另外,生活模式改變、居家運動及儀器治療對於減輕疼痛是有效的,但生活模式的改變對於疲勞的減輕是無效的。結論:統合分析的結果包含:有氧運動訓練可以增加小兒麻痺倖存者的心肺功能;生活模式改變、居家運動與儀器治療可減輕其疼痛。但是仍然需要大型及設計良好的實驗來證實肌力訓練運動,生活模式改變,儀器治療與輔具使用對於小兒麻痺倖存者的療效。

英文摘要

Background and Purpose: Polio survivors complain of new health problems, such as fatigue, weakness, muscle pain or joint pain after several years of acute poliomyelitis, known as post- polio syndrome (PPS). Rehabilitation programs are commonly recommended to alleviate their symptoms but the effects of these interventions have not been clearly identified. Therefore, the meta-analysis was conducted to assess the effectiveness of exercise training, lifestyle modification, assistive technology, and modalities on fitness and post-polio syndromes in polio survivors. Methods: The search was conducted with the online electronic databases: EMBASE, MEDLINE, CINAHL, and CEPS. The primary outcome measures included muscle strength, cardiopulmonary capacity, fatigue, and pain. The pre- and post-treatment means and standard deviation were used to compute the effect size. Results: Strengthening exercises showed no significant improvement in muscle strength, but aerobic exercise training showed significant improvement in maximal oxygen consumption (VO(subscript 2max), peak workload (W(subscript peak)). maximal heart rate (HR(subscript max), and maximal minute ventilation (VE(subscript max). Furthermore, lifestyle modification, exercise and modality were effective on pain, not on fatigue. Conclusions: The results of the meta-analysis conclude that aerobic exercise training could improve cardiopulmonary capacity; lifestyle, modification, exercise and modality intervention could alleviate pain in polio survivors.

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