Postrehabilitation Functional Improvements in Patients With Inflammatory Myopathies: The Results of a Randomized Controlled Trial

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• 作者：Vincent Tiffreau ; MD ; PhD^a ; ^b ; ^{vincent.tiffreau@chru-lille.fr} ; Franç ; ois Rannou ; MD ; PhD^c ; Franç ; ois Kopciuch ; MD^a ; Eric Hachulla ; MD ; PhD^d ; ^e ; ^f ; Luc Mouthon ; MD ; PhD^g ; Philippe Thoumie ; MD ; PhD^h ; Jean Sibilia ; MD ; PhDⁱ ; Elodie Drumez^j ; André ; Thevenon ; MD ; PhD^a ; ^b
• 关键词：Myositis ; Quality of life ; Rehabilitation
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：98
• 期：2
• 页码：227-234
• 全文大小：728 K
• 卷排序：98

文摘

To evaluate the medium-term functional effect and the effect on quality of life of a standardized rehabilitation program in patients with inflammatory myopathies (IMs).DesignA multicenter, randomized controlled trial.SettingFour university hospitals.ParticipantsPatients (N=21) with polymyositis.InterventionsThe intervention group participated in a 4-week standardized, hospital-based rehabilitation program followed by a personalized, self-managed, home-based rehabilitation program. The control group received physiotherapy on an outpatient basis. Study participants were evaluated at inclusion, at the end of the rehabilitation program (1mo), and then at 6 and 12 months.Main Outcome MeasuresThe primary efficacy criterion was the Health Assessment Questionnaire Disability Index (HAQ-DI), and the secondary criteria were quality of life (according to the Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36] questionnaire), muscle performance (isokinetic strength, Motor Function Measure, and Kendall Manual Muscle Test), gait, pain, fatigue, and biomarkers of tolerance and disease activity.ResultsAt 12 months, the mean ± SD HAQ-DI was significantly lower in the intervention group than in the control group (.64±.53 vs 1.36±1.02; P=.026). The intervention group also had better scores than the control group for some quality-of-life dimensions (SF-36 General Health: 53.44±8.73 vs 36.57±22.10, respectively; P=.038; SF-36 Role Physical: 63.89±43.50 vs 17.86±37.40, respectively; P=.023) and pain levels (5.0±10.61 vs 33.38±35.68, respectively; P=.04) at 12 months. The program was well tolerated by all the participants.ConclusionsIn patients with IMs, the combination of a 4-week standardized rehabilitation program and a personalized, home-based, self-managed rehabilitation program was well tolerated and had a positive medium-term functional effect.