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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

34
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
34
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

492
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
492
Arteries of Lower Limbs01:20

Arteries of Lower Limbs

2.3K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
2.3K
Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

990
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
990
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

43
 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
43
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

32
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
32

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関連する実験動画

Updated: Sep 10, 2025

Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
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Published on: October 11, 2024

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多発性硬化症の患者における上肢と下肢の機能の違い

Heather M DelMastro1, Laura B Simaitis2, Ashley Constantine2

  • 1Mandell Center for Multiple Sclerosis, Mount Sinai Rehabilitation Hospital, Trinity Health Of New England, 490 Blue Hills Ave., Hartford, CT, United States; Department of Rehabilitation Medicine, Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Road, North Haven, CT, USA.

Multiple sclerosis and related disorders
|August 21, 2025
PubMed
まとめ

血管関連疾患は多発性硬化症 (MS) の患者の機能,特に歩行と上肢の調整を悪化させる. 糖尿病は MS (PwMS) の人の歩行速度と移動能力に大きく影響します.

キーワード:
機能多発性硬化症上肢血管の併発性ウォーキングとバランス

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科学分野:

  • 神経学
  • 血管医学
  • リハビリテーション科学

背景:

  • 多発性硬化症 (PwMS) の患者は,一般人よりも血管関連疾患がより一般的です.
  • PwMSにおける肢体の機能に対する血管疾患の影響に関する研究は限られている.

研究 の 目的:

  • 血管性併発症と併発症のないPwMSにおける上肢 (UL) と下肢 (LL) の機能を比較する.
  • ULまたはLL機能障害に関連する特定の併発症を特定する.

主な方法:

  • 横断的な研究の二次分析
  • 評価されたLL機能 (25フィートのタイムウォーク,タイムアップとゴー) とUL機能 (指と鼻のテスト,ナインホールペグテスト,グリップ強さ,ボックスとブロックテスト).
  • データを分析するために二変数統計と調整された線形回帰を用いた.

主要な成果:

  • 血管共同疾患のPwMSは,機能的パフォーマンスを低下させました.
  • 血管共同疾患は,コバリアート調整後の歩行速度 (T25FW),移動能力 (TUG),UL調整 (FNT) の劣化と相関する.
  • 糖尿病はT25FWとTUGのパフォーマンスの低下と有意に関連していました.

結論:

  • 血管疾患は,歩行,バランス,運動能力,UL調整におけるMSに関連する機能的欠陥を悪化させる.
  • 糖尿病は歩行や移動能力の低下の重要な要因です.
  • 血管疾患と多発性硬化症の組み合わせを強調し 個別的なケアプランを策定しました