在多发性硬化症中,膀功能,盆地肌肉强度,跌倒和疲劳之间的关系
Halime Ceren Tezeren1, Ilke Keser2, Ilker Sen3
1Baskent University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.
Multiple sclerosis and related disorders
|October 1, 2023
概括
患有多发性硬化症 (MS) 和轻度膀问题的患者体验到的疲劳和跌倒的恐惧较少,以及较强的骨盆底肌肉和更好的生活质量,与中度至严重膀功能障碍患者相比.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 多发性硬化症 (MS) 显著影响神经功能,往往导致膀功能障碍.
- 在MS中膀问题可能会影响疲劳,生活质量 (QoL) 和跌倒风险.
- 盆地肌肉 (PFM) 的强度是影响这些症状的潜在因素.
研究的目的:
- 调查膀功能严重程度与PFM强度,疲劳,QoL和患MS (PwMS) 患者跌倒恐惧之间的关系.
主要方法:
- 根据扩展残疾状态量表 (EDSS) 膀分数,PwMS被分为两组:轻度 (0-1) 和中度/重度 (2-4).
- 评估的PFM强度 (EMG-生物反),跌倒的恐惧 (跌倒效率尺度 - FES-I),疲劳 (疲劳严重程度尺度 - FSS) 和 QoL (泌尿器官痛苦清单 - UDI-6,失禁影响问卷 - IIQ-7).
主要成果:
- 46名女性PwMS参与其中. 轻度受影响的患者 (第一组) 比中度/严重受影响的患者 (第二组) 显示出明显更好的结果.
- 第一个组的PFM强度较高 (79.5比41.7),FSS得分较低 (38.7比54),FES-I得分较低 (16.9比40.2),UDI-6得分较低 (4.24比8.42),IIQ-7得分较低 (3.64比18.2).
- 统计学上显著的差异 (p<0.05) 证实了轻度受影响组的疲劳减少,跌倒风险降低,PFM强度增加,并改善了QoL.
结论:
- 在MS中膀功能严重程度与PFM强度,跌倒风险,疲劳水平和整体QOL显著相关.
- 针对PFM强度的干预措施可以改善膀功能障碍PwMS的功能结果和QoL.
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