风湿性关节炎和结性脊柱炎患者的平衡障碍
Ali Erman Kent1, Emre Gürses2, Figen Karabekiroğlu3
1Department of Audiology, Ondokuz Mayıs University, Samsun, Turkey.
Current rheumatology reviews
|August 29, 2023
概括
类风湿性关节炎和结性脊柱炎患者表现出内耳前庭功能障碍,影响平衡. 这需要有针对性的前体康复,以改善姿势稳定性和降低跌倒风险.
科学领域:
- 类风湿病学 类风湿病学
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 类风湿性疾病,如类风湿性关节炎 (RA) 和缩性脊柱炎 (AS) 与平衡缺陷和落风险增加有关.
- 静脉管功能障碍是这些患者平衡障碍的潜在因素.
- 了解RA和AS对前庭功能的特定影响对于有效管理至关重要.
研究的目的:
- 研究类风湿性关节炎 (RA) 和缩性脊柱炎 (AS) 对姿势平衡的影响.
- 在RA和AS患者中评估前庭功能和平衡之间的关系.
- 为了确定前庭功能障碍是否有助于这些类风湿病的平衡障碍.
主要方法:
- 一项涉及78名参与者的研究:34名RA患者,24名AS患者和20名健康对照.
- 客观评估前庭功能使用宫前庭唤起肌原潜力 (cVEMP).
- 使用头障碍清单 (DHI) 对头的主观评估和使用伯格平衡量表 (BBS) 对平衡的评估.
主要成果:
- 与对照组相比,在RA和AS组中观察到延长的VEMP延迟 (N1和P1) 和增加的广度不对称比率 (AAR).
- 在AS,RA和对照组之间发现了N1延迟的显著差异.
- 附属组的BBS平均得分低于跌倒风险值,延迟延长和BBS得分之间存在负相关性.
结论:
- 异常的cVEMP发现表明RA和AS患者的内耳前庭系统功能障碍.
- 这种前体损伤显著导致这些类风湿性疾病患者的姿势失衡.
- 专注的前庭康复计划被推用于管理平衡缺陷和降低RA和AS患者的跌倒风险.
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