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Physical training in children with osteogenesis imperfecta.
Van Brussel, Marco; Takken, Tim; Uiterwaal, Cuno S P M; Pruijs, Hans J; Van der Net, Janjaap; Helders, Paul J M; Engelbert, Raoul H H.
Afiliação
  • Van Brussel M; Department of Pediatric Physical Therapy and Exercise Physiology, University Hospital for Children and Youth Wilhelmina Kinderziekenhuis, University Medical Center Utrecht, Utrecht, The Netherlands.
J Pediatr ; 152(1): 111-6, 116.e1, 2008 Jan.
Article em En | MEDLINE | ID: mdl-18154911
OBJECTIVE: To study the effects of a physical training program on exercise capacity, muscle force, and subjective fatigue levels in patients with mild to moderate forms of osteogenesis imperfecta (OI). STUDY DESIGN: Thirty-four children with OI type I or IV were randomly assigned to either a 12-week graded exercise program or care as usual for 3 months. Exercise capacity and muscle force were studied; subjective fatigue, perceived competence, and health-related quality of life were secondary outcomes. All outcomes were measured at baseline (T = 0), after intervention (T = 1), and after 6 and 9 months (T = 2 and T = 3, respectively). RESULTS: After intervention (T = 1), peak oxygen consumption (VO2peak), relative VO2peak (VO2peak/kg), maximal working capacity (Wmax), and muscle force were significantly improved (17%, 18%, 10%, and 12%, respectively) compared with control values. Subjective fatigue decreased borderline statistically significantly. Follow-up at T = 2 showed a significant decrease of the improvements measured at T = 1 of VO2peak, but VO2peak/kg, Wmax, and subjective fatigue showed no significant difference. At T = 3, we found a further decrease of the gained improvements. CONCLUSION: A supervised training program can improve aerobic capacity and muscle force and reduces levels of subjective fatigue in children with OI type I and IV in a safe and effective manner.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Osteogênese Imperfeita / Consumo de Oxigênio / Educação Física e Treinamento / Tolerância ao Exercício / Força Muscular Tipo de estudo: Clinical_trials / Etiology_studies Aspecto: Patient_preference Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Osteogênese Imperfeita / Consumo de Oxigênio / Educação Física e Treinamento / Tolerância ao Exercício / Força Muscular Tipo de estudo: Clinical_trials / Etiology_studies Aspecto: Patient_preference Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos