深圳市重度残疾人居家康复体育活动的健康效益

doi:10.3969/j.issn.1006-9771.2024.05.013

Abstract

Abstract:

Objective To analyze the needs and current situation of home-based exercise rehabilitation for people with disabilities, develop service plans for different types of disabilities, and assess its health benefits for people with severe disabilities.

Methods Based on the World Health Organization (WHO) Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World and WHO Guidelines on Physical Activity and Sedentary Behavior, functional and individualized home-based exercise rehabilitation plans for people with severe disabilities were developed. Begining from May, 2023, a six-month intervention was conducted for 37 people with severe disabilities. They were assessed with International Physical Activity Questionnaire (IPAQ), WHO Disability Assessment Schedule 2.0 (WHODAS 2.0), WHO Quality of Life (WHOQOL-BREF) before and after intervention.

Results The time of low-intensity leisure physical activity of IPAQ increased after intervention, while the scores of domains of cognition, mobility, self-care, getting along, life activities and participation, and total score of WHODAS 2.0 decreased, and the scores of physical health, psychological health, independence, and environment dimensions, and total score of WHOQOL-BREF increased.

Conclusion The functioning-oriented and individualized home exercise rehabilitation program can improve the level of physical activity, enhance the level of activity and boost the quality of life for people with severe disabilities.

Key words: people with severe disabilities, home-based rehabilitation, exercise rehabilitation, health benefits

CLC Number:

G812.49

YANG Yaru, YANG Jian, QIU Fubing, SONG Beibei, WANG Shaopu, XIAO Xiaofei, PENG Yifeng. Health benefits of home-based exercise rehabilitation for people with severe disabilities in Shenzhen, China[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 586-590.

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References 22

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领域	n	干预前	干预后	t值	P值
认知	37	54.46±26.89	34.86±14.31	8.359	< 0.001
活动性	37	61.49±26.62	46.28±20.91	8.204	< 0.001
自我照护	37	63.78±23.61	45.95±19.07	7.554	< 0.001
与他人相处	37	65.54±25.24	51.58±15.94	6.591	< 0.001
与生活相关的各项活动(1)	37	73.24±23.69	53.78±12.99	7.106	< 0.001
与生活相关的各项活动(2)	37	60.62±20.80	45.75±12.31	6.970	< 0.001
社会参与	37	68.58±14.25	47.07±9.72	13.094	< 0.001
总分	37	21.62±3.56	12.34±2.03	8.311	< 0.001

领域	n	干预前	干预后	t值	P值
生理	37	13.84±1.18	15.33±0.72	-8.688	< 0.001
心理	37	14.38±1.74	16.99±0.93	-10.261	< 0.001
独立性	37	18.54±2.43	23.84±1.09	-12.868	< 0.001
环境	37	14.68±2.15	19.66±1.05	-16.718	< 0.001
总分	37	11.57±2.12	16.92±1.46	-14.704	< 0.001

Health benefits of home-based exercise rehabilitation for people with severe disabilities in Shenzhen, China

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