背景:有强有力的证据表明运动对多发性硬化症(MS)患者的益处,然而,高达80%的MS患者报告说,随着体温升高,症状加剧。已经研究了一系列帮助MS患者管理热敏感性症状的降温服装。因此,这项系统评价的目的是评估降温服装改善MS患者身体功能的效果,并确定任何相关的生理和知觉反应。
方法:进行了符合PRISMA指南的系统评价。资格标准要求调查必须进行随机对照试验或交叉研究,以评估降温服装改善身体功能的效果。或相关的生理或感知测量,在与女士的人
结果:确定了13项实证研究,急性交叉设计的妥协(61.5%),纵向平行组设计(23.1%)或两者的组合(15.4%)。研究包括384名MS参与者,其残疾状况量表范围为1-7.5。服装包括液体灌注的冷却背心/上衣/头巾(50.0%),相变冷却背心(38.9%),冷却大腿袖口(5.6%)和手掌冷却装置(5.6%)。冷却服装有效地提高了步行能力和功能流动性,一些研究证明了肌肉力量和平衡的改善,但不是手动灵巧。这些服装还提高了核心温度,皮肤温度,热感觉和主观疲劳。在温带和温暖的条件下发生了改善,有和没有运动刺激。
结论:降温服装可以改善MS患者的身体机能。由于没有一件冷却服装造成伤害,没有特别的冷却服装可以被认为是优越的,患有MS的人应该尝试不同的冷却服装,以确定他们的偏好,行业应该专注于冷却有效的服装,可访问和用户友好。
BACKGROUND: There is strong evidence for the benefits of exercise for people with Multiple Sclerosis (MS), however, up to 80% of people with MS report experiencing exacerbated symptoms with elevated body temperatures. A range of cooling garments to assist people with MS manage symptoms of heat sensitivity have been investigated. Therefore, the aim of this systematic
review was to assess the effect of cooling garments to improve physical function in people with MS, and to determine any associated physiological and perceptual responses.
METHODS: A systematic
review adhering to the PRISMA guidelines was performed. The eligibility criteria required investigations to have conducted a randomized controlled trial or cross-over study to assess the effect of a cooling garment to improve physical function, or a related physiological or perceptual measure, in people with MS.
RESULTS: Thirteen empirical studies were identified, compromising of acute cross-over designs (61.5%), longitudinal parallel group designs (23.1%) or a combination of both (15.4%). The studies included 384 participants with MS with an expanded disability status scale range of 1-7.5. Garments included liquid-perfused cooling vests/tops/hoods (50.0%), phase-change cooling vests (38.9%), a cooling thigh-cuff (5.6%) and a palm cooling device (5.6%). The cooling garments were effective at improving walking capacity and functional mobility, and some studies demonstrated improvements in muscular strength and balance, but not manual dexterity. The garments also resulted in improved core temperature, skin temperature, thermal sensation and subjective fatigue. Improvements occurred in temperate and warm conditions, and both with and without an exercise stimulus.
CONCLUSIONS: Cooling garments can improve physical function for people with MS. Since none of the cooling garments caused harm, and no particular cooling garment could be identified as being superior, people with MS should experiment with different cooling garments to determine their preference, and industry should focus on cooling garments that are effective, accessible and user-friendly.