Plain language summary What interventions promote physical activity in people living with neuromuscular disease? Review question We looked at the evidence on ways to increase physical activity in people with neuromuscular disease. We only included studies that measured physical activity as an outcome. We collected and analysed all relevant studies to answer this question. Background Physical activity includes any type of everyday activity, such as work, travel, or exercise. Based on well‐known health benefits, international guidance recommends that everyone does enough regular physical activity. This guidance is relevant to people with health conditions, including neuromuscular diseases, which affect the way that muscles and nerves work. However, many people with neuromuscular disease live with disability and face barriers to being more physically active. Research studies also sometimes exclude people who have health conditions. Study characteristics This review included 13 studies (795 participants from 12 studies; the number of participants was unclear in one study). The studies mostly involved adults who were able to walk, although our review question included people of any age who were able to move around with or without assistance. Only one study intervention had a stated aim to increase physical activity. The main focus of most studies was to assess the effects of physical activity interventions on other aspects of health, fitness, and well‐being. Interventions involved supported exercise or other types of physical activity, advice about being more active, or talking therapies that included changing everyday activity behaviour. Physical therapists and other health and fitness professionals provided the support for most interventions. Results and certainty of the evidence The evidence related to adults with nine different types of neuromuscular disease. All 13 studies planned to measure physical activity but the results from six studies were not reported or usable. We found important differences in the interventions and in the usual care provided in different places. We also found differences in how studies measured and reported outcomes. Missing information on physical activity may have affected the results. In terms of time spent physically active, we are uncertain whether any intervention promoted physical activity in people with neuromuscular disease. We are also uncertain about the impact of physical activity interventions on quality of life and any harms. However, we found no evidence that physical activity intervention increased serious harms. Our uncertainty in the evidence is due to limitations in study design and because the results were imprecise or did not directly address our review question. The evidence is current to 30 April 2020.
【저자키워드】 exercise, bias, humans, Health promotion, Quality of life, neuromuscular diseases, walking, Time factors, Resistance training, outcome assessment, health care, randomized controlled trials as topic, Health Promotion/methods, Muscle Stretching Exercises, Neuromuscular Diseases/rehabilitation,