Petra A. Nordby, Yndis A. Staalesen Strumse, Kathrine F. Frøslie and Johan K. Stanghelle
DOI: 10.2340/16501977-0088

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.
Design: A randomized controlled trial with a cross-over design. One period of intervention and one period of “life as usual”.
Patients: 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.
Conclusion: 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.