title: Patients with neuromuscular diseases benefit from treatment in a warm climate.
abstract: OBJECTIVE
  Several studies have shown positive effects of treatment of chronic diseases in a warm climate. The aim of this study was to evaluate the long-term effect of a 4-week rehabilitation programme in a warm climate for patients with neuromuscular diseases.
  
  
  METHODS
  A randomized controlled trial with a cross-over design. One period of intervention and one period of "life as usual".
  
  
  METHODS
  A total of 60 persons with a neuromuscular diagnosis.
  
  
  METHODS
  Long-term effects were defined as changes in physical and psychological functions persisting after 3 months. Several scales were used according to the World Health Organization's classification of functioning.
  
  
  RESULTS
  A comparison of the changes in the 2 periods showed significantly better results for all primary outcome scales in favour of the intervention. Mean difference in changes in pain (VAS scale), 6-min walking test and "timed up and go" were 9.0 (SD 28.8) units, 52 (75) m and 1.0 (2.3) sec, p = 0, 03, < 0.01 and 0.01, respectively. Median difference in changes in "Fatigue Severity Scale" and "Life Satisfaction Scale" were 0.4 (-0.5, 1.7) and 0.0 (0.0, 1.0), p = < 0.01 and 0.01, respectively.
  
  
  CONCLUSIONS
  This study shows positive long-term effects on different dimensions of health after a 4-week rehabilitation programme in a warm climate for patients with neuromuscular diseases. This effect might be due to the programme, the warm climate, or a combination of both.
authors.affiliation: Sunnaas Rehabilitation Hospital, University of Oslo, Norway. petra.ahlvin@sunnaas.no
authors.forename: Petra A
authors.initials: PA
authors.lastname: Nordby
authors.forename: Yndis A
authors.initials: YA
authors.lastname: Staalesen Strumse
authors.forename: Kathrine F
authors.initials: KF
authors.lastname: Frøslie
authors.forename: Johan K
authors.initials: JK
authors.lastname: Stanghelle
mesh_terms: D000328:Adult; D002980:Climate; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009468:Neuromuscular Diseases / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D017063:Outcome Assessment, Health Care; D013696:Temperature; D013997:Time Factors; D016896:Treatment Outcome