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Author/Association: Nygard M, Brobakken MF, Taylor JL, Reitan SK, Guzey IC, Morken G, Lydersen S, Vedul-Kjelsas E, Wang E, Heggelund J
Title: Strength training restores force-generating capacity in patients with schizophrenia [with consumer summary]
Source: Scandinavian Journal of Medicine & Science in Sports 2021 Mar;31(3):665-678
Method: clinical trial
Method Score: 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*
Consumer Summary: PERSPECTIVE: The lack of improved Patient Activation Measure-13 score suggest that after 12 weeks with comprehensive support, supervision and learning, the patients still found it difficult to take responsibility for the exercise themselves. This underscores the challenge people with schizophrenia experience regarding motivation, perseverance and initiative, implying that exercise training should be a part of the health care services responsibility. The CG received two initial training sessions to learn how to exercise as well as economical compensation. Still, there were strong benefits towards the supervised training program and adherence support offered to the TG. It can be argued that the adherence support needed is comprehensive and costly, thus facing the pressure to constrain resources in the health care sector. However, schizophrenia is a serious mental illness associated with severe physical health issues and a high economic burden due to extensive use of health care services and lack of productivity. It seems that making the training attendance easy by offering transportation and/or economical compensation is of importance to facilitate adherence. Importantly, despite heterogeneity in symptom severity, illness duration and patient confidence in self-management of physical health, most patients in the TG completed the training period and significantly improved their lower extremity force-generating capacity.
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