多発性硬化症におけるイソキネティック運動のバランス,プロピオセプション,生活の質,およびキネシオフォビアへの影響
Melek A Selcuk1, Burcu D Cakit2, Ufuk Ergun3
1Department of Physical Medicine and Rehabilitation, Physical Therapy and Rehabilitation Hospital, Ankara Etlik City Hospital, Ankara, Turkey.
Neurodegenerative disease management
|September 2, 2025
まとめ
多発性硬化症 (PwMS) の患者のバランスと生活の質は 家庭での運動よりも 顕著に改善されました この標的型筋肉強化は 安全で効果的なリハビリテーションアプローチです
科学分野:
- 神経学
- リハビリテーション医学
- 運動 生理学
背景:
- 多発性硬化症 (MS) は 慢性神経疾患で バランス,移動,生活の質に 影響を及ぼします
- 転倒恐怖症や運動恐怖症は MS (PwMS) の患者に多く見られ,機能をさらに制限する.
- ターゲットを絞った筋肉強化は,MSに関連した機能的低下を緩和する可能性があります.
研究 の 目的:
- PwMSにおけるイソキネティック・ハムストリングと四頭筋筋 (IHGM) 強化の有効性を比較する.
- バランス,自己感受,転倒恐怖症,生活の質への影響を評価する.
主な方法:
- 参加者はIHGM強化または家庭運動プログラムを受けていました.
- 評価されたアウトカムには,アイソキネティックな筋肉の強さ,バランス (ベルグバランススケール),歩行 (ダイナミック・ガート・インデックス,10メートル歩行テスト),転倒の有効性,生活の質 (MSQoL-54),運動恐怖症 (TSK-17) が含まれていた.
- 介入前と介入後の評価が行われました.
主要な成果:
- アイソキネティック運動は,ベルグバランススケールスコア (p=0. 008) とMSQoL-54物理スコア (p=0. 006) で著しく改善しました.
- 影響が少ない足の四頭筋の強さは,アイソキネティックトレーニングで著しく改善した (p=0. 001).
結論:
- イソキネティック運動は,PwMSの筋肉の強さ,生活の質,バランスを改善するための安全で効果的な介入です.
- このアプローチは合併症やMS症状の悪化を 引き起こすことなく実施できます
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